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A series of questions and answers related to mental health, covering topics such as psychosomatic problems, somatoform disorders, anxiety, depression, bipolar disorder, schizophrenia, and more. It offers insights into various aspects of mental health, including diagnosis, treatment, and coping mechanisms. Useful for students and professionals in the field of mental health.
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Most psychosomatic problems and somatoform disorders begin in - childhood
Children should undergo further evaluation when their weight is _______above their height - 20%
A female client's husband in whom a chronic illness was recently diagnosed is hospitalized. She states that she can't stop worrying about what is going to happen with her husband's treatment and how they are going to pay the bills because he is not working. What reaction is the client most likely experiencing? - Anxiety
The parents of a 14 year old girl have noticed that over the past couple months, their daughter has not been enjoying participating in the track team, which she previously enjoyed. She often makes statements about how ugly she feels and she dropped a letter grade in two of her classes. Base don these symptoms, this client may be diagnosed with: - Depressive disorder
In preparing discharge planning for a client who has been prescribed lithium for the treatment of bipolar disorder, it is important that the client demonstrate an understanding of the need to monitor his or her diet for intake of: - Sodium
_______is a side effect that can occur while the client is taking antipsychotic medications, causing muscle rigidity, high fever, unstable vital signs, confusion and agitation. - neuroleptic malignant syndrome (NMS)
A female college student is seeking help from the counseling center for text anxiety. She reports that during an exam, she "freezes and feels like the time I have to take the exam is racing by and I can't answer any of the questions when i know the answers". Which level of anxiety is the client experiencing? - Severe
Behaviors associated with mental illnesses were more accurately recorded by professionals. This practice led to _______for different abnormal behaviors. - Classifications
A 10 year old male client with autism experiences loneliness and social anxiety as a result of his disease. Which CAM therapy will the caregiver suggest to help out this client the most with these feelings? - Animal assisted therapy
A woman goes to a late movie with her friends and gets home after midnight. She is scheduled to play in a tennis tournament early the next morning and loses all her matches. She blames the line judge for her loss, rather than her poor play. Which coping mechanism best describes her response to losing the matches? - Rationalization
Poverty influences the growth and development of children and is often a precursor to mental health disorders in children. Nearly _______of the children in the US come from families that live at the poverty level. - 20%
The provider is administering medications to a client with a diagnosis of paranoid schizophrenia. The provider would expect to see which medication ordered for the client? - Risperdal
A group of sexual variations that depart from society's traditional and acceptable models of seeking sexual gratification is: - Paraphillia
Selye's stress adaptation theory consists of three stages, with the second stage characterized by: - Attempts of the body to cope with stress
Individuals with schizophrenia tend to use the chemical ______most often - Alcohol
Color therapy has been found to be effective in the treatment of: - Seasonal affective disorder
A 4 year old client in a pediatric unit is imitating the actions of the provider, the provider knows according to the Erikson's theory, that this child is displaying a characteristic seen during which development stage? - genital locomotor
Which patient right may a client with mental health disorders lose during their treatments? - Freedom from restraints and seclusion
During the provider assessment before admission to a mental health facility, the client states that he was found to have driven his car to another state but had no recollection of driving there. The nurse is aware that this client is describing a condition known as: - Dissociative fugue
The tech witnesses different personalities emerging in the client with Dissociative Identity disorder (DID). The primary personality is referred to as the: - Host
The client has been admitted to the medical unit for unexplained weight loss and fatigue. He does not speak except to answer questions and he refuses to interact with other people except when necessary. Which coping mechanism is he using to deal with his hospitalization? - Withdrawal
A male client is seeking help in a mental health clinic for anger management problems. He voices that he is fearful that his wife may divorce him because of his anger problems and he is willing to do whatever it takes to control his anger. Later in the week, the client's wife also seeks assistance because she is going to divorce her husband. The provider who is caring for both these clients tried to decide the correct action to take. The provider is experiencing: - An ethical conflict
The introduction of ________led to the deinstitutionalization of many ill individuals. - Psychotherapeutic drugs
It is estimated that approximately ______ _of adults experience some form of mental or emotional disorder. - 19%
What mental health disorder was electroconclusive therapy (ECT) most often used to treat? - Severe depression
Psychotherapeutic drug therapy works primarily by: - Alternating chemical balances within the nervous system
A newly admitted elderly client seems to become confused and agitated every evening after dinner. The client is most likely suffering from: - Sundown syndrome
it is important to be aware that _______ of individuals over the age of 45 take prescription, over the counter or a combination of these medications: - 95%
According to DSM-IV-TR Axis guidelines, clinical disorders are described as: - Mood disorders, substance use, schizophrenic disorders
The tech providing care to female client who has been given the diagnosis of schizophrenia and chronic obstructive pulmonary disease (COPD). the client is experiencing visual and auditory hallucinations, is short of breath with cyanosis of nail beds and has cool moist skin. Where should the tech's first intervention be directed? - Shortness of breath and cyanosis
During client teaching, the tech must inform the client prescribed a Tricyclic Antidepressant (TCA) to not expect to see a difference in mood or anxiety level for up to: - 2-3 weeks
What is it called when you eat things that are not food? Such as rocks, pillows, couch stuffing. - Pica
Anorexia in adolescence is normally due to: - A lack of control
When anxiety is maladaptive in an individual, it has the characteristics of: - ineffective coping
What is he main function of the national center for complementary and alternative medicine (NCCAM)? - To seek scientific validation and be a resource to the public
What helps the left side o the brain bond to a traumatic memory from the flight side of the brain?
