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2025 Mental Health Exam QUESTIONS AND
ANSWERS EXAM | ACCURATE REAL EXAM
QUESTIONS AND
ANSWERS | GUARANTEED PASS | LATEST UPDATE
Someone has superficial cuts is in crisis and they are pacing and sobbing what's your best responds - CORRECT ANSWER say I feel you are feeling upset, Im going stay and make you feel better
- CORRECT ANSWER You are conducting an initial interview with pt who is in crisis - CORRECT ANSWER listen carefully and summarize often Primary care r/t to crisis - CORRECT ANSWER teach stress reduction to a 1st year Durham College student Someone you cared for before and now is at a crisis clinic and says you help bring my life back as a nurse what do you say - CORRECT ANSWER nurse is having difficulties terminating the relationship Pt comes to crisis clinic and says they can't go on with the nurse says you have resilience and will look back at this crisis as you will be able to manage, what does the analysis interact show about the nurse - CORRECT ANSWER the nurse has not followed up about the pt verbal cues about suicidal thoughts
Pt is taking narcotics in a regular basis it made her feel bad, so she switched to an alternative, but she experiences withdraw symptoms. what is the pt suffering from - CORRECT ANSWER drug dependences When giving the health history the nurse keeps in mind that the pt might admit to drug abuse, which one is a primary form of addiction - CORRECT ANSWER Denial enabling pt from alcoholism is by what - CORRECT ANSWER husband is drinking, and I have to call in to his work that he can't go in ... you are enabling him What is our goal in psychiatric rehabilitations - CORRECT ANSWER personal recovery and we want our pt to cope if you have a pt who's going to be on restrains who is responsible
CORRECT ANSWER you are pt is 79 yo male and is sad what do we need to assess for - CORRECT ANSWER suicide because he's old and doesn't have anything to live for pt is old and confused if we want to see if it is r/t delirium or other problems what do we want to look at - CORRECT ANSWER meds hes taking
preventable someone is diagnoses with autism, what behaviour shows this
CORRECT ANSWER walks in place for 30 mins 5 yo have ADHD bonuses out of the chair and slaps another child what's best response - CORRECT ANSWER taking the aggressive child to another room would you give an SSIR with a MAO - CORRECT ANSWER no someone is taking SSRI (or others like antidepressant) what should you tell the pt - CORRECT ANSWER risk for suicide pt diagnosed with bipolar disorder wears crazy clothing, says serif stuff, how would you doc this encounter - CORRECT ANSWER Euphoric if a pt who is bipolar is hyperactive and is treating others what is ur best responds - CORRECT ANSWER do not hit anyone if you are not able to control yourself, we will control you which of the following is true about bipolar - CORRECT ANSWER several factors including genetic pt is hyperactive and diagnoses with acute mania what is your initial
nursing intervention - CORRECT ANSWER set limits pt only eats small serving and lost 14kg what would you be diagnosis
CORRECT ANSWER anoxia what type of question would you ask for someone who is at ur eating disorder clinic - CORRECT ANSWER what kind of foods do you eat in a day pt is 17 yo has anomia, is scared to gain weight, is preoccupied with food and only eats small salad, how would you assess intake - CORRECT ANSWER stay with her while she eats to remove tray and see intake pt is anorexia what would skin be like hair too - CORRECT ANSWER coarse hair with dry skin pt sees doctors walking down the hall, she says they are planning to kill me what is this - CORRECT ANSWER ideal for references pt is taking St. johns warts they want to suppliant it with SSRI advise them of what syndrome - CORRECT ANSWER serotine syndrome pt abuse heroin and says I've been using more to get the same effect. What is this called - CORRECT ANSWER intolerances what should you make sure when doc - CORRECT ANSWER be specific
if we give a pt meds who verbally refuses his med and we still give it to him with them saying no what can be be charged with - CORRECT ANSWER battery what suicide intervention has the greatest impact on its safety
CORRECT ANSWER one to one observation what nursing intervention demonstrates false imprisonment - CORRECT ANSWER a nurse takes a pt down the hall saying stay in the room or you will be put into seclusion someone is voluntary and they want to be discharged they say to the nurse get me the phone to discharge me I want to leave now. the best response would be - CORRECT ANSWER I will get it for you but lets talk about ur choice to leave treatment charting someone who is diagnose with major depression they have been on antidepressant meds for a week what nursing intervention would be your highest priority - CORRECT ANSWER suicidal thoughts you are doing a mental status examination and you are asking a ot if they have fever or vomiting for a few days what they would do what criterial or their mental status examination are you assessing - CORRECT ANSWER cognition
someone has a diagnosis of anti-social personality disorder and is miliptive what do you want to do as a staff nurse - CORRECT ANSWER sets limits In the team meeting a nurse says "I'm concerned about whether we are behaving ethically by using restraint to prevent one pt from self- mutilation, which the care plan for another self-mutilating pt requires one-on-one supervision. what ethical principle most clearly applies to this situation - CORRECT ANSWER justice which doc of a pt behaviour best demonstrates a nurses' observation
