NU 673 PSYCHIATRIC MENTAL HEALTHCARE I REVIEW EXAM Q & A 2024, Exams of Nursing

Download NU 673 PSYCHIATRIC MENTAL HEALTHCARE I REVIEW EXAM Q & A 2024 and more Exams Nursing in PDF only on Docsity!

NU 67 3

Psychiatric Mental

Healthcare I Review

Exam

Q & A

1. A 25-year-old patient presents with symptoms of extreme anxiety and paranoia. Which of the following assessments is crucial for determining the immediate care needs? A) Family history of mental illness B) Current medication regimen C) Substance abuse history D) Recent traumatic events Answer: C. Substance abuse can acutely exacerbate symptoms of anxiety and paranoia, making it a critical factor in assessing the patient's immediate care needs.
2. When evaluating a teenager with suspected bipolar disorder, which of the following diagnostic tests would be least helpful? A) Thyroid function tests B) Sleep study C) Psychological evaluation D) Complete blood count (CBC) Answer: B. While sleep disturbances are common in bipolar disorder, a sleep study is not a primary diagnostic tool for this condition.
3. In managing depression in an elderly patient, what is an important consideration when prescribing antidepressants? A) The potential for increased fall risk B) The cost of medication C) The preference for natural remedies D) The patient's employment status Answer: A. Elderly patients are at an increased risk for falls, which can be exacerbated by the side effects of antidepressants.
4. A patient with schizophrenia reports auditory hallucinations. Which nursing intervention is most appropriate? A) Encourage expression through art therapy B) Prescribe antipsychotic medication C) Initiate a conversation with the voices D) Increase social interactions Answer: B. Antipsychotic medication is essential in managing auditory hallucinations in schizophrenia.

assessing mental health care needs as it provides important information about potential risk factors and previous mental health diagnoses.

2. Which assessment tool is commonly used to evaluate a patient's cognitive function? A. Beck Depression Inventory B. Mini-Mental State Examination C. Hamilton Rating Scale for Depression D. Yale-Brown Obsessive-Compulsive Scale Answer: B. Mini-Mental State Examination Rationale: The Mini-Mental State Examination is a widely used tool to assess cognitive function in patients and can help identify potential cognitive impairments.
3. When diagnosing a mood disorder in a patient, which of the following symptoms would be considered key indicators? A. Hallucinations and delusions B. Decreased appetite and weight loss C. Prolonged feelings of sadness and hopelessness D. Rapid speech and increased energy levels Answer: C. Prolonged feelings of sadness and hopelessness Rationale: Prolonged feelings of sadness and hopelessness are key indicators of a mood disorder, such as depression, and play a significant role in diagnosis.
4. Which of the following interventions is most appropriate for managing symptoms of anxiety in a patient? A. Prescribing an antipsychotic medication B. Encouraging relaxation techniques, such as deep breathing exercises C. Scheduling daily psychotherapy sessions D. Recommending a strict exercise regimen Answer: B. Encouraging relaxation techniques, such as deep breathing exercises Rationale: Encouraging relaxation techniques, such as deep breathing exercises, can help manage symptoms of anxiety by promoting relaxation and reducing stress levels.
5. A patient presents with symptoms of impulsivity, mood swings, and

intense episodes of anger. Which mental health disorder is most likely indicated? A. Generalized anxiety disorder B. Bipolar disorder C. Schizophrenia D. Obsessive-compulsive disorder Answer: B. Bipolar disorder Rationale: Symptoms of impulsivity, mood swings, and intense episodes of anger are common in individuals with bipolar disorder.

6. A patient is experiencing symptoms of paranoia, auditory hallucinations, and disorganized speech. Which mental health disorder is consistent with these symptoms? A. Major depressive disorder B. Schizophrenia C. Post-traumatic stress disorder D. Bipolar disorder Answer: B. Schizophrenia Rationale: Symptoms of paranoia, auditory hallucinations, and disorganized speech are consistent with a diagnosis of schizophrenia.
7. When developing a care plan for a patient with a substance use disorder, which of the following interventions is most important? A. Implementing cognitive-behavioral therapy B. Encouraging participation in support groups C. Monitoring urine drug screens D. Providing medication-assisted treatment Answer: C. Monitoring urine drug screens Rationale: Monitoring urine drug screens is important in managing a patient with a substance use disorder as it helps track progress and identify any relapses.
8. Which of the following is a key factor to consider when assessing mental health care needs in older adults? A. Prescribing medications with potential side effects B. Increased risk of cognitive impairments C. Reduced access to community resources D. Limited social support networks

B. Selective serotonin reuptake inhibitors (SSRIs) C. Antipsychotic medications D. Mood stabilizers Answer: C. Antipsychotic medications Rationale: Antipsychotic medications are commonly prescribed to manage symptoms of schizophrenia, such as hallucinations and delusions.

