MENTAL HEALTH FINAL EXAM QUESTIONS & ANSWERS LATEST UPDATE 2023 TOP RANKED, Exams of Nursing

Download MENTAL HEALTH FINAL EXAM QUESTIONS & ANSWERS LATEST UPDATE 2023 TOP RANKED and more Exams Nursing in PDF only on Docsity! MENTAL HEALTH FINAL EXAM QUESTIONS & ANSWERS LATEST UPDATE 2023 TOP RANKED . A nursing student new to psychiatric- mental health nursing asks a peer what resources he can use to figure out which symptoms are present in a specific psychiatric disorder. The best answer would be: a. Nursing Interventions Classification (NIC) b. Nursing Outcomes Classification (NOC) c. NANDA-I nursing diagnoses d. DSM-5 7. Epidemiological studies contribute to improvements in care for individuals with mental disorders by: a. Providing information about effective nursing techniques. c. “When was the last time you had a fever?” d. “Do you have problems urinating?” 3. You realize that your patient who is being treated for a major depressive disorder requires more teaching when she makes the following statement: a. “I have been on this antidepressant for 3 days. I realize that the full effect may not happen for a period of weeks.” b. “I am going to ask my nurse practitioner to discontinue my Prozac today and let me start taking a monoamine oxidase inhibitor tomorrow.” c. “I may ask to have my medication changed to Wellbutrin due to the problems I am having being romantic with my wife.” d. “I realize that there are many antidepressants and it might take a while until we find the one that works best for me.” 4. A patient being treated for insomnia is prescribed ramel-teon (Rozerem). Which comorbid mental health condition would make this medication the hypnotic of choice for this particular patient? a. Obsessive-compulsive disorder b. Generalized anxiety disorder c. Persistent depressive disorder d. Substance use disorder 5. Which statement made by a patient prescribed bupropion (Wellbutrin) demonstrates that the medication education the patient received was effective? Select all that apply. assessed for fluid and electrolyte imbalance is the one receiving: a. lithium (Eskalith) b. clozapine (Clozaril) c. diazepam (Valium) d. amitriptyline 10. A psychiatric nurse is reviewing prescriptions for a patient with major depression at the county clinic. Since the patient has a mild intellectual disability, the nurse would question which classification of antidepressant drugs: a. Selective serotonin reuptake inhibitors b. Monoamine oxidase inhibitors c. Serotonin and norepinephrine reuptake inhibitors d. All of the above 4. The mental health team is determining treatment options for a male patient who is experiencing psychotic symptoms. Which question(s) should the team answer to determine whether a community outpatient or inpatient setting is most appropriate? Select all that apply. a. “Is the patient expressing suicidal thoughts?” b. “Does the patient have intact judgment and insight into his situation?” c. “Does the patient have experiences with either community or inpatient mental healthcare facilities?” d. “Does the patient require a therapeutic environment to support the management of psychotic symptoms?” a. “The patient‟s verbal and nonverbal communication is often different.” b. “When my patient responds to my question, I check for congruence between verbal and nonverbal communication to help validate the response.” c. “If a patient is slumped in the chair, I can be sure he‟s angry or depressed.” d. “It‟s easier to understand verbal communication that nonverbal communication.” 2. Which nursing statement is an example of reflection? a. “I think this feeling will pass.” b. “So you are saying that life has no meaning.” c. “I‟m not sure I understand what you mean.” d. “You look sad.” 3. When should a nurse be most alert to the possibility of communication errors resulting in harm to the patient? a. Change of shift report b. Admission interviews c. One-to-one conversations with patients d. Conversations with patient families 4. During an admission assessment and interview, which channels of information communication should the nurse be monitoring? Select all that apply. a. Auditory b. Visual c. Written d. Tactile b. “You say you look forward to the meeting, but you appear anxious or unhappy.” c. “I notice that you frowned and avoided eye contact just now. Don‟t you feel well?” d. “I get the impression you don‟t really want to see your psychiatrist—can you tell me why?” 7. Which student behavior is consistent with therapeutic communication? a. Offering your opinion when asked to convey support. b. Summarizing the essence of the patient‟s comments in your own words. c. Interrupting periods of silence before they become awkward for the patient. d. Telling the patient he did well when you approve of his statements or actions. 