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MENTAL HEALTH FINAL EXAM NEWEST 2024
ACTUAL EXAM ALL QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+||NEWEST
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A newly admitted client diagnosed with bipolar 1 disorder is experiencing a manic episode. Which nursing diagnosis is a priority at this time? a. risk for violence: other-directed r/t poor impulse control b. altered thought process r/t hallucinations c. social isolation r/t manic excitement d. low self-esteem r/t guilt about promiscuity - ...ANSWER...a. A client has been hospitalized for a manic episode. Which behavior would suggest that the treatment has been effective? a. the client is no longer loud and hostile to others. b. the client directs anger verbally to the person who annoys her. c. the client presents a list of grievances to the nurse manager. d. the client attempts to involve other clients in her situation. - ...ANSWER...a Nadia has been diagnosed with bipolar disorder. Which is an outcome for Nadia in the continuation of treatment phase of bipolar disorder? a. patient will avoid involvement in self-help groups. b. patient will adhere to medication regimen c. patient will demonstrate euphoric mood.
d. patient will maintain normal weight. - ...ANSWER...b Which symptom related to communication is likely to be present in a patient experiencing mania? A. Mutism B. Verbosity C. Poverty of ideas D. Confabulation - ...ANSWER...c one of the reasons depression is more common in women than men include? a. hormonal changes b. lack of adv. education c. increased use of mood altering sub. d. presence of an autoimmune disorder - ...ANSWER...a. Men have a higher risk of completed suicide because: a. they attempt more than women b. they have lower serotonin than women c. they use more lethal mean to commit suicide d. they have decreased social contacts when compared to women - ...ANSWER...c. The diagnosis of major depressive disorder is made by including the following SATA a. symptoms occurring for at least 2 months b. depressed mood c. decreased pleasure in all or most activities d. increased injury e. feelings of worthlessness and guilt f. chronic mental illness - ...ANSWER...b, c, e
f. have the client state the consequences for behaving in ways that are viewed as unacceptable. - ...ANSWER...a, c, d, f. A nurse is meeting with a physician in the conference room and is approached by a depressed and withdrawn client. Which response by the nurse is most appropriate? a. Ask the client how she can help. b. ask the client if what she needs is urgent. c. tell the client that she will be available to talk with her in 5 minutes. d. tell the client that she will find her when she is finished helping the physician. - ...ANSWER...a Four individuals have given information about their suicide plans. Which plan evidences the highest suicide risk? a. Turning on the oven and letting gas escape into the apartment during the night b. Cutting the wrists in the bathroom while the spouse reads in the next room c. Overdosing on aspirin with codeine while the spouse is out with friends d. Jumping from a railroad bridge located in a deserted area late at night - ...ANSWER...d A college student who failed two tests cried for hours and then tried to telephone a parent but got no answer. the student then gave several expensive sweaters to a roommate and asked to be left alone for a few hours. Which behavior provides the strongest clue of an impending suicide attempt? a. calling parents b. excessive crying c. giving away sweaters
d. staying alone in dorm room - ...ANSWER...c. A nurse assesses a patient who reports a 3-week history of depression and periods of uncontrolled crying. the patient says, "My business is bankrupt, and I was served with divorce papers." Which subsequent statement by the patient alerts the nurse to a concealed suicidal message? a. i wish i were dead b. life is not worth living c i have a plan that will fix everything d. my family will be better off without me - ...ANSWER...c. select the most critical question for the nurse to ask an adolescent who has threatened to take an overdose of pills. a. why do you want to kill yourself b. do you have access to medications c.have you been taking drugs or alcohol d. did something happen with your parents - ...ANSWER...b a client with chronic ongoing stress complains of physical symptoms. the nurse caring for him is aware that the most common chronic problem caused by stress is which of the following? a. nausea b. headaches c. chest pain d. depressed mood - ...ANSWER...b stress reduction is likely to result in which of the following? SATA a. reduced pain b.lower bp c.decreased cognitive functions
a. Prohibited a patient from using the telephone b. In patient's presence, opened a package mailed to patient c. Remained within arm's length of patient with homicidal ideation d. Permitted a patient with psychosis to refuse oral psychotropic medication - ...ANSWER...a. A psychiatric nurse discusses rules of the therapeutic milieu and patients rights with a newly admitted patient. Which rights should be included? SATA a. Have visitors b. confidentiality c. a private room d. complain about inadequate care e. select the nurse assigned to their care - ...ANSWER...a, b, d A nurse prepares to administer a scheduled injection of haloperidol to a patient w/ schizophrenia. As the nurse swabs the site, the patient shouts, "Stop! I dont want to take that medicine anymore. I hate the side effects." Select nurses best action. A. assemble other staff for a show of force and proceed with injection b. Stop the medication administration procedure c. proceed with the injection but explain to the patient that there are medications that will help reduce the unpleasant side effects. d.say to the patient, "Since i've already drawn the medications that will help reduce the unpleasant side effects." - ...ANSWER...B.