Sexually transmitted diseases including HIV/AIDS and pregnancy rates are highest for: - Adolescents
A 75 year old client is brought to the clinic by his son. The son states, "ever since mom died, dad hasn't been the same. At first he seemed sad, but now he seems to get mixed up about everything." the provider is aware that based on the client's history the source of confusion is most likely: - Depression form the loss of his wife
A traditional Arab female client is brought to the emergency room by her husband. She complains of feeling very anxious and short of breath and had chest pains. what would likely be a hindrance to the care of this client? - The only caregivers available in the emergency room is male
It is important for the nurse to be familiar with the religious practices of clients care for most often in a particular region because attitudes toward health and illness, death and burial, food, and procreation have a strong impact on a client's beliefs and practices. the nurse knows that the religion practiced most often around the world is: - Christianity
According to Freud's theory, a baby who is crying in response to wanting to be held by his mother is an example of which part of the personalities control over behavior? - ID
The nurse is caring for a 20 year old woman from Puerto Rico. The client speaks English, but she is accompanied by her mother who does not. The client has a history of mental illness, and through the interpreter, the nurse learns that the mother, who has traditional Puerto Rican cultural beliefs, believes that the clients mental illness is caused by: - witchcraft
Which client communication problem can the nurse most easily correct? - cultural differences
An older Asian female with a diagnosis of depression is cared for by her granddaughter. Her granddaughter is very attentive to the clients needs, attends every therapy session, and is active in planning and implementing of the treatment plan. the granddaughters valuing of her grandmother is most likely due to her: - cultural beliefs
Disease is defined as ____________________ dysfunction - physical
What effects the metabolism of psychotropic medications? - Ethnicity
Where is a tympanic temperature taken? - in the ear
Clients with bipolar or cycolthymic disorder exhibit different kinds of: - Mania
What events in childhood often lead to chronic disorders in adults such as anxiety and depression? - Abuse
What is the least invasive? - Sublingual
A client is continually late for his appointment at the mental health clinic. What is a likely reason for his lack of punctuality? - time orientation
What is the social orientation among most middle-class American families? - Nuclear
Abused substances are those chemicals that alter a person's perception by affecting: - the central nervous system
Dissociative disorders most often result when an individual is attempting to cope with: - Extreme emotional anxiety or stress
The provider is planning the discharge of a client who has been prescribed an antipsychotic medication for paranoid schizophrenia. The provider knows that the client is at most risk for: - non-compliance
A female client has been taking an antipsychotic medication for several years. It is of vital importance for the provider to observe the client for Tardive Dyskinesia. Symptoms of the condition include: - Repetitious, involuntary muscle movements in the face and extremities
Addiction to recreational drugs, such as crack, cocaine, and heroin combined with the use of psychotherapeutic drugs is associated with: - permanent psychotic disorder
Orthostatic hypotension/postural hypotension is a form that occurs when a person: - Experiences low blood pressure when going from a sitting or laying position to a standing position
A female client is taking an antipsychotic medication for her schizophrenia. the provider monitors this client for the peripheral nervous system side effects of: - Photophobia, dry mouth, and hypotension
Of individuals who suffers from panic attacks, ______________________are women - 70%
The provider documents in a male client's record that he displayed a "flat affect". the client's behavior would most likely consist of: - Unresponsive emotions
Children who are smaller at birth, have small heads (microcephaly), and fail to develop normally have characteristics of: - Fetal alcohol syndrome
Nearly _______of all countries in the world have no clear government policy that addresses mental health issues - 50%
The tech is aware that he or she may be administering the new anti-anxiety medication Lyrica to clients without an anxiety disorder for the purpose of treating: - neuropathic pain
A 70 year old male client tells the nurse that he is using chelation therapy to prevent Alzheimer's disease. Which adverse effect is the client most likely to experience? - Low potassium levels
The provider administers antidepressant medication to a client in an assisted living facility. This is an example of which phase of the nursing process? - Intervention
Children who do not fully develop the ability to respond and communicate their needs and therefore sometimes remain dependent upon others throughout their lives are most accurately described as having: - Autism
__________________ of the adult population in the US has a mental health disorder. - 22%
A mental health care provider who is aware of her cultural views and attitudes toward other cultures and who strives to understand, communicate, and effectively work with clients of other cultures is considered to be: - culturally competent
the average time that a person with Alzheimer's disease lives after diagnosis is: - 10 years
What is the term for a physical expression of anxiety by an individual in ways such as nausea or headaches? - Somatization
Clients who are taking Lithium must monitor their water and salt intake. Why? - Lithium is excreted by the kidneys more rapidly than water
The client lives life by rapidly bouncing from severe depression to feelings of great joy. The client's diagnosis is most likely: - Bipolar disorder
The parents of a 2 year old boy seek assistance at a family therapy clinic because their son throws temper tantrums every time he is not allowed to throw his food on the floor during meals. Which therapeutic intervention does the provider suggest: - Try to distract him when he becomes frustrated and reward him for positive behaviors
Which of the following is considered a primary provider diagnosis for a client with dissociative
disorder? - Disturbed personal identity