8. James is a 42-year-old patient with schizophrenia. He approaches you as you arrive for day shift and anxiously reports, “Last night, demons came to my room and tried to rape me.” Which response would be most therapeutic? a. “There are no such things as demons. What you saw were hallucinations.” b. “It is not possible for anyone to enter your room at night. You are safe here.” c. “You seem very upset. Please tell me more about what you experienced last night.” d. “That must have been very frightening, but we‟ll check on you at night and you‟ll be safe.” 9. Therapeutic communication is the foundation of a patient- centered interview. Which of the following a. “Hitting me when you are angry is unacceptable.” b. “I expect you to behave yourself during dinner.” c. “Come here, right now!” d. “Good boys don‟t bite.” 2. Which activity is most appropriate for a child with ADHD? a. Reading an adventure novel b. Monopoly c. Checkers d. Tennis 3. Cognitive-behavioral therapy is going well when a 12-year- old patient in therapy reports to the nurse practitioner: a. “I was so mad I wanted to hit my mother.” b. “I thought that everyone at school hated me. That‟s not true. Most people like me and I have a friend named Todd.” c. “I forgot that you told me to breathe when I become angry.” d. “I scream as loud as I can when the train goes by the house.” 4. What assessment question should the nurse ask when attempting to determine a teenager‟s mental health resilience? Select all that apply. a. “How did you cope when your father deployed with the Army for a year in Iraq?” b. “Who did you go to for advice while your father was away for a year in Iraq?” c. “How do you feel about talking to a mental health counselor?” 8. Child protective services have removed 10-year-old Christopher from his parents‟ home due to neglect. Christopher reveals to the nurse that he considers the woman next door his “nice” mom, that he loves school, and gets above average grades. The strongest explanation of this response is: a. Temperament b. Genetic factors c. Resilience d. Paradoxical effects of neglect 9. April, a 10-year-old admitted to inpatient pediatric care, has been getting more and more wound up and is losing self-control in the day room. Time-out does not appear to be an effective tool for April to engage in self-reflection. April‟s mother admits to putting her in time-out up to 20 times a day. The nurse recognizes that: a. Time-out is an important part of April‟s baseline discipline. b. Time-out is no longer an effective therapeutic measure. c. April enjoys time-out, and acts out to get some alone time. d. Time-out will need to be replaced with seclusion and restraint. 10. Adolescents often display fluctuations in mood along with undeveloped emotional regulation and poor tolerance for frustration. Emotional and behavioral control usually increases over the course of adolescence due to: a. Limited executive function b. Cerebellum maturation c. Cerebral stasis and hormonal changes d. A slight reduction in brain volume olds on the importance of early intervention. 3. To provide effective care for the patient diagnosed with schizophrenia, the nurse should frequently assess for which associated condition? Select all that apply. a. Alcohol use disorder b. Major depressive disorder c. Stomach cancer d. Polydipsia e. Metabolic syndrome 4. A female patient diagnosed with schizophrenia has been prescribed a first- generation antipsychotic medication. What information should the nurse provide to the patient regarding her signs and symptoms? a. Her memory problems will likely decrease. b. Depressive episodes should be less severe. c. She will probably enjoy social interactions more. d. She should experience a reduction in hallucinations. 5. Which characteristic presents the greatest risk for injury to others by the patient diagnosed with schizophrenia? a. Depersonalization b. Pressured speech c. Negative symptoms d. Paranoia 6. Gilbert, age 19, is described by his parents as a “moody child” with an onset of odd behavior about at age 14, which caused Gilbert to suffer academically and socially. Gilbert has lost the ability to they often refuse medication, believing that: a. Medications provided are ineffective. b. Nurses are trying to control their minds. c. The medications will make them sick. d. They are not actually ill. 9. Kyle, a patient with schizophrenia, began to take the first-generation antipsychotic haloperidol (Haldol) last week. One day you find him sitting very stiffly and not moving. He is diaphoretic, and when you ask if he is okay he seems unable to respond verbally. His vital signs are: BP 170/100, P 110, T 104.2°F. What is the priority nursing intervention? Select all that apply. a. Hold his medication and contact his prescriber. b. Wipe him with a washcloth wet with cold water or alcohol. c. Administer a medication such as benztropine IM to correct this dystonic reaction. d. Reassure him that although there is no treatment for his tardive dyskinesia, it will pass. e. Hold his medication for now and consult his prescriber when he comes to the unit later today. 