An adolescent hospitalized after a violent physical outburst tells the nurse, "I'm going to kill my father, but you can't tell anyone" Select Nurse's best response. a."You are right. Federal law requires me to keep clinical info private." b. I am obligated to share that info with the treatment team. c. those kinds of thoughts will make your hospitalization longer d. you should share this thought with you psychiatrist. - ...ANSWER...b. A voluntarily hospitalized patient tells the nurse, "Get me the forms for discharge. I want to leave now." Select the nurse's best response. a. "I will get the forms for you right now and bring them to your room." b. "Since you signed your consent for treatment, you may leave if you desire." c. "I will get them for you, but let's talk about your decision to leave treatment." d. "I cannot give you those forms without your health care provider's permission." - ...ANSWER...c Which individual diagnosed with a medical illness needs psychiatric hospitalization the most? An individual: a. who has a panic attack after her child gets lost in a shopping mall b. with visions of demons emerging from cemetery plots throughout the community c. who takes 38 acetaminophen tablets after the person's stock portfolio becomes worthless
A nurse uses Maslow's hierarchy of needs to plan care for a patient with mental illness. Which problem will receive priority? The patient: a. refuses to eat or bathe. b. reports feelings of alienation from family. c. is reluctant to participate in unit social activities. d. is unaware of medication action and side effects. - ...ANSWER...a A cognitive therapist would help a client restructure the thought "I am stupid!" to: a. What i did was stupid b. I am not as smart as others c. things usually go wrong for me d. things like this should not happen to anyone - ...ANSWER...a The premise underlying behavioral therapy is: a. Behavior is learned and can be modified b. behavior is a product of unconscious drives c. motives must change before behavior changes d. behavior is determined by cognitions; change in cognitions produces new behavior - ...ANSWER...a Which of the following is the most vital element of therapeutic inpatient milieu? a. it creates an environment for safety and success. b. it creates an environment for rest and recuperation c. it creates a structure that is easier for staff to manage d. it creates a structure that rewards the well-behaved - ...ANSWER...a
A client is admitted for the third time to a psychiatric hospital with a diagnosis of schizophrenia. During the admission procedure, the nurse notices that the client is limping, quite dirty and unkempt, and seems to be actively hallucinating. Which of the following should the nurse's priority nursing assessment be? a. perception of reality b. support system/ emergency contacts c. physical needs d. mental status - ...ANSWER...c Which of the following are documentations of clients affect? SATA a. crying b. worthless c. frowning d. euphoric e. blunted - ...ANSWER...A,C,E A patient asks, "What are neurotransmitters? The doctor said mine are imbalanced." Select the nurses response that provides most accurate info. a. what meds are you taking, are you experiencing side effects? b. they protect us from harmful effects of free radicals, much like our nerves and white matter. c. neurotransmitters are substances we consume that influence memory and mood. d. neurotransmitters are natural chemicals that pass messages between brain cells. - ...ANSWER...d
A nurse taught a client about important precautions associated with a new prescription. Afterward, the client accurately summarized major self-management strategies associated with this drug. Which step of the nursing process applies to the client's summarization? a. assessment b. diagnosis c. intervention d. evaluation - ...ANSWER...d Which of the following would be assessed as a negative symptom of schizophrenia? a. anhedonia b. hostility c. agitation d. hallucinations - ...ANSWER...a. Which symptom would not be assessed as a positive symptom of schizophrenia? A. Delusion of persecution B. Auditory hallucinations C. Affective flattening D. Idea of reference - ...ANSWER...c. Which side effect of antipsychotic medication is generally nonreversible? a. Anticholinergic effects b. Pseudoparkinsonims c. dystonic reaction d. tardive dyskinesia - ...ANSWER...d.
A client diagnosed with disorganized schizophrenia would have greatest difficulty with the nurse: a. interacting with a neutral attitude b. using concrete language c. giving multistep directions d. providing nutritional supplements. - ...ANSWER...c. When a client diagnosed with paranoid schizophrenia tells the nurse, "I have to get away. The volmers are coming to execute me," an appropriate response for the nurse would be A "You are safe here. This is a locked unit, and no one can get in." B "I do not believe I understand the word volmers. Tell me more about them." C "Why do you think someone or something is going to harm you?" D "It must be frightening to think something is going to harm you." - ...ANSWER...d Which assessment finding is the best predictor of violence in a newly admitted client? a. a recent assault on a drinking companion b. a family history of bipolar disorder c. the nurse's subjective feeling that the client is uncooperative. d. a childhood history of being bullied at school - ...ANSWER...a Which would be the most appropriate response by the nurse to help a client who is demonstrating escalating anger?
