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NSG 3450 Mental Health Exam 1 Practice Questions
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A bereavement group run by a local hospice includes a woman who is distraught over her supervisor's death. The woman appears severely distressed. She has trouble functioning with activities of daily living and making the simplest of decisions. The group facilitator
recognizes that this woman is suffering from disenfranchised grief after learning: Chapter 30
An Afghanistan Conflict veteran has been homeless since being discharged from military service. He is now diagnosed with schizophrenia. The nurse practitioner recognizes that assertive community treatment (ACT) is a good option for this patient since ACT provides? Chapter 4 - CORRECT ANSWER Care for hard-to-engage, seriously ill patients Antagonism of which receptor contributes to orthostatic hypotension observed with trazodone therapy? Chapter 3 - CORRECT ANSWER Alpha- 1 Based on Maslow's hierarchy of needs, physiological needs for a restrained patient include: Select all that apply. Chapter 6 - CORRECT ANSWER a. Private toileting, oral hydration b. Checking the tightness of the restraints c. Maintaining a patent airway Considering the subject of medically assisted death, which statements identify the pros and cons of the argument associated with the issue of nonmaleficence? Select all that apply. Chapter 30 - CORRECT ANSWER a. From the patient's perspective, there is no difference between ending life by providing a lethal prescription and by stopping treatment that prolongs life. b. Assisted death violates the oath to "do no harm" and destroys trust between patient and nurse. Dying patients with a neurocognitive disorder such as Alzheimer's disease are especially challenging to provide care for. They may have symptoms or pain that they are unable to adequately describe or define. What is a reversible condition that could respond to an intervention and improve anxiety, or agitation? Chapter 30 - CORRECT ANSWER Distended bladder, constipation, or nausea
Emma is a 40-year-old married female who has found it increasingly difficult to leave her home due to agoraphobia. Emma's family is appropriately concerned and suggests that she seek psychiatric care. After investigating her options, Emma decides to try? Chapter 4 - CORRECT ANSWER Telepsychiatry Epidemiological studies contribute to improvements in care for individuals with mental disorders by? Chapter 1 - CORRECT ANSWER a. Identifying risk factors that contribute to the development of a disorder. b. Identifying which individuals will respond favorably to a specific treatment. Gladys is seeing a therapist because her husband died by suicide 6 months ago. Gladys tells her therapist, "I know he was in pain, but why didn't he leave me a note?" The therapist's best response would be: Chapter 25 - CORRECT ANSWER "He was not able to think clearly due to his emotional pain." Guadalupe is the matriarch of a large family. She is terminally ill and none of her family members know her end-of-life wishes. The best action for the nurse is to? Chapter 30 - CORRECT ANSWER Organize a family meeting with Guadalupe's permission to discuss her goals and wishes. Holly is a 53-year-old female with terminal breast cancer. Holly's nurse in the hospital brings up the subject of hospice care. Holly becomes upset and states, "I am not ready to give up and die." You respond that hospice is: Chapter 30 - CORRECT ANSWER A model of healthcare that emphasizes quality of life for you and your family. How can a newly hired nurse best attain information concerning the state's mental health laws and statutes? Chapter 6 - CORRECT ANSWER Conduct an internet search using the keywords "mental + health + statutes + (your state)"
c. Administer antidepressant medications cautiously and conservatively because of their potential to increase the suicide risk in Kara's age group. d. Help the patient to identify positive self-attributes and to question negative self-perceptions that are unrealistic. Linda is terrified of spiders and cannot explain why. Because she lives in a wooded area, she would like to overcome this overwhelming fear. Her nurse practitioner suggests which therapy? Chapter 2 - CORRECT ANSWER Exposure and response prevention therapy Ling has a nursing diagnosis of risk for violence. Ling's Eastern culture family is having difficulty coping with the illness because of their beliefs. A favorable therapeutic modality for this patient might include? Chapter 5 - CORRECT ANSWER Family therapy. Lucas has completed his inpatient psychiatric treatment, which was ordered by the court system. Which statement reveals that Lucas does not understand the concept of conditional release? Chapter 6 - CORRECT ANSWER "I am finally free, no more therapy." Martin is a 23-year-old male with a new diagnosis of schizophrenia, and his family is receiving information from a home health nurse. The topic of education is suicide prevention, and the nurse recognizes effective teaching when the mother says: Chapter 25 - CORRECT ANSWER "Suicide risk is greatest in the first few years after diagnosis." Pablo is a homeless adult who has no family connection. Pablo passed out on the street and emergency medical services took him to the hospital, where he expresses a wish to die. The physician recognizes evidence of substance use problems and mental health issues and recommends inpatient treatment for Pablo. What is the rationale for this treatment choice? Select all that apply. Chapter 4 - CORRECT ANSWER a. He requires stabilization of multiple symptoms.
