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mental health technician 190 practice
exams
During the mental status examination, the nurse observes that the client rapidly changes from one idea to another related thought. Which disordered thinking process is the client displaying? a. Delusions b. Perseveration c. Confabulation d. Flight of ideas - ✔ ✔ d Studies of families, twins, and relatives with personality disorders have demonstrated that the developing personality is influenced by: a. Genetics b. Order of birth c. Financial factors d. Number of siblings - ✔ ✔ a As the caregiver for a male client whose mental retardation level is classified at a moderate level, the nurse's most appropriate action is to: a. Encourage him to work in a supervised setting at a fast food restaurant. b. Persuade him to look for an apartment in which he can live on his own.
c. Find a group home that he would adjust well to. d. Seek placement for him in a long-term setting for clients with cognitive disabilities. - ✔ ✔ a During an episode of binge eating, what type of food is usually taken in large amounts? a. Fruits b. Red meat c. Fried or high fat content foods d. Cakes, donuts, or sweets - ✔ ✔ d An order written by a physician is reviewed by the nursing staff, and no one is familiar with the treatment instructions. A nurse who was recently hired knows that this treatment is covered by the state's nurse practice act. What is the nurse's best course of action? a. Call the physician to ask for clarification. b. Check the state's nurse practice act again. c. Contact the nursing supervisor for approval to carry out the treatment. d. Refer to the facility's policy and procedure to determine the course of action. - ✔ ✔ d Bob drives fast everywhere he goes, especially when he is drinking. Last night, he was arrested for gambling and loud behavior. Bob is engaging in ____ behavior. a. Adaptive
a. Falling asleep easily and only awakening with strong verbal stimuli b. Frequently sleeping and awakening only to strong physical stimuli c. Unresponsive to any verbal or painful stimuli d. Having alternating periods of excitability and drowsiness - ✔ ✔ a Betty Neuman developed the nursing theory that promotes nursing interventions to assist individuals in reaching and maintaining the highest level of wellness possible. What is this theory known as? a. Adaptation model b. Interpersonal model c. Systems model d. Self-care deficit model - ✔ ✔ c A client with major depressive disorder is scheduled for electroconvulsive therapy (ECT). Which point will the nurse teach the client? a. "ECT treatments take about 1 hour." b. "You will most likely receive between 6 and 12 treatments over several weeks." c. "ECT often is used as one of the first treatments for major depression." d. "ECT treatments help your depression by decreasing levels of the neurotransmitter norepinephrine." - ✔ ✔ b
A male adolescent client tells the nurse that he is almost positive that he is homosexual. This realization most likely has occurred during the developmental period of: a. Late childhood b. Early adolescence c. Middle adolescence d. Late adolescence - ✔ ✔ c The medication donepezil (Aricept) frequently is used to treat the early- stage symptoms of Alzheimer's disease. When administering this particular medication, the nurse should be especially alert to assess the client for: a. Weight changes b. Tremors c. Increased sweating d. Alterations in blood pressure - ✔ ✔ d The mother of a 20-year-old man diagnosed with paranoid schizophrenia is upset by the fact that her child tried to attack her during her daily visit. What is the most appropriate support the nurse can give her after this incident? a. "Your child is working through relationship issues with you and does not know how to express them." b. "You should stop coming for a while, as your visits upset your child."
d. Memory - ✔ ✔ b During the preparation phase of a therapeutic relationship with a client, what is the main task to be completed by the nurse? a. To establish with the client the purpose of the relationship b. To gather and review all possible information regarding the client c. To build trust with the client d. To obtain agreement from the client to work in conjunction with the nurse - ✔ ✔ b Without assessment of six specific aspects of an individual's being, the mental health nurse's scope of care is narrow and limited in effectiveness. These aspects include social, physical, cultural, intellectual, emotional, and spiritual areas of a person's life, known as a(n) __________ assessment. a. Complete b. Accurate c. Holistic d. Psychiatric - ✔ ✔ c Which of the following persons is most likely a candidate for primary hypersomnia? a. A 50-year-old who has wakeful periods during the night and naps during the day following the death of her husband b. A 6-year-old who wakes up in the middle of the night after having a nightmare and is tired the next day
c. An obese 40-year-old who has snoring and periods of apnea at night and is tired the next day d. An 18-year-old college student whose mother complains he sleeps all night and still naps during the day - ✔ ✔ d In the early twentieth century, a frontal lobotomy was a common treatment for violent behaviors. Which description of this procedure is accurate? a. A procedure that delivers an electrical stimulus to the frontal lobes of the brain b. A surgical procedure that drills holes in the front of the skull to drain fluid c. A surgical procedure that severs the frontal lobes of the brain from the thalamus d. A surgical procedure that inserts implants into the frontal lobes of the brain - ✔ ✔ c 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 personality's control over behavior? a. Id b. Ego c. Superego d. Self-control - ✔ ✔ a
Which client is suffering from a major depressive episode? a. An adolescent who expresses feeling lost after the death of his mother last week b. A 50-year-old male who has been depressed for a month and is contemplating suicide c. A 30-year-old female who is being treated for episodes of depression she has suffered since the age of 21 d. An elderly adult who feels like she is in a fog after the diagnosis of terminal cancer given to her 8 days ago - ✔ ✔ b Eating disorders, substance abuse, delinquent behaviors, posttraumatic stress disorder, and suicide most commonly are seen as the result of abuse in which population? a. Children b. Adolescents c. Adults d. Elderly - ✔ ✔ b The elderly spouse of a female Alzheimer's client states that his wife seems to wander aimlessly from room to room looking for things in incorrect places, such as kitchen utensils in the bedroom and laundry detergent in the kitchen. He asks the nurse for suggestions of what he can do to help her. What is the nurse's best response? a. "Keep rooms well lit." b. "Keep the home environment simple and user-friendly for her."