CORRECT ANSWER wore four layers of clothing. states, "I need protection from evil bacteria trying to pierce my skin which individual diagnosed with a mental illness may need involuntary hospitalization - CORRECT ANSWER an individual who takes 38 acetaminophen tabs after his stock portfolio becomes worthless a pt diagnosed with schizophrenia begins to talk about macnabs hiding in the warehouse at work. the term macnabs should be doc as which of the following - CORRECT ANSWER a neologism during an interview, a pt attempts to shift focus from self to the student nurse by asking personal question. the student nurse should respond by saying - CORRECT ANSWER the time we spend together is to discuss your concerns
emotions and stress may interfere with the body's ability to protect itself and can increase the likelihood of infection a pt diagnosed with depression begins selective serotonin rey-take inhibitors antidepressant therapy. the nurse should provide info to the pt/family about what - CORRECT ANSWER reporting increased suicidal thoughts the nurse assess the wellness billets and values of a pt from another culture best when asking which of the following - CORRECT ANSWER what do you think making you ill The nurse is finding it difficult to provide structure and set limits for a pt. the nurse should self-evaluate for which of the following - CORRECT ANSWER boundary blurring the individual initially thinks, "I'll never get through this huge assignment ," but then amends the thoughts to "I can get through the assignment by breaking it into small portions and doing them one by one." What is this though process an example of - CORRECT ANSWER cognitive reframing self-help groups are useful for reducing stress because they provide the individual with which of the following stress mediators - CORRECT ANSWER social support which one of the symptoms is not associated with diagnosis of major depression - CORRECT ANSWER chronic mood disturbance that lasts more than 2 years
Quiz The nurse is developing a plan of care for a 16-year-old client with bulimia nervosa. Which intervention would be included in the plan of care? Select all that apply.
- Allow client to remain on current laxatives
- Assess the client for electrolyte imbalances
- Be alert to hidden or discarded food wrapper
- Do not allow client to keep a food diary during hospitalization
- Monitor the client for 1-2 hours after each meal in a central area - CORRECT ANSWER 2. Assess the client for electrolyte imbalances
- Be alert to hidden or discarded food wrapper
- Monitor the client for 1-2 hours after each meal in a central area A new client at the sleep disorders clinical tells the nurse, "I have not slept well in a year, so I never feel good. I do not expect things will ever improve or be any different." Which of the following interventions should the nurse consider for this client?
- Suggest the use of alcohol as a sedative to promote sleep
- Provide instruction on relaxation techniques
- Teach fatigue producing exercises for the client to become overtired
- Encourage long daytime naps to compensate for the sleep deprivation
- CORRECT ANSWER 2. Provide instruction on relaxation techniques Which nursing action should occur first regarding a client who has a problem of sexual dysfunction or sexual disorder?
- The nurse should develop an understanding of human sexual response
- The nurse should assess the client's sexual functioning and needs
- The nurse should acquire knowledge of the client's sexual roles
- "I understand that you are in pain, but giving you more medication would not be safe." - CORRECT ANSWER 4. "I understand that you are in pain, but giving you more medication would not be safe." The nurse is caring for a client with bulimia nervosa. Which is the most important time for the nurse to monitor the client's behavior?
- During 1-2 hours after each meal
- During every meal
- During the evening meal
- During the overnight hours - CORRECT ANSWER 1. During 1-2 hours after each meal A client tells the nurse, "Everyone says we should sleep 8 hours a night. I can only sleep 6 hours no matter how hard I try. Am I doing harm to my body?" Which of the following would be the most appropriate response by the nurse?
- Tell me about strategies you have tried to increase your total sleep hours
- Lack of sleep acts as a stressor on the body and can cause physical changes
- If you have really tried to sleep more, maybe you should consult your healthcare provider
- If you function well with 6 hours of sleep, you are a short sleeper. That's normal for some people - CORRECT ANSWER 4. If you function well with 6 hours of sleep, you are a short sleeper. That's normal for some people A man who frequently experiences premature ejaculation tells the nurse, "I feel like such a failure. It's so awful for both me and my
partner." Which of the following would be the most appropriate therapeutic response by the nurse?
- I sense you are feeling frustrated and upset
- Tell me more about feeling like a failure
- You are too hard on yourself
- What do you mean by awful? - CORRECT ANSWER 1. I sense you are feeling frustrated and upset A client recently diagnosed with schizophrenia is hospitalized. The client appears distraught and says to the nurse, "The voices are bad today...they are so angry with me." Which of the following is the best response by the nurse?
- Do you need something to help you calm down?
- Don't pay any attention to the voices. Let's go into the dayroom.
- The voices are not real. Tell them to go away.
- What are the voices saying to you? - CORRECT ANSWER 1. Do you need something to help you calm down? A nurse appropriately set limits while interacting with a client diagnosed with a borderline personality disorder. The client tells the nurse, "You used to care about me. I thought you were wonderful. Now I can see I was wrong. You're the worst nurse ever." Which defense mechanism is being used by this client?
- Splitting
- Projection
- Displacement
- Reaction formation - CORRECT ANSWER 1. Splitting Chapter 18 Evolve Which statement is true of the eating disorder referred to as bulimia?
