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Mental Health Exam 2: Questions and Answers for Nursing Students, Exams of Psychology

California Career CollegePsychology

A comprehensive set of multiple-choice questions and answers related to mental health concepts, particularly focusing on conditions like delirium, dementia, and alzheimer's disease. It covers key symptoms, nursing interventions, and communication strategies for managing these conditions. Valuable for nursing students preparing for exams or seeking to deepen their understanding of mental health care.

Typology: Exams

2024/2025

Available from 01/21/2025

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MENTAL HEALTH EXAM 2 (REAL EXAM) | ALL
QUESTIONS AND CORRECT ANSWERS |
GRADED A+ | VERIFIED ANSWERS | LATEST
EXAM 2025
Which statement describes the likely cause of an older adult patient
hospitalized for blood pressure management becoming very irritable on the
third hospital day and saying, "Little yellow bugs are crawling across my
sheets"?
1. The patient has delusions secondary to depression.
2. The patient is experiencing illusions secondary to delirium
3. Early dementia emerged because of the stress of the physical illness.
4. Doses of antihypertensive drugs have not managed the patient's blood
pressure ---------CORRECT ANSWER-----------------2. The patient is
experiencing illusions secondary to delirium
Which symptom is a patient with dementia likely to manifest? Select all that
apply. One, some, or all responses may be correct.
1. Extreme sadness
2. Lethargy
3. No emotional expression
4. Altered level of consciousness ---------CORRECT ANSWER-----------------
2. Lethargy
3. No emotional expression
Which symptom is a patient diagnosed with delirium likely to manifest?
Select all that apply. One, some, or all responses may be correct.
1. Altered consciousness
2. Sundown syndrome
3. Disorientation
4. Lethargy
5. Hallucinations ---------CORRECT ANSWER-----------------1. Altered
consciousness
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Download Mental Health Exam 2: Questions and Answers for Nursing Students and more Exams Psychology in PDF only on Docsity!

MENTAL HEALTH EXAM 2 (REAL EXAM) | ALL

QUESTIONS AND CORRECT ANSWERS |

GRADED A+ | VERIFIED ANSWERS | LATEST

EXAM 2025

Which statement describes the likely cause of an older adult patient hospitalized for blood pressure management becoming very irritable on the third hospital day and saying, "Little yellow bugs are crawling across my sheets"?