13. A patient with symptoms of persistent worry, restlessness, and difficulty concentrating may be experiencing which mental health disorder? A. Panic disorder B. Social anxiety disorder C. Generalized anxiety disorder D. Obsessive-compulsive disorder Answer: C. Generalized anxiety disorder Rationale: Symptoms of persistent worry, restlessness, and difficulty concentrating are common in individuals with generalized anxiety disorder.
14. When assessing mental health care needs in a patient with a history of trauma, which of the following interventions is most important? A. Referral to a support group for trauma survivors B. Screening for post-traumatic stress disorder symptoms C. Implementing mindfulness-based stress reduction techniques D. Prescribing anxiolytic medications Answer: B. Screening for post-traumatic stress disorder symptoms Rationale: Screening for post-traumatic stress disorder symptoms is important in managing a patient with a history of trauma as it can help identify and address any related mental health issues.
15. Which of the following factors may contribute to the development of a substance use disorder in an individual? A. High levels of social support B. Positive coping skills C. Family history of addiction D. Low stress levels Answer: C. Family history of addiction Rationale: Family history of addiction is a significant risk factor for

developing a substance use disorder, as genetic predisposition can play a role in addiction.

16. When developing a care plan for a patient with depression, which of the following interventions is most important? A. Encouraging regular exercise and healthy eating habits B. Administering antidepressant medications as prescribed C. Providing referral to a mental health therapist D. Monitoring symptoms of anxiety and stress levels Answer: B. Administering antidepressant medications as prescribed Rationale: Administering antidepressant medications as prescribed is important in managing symptoms of depression and promoting mental health.
17. Which of the following assessment tools is commonly used to evaluate suicidal ideation in patients? A. Hamilton Rating Scale for Depression B. Beck Anxiety Inventory C. CAGE Questionnaire D. Columbia-Suicide Severity Rating Scale Answer: D. Columbia-Suicide Severity Rating Scale Rationale: The Columbia-Suicide Severity Rating Scale is a commonly used tool to assess suicidal ideation and risk in patients.
18. A patient with symptoms of repetitive thoughts, rituals, and behaviors may be experiencing which mental health disorder? A. Panic disorder B. Social anxiety disorder C. Generalized anxiety disorder D. Obsessive-compulsive disorder Answer: D. Obsessive-compulsive disorder Rationale: Symptoms of repetitive thoughts, rituals, and behaviors are common in individuals with obsessive-compulsive disorder.
19. In assessing mental health care needs in adolescents, which of the following considerations is important? A. Peer relationships and social interactions B. Occupation and financial status

23. A patient with symptoms of disorganized thinking, bizarre behavior, and hallucinations may be experiencing which mental health disorder? A. Major depressive disorder B. Bipolar disorder C. Schizophrenia D. Panic disorder Answer: C. Schizophrenia Rationale: Symptoms of disorganized thinking, bizarre behavior, and hallucinations are common in individuals with schizophrenia.
24. Which of the following assessment tools is commonly used to evaluate symptoms of obsessive-compulsive disorder (OCD) in patients? A. Beck Depression Inventory B. Yale-Brown Obsessive-Compulsive Scale C. Hamilton Rating Scale for Anxiety D. CAGE Questionnaire Answer: B. Yale-Brown Obsessive-Compulsive Scale Rationale: The Yale-Brown Obsessive-Compulsive Scale is a commonly used tool to assess symptoms of OCD in patients.
25. When developing a care plan for a patient with a personality disorder, which of the following interventions is most important? A. Implementing dialectical behavior therapy B. Administering antipsychotic medications C. Encouraging participation in group therapy sessions D. Providing referral to a substance abuse treatment program Answer: A. Implementing dialectical behavior therapy Rationale: Dialectical behavior therapy is a commonly used intervention in managing symptoms of personality disorders, such as borderline personality disorder, by helping patients develop coping skills and regulate emotions. Question: A 35-year-old female patient presents with symptoms of persistent sadness, loss of interest in activities, and feelings of worthlessness. She reports difficulty sleeping and concentrating. What