- Patients with bulimia often appear at a normal weight.
- "I purge only once a day now instead of twice."
- "I feel a lot calmer lately, just like when I used to eat four or five cheeseburgers."
- "I am a hard worker and I am very compassionate toward others."
- "I always purge when I'm alone so that I'm not a bad role model for my younger sister." - CORRECT ANSWER 3. "I am a hard worker and I am very compassionate toward others." A 16-year-old patient being treated for anorexia, has been prescribed medication to reduce compulsive behaviors regarding food now that ideal weight has been reached. Which class of medication is prescribed for this specific issue associated with eating disorders?
- Mood stabilizers
- Antidepressants
- Anxiolytics
- Atypical antipsychotics - CORRECT ANSWER 2. Antidepressants Chapter 19 Evolve Which statement by a patient who was educated about the importance of acquiring adequate sleep indicates a need for further teaching?
- "I will be sure to try to get 8 hours of sleep every night, and 9 or 10 hours of sleep if I can."
- "Getting less than 6 hours of sleep at night may increase my risk for medical problems."
- "Getting enough sleep will increase my productivity at work." 4. "Since I have to drive for my job, getting enough sleep will help me avoid accidents." - CORRECT ANSWER 1. "I will be sure to try to get 8 hours of sleep every night, and 9 or 10 hours of sleep if I can."
A client diagnosed with a chronic sleep disorders begins to cry and states, "I can't keep going like this! I work in a bank and if I can't function correctly I'll lose my job. I just don't think I'll get better." Which statement provides a therapeutic response to the client's concerns? 1. "Don't worry! I'm sure with treatment everything will get better." 2. "You are not alone. Many people who come for sleep studies are going through the same thing."
- "You seem so sad. May I ask if something else is troubling you?"
- "There is much hope for improvement through treatment. Let's talk about some strategies for your problems at work." - CORRECT ANSWER 4. "There is much hope for improvement through treatment. Let's talk about some strategies for your problems at work." A client asks the nurse to explain what basal sleep requirement is. What is the nurse's best response?
- The basal temperature of your body needed to induce the best sleep.
- The sleep time by your body needed to repair cellular damage.
- The amount of sleep needed to be fully awake and perform well in the daytime.
- The amount of sleep needed to transition to rapid eye movement (REM) sleep. - CORRECT ANSWER 3. The amount of sleep needed to be fully awake and perform well in the daytime. A 38-year-old patient referred for sleep studies reports frequent daytime lethargy, unintended lapses into sleep, and never feeling rested on awakening in the morning. These symptoms support which sleeprelated diagnosis?
- Circadian rhythm disorder
- Hypersomnolence
- "I will get you a prn medication for agitation."
- "I'm sorry, I didn't understand that. Do you want to talk more about your mother as we did yesterday?" - CORRECT ANSWER 4. "I'm sorry, I didn't understand that. Do you want to talk more about your mother as we did yesterday?" Tara and Aaron are twins who are both diagnosed with schizophrenia. Aaron was diagnosed at 23 years old and Tara at 31 years old. Based on your knowledge of early and late onset of schizophrenia, which of the following is true?
- Tara and Aaron have the same expectation of a poor long-term prognosis.
- Tara will experience more positive signs of schizophrenia such as hallucinations.
- Aaron will be more likely to hold a job and live a productive life. 4. Tara has a better chance for positive outcomes because of later onset. - CORRECT ANSWER 4. Tara has a better chance for positive outcomes because of later onset. A teenaged client is being discharged from the psychiatric unit with a prescription for risperidone. The nurse providing medication teaching to the client's mother should provide which response when asked about the risk her son faces for extrapyramidal side effects (EPSs)?
- All antipsychotic medications have an equal chance of producing EPSs.
- Newer antipsychotic medications have a higher risk for EPSs.
- Risperidone is a newer antipsychotic medication and has a lower risk of EPSs than older antipsychotics.
- Advise the mother to ask the provider to change the medication to clozapine instead of risperidone. - CORRECT ANSWER 3.
Risperidone is a newer antipsychotic medication and has a lower risk of EPSs than older antipsychotics. The nurse is planning long-term goals for a 17-year-old male client recently diagnosed with schizophrenia. Which statement should serve as the basis for the goal-setting process?
- If treated quickly following diagnosis, schizophrenia can be cured.
- Schizophrenia can be managed by receiving treatment only at the time of acute exacerbations.
- Patients with schizophrenia often do not fully respond to treatment and have residual symptoms and varying degrees of disability.
- If patients with schizophrenia stay on their drug regimen, they usually lead fully productive lives with no further symptoms. - CORRECT ANSWER 3. Patients with schizophrenia often do not fully respond to treatment and have residual symptoms and varying degrees of disability. Chapter 24 Evolve Which statement is true regarding antisocial personality disorder (APD)? Select all that apply.
- It is the least studied of the personality disorders.
- It is characterized by rigidity and inflexible standards of self and others.
- Persons with APD display magical thinking.
- Persons with APD are concerned with personal pleasure and power.
- It is characterized by deceitfulness, disregard for others, and manipulation.
- Persons with APD usually