  1. The patient has delusions secondary to depression.
  2. The patient is experiencing illusions secondary to delirium
  3. Early dementia emerged because of the stress of the physical illness.
  4. Doses of antihypertensive drugs have not managed the patient's blood pressure ---------CORRECT ANSWER-----------------2. The patient is experiencing illusions secondary to delirium Which symptom is a patient with dementia likely to manifest? Select all that apply. One, some, or all responses may be correct.
  5. Extreme sadness
  6. Lethargy
  7. No emotional expression
  8. Altered level of consciousness ---------CORRECT ANSWER-----------------
  9. Lethargy
  10. No emotional expression Which symptom is a patient diagnosed with delirium likely to manifest? Select all that apply. One, some, or all responses may be correct.
  11. Altered consciousness
  12. Sundown syndrome
  13. Disorientation
  14. Lethargy
  15. Hallucinations ---------CORRECT ANSWER-----------------1. Altered consciousness
  1. Sundown syndrome
  2. Disorientation
  3. Hallucinations Which phrase describes what may be the primary reason family caregivers feel overburdened with the care of an elderly Alzheimer's disease patient and want to admit the patient to an assisted living facility?
  4. Disruption of social life
  5. Family discord
  6. Distress, guilt, and rejection
  7. Caregiver role strain ---------CORRECT ANSWER-----------------4. Caregiver role strain Which term would the nurse use to describe when a patient diagnosed with delirium insists that a vacuum hose is a large, poisonous snake?
  8. Hallucination
  9. Illusion
  10. Hypervigilance
  11. Agnosia ---------CORRECT ANSWER-----------------2. Illusion Which nursing intervention would help orient a patient experiencing confusion associated with a neurocognitive disorder?
  12. Reminding the patient frequently of upcoming events
  13. Offering a consistent daily routine and easy-to-read clocks
  14. Repeatedly rehearsing spheres of orientation with the patient
  15. Providing frequent opportunities for the patient to make choices --------- CORRECT ANSWER-----------------2. Offering a consistent daily routine and easy-to-read clocks Which behavior would the nurse expect to observe at night in a patient admitted with sundown syndrome?
  16. Agitation
  1. Adult day care
  2. Telephonic reassurance ---------CORRECT ANSWER-----------------3. Adult day care Which nursing intervention would be most appropriate for an older adult patient suspected of being at risk for development of a symptom of delirium?
  3. Ensuring that the patient is ambulated sufficiently
  4. Assessing orientation to person, place, and time every 2 hours
  5. Cutting the patient's food into small pieces to avoid the risk for choking
  6. Ensuring that the patient is dressed warmly to avoid the risk for hypothermia ---------CORRECT ANSWER-----------------2. Assessing orientation to person, place, and time every 2 hours Which condition would cause a patient to be oriented and able to carry on a logical conversation one evening, but in the morning is confused and disoriented?
  7. Delirium
  8. Dementia
  9. Depression
  10. Caregiver role strain ---------CORRECT ANSWER-----------------1. Delirium Dementia in an older adult is often misdiagnosed for which condition?
  11. Depression
  12. Cerebral emboli
  13. Normal effects of aging
  14. Poor nutritional status ---------CORRECT ANSWER-----------------1. Depression Which communication strategy would the nurse teach the family caregivers to improve orientation of the patient with dementia?
  1. Calling the person by name every time you see him or her
  2. Avoiding face-to-face eye contact with the person
  3. Avoiding communicating if the person is verbally aggressive
  4. Talking about the present and avoiding discussing past accomplishments ---------CORRECT ANSWER-----------------1. Calling the person by name every time you see him or her Which behavior by a patient with Alzheimer's disease (AD) would the nurse identify as a sign of agnosia?
  5. Babbles and speaks incoherently when asked any question
  6. Cannot recall what was served for breakfast an hour ago
  7. Has difficulty identifying familiar sounds like the ring of the phone
  8. Talks about his or her role in convincing the president to pass a particular law ---------CORRECT ANSWER-----------------3. Has difficulty identifying familiar sounds like the ring of the phone About which behavior would the nurse educate the family of an individual who is displaying delirium?
  9. Impulsive, inappropriate manner
  10. Difficultly verbally expressing his or her needs
  11. Difficultly verbally expressing his or her needs
  12. Regressing both socially and intellectually ---------CORRECT ANSWER-- ---------------1. Impulsive, inappropriate manner The nurse would document which term when a patient diagnosed with Alzheimer's disease picks up his or her glasses from the bedside table but does not recognize what they are or their purpose?
  13. Apraxia
  14. Agnosia
  15. Aphasia
  16. Agraphia ---------CORRECT ANSWER-----------------2. Agnosia

Which best describes the usual development of Alzheimer's disease?