A patient tells the nurse, "I dont think I'll ever get out of here." Select most therapeutic response. a. dont talk that way. of course you will leave here! b. keep up the good work, and you certainly will. c. you dont think youre making progress? d. everyone feels that way sometimes - ...ANSWER...c. During the first interview with a parent whose child died in a car accident, the nurse feels empathic and reaches out to take the patient's hand. Select the correct analysis of the nurse's behavior. a. It shows empathy and compassion. It will encourage the patient to continue to express feelings. b. The gesture is premature. The patient's cultural and individual interpretation of touch is unknown. c. The patient will perceive the gesture as intrusive and overstepping boundaries. d. The action is inappropriate. Psychiatric patients should not be touched. - ...ANSWER...b During a one-on-one interaction with the nurse, a patient frequently looks nervously at the door. Select the best comment by the nurse regarding this nonverbal communication. a. "I notice you keep looking toward the door." b. "This is our time together. No one is going to interrupt us." c. "It looks as if you are eager to end our discussion for today." d. "If you are uncomfortable in this room, we can move someplace else." - ...ANSWER...a
A school age child tells the nurse, "other kids call me mean names and will not sit with me at lunch. nobody likes me." Select most therapeutic response a. just ignore them and they will leave you alone b. you should make friends with other children c. call them names if they do that to you d. tell me more about how you feel - ...ANSWER...d. A nurse is caring for an older an older client who begins to cry and states, "I knew God would punish me and I deserve this horrible sickness!" Select correct response a. why do you think you deserve this punishment b. dont worry about being punished by God. c. lets talk about what is upsetting you d. you shouldnt say things that will upset you so much - ...ANSWER...c Which food choices are best for bipolar client in manic phase? SATA a. roast beef and asparagus b. spaghetti and meatballs c. cheeseburger d. ham and eggs e. peanut butter and jelly sandwich - ...ANSWER...c. and e. Which nursing charting entry is documentation of a behavioral symptom of mania? a. thoughts fragmented, flight of ideas noted b. mood euphoric and expansive. rates mood 10 out of 10 c. pacing halls throughout the day. exhibits poor impulse control. d. easily distracted, unable to focus on goals - ...ANSWER...c
a. mild b. moderate c. severe d. panic - ...ANSWER...d. What is the most appropriate therapeutic intervention when helping a patient resolve their agoraphobia? a. have the client go outdoors alone. b. advise the client to use high intensity exercises c. allow the client to stay in his room as long as desired. d. discuss the client's fear of his/her feelings or sensations rather than the situation. - ...ANSWER...d. A client experiencing sudden, moderate-level anxiety. The nurse would anticipate that the psychiatrist would most likely prescribe which medication? a. citalopram b. alprazolam c. fluoxetine d. chlordiazepoxide - ...ANSWER...b a nurse assesses severe anxiety in a client. Which symptom would the nurse expect to see as a response of the sympathetic nervous system to anxiety? a. tachycardia b. bradycardia c. constricted pupils d. increased peristalsis - ...ANSWER...a A nurse is caring for a 23 year old client with schizophrenia. When the patients father shows up during visitation hours, the client lies down in bed, curls up in a ball, and sucks his
thumb. which of the following defense mechanisms is the client exhibiting? a. undoing b. regression c. altruism d. displacement - ...ANSWER...b Ed, an 18-year old male, hosted a party at his parent's house while his parents were out of town. It was lit, to say the least. When ED's parents returned, they were infuriated by how messy the house was. Ed apologized, and gave them a $50 gift card to Applebee's. Which defense mechanism is Ed using? a. regression b. altruism c. reaction formation d. undoing - ...ANSWER...d. According to the attachment theory, relationship disorders are related to trauma associated with a. insufficient food and/or shelter b. siblings and/or strangers c. caregivers and/or parents d. culture and/or religion - ...ANSWER...c lorazepam is prescribed for a client w - ...ANSWER... A nurse is caring for a client who was admitted following an overdose of amitriptyline. The nurse should monitor the client for which of the following adverse effects associated with this medication? - ...ANSWER...Urinary retention A nurse is communicating with a client in an inpatient mental health facility. Which of the following actions by the nurse