10. Tomas is a 21-year-old male with a recent diagnosis of schizophrenia. Tomas‟s nurse recognizes that self- medicating with excessive alcohol is common in this disease and can co- occur along with: a. Generally good health despite the mental illness. b. An aversion to drinking fluids. c. Anxiety and depression. a. “I have to keep reminding myself to consistently drink six 12-ounce glasses of fluid every day.” b. “I discussed the diuretic my cardiologist prescribed with my psychiatric care provider.” c. “Lithium may help me lose the few extra pounds I tend to carry around.” d. “I take my lithium on an empty stomach to help with absorption.” e. “I‟ve already made arrangements for my monthly lab work.” 3. The nurse is providing medication education to a patient who has been prescribed lithium to stabilize mood. Which early signs and symptoms of toxicity should the nurse stress to the patient? Select all that apply. a. Increased attentiveness b. Getting up at night to urinate c. Improved vision d. An upset stomach for no apparent reason e. Shaky hands that make holding a cup difficult 4. A male patient calls to tell the nurse that his monthly lithium level is 1.7 mEq/L. Which nursing intervention will the nurse implement initially? a. Reinforce that the level is considered therapeutic. b. Instruct the patient to hold the next dose of medication and contact the prescriber. c. Have the patient go to the hospital emergency room immediately. d. Alert the patient to the possibility of seizures and appropriate precautions. c. The patient is lacking a sufficient number of neurotransmitters. d. The patient is using alcohol because she is depressed. 7. Ted, a former executive, is now unemployed due to manic episodes at work. He was diagnosed with bipolar I 8 years ago. Ted has a history of IV drug abuse, which resulted in hepatitis C. He is taking his lithium exactly as scheduled, a fact that both Ted‟s wife and his blood tests confirm. To reduce Ted‟s mania the psychiatric nurse practitioner recommends: a. Clonazepam (Klonopin) b. Fluoxetine (Prozac) c. Electroconvulsive therapy (ECT) d. Lurasidone (Latuda) 8. A 33-year-old female diagnosed with bipolar I disorder has been functioning well on lithium for 11 months. At her most recent checkup, the psychiatric nurse practitioner states, “You are ready to enter the maintenance therapy stage, so at this time I am going to adjust your dosage by prescribing”: a. A higher dosage b. Once a week dosing c. A lower dosage d. A different drug 9. Tatiana has been hospitalized for an acute manic episode. On admission the nurse suspects lithium toxicity. What assessment findings would indicate the nurse‟s suspicion as correct? a. Shortness of breath, gastrointestinal distress, chronic cough b. Ataxia, severe hypotension, large volume of dilute urine d. “I go to sleep around 11 p.m. but I‟m always up by 3 a.m. and can‟t go back to sleep.” 2. Which assessment question asked by the nurse demonstrates an understanding of comorbid mental health conditions associated with major depressive disorder? Select all that apply. a. “Do rules apply to you?” b. “What do you do to manage anxiety?” c. “Do you have a history of disordered eating?” d. “Do you think that you drink too much?” e. “Have you ever been arrested for committing a crime?” 3. Which nursing intervention focuses on managing a common characteristic of major depressive disorder associated with the older population? a. Conducting routine suicide screenings at a senior center. b. Identifying depression as a natural, but treatable result of aging. c. Identifying males as being at a greater risk for developing depression. d. Stressing that most individuals experience just a single episode of major depression in a lifetime. 