  1. A single, short episode followed by years of normal function
  2. Recurring remissions and exacerbations
  3. Progressive deterioration
  4. No usual progression ---------CORRECT ANSWER-----------------3. Progressive deterioration Which aspect would the nurse expect to find in the history and assessment of a child with a diagnosis of oppositional defiant disorder (ODD)? Select all that apply. One, some, or all responses may be correct.
  5. Has hurt the family pet several times
  6. Argues with parents and teachers
  7. Has run away from home several times
  8. Has set fire to the shed in the back yard
  9. Skips school several days every month ---------CORRECT ANSWER------ -----------2. Argues with parents and teachers Which task would the school nurse perform for a child with an intellectual disability? Select all that apply. One, some, or all responses may be correct.
  10. Psychological counseling
  11. Medication administration
  12. Gross- and fine-motor exercises
  13. Speech and language treatment
  14. Individualized Educational Plan (IEP) ---------CORRECT ANSWER--------- --------2. Medication administration
  15. Individualized Educational Plan (IEP) Which information is needed to assess intellectual functioning of a 10-year- old child? Select all that apply. One, some, or all responses may be correct.
  16. Presence of hyperactivity
  17. Relationships with others
  1. Capability to show empathy
  2. Capacity to follow directions
  3. Ability to maintain eye contact ---------CORRECT ANSWER-----------------
  4. Capacity to follow directions Which action made by the child with attention-deficit/hyperactivity disorder (ADHD) would lead the nurse to conclude that the goal of staying on task to complete homework assignments is met?
  5. Taking breaks every 10 minutes
  6. Talking while doing homework
  7. Finishing 50% of homework at night
  8. Sitting on a yoga ball to complete work ---------CORRECT ANSWER------ -----------4. Sitting on a yoga ball to complete work Which statement concerning impulse control disorders is true? Select all that apply. One, some, or all responses may be correct.
  9. The associated behaviors can lead to problems with the law.
  10. Common misconceptions are that the behaviors are a result of poor parenting.
  11. Oppositional defiant disorder is one such illness.
  12. Obsessive-compulsive disorder is one such illness.
  13. Early diagnosis and treatment is vital to future behaviors. --------- CORRECT ANSWER-----------------1. The associated behaviors can lead to problems with the law.
  14. Common misconceptions are that the behaviors are a result of poor parenting.
  15. Oppositional defiant disorder is one such illness.
  16. Early diagnosis and treatment is vital to future behaviors. Which childhood disorder is recognized as a precursor to a future antisocial personality disorder in adults?
  17. Reactive attachment disorder
  18. Rumination disorder
  19. Oppositional defiant disorder
  1. Encourage angry outbursts
  2. Provide support to the child
  3. Follow flexible rules of parenting.
  4. Encourage oppositional behavior. ---------CORRECT ANSWER------------- ----2. Provide support to the child Which quality may explain why some individuals tend to survive traumas and stressors more successfully than others?
  5. Intimacy
  6. Adversity
  7. Resiliency
  8. Impulsivity ---------CORRECT ANSWER-----------------3. Resiliency Which behavior is indicated for a young child who has normal language and speech but has poor eye contact and dislikes cuddling?
  9. Mild intellectual disability
  10. Moderate intellectual disability
  11. Level 1 autism spectrum disorder
  12. Level 2 autism spectrum disorder ---------CORRECT ANSWER-------------- ---3. Level 1 autism spectrum disorder Which treatment specific for motor disorders uses habit reversal and relaxation techniques?
  13. Comprehensive behavioral intervention for tics (CBIT)
  14. Cognitive behavioral therapy (CBT)
  15. Positive reinforcement
  16. Therapeutic holding ---------CORRECT ANSWER-----------------1. Comprehensive behavioral intervention for tics (CBIT) Which therapeutic activity would the nurse incorporate in a group for kindergarten-aged abused children?
  17. Building a house with blocks
  1. Reading a story about a child who feels sad
  2. Drawing pictures of fun activities at a park
  3. Discussing examples of child abuse and neglect ---------CORRECT ANSWER-----------------2. Reading a story about a child who feels sad Which disorder is likely for a child who often deliberately annoys others and blames others for misbehavior?
  4. Intermittent explosive disorder
  5. Oppositional defiant disorder
  6. Pyromania
  7. Kleptomania ---------CORRECT ANSWER-----------------2. Oppositional defiant disorder Which assessment is important for supporting a diagnosis of oppositional defiant disorder?
  8. The history, frequency, and triggers for violent outbursts
  9. The moral development, belief system, and spirituality for the ability to understand the impact of hurtful behavior on others
  10. The issues that result in power struggles and triggers for outbursts
  11. Sibling birth order to understand the dynamics of family interaction --------
  • CORRECT ANSWER-----------------3. The issues that result in power struggles and triggers for outbursts Which behavior in an adolescent supports the diagnosis of conduct disorder? Select all that apply. One, some, or all responses may be correct.
  1. Physical and verbal bullying classmates
  2. Juvenile arrest record for stealing on three separate occasions
  3. Signs of depression with suicidal tendencies
  4. Sexually suggestive and aggressive
  5. History of school truancy ---------CORRECT ANSWER-----------------1. Physical and verbal bullying classmates
  6. Juvenile arrest record for stealing on three separate occasions
  7. Sexually suggestive and aggressive
  8. History of school truancy

Which action will best indicate that an adult has effectively compensated for his or her condition after being diagnosed as a child with attention- deficit/hyperactivity disorder (ADHA)?