condition is she most likely experiencing? A) Bipolar disorder B) Major depressive disorder C) Generalized anxiety disorder D) Schizophrenia Answer: B) Major depressive disorder Rationale: The patient's symptoms align with the diagnostic criteria for major depressive disorder, characterized by persistent low mood, loss of interest, and other somatic symptoms. Question: An 8-year-old child frequently exhibits hyperactivity, impulsivity, and difficulty concentrating in school. Which of the following conditions is most likely to be diagnosed in this case? A) Autism spectrum disorder B) Attention-deficit/hyperactivity disorder (ADHD) C) Oppositional defiant disorder D) Conduct disorder Answer: B) Attention-deficit/hyperactivity disorder (ADHD) Rationale: The symptoms described are consistent with the criteria for diagnosing ADHD in children, including inattention, hyperactivity, and impulsivity. Question: A 60-year-old male patient presents with progressive memory loss, confusion, and disorientation. His family reports changes in personality and difficulty with daily activities. What condition is most likely affecting the patient? A) Alzheimer's disease B) Vascular dementia C) Parkinson's disease D) Lewy body dementia Answer: A) Alzheimer's disease Rationale: The patient's symptoms align with the clinical presentation of Alzheimer's disease, a neurodegenerative condition characterized by cognitive decline and functional impairment. Question: A 25-year-old female patient exhibits alternating periods of elevated mood, increased energy, and impulsivity followed by periods of deep sadness and low energy. What condition is she most likely

symptoms such as muscle tension and fatigue. What condition is she most likely experiencing? A) Panic disorder B) Social anxiety disorder C) Generalized anxiety disorder D) Obsessive-compulsive disorder Answer: C) Generalized anxiety disorder Rationale: The patient's symptoms are consistent with the diagnostic criteria for generalized anxiety disorder, including excessive worry and physical symptoms of anxiety. Question: A 55-year-old male patient presents with episodes of sudden fear, palpitations, and shortness of breath. He worries about having additional panic attacks and avoids places where previous attacks have occurred. What condition is he most likely experiencing? A) Panic disorder B) Agoraphobia C) Specific phobia D) Social anxiety disorder Answer: A) Panic disorder Rationale: The patient's symptoms align with the criteria for diagnosing panic disorder, including recurrent unexpected panic attacks and persistent concern about having additional attacks. Question: A 30-year-old female patient exhibits recurrent intrusive thoughts and engages in repetitive behaviors such as handwashing and checking. She experiences distress and impairment in daily functioning due to these symptoms. What condition is she most likely experiencing? A) Obsessive-compulsive disorder B) Body dysmorphic disorder C) Hoarding disorder D) Post-traumatic stress disorder Answer: A) Obsessive-compulsive disorder Rationale: The patient's symptoms align with the diagnostic criteria for obsessive-compulsive disorder, characterized by obsessions and compulsions that cause distress and impairment. Question: A 40-year-old female patient presents with a history of binge

eating followed by compensatory behaviors such as self-induced vomiting and misuse of laxatives. She experiences a sense of lack of control over her eating behavior. What condition is she most likely experiencing? A) Anorexia nervosa B) Bulimia nervosa C) Avoidant/restrictive food intake disorder D) Binge-eating disorder Answer: B) Bulimia nervosa Rationale: The patient's symptoms align with the diagnostic criteria for bulimia nervosa, including recurrent episodes of binge eating followed by compensatory behaviors. Question: A 50-year-old male patient exhibits excessive preoccupation with physical appearance, frequently checking his appearance in the mirror, and seeking reassurance about his perceived flaws. What condition is he most likely experiencing? A) Anorexia nervosa B) Bulimia nervosa C) Body dysmorphic disorder D) Muscle dysmorphia Answer: C) Body dysmorphic disorder Rationale: The patient's symptoms align with the diagnostic criteria for body dysmorphic disorder, characterized by preoccupation with perceived defects in physical appearance. Question: A 25-year-old female patient reports recurrent nightmares, intrusive thoughts, and avoidance of stimuli associated with a traumatic event. She experiences hypervigilance and exaggerated startle response. What condition is she most likely experiencing? A) Acute stress disorder B) Adjustment disorder C) Post-traumatic stress disorder D) Dissociative identity disorder Answer: C) Post-traumatic stress disorder Rationale: The patient's symptoms align with the diagnostic criteria for post-traumatic stress disorder, including intrusive thoughts, avoidance, and hyperarousal.