c. "Have clocks and calendars with large letters in several rooms of the house." d. "Place large signs on doors or entryways that identify the room." - ✔ ✔ d Interventions for assaultive clients that focus on protecting the client and others from potential harm are level ____ interventions. Select one: a. One b. Two c. Three d. Four - ✔ ✔ b A client does not participate in group sessions due to feeling inferior to others in the group. Based on cognitive behavioral theory, he would be directed to: a. Review his previous relationship with his parents. b. Participate in group to receive extra privileges. c. Suppress negative thoughts about the group. d. Recognize and change his negative thoughts. - ✔ ✔ d The caregiver works with suicidal clients to establish therapeutic rapport. The focused communications and concerned actions encourage suicidal persons to: a. Feel in control
c. 33 d. 40 - ✔ ✔ b A couple comes to the sleep disorder clinic because their 3-year-old daughter has problems falling asleep every night. The parents say that it takes their daughter 1 to 2 hours each night to fall asleep, and one of the parents ends up having to lie down with her. Which intervention should the nurse first suggest? a. The parents should trade each night who tries to put her to bed. b. The daughter could start falling asleep in the parents' bed, then could move to her own bed. c. Place the child in bed at the same time each night, and don't allow her to get out of bed. d. Follow a bedtime ritual each night, such as reading one book. - ✔ ✔ d Adolescents who ineffectively cope with anxiety often express their anxiety through: a. Inappropriate behaviors b. Calm behavior c. Psychotic behavior d. Suicide - ✔ ✔ a The nurse knows that the major concept of the systems theory is that individuals are viewed as functioning:
a. Within a set of interacting and related units b. According to activities of attention, language, and imagery c. According to unmet needs d. Within accepted social aspects of behavior - ✔ ✔ a Persons who naturally relate aggressively to others, seldom have empathy, and lack appropriate guilt feelings are given the diagnosis of ____ disorder. Select one: a. Conduct b. Adjustment c. Impulse-control d. Oppositional defiant - ✔ ✔ a All people who commit suicide are depressed or psychotic. This statement is a(n): a. Fact b. Myth c. Opinion d. Attitude - ✔ ✔ b Breath-holding spells typically occur when a child becomes extremely frustrated, cries, and either intentionally or unintentionally holds his or her breath. This rarely occurs in children younger than the age of ______ months.
for the nurse to ensure that the family is aware of which caregiver skills and responsibilities will be necessary. What is one of the responsibilities of the caregiver during the middle stage of the disease? a. Helping the loved one with memory and communication problems b. Providing a stable, routine environment c. Providing complete assistance with physical care d. Adapting to the changing personality and behavior of the loved one - ✔ ✔ a Which client would be a candidate for ECT? a. A client with mild depression b. A severely depressed client with congestive heart failure c. A client with severe, long-lasting depression d. A severely depressed client with history of a brain tumor - ✔ ✔ c The nurse witnesses different personalities emerging in the client with dissociative identity disorder (DID). The primary personality is referred to as the: a. Host b. Alter c. Ego d. Identity - ✔ ✔ a
Massage therapy manipulates muscles and connective tissue and has been found to be very successful as a CAM method in the treatment of which disorder(s)? a. Schizophrenia b. Bipolar disorder c. PTSD and OCD d. Depression and anxiety - ✔ ✔ d The parents of a 9-year-old girl with mental retardation voice concerns to the nurse regarding their child's eating insects and leaves. The parents report that this behavior has been occurring for almost 4 months. From what is this child most likely suffering? a. Pica b. Rumination disorder c. Enuresis d. Encopresis - ✔ ✔ a A 7-year-old male client displays behaviors such as an inability to make eye contact with others, inappropriate facial expressions, difficulty in making friends, and showing little emotion with family members. He talks with adults but is awkward in his conversation. Given these behaviors, what is this client most likely experiencing? a. Childhood disintegrative disorder b. Asperger's syndrome c. Dyslexia
c. Provide support and reassurance to the child as he adjusts. d. Take away computer privileges to stop this behavior. - ✔ ✔ c Level one interventions for potentially assaultive clients should be practiced as: a. Therapy b. Control methods c. Assessment measures d. Preventive measures - ✔ ✔ d One of the developmental tasks of adolescence is to establish intimacy and relationships. By the age of 14, what percentage of teens have experienced sexual intercourse? a. 10% b. 25% c. 50% d. 85% - ✔ ✔ c Personality disorders in the adolescent are characterized by: a. Onset usually in middle childhood b. Impulsivity c. Flexibility d. High self-esteem - ✔ ✔ b The term "sandwich generation" best describes adults:
a. Caught between adulthood and late adulthood b. Caring for their children and aging parents c. Caring for their children and grandchildren d. Caught between young adulthood and adulthood - ✔ ✔ b The client had recently witnessed a horrific auto accident. Now she is complaining of double vision, loss of balance, and a constant "lump in her throat." She is exhibiting the signs and symptoms of: a. Anxiety reaction b. Behavioral disorder c. Conversion disorder d. Posttraumatic stress reaction - ✔ ✔ c A female client with a psychotic disorder is experiencing olfactory hallucinations. Most likely, she would be complaining of a _____ that is disturbing to her. a. Vision b. Sound c. Smell d. Sense of touch - ✔ ✔ c In 1937, Congress passed the Hill-Burton Act, which was significant for the treatment of mental health: a. Research on drugs for the treatment of mental health disorders