  1. Absence of classic fidgety physical activity
  2. Mental focus that allows for completion of tasks
  3. Medication therapy discontinued by health care provider
  4. Effective time management and organizational skills ---------CORRECT ANSWER-----------------3. Medication therapy discontinued by health care provider Which personality disorder is most likely to emerge in adulthood for an adolescent diagnosed with conduct disorder?
  5. Histrionic
  6. Antisocial
  7. Dependent
  8. Schizotypal ---------CORRECT ANSWER-----------------2. Antisocial Which DSM-5 diagnosis is most consistent with a child's behavior that includes responding to frustration by bullying, hitting, and seldom showing remorse for any behavior?
  9. Social phobia
  10. Conduct disorder
  11. Oppositional defiant disorder
  12. Attention-deficit/hyperactivity disorder ---------CORRECT ANSWER-------- ---------2. Conduct disorder Which behavior does the nurse observe in a child with a diagnosis of oppositional defiant disorder?
  13. Feels remorse for actions
  14. Explodes in anger
  15. Shows callousness
  16. Feels irritable and vindictive ---------CORRECT ANSWER-----------------4. Feels irritable and vindictive

Which statement regarding the implementation of play therapy is accurate? Select all that apply. One, some, or all responses may be correct.

  1. A child learns coping mechanisms through playing with toys.
  2. Limits are set only to promote security and provide a sense of reality.
  3. The expression of feelings is supported through the use of a variety of toys.
  4. Therapists direct the focus of a child's play toward identified problem areas.
  5. Acting out situations with dolls and puppets substitutes for verbal discussions. ---------CORRECT ANSWER-----------------1. A child learns coping mechanisms through playing with toys.
  6. Limits are set only to promote security and provide a sense of reality.
  7. The expression of feelings is supported through the use of a variety of toys.
  8. Acting out situations with dolls and puppets substitutes for verbal discussions. Which characteristic in a child supports the diagnosis of oppositional defiant disorder? Select all that apply. One, some, or all responses may be correct.
  9. Deliberate agitation of family members
  10. Vindictive responses to imagined personal wrongs
  11. Unwillingness to assume responsibility when proven responsible for failures
  12. Manipulation regularly used to achieve personal goals
  13. Passive-aggressive behavior when frustrated rather than outwardly angry ---------CORRECT ANSWER-----------------1. Deliberate agitation of family members
  14. Vindictive responses to imagined personal wrongs
  15. Unwillingness to assume responsibility when proven responsible for failures

Which information would the nurse obtain from the family to account for a patient who has developed increased confusion over the past couple of days, and infection, electrolyte imbalance, and substance abuse have been ruled out?