b. He has nutritional and self-care needs. c. He is in imminent danger of harming himself. Recognizing the frequency of depression among the American population, the nurse should advocate for which mental health promotion intervention? Chapter 1 - CORRECT ANSWER Providing regular depression screening for adolescent and teenage students Research supports that which intervention implemented on a long-term basis significantly reduces the incidence of suicide and suicide attempts in a patient diagnosed with bipolar disorder? Chapter 25 - CORRECT ANSWER Lithium Reviewing prescription medications in the discharge instructions for a patient with a diagnosis of major depressive disorder, the nurse would caution the patient about which over- the-counter supplement(s)? Select all that apply. Chapter 36 - CORRECT ANSWER a. SAMe b. St. John's wort Sigmund Freud, Karl Menninger, and Aaron Beck theorized that hopelessness was an integral part of why a person ends one's life by suicide. A more recent theory suggests suicide results from? Chapter 25 - CORRECT ANSWER The diathesis-stress model The mental health team is determining treatment options for a male patient who is experiencing psychotic symptoms. Which question(s) should the team CORRECT ANSWER er to determine whether a community outpatient or inpatient setting is most appropriate? Select all that apply. Chapter 4 - CORRECT ANSWER a. "Is the patient expressing suicidal thoughts?" b. "Does the patient have intact judgment and insight into his situation?" c. "Does the patient require a therapeutic environment to support the management of psychotic symptoms?"
What medication education should the nurse provide to a patient who has expressed an interest in taking St. John's wort? Chapter 36 - CORRECT ANSWER St. John's wort should not be taken in combination with antidepressants. When considering community suicide prevention programs, what population should the nurse plan to service with regular suicide screenings? Select all that apply. Chapter 25 - CORRECT ANSWER a. 10- to 34-year-olds b. Males c. Native American When considering facility admissions for mental healthcare, what characteristic is unique to a voluntary admission? Chapter 6 - CORRECT ANSWER A request in writing is required before admission When considering stigmatization, which statement made by the nurse demonstrates a need for immediate intervention by the nurse manager? Chapter 1 - CORRECT ANSWER "My experience has been that the Irish have a problem with alcohol use." When considering the goals of complementary and alternative medicines, which patient would be of particular interest to researchers studying advances in symptom management? Chapter 36 - CORRECT ANSWER One who experiences chronic pain related to a neck injury When considering the suggestions of Hildegard Peplau, which activity should the nurse regularly engage in to ensure that the patient stays the focus of all therapeutic conversations? Chapter 2 - CORRECT ANSWER Reflecting on personal behaviors and personal needs
When discussing therapy options, the nurse should provide information about interpersonal therapy to which patient? Select all that apply. Chapter 2 - CORRECT ANSWER a. The teenager who is the focus of bullying at school b. The older woman who has just lost her life partner to cancer c. The middle-aged adult who recently discovered her partner has been unfaithful When one is considering culturally competent care for a Muslim patient diagnosed with cardiac problems, which intervention is particularly important initially when a low-fat diet is prescribed? Chapter 5 - CORRECT ANSWER Identifying dietary considerations When providing respectful, appropriate nursing care, how should the nurse identify the patient and his or her observable characteristics? Chapter 1 - CORRECT ANSWER The patient in room 234 is displaying manic behavior Which action reflects therapeutic practices associated with operant conditioning? Chapter 2 - CORRECT ANSWER Acknowledging a patient who is often verbally aggressive for complimenting a picture another patient drew Which antidepressant is contraindicated in a patient diagnosed with a seizure disorder? Chapter 3 - CORRECT ANSWER Bupropion Which antidepressant is FDA approved for the treatment of postpartum depression? Chapter 3
