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MHTC Practice Test Questions And Answers
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Psychotherapeutic drug therapy works primarily by: - ANSWER Altering chemical balances within the nervous system
A female college student comes to the counseling center for test anxiety. The client states that when she is taking a test 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". What level of anxiety is the client experiencing? ANSWER severe
Poverty is a factor in the growth and development of children and it is often a precursor to mental health disorders in children. Nearly ____ of children in the US come from families that live at the poverty level. - ANSWER 20%
The spouse of a 74 year old male client reports that she has noticed that her husband "doesn't remember as well as he used to". She relates that he has been putting on his coat before his shirt and he can never get their checkbook to balance as it did in the past. The client is exhibiting symptoms typical of: - ANSWER Alzheimer's disease
A 75 year old male client is brought to the clinic by his son. The son reports, "Ever since Mom died, Dad hasn't been the same. At first he just seemed sad, but now he seems to get mixed up about everything." The provider recognizes, based on the client's history that the etiology of confusion for this client is most likely: - ANSWER Depression due to the loss of wife
When anxiety is a maladaptive response in a person, it has the features of: - ANSWER Ineffective coping
Color therapy has been found to be particularly effective in the treatment of: - ANSWER Seasonal affective disorder
Parents bring a 2-year-old boy into the family therapy clinic because he throws a screaming, throwing temper tantrum every time his parents refuse to let him throw his food on the floor when meal time; What is the therapeutic approach most likely recommended by the practitioner? ANSWER Distract him if he starts to show frustration and reward him for positive behaviors
Dissociative disorders most often results when an individual is attempting to cope with: - ANSWER Extreme emotional anxiety or distress
The neurophysiologist Sigmund Freud is credited with introducing which concept? - ANSWER Psychoanalysis
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 no recollection of traveling there. The Nurse is aware this client is describing a condition known as: - ANSWER Dissociative fugue
Selye's stress adaptation theory has three stages, the second stage is characterized by:
- ANSWER Attempts of the body to cope with stress
The tech is caring for a female client who has been diagnosed with schizophrenia and chronic obstructive pulmonary disease (COPD). The client is experiencing visual and auditory hallucinations, shortness of breath with cyanosis of nail beds, and cool moist skin. Which of the following should be the caregiver's first intervention be directed? ANSWER Shortness of breath and cyanosis
It is worth noting that ______ % of individuals over the age of 45 years take prescription, over the counter or a combination of these medications. - ANSWER 95
The parents of a 14 year old girl have noticed that over the past couple of 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 at school. Based on these symptoms, this client may be diagnosed with which disorder? - ANSWER Depressive disorder
Children should undergo further evaluation when their weight is ____% above their height. - ANSWER 20
Orthostatic hypotension/Postural hypotension is a type that occurs when an individual: - ANSWER has low blood pressure upon rising from a sitting or lying position
What type of community setting provides care for mentally ill patients in a safe and supported environment within the community? - ANSWER community mental health centers
A woman goes out with friends to a late movie and comes home after midnight. The next morning, she plays in an early morning tennis tournament and loses all of her matches. She believes she lost because the line judge made unfair calls. Which of the following is the best description of this as a coping mechanism? - ANSWER Rationalization
Of individuals who suffer from panic attacks, _____ % are women. - ANSWER 70
Which of the following is considered a primary provider diagnosis for a client with dissociative disorder? - ANSWER personal identity, disturbed
Individuals with schizophrenia tend to use the chemical ______ most often. - ANSWER alcohol
Culture includes common beliefs and practices in areas such as religion, economics, diet, health, and: - ANSWER Pattern of communication
An adult female client is acting in a manner that the nurse perceives as anger toward another client: - ANSWER Discuss the observations with the client, and explore whether she was angry at the other client
What is the most common and underdiagnosed mental health disorder of late
adulthood? - ANSWER depression
Physical signs and symptoms are important for the provider to be aware of because these are many times the first and sometimes overlooked signs of the disorder. Physical signs and symptoms of depression include: ANSWER abdominal pain
Adolescents and young adult women account for _____% of Americans affected by eating disorders. ANSWER 85-
Pica
The persistent eating of nonfood items such as clay, laundry starch, insects, or pebbles that lasts longer than 1 month is called: - ANSWER Pica
According to Freud's theory, a baby who is crying in response to wanting to beheld by his mother is an example of which part of the personality's control over behavior? - ANSWER Id
One of the major goals of therapy for adolescents with chemical dependency is: - ANSWER replacing the use of chemicals with effective coping skills
A client is continually late for his appointments at the mental health clinic. What is a likely reason for his lack of punctuality? - ANSWER time orientation
A male client diagnosed with an anxiety disorder occasionally has panic attacks after high anxiety. The provider would expect his physiological symptoms to include: - ANSWER Increased vital signs, urinary urgency and frequency, diaphoresis and rigid and tense muscles
A sleep disorder that disrupts normal sleep patterns, characterized by repeated, brief jerks of the arms and legs that occur every 20 to 60 seconds: - ANSWER Nocturnal myoclonus
disorder, substance abuse, and schizophrenic disorders