  1. Change in medications
  2. Family history of dementia
  3. Immunosuppressive disorder
  4. Recent loss of family member ---------CORRECT ANSWER-----------------
  5. Change in medications Which finding in the health record would account for an older adult patient who experiences sudden-onset confusion and is diagnosed with delirium?
  6. Depression
  7. Chronic alcoholism
  8. Alzheimer's disease
  9. Urinary tract infection ---------CORRECT ANSWER-----------------4. Urinary tract infection Which action would the nurse take first when observing that a patient with a neurocognitive disorder has slow responses and difficulty finding the right words?
  10. Suggesting words that the patient may be trying to remember
  11. Asking the patient, "Are you having problems saying what you mean?"
  12. Using silence to allow the patient an opportunity to compose responses
  13. Discontinuing the interaction to prevent further frustration for the patient - --------CORRECT ANSWER-----------------3. Using silence to allow the patient an opportunity to compose responses Which response by the nurse is correct when a family member asks the nurse, "I know my uncle's Alzheimer's disease has progressed, but is there any medication that can help him now"?
  1. "I'm sorry, but there are no medications that help with severe Alzheimer's disease."
  2. "Alzheimer's disease sometimes stabilizes. Let's hope that happens in this situation."
  3. "There are a few medications that may help. Let's discuss it with the health care provider."
  4. "It sounds like you're having difficulty accepting that your uncle's disease is irreversible. Would you like to talk about those feelings?" --------- CORRECT ANSWER-----------------3. "There are a few medications that may help. Let's discuss it with the health care provider." For which newly hospitalized patient would the nurse be least concerned regarding the development of delirium?
  5. 48-year-old patient who usually drinks a six pack of beer daily
  6. 68-year-old patient who has a history of thiamine deficiency
  7. 72-year-old patient who says, "I have one glass of wine every evening to stimulate my appetite."
  8. 78-year-old diabetic patient whose blood glucose levels are consistently greater than 250 mg/dL ---------CORRECT ANSWER-----------------3. 72- year-old patient who says, "I have one glass of wine every evening to stimulate my appetite." Which nursing concern is the priority for a 75-year-old hospitalized patient with sudden-onset confusion and disorientation who wanders and is agitated?
  9. Preventing injury
  10. Managing confusion
  11. Orienting the patient to reality
  12. Assisting with activities of daily living (ADLs) ---------CORRECT ANSWER-----------------1. Preventing injury Which response from the nurse would be appropriate when a confused and disoriented patient is admitted to the hospital and the adult child states, "I'll take my parent's glasses and hearing aid home so they don't get lost"?
  1. Petty
  2. Labile
  3. Nervous
  4. Dramatic
  5. Distrustful ---------CORRECT ANSWER-----------------5. Distrustful Which personality disorder is suspected for a patient who took items from a thrift shop and when confronted told authorities that it was justified because it had been donated?
  6. Antisocial
  7. Histrionic
  8. Borderline
  9. Schizotypal ---------CORRECT ANSWER-----------------1. Antisocial Which comment is likely to be made by a patient diagnosed with a narcissistic personality disorder in response to a facility power outage and being served sandwiches and fruit for dinner?
  10. "These sandwiches are probably contaminated with bacteria."
  11. "I suppose it's the best we can hope for under these circumstances."
  12. "You should have ordered a to-go meal from a local restaurant for me."
  13. "I would rather wait to eat until the dietary department can prepare a meal." ---------CORRECT ANSWER-----------------3. "You should have ordered a to-go meal from a local restaurant for me." Which nursing diagnosis applies to a patient diagnosed with borderline personality disorder (BPD)?
  14. Ineffective relationships related to frequent splitting
  15. Social isolation related to fear of embarrassment or rejection
  16. Ineffective impulse control related to violence as evidenced by cruelty to animals
  17. Disturbed thought processes related to recurrent suspicion of people and situations ---------CORRECT ANSWER-----------------1. Ineffective relationships related to frequent splitting

Which assessment question is most likely to be answered affirmatively by a patient suspected of having a schizotypal personality disorder?

  1. "Do some types of situations frighten you?"
  2. "Do you often have episodes of prolonged crying?"
  3. "Is anyone in your family diagnosed with a mental illness?"
  4. "Is it ever extremely important for you to do everything correctly?" --------- CORRECT ANSWER-----------------3. "Is anyone in your family diagnosed with a mental illness?" Which co-morbid problem is most important for the nurse to include in the assessment of a patient diagnosed with antisocial personality disorder?
  5. Generalized anxiety
  6. Substance use and abuse
  7. Compulsions and phobias
  8. Dysfunctional sleep patterns ---------CORRECT ANSWER-----------------2. Substance use and abuse Which statement by a nurse providing care for patients diagnosed with personality disorders demonstrates therapeutic management of manipulative patient behavior? Select all that apply. One, some, or all responses may be correct.
  9. "Tell me what triggered your angry response to what I said."
  10. "The staff is responsible for determining unit rules that are fair for all patients."
  11. "Remember that all patients must follow the rules regarding use of the telephone."
  12. "Missing group today means that you will not be able to attend the pizza party later."
  13. "Tell me what you are trying to accomplish by being so rude to the staff and other patients." ---------CORRECT ANSWER-----------------2. "The staff is responsible for determining unit rules that are fair for all patients."
  14. "Remember that all patients must follow the rules regarding use of the telephone."