Which intervention demonstrates the nurse's understanding of what guides effective nursing care with a diverse patient population? Chapter 5 - CORRECT ANSWER Identifying the cultural norms of the population being served. Which interventions will help make the environment on the unit safer for patients with suicidal ideation? Select all that apply. Chapter 25 - CORRECT ANSWER a. All windows are kept locked. b. Every shower has a breakaway shower rod. c. Eating utensils are counted when trays are collected. d. Patient doors are kept open. Which medication increases blood levels of lamotrigine, increasing Stevens-Johnson syndrome risk? Chapter 3 - CORRECT ANSWER Valproate Which mood stabilizer most commonly causes hypothyroidism with long-term use? Chapter 3 - CORRECT ANSWER Lithium Which neurotransmitter is potentiated by benzodiazepines? Chapter 3 - CORRECT ANSWER Acetylcholine Which nursing actions demonstrate cultural competence? Select all that apply. - CORRECT ANSWER a. Planning mealtime around the patient's prayer schedule b. Helping a patient to visit with the hospital chaplain c. Researching foods that a lacto-ovo-vegetarian patient will eat d. Providing time for a patient's spiritual healer to visit Which nursing intervention can help a Hindu patient to maintain his religious practice? Chapter 5 - CORRECT ANSWER Helping the patient to choose his own food from the menu
Which nursing intervention demonstrates the ethical principle of beneficence? Chapter 6 - CORRECT ANSWER Providing frequent updates to the family of a patient currently in surgery Which of the following activities would be considered nursing care and appropriate to be performed by a basic level nurse for a patient suffering from mental illness? Chapter 1 - CORRECT ANSWER Teaching coping skills for a specific family dynamic Which part of the brain regulates voluntary motor movements? Chapter 3 - CORRECT ANSWER Cerebellum Which pathway is involved in the development of extrapyramidal symptoms secondary to antipsychotic-induced dopamine receptor blockade? Chapter 3 - CORRECT ANSWER Nigrostriatal Which patient statement does not demonstrate an understanding of a suicide safety plan? Chapter 25 - CORRECT ANSWER "I will take extra medication if I start getting those self- destructive feelings." Which person is at the highest risk for suicide? Chapter 25 - CORRECT ANSWER A young single white male who misuses alcohol, is hopeless, impulsive, has just been rejected by his girlfriend, and has ready access to a gun he has hidden. Which question should the nurse ask when assessing what Sullivan's Interpersonal Theory identifies as the most painful human condition? Chapter 2 - CORRECT ANSWER "Do you think of yourself as being lonely?" Which second-generation antipsychotic requires routine absolute neutrophil count monitoring? Chapter 3 - CORRECT ANSWER Clozapine
Which statement made by a patient demonstrates a healthy degree of resilience? Select all that apply. Chapter 1 - CORRECT ANSWER a. "I try to remember not to take other people's bad moods personally." b. "I've learned to calm down before trying to defend my opinions." c. "I know that discussing issues with my boss would help me get my point across." Which statement made by a patient demonstrates acceptance of criteria required of hospice care? Chapter 30 - CORRECT ANSWER "There is no cure for my illness. I've accepted that." Which statement made by a widow demonstrates that her grief work has been effective? Select all that apply. Chapter 30 - CORRECT ANSWER a. "I can remember how much my deceased husband loved chocolate chip ice cream." b. "Painting is my new passion, and I really enjoy learning the various strokes." c. "Jim could be very stubborn when he thought he was right." Which statement made by the nurse concerning ethics demonstrates the best understanding of the concept? Chapter 6 - CORRECT ANSWER "It isn't right to deny someone healthcare because they can't pay for it." Which statement made by the patient demonstrates an understanding of the foundational principle of integrative care? Chapter 36 - CORRECT ANSWER "My body has the ability to heal itself if we have the knowledge to give it the right tools." Which statement made to the grieving patient demonstrates effective therapeutic communication? Select all that apply. Chapter 30 - CORRECT ANSWER a. "Your loved one was irreplaceably special." b. "I would like to take the flowers from the funeral home to your house."
c. "Your loss must be devastating. I can't imagine how you must be feeling right now."