An older man has severe visual impairment and can no longer drive an automobile. He is a very independent person. Which nursing diagnosis is most appropriate for the client? ANSWER Self-esteem, risk for situational low
When anxiety is a maladaptive response to a client, it possesses the characteristics of: ANSWER Ineffective coping
The provider is medicating a client who has been diagnosed with paranoid schizophrenia. The provider would expect to administer what psychotropic medication, which has been ordered for the client? - ANSWER Risperdal
The provider documents in a male client's record that he exhibited a "flat affect". The client's behavior would most likely consist of: - ANSWER Unresponsive emotions
The medication donepezil (Aricept) is commonly used to manage the symptoms of early-stage Alzheimer's disease. In administering this medication, the Nurse, should be particularly vigilant in monitoring the client for: - ANSWER Weight changes
A female client has been on an antipsychotic medication for many years. It is crucial for the provider to monitor the client for the development of tardive dyskinesia. Symptoms of tardive dyskinesia include: - ANSWER Repetitive, involuntary muscle movements of the face and extremities
A female client asks the nurse if the medication risperdone (Risperdal), an antipsychotic medication for schizophrenia, has any side effects. Which response by the provider would violate the ethical concept of veracity? - ANSWER "Risperdal has no documented side effects"
Environmental Awareness With regard to the environment, it is important for the tech to be aware of lighting for some clients. Clients with a diagnosis of schizophrenia may be bothered by lights that are flickering because this may trigger: - ANSWER Photophobia
Bright colors in the environment of the client are often: - ANSWER Frightening
Neuroleptic malignant syndrome is a side effect that can occur while the client is taking antipsychotic medication, characterized by muscle rigidity, high fever, unstable vital signs, confusion, and agitation.
When physical restraints are applied for the safety of the client, the guidelines for the nurse include observing, assessing, and monitoring the client every _______ minutes; the restraint must be removed from one limb at a time, and each limb must be exercised every ______ hours. - ANSWER 15:
The following would most likely affect the metabolism of psychotropic meds: - ANSWER Patterns of communications
_______% of the adult population is the US has a mental health disorder: ANSWER 22
If a client is involuntarily committed to a mental health care facility indefinitely, the law requires that the case must be reviewed every : ANSWER 3 months
The psychological defense mechanism used to ward off the painful feelings associated with illness and hospitalization s called: ANSWER Denial
Symptoms of Obsessive-Compulsive disorder can occur in children as young as: - ANSWER 3 years old
Abused substances are those chemicals that after the person's perception by affecting the: - ANSWER central nervous system
What is the main function of the National Center for Complimentary and Alternative Medicine (NCCAM)? - ANSWER To seek scientific validation of and be a resource for the public for CAM therapies
effort to prevent Alzheimer's disease. For which adverse effect is the client most at risk?
- ANSWER Low potassium levels
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 pau the bills because he will not be working. What reaction is the client most likely experiencing? ANSWER Anxiety
A male client, home from military combat duty is diagnosed with post traumatic stress disorder (PTSD) and unable to discuss past hurtful experiences and emotions. Which mind-body-based therapy could help lower his stress and emotional pain? ANSWER Massages
The human physiological stress response mechanism is also known as the ______ response. ANSWER Fight or flight
A male client comes into a mental health clinic citing anger management issues. He states that he is afraid his wife is going to leave him due to his anger issues, and that he will do "whatever it takes" to gain control of his anger. Later that week, the client's wife also seeks services as she is going to divorce her husband. The provider caring for both of these client's tries to determine the right course of action. The provider is facing: - ANSWER An ethical dilemma
The technician knows that he or she may be administering the new anti-anxiety medication pregabalin (Lyrica) to clients without an anxiety disorder for the purpose of treating: - ANSWER Neuropathic pain
On what is Western medicine primarily based? - ANSWER Scientific research
Clients with bipolar or cyclothymiacs disorders exhibit different types of: - ANSWER Mania
Theories that view depression as a group of learned responses are called ____ theories.
The client lives life by rapidly bouncing from feelings of great joy. The client's diagnosis is most likely: - ANSWER Bipolar disorder
Which patient right may a client with mental health disorders lose during their treatment? - ANSWER freedom from restraint or seclusion
Sexually transmitted diseases (STD's), including HIV/AIDS and pregnancy rates are highest for: - ANSWER Adolescents
A group of sexual variations that depart from society's traditional and acceptable models of seeking sexual gratification is: - ANSWER paraphilias
A 4 year old client in a pediatric unit is mimicking the actions of the provider. The provider knows according to Erik Erikson's theory, that this child is exhibiting a characteristic seen during which developmental stage? - ANSWER Genital-locomotor
A newly admitted elderly client appears to become confused and agitated every evening after dinner. This client is most likely suffering from: - ANSWER Sundown syndrome
This situation demonstrates that, when preparing a discharge planning with a client prescribed lithium to treat bipolar disorder, a key point for the client is to understand that he/she must monitor his or her diet for intake of: ANSWER sodium
The technician witnesses varied personalities surfacing in a client who was diagnosed with DID. This primary personality is known as: ANSWER Host
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 most at risk for: - ANSWER noncompliance
The _____ constitute a class of drugs that are commonly prescribed for cardiac
