A distraught mother brings her ten-year-old-son to the pediatrician and explains that no matter how much she tries to encourage her son to read books, he shows no interest and gets really upset when she pushes him to have reading time. In school, he gets average grades and explains that he gets frustrated because the schoolwork makes no sense. What diagnosis would the nurse suspect?

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Mental Health 6 Practice Questions Questions

Question 1 of 5

A distraught mother brings her ten-year-old-son to the pediatrician and explains that no matter how much she tries to encourage her son to read books, he shows no interest and gets really upset when she pushes him to have reading time. In school, he gets average grades and explains that he gets frustrated because the schoolwork makes no sense. What diagnosis would the nurse suspect?

Correct Answer: D

Rationale: The correct answer is D: dyslexia. Dyslexia is a specific learning disability that affects reading and related language-based processing skills. In this case, the child's lack of interest in reading, frustration with schoolwork, and difficulty understanding the material points towards dyslexia. Dysphagia (choice A) is difficulty swallowing, not related to reading. Dyscalculia (choice B) is a learning disability related to math, not reading. Dysgraphia (choice C) is a learning disability related to writing, not reading. Therefore, based on the symptoms described, dyslexia is the most likely diagnosis.

Question 2 of 5

An instructor overhears the nursing student ask a client,"This is your third admission. Why did you stop taking your medications?" Which would be the most appropriate instructor response?

Correct Answer: A

Rationale: The correct answer is A because the instructor's response highlights the potential negative impact of the student's question on the client. By pointing out that the question implied criticism, the instructor is guiding the student to be more mindful of their language and approach with clients. This response promotes patient-centered care and emphasizes the importance of maintaining a non-judgmental and supportive environment for clients. Choice B is incorrect because it focuses on the positive aspect of the student's question without addressing its potential harm. Choice C is incorrect because it assumes the student's question was appropriate when it may have been insensitive. Choice D is incorrect because it only mentions the student's focus on the topic without addressing the underlying issue of possible criticism.

Question 3 of 5

A patient is suspicious and frequently manipulates others. To which psychosexual stage do these traits relate?

Correct Answer: A

Rationale: The correct answer is A: Oral. Suspicion and manipulation are traits associated with fixation at the oral stage, according to Freud's psychosexual development theory. At this stage, the primary focus is on oral activities such as sucking and biting. Fixation can lead to traits like suspicion and manipulation. The other choices are incorrect because they correspond to different stages: B) Anal relates to issues with control and orderliness, C) Phallic relates to Oedipus complex and gender identity, and D) Genital is the mature stage where healthy relationships are formed.

Question 4 of 5

When a new patient is hospitalized, a nurse takes the patient on a tour, explains rules of the unit, and discusses the daily schedule. The nurse is engaged in

Correct Answer: C

Rationale: The correct answer is C: milieu management. Milieu management involves creating a therapeutic environment that promotes the patient's well-being. In this scenario, the nurse is establishing the rules and daily schedule of the unit to help the patient feel safe and understand what to expect during their hospitalization. This process aims to create a supportive and structured environment for the patient. Explanation of why the other choices are incorrect: A: Counseling typically involves providing emotional support, guidance, and advice to help the patient cope with their situation. The nurse in this scenario is not primarily providing counseling. B: Health teaching involves educating the patient about their health condition, treatment, and self-care practices. While some health teaching may occur during the tour, the primary focus is on establishing the unit rules and schedule. D: Psychobiological intervention refers to interventions that address the interaction between psychological and biological factors. The nurse's actions in this scenario are more focused on environmental factors and establishing a therapeutic milieu rather than psychobiological interventions.

Question 5 of 5

A student says, "Before taking a test, I feel very alert and a little restless." The nurse can correctly assess the student's experience as

Correct Answer: D

Rationale: The correct answer is D: mild anxiety. Feeling alert and restless before a test indicates a state of arousal that is common in mild anxiety. This level of anxiety is normal and can even enhance performance. It is not culturally influenced (A), as anxiety responses can occur universally. It is not displacement (B), which is a defense mechanism involving redirecting emotions. It is also not trait anxiety (C), which refers to a stable personality characteristic of experiencing anxiety across various situations. In this case, the student's experience is temporary and specific to the test-taking situation.

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