Question: A 40-year-old female patient exhibits instability in interpersonal relationships, self-image, and affects. She engages in impulsive behaviors and experiences chronic feelings of emptiness. What condition is she most likely experiencing? A) Borderline personality disorder B) Histrionic personality disorder C) Narcissistic personality disorder D) Antisocial personality disorder Answer: A) Borderline personality disorder Rationale: The patient's symptoms align with the diagnostic criteria for borderline personality disorder, characterized by instability in relationships, self-image, and affect, as well as impulsivity. Question: A 50-year-old male patient exhibits disregard for and violation of the rights of others, deceitfulness, impulsivity, irritability, and lack of remorse. He has a history of legal difficulties and aggressive behavior. What condition is he most likely experiencing? A) Borderline personality disorder B) Histrionic personality disorder C) Narcissistic personality disorder D) Antisocial personality disorder Answer: D) Antisocial personality disorder Rationale: The patient's symptoms align with the diagnostic criteria for antisocial personality disorder, characterized by a pervasive pattern of disregard for and violation of the rights of others. Question: A 60-year-old female patient exhibits difficulties with social interaction, restricted interests, and repetitive behaviors. She adheres to rigid routines and experiences distress with changes in her environment. What condition is she most likely experiencing? A) Autism spectrum disorder B) Social communication disorder C) Attention-deficit/hyperactivity disorder D) Specific learning disorder Answer: A) Autism spectrum disorder Rationale: The patient's symptoms align with the diagnostic criteria for autism spectrum disorder, characterized by deficits in social

communication and interaction, as well as restricted and repetitive patterns of behavior. Question: A 45-year-old male patient exhibits excessive preoccupation with order, perfectionism, and control. He is excessively devoted to work and productivity, at the expense of leisure activities and relationships. What condition is he most likely experiencing? A) Obsessive-compulsive personality disorder B) Dependent personality disorder C) Avoidant personality disorder D) Schizoid personality disorder Answer: A) Obsessive-compulsive personality disorder Rationale: The patient's symptoms align with the diagnostic criteria for obsessive-compulsive personality disorder, characterized by preoccupation with orderliness, perfectionism, and control. Question: A 55-year-old female patient exhibits pervasive feelings of inadequacy, hypersensitivity to negative evaluation, and avoidance of occupational activities that involve significant interpersonal contact. What condition is she most likely experiencing? A) Avoidant personality disorder B) Dependent personality disorder C) Obsessive-compulsive personality disorder D) Histrionic personality disorder Answer: A) Avoidant personality disorder Rationale: The patient's symptoms align with the diagnostic criteria for avoidant personality disorder, characterized by social inhibition, feelings of inadequacy, and hypersensitivity to negative evaluation. Question: A 35-year-old male patient exhibits a grandiose sense of self- importance, a need for excessive admiration, and a lack of empathy for others. He often takes advantage of others to achieve his own ends. What condition is he most likely experiencing? A) Narcissistic personality disorder B) Histrionic personality disorder C) Antisocial personality disorder D) Borderline personality disorder Answer: A) Narcissistic personality disorder

D) Narcissistic personality disorder Answer: A) Dependent personality disorder Rationale: The patient's symptoms align with the diagnostic criteria for dependent personality disorder, characterized by a pervasive need to be taken care of and submissive behavior. Question: A 55-year-old male patient exhibits a pattern of social inhibition, feelings of inadequacy, and hypersensitivity to negative evaluation. He avoids occupational activities that involve significant interpersonal contact. What condition is he most likely experiencing? A) Avoidant personality disorder B) Dependent personality disorder C) Obsessive-compulsive personality disorder D) Schizoid personality disorder Answer: A) Avoidant personality disorder Rationale: The patient's symptoms align with the diagnostic criteria for avoidant personality disorder, characterized by social inhibition and feelings of inadequacy.