4. Which characteristic identified during an assessment serves to support a diagnosis of disruptive mood dysregulation disorder? Select all that apply. a. Female b. 7 years old c. Comorbid autism diagnosis 7. Cabot has multiple symptoms of depression including mood reactivity, social phobia, anxiety, and overeating. With a history of mild hypertension, which classification of antidepressants dispensed as a transdermal patch would be a safe medication? a. Tricyclic antidepressants b. Selective serotonin reuptake inhibitors c. Serotonin and norepinephrine reuptake inhibitors d. Monoamine oxidase inhibitor 8. When a nurse uses therapeutic communication with a withdrawn patient who has major depression, an effective method of managing the silence is to: a. Meditate in the quiet environment b. Ask simple questions even if the patient will not answer c. Use the technique of making observations d. Simply sit quietly and leave when the patient falls asleep 9. The biological approach to treating depression with electrodes surgically implanted into specific areas of the brain to stimulate the regions identified to be underactive in depression is: a. Transcranial magnetic stimulation b. Deep brain stimulation c. Vagus nerve stimulation d. Electroconvulsive therapy 10. Two months ago, Natasha‟s husband died suddenly and she has been overwhelmed with grief. When Natasha is subsequently diagnosed with major depressive disorder, her daughter, Nadia, makes which true statement? a. Harper will be able to identify feelings through the use of play therapy. b. Harper and her parents will have access to protective resources available through social services. c. Harper will demonstrate the effective use of relaxation techniques to restore a sense of control over disturbing thoughts. d. Harper and her parents will demonstrate an understanding of the personal human response to traumatic events. 3. The care plan of a male patient diagnosed with a dissociative disorder includes the nursing diagnosis ineffective coping. Which behavior demonstrated by the patient supports this nursing diagnosis? a. Has no memory of the physical abuse he endured. b. Using both alcohol and marijuana. c. Often reports being unaware of surroundings. d. Reports feelings of “not really being here.” 4. Which statement accurately describes the effects of emotional trauma on the individual physically? a. Emotional trauma is a distinct category and unrelated to physical problems b. The physical manifestations of emotional trauma are usually temporary c. Emotional trauma is often manifested as physical symptoms d. Patients are more aware of the physical problems caused by trauma family members about children who have suffered trauma and knows her teaching was effective when the foster mother states: a. “I understand that imaginary friends are abnormal.” b. “I understand that imaginary friends are a maladaptive behavior.” c. “I understand that imaginary friends are a coping mechanism.” d. “I understand that we should tell the child that imaginary friends are unacceptable.” 8. An incest survivor undergoing treatment at the mental health clinic is relieved when she learns that her anxiety and depression are: a. Going to be eradicated with treatment b. Normal and will soon pass c. Abnormal but will pass d. A normal reaction to posttraumatic events 9. During a routine health screening, a grieving widow whose husband died 15 months ago reports emptiness, a loss of self, difficulty thinking of the future, and anger at her dead husband. The nurse suggests bereavement counseling. The widow is most likely suffering from: a. Major depression b. Normal grieving c. Adjustment disorder d. Posttraumatic stress disorder 10. A young child is found wandering alone at a mall. A male store employee approaches and asks where her parents are. She responds, “I don‟t know. Maybe you will take me home with you?” This d. Systolic blood pressure greater than 130 mm Hg 3. When considering the need for monitoring, which intervention should the nurse implement for a patient with anorexia nervosa? Select all that apply. a. Provide scheduled portion-controlled meals and snacks. b. Congratulate patients for weight gain and behaviors that promote weight gain. c. Limit time spent in bathroom during periods when not under direct supervision. d. Promote exercise as a method to increase appetite. e. Observe patient during and after meals/snacks to ensure that adequate intake is achieved and maintained. 4. Which intervention will promote independence in a patient being treated for bulimia nervosa? a. Have the patient monitor daily caloric intake and intake and output of fluids. b. Encourage the patient to use behavior modification techniques to promote weight gain behaviors. c. Ask the patient to use a daily log to record feelings and circumstances related to urges to purge. d. Allow the patient to make limited choices about eating and exercise as weight gain progresses. 5. Which patient statement supports the diagnosis of anorexia nervosa? a. “I‟m terrified of gaining weight.” b. “I wish I had a good friend to talk to.” c. “I‟ve been told I drink way too much alcohol.” 8. Safety measures are of concern in eating-disorder treatments. Patients with anorexia nervosa are supervised closely to monitor: Select all that apply. a. Foods that are eaten b. Attempts at self-induced vomiting c. Relationships with other patients d. Weight 9. Malika has been overweight all of her life. Now an adult, she has health problems related to her excessive weight. Seeking weight loss assistance at a primary care facility Malika is surprised when the nurse practitioner suggests: a. A trial of SSRI antidepressant therapy b. Mild exercise to start, increasing in intensity over time c. Removing snack foods from the home d. Medication treatment for hypertension 10. Malika agrees to try losing weight according to the nurse practitioner‟s outlined plan. Additional teaching is warranted when Malika states: a. “I am willing to admit I am depressed.” b. “Psychotherapy will be a part of my treatment.” c. “I prefer to have a gastric bypass rather than use this plan.” d. “My comorbid conditions may improve with weight loss.” 6. Which patient has the greatest risk for suicide? b. Disgust over his lack of control c. Desire waning with age d. Progression into actual assault 9. A male arrested for inappropriate sexual contact in a subway car denies the allegation. Upon interviewing the man, the nurse suspects frotteuristic disorder due to his: a. Lack of relationships b. Overall aggressive nature c. Criminal history including robbery d. Intense hatred of women 10. Pedophilic disorder is the most common paraphilic disorder where adults who have a primary or exclusive sexual preference for prepubescent children. A subset of this disorder is termed hebephilia and is defined as attraction to: a. Infants b. Pubescent individuals c. Teens between the ages of 15 and 19 d. Males only 1. Which statement made by the psychiatric nurse demonstrates an accurate understanding of the factors that affect an individual‟s personality? a. “Therapy will help her identify that her problems are personality related.” b. “I‟ll need to learn more about this patient‟s cultural beliefs.” c. “It‟s encouraging to know that personality disorders respond well to treatment.” d. “A person‟s personality is fluid and adjusts to current social situations.” d. Personality disorders have been found to be primarily the products of genetic factors, not cultural factors. 4. Which personality disorders are generally associated with behaviors described as “odd or eccentric”? Select all that apply. a. Paranoid b. Schizoid c. Histrionic d. Obsessive-compulsive e. Avoidant 5. Which behaviors are examples of a primitive defense mechanism often relied upon by those diagnosed with a personality disorder? Select all that apply. a. Regularly attempts to split the staff b. Attempts to undo feelings of anger by offering to do favors c. Regresses to rocking and humming to sooth themselves when fearful d. Lashes out verbally when confronted with criticism e. Destroys another person‟s belongings when angry 6. Personality disorders often co-occur with mood and eating disorders. A young woman is undergoing treatment at an eating disorders clinic and her nurse suspects the patient may also have a Cluster B personality disorder due to the young woman‟s: a. Desire to avoid eating b. Dramatic response to frustration c. Excessive exercise routine d. Morose personality traits d. Do not usually respond to antipsychotic medications 9. Garret‟s wife of 8 years is divorcing him because the marriage never developed a warm or loving atmosphere. Garrett states in therapy, “I have always been a loner,” and was never concerned about what others think. The nurse practitioner suggests that Garrett try a trial of bupropion (Wellbutrin) to: a. Improve his flat emotions b. Assist in getting a good night‟s sleep c. Increase the pleasure of living d. Prepare Garrett for group therapy 10. Josie, a 27-year-old patient, complains that most of the staff do not like her. She says she can tell that you are a caring person. Josie is unsure of what she wants to do with her life and her “mixed-up feelings” about relationships. When you tell her that you will be on vacation next week, she becomes very angry. Two hours later, she is found using a curling iron to burn her underarms and explains that it “makes the numbness stop.” Given this presentation, which personality disorder would you suspect? a. Obsessive-compulsive b. Borderline c. Antisocial d. Schizotypal 1. Which statement made by the primary caregiver of a patient diagnosed with dementia demonstrates accurate understanding of providing the patient with a safe environment? a. “The local police know that he has wandered off before.” b. “I keep the noise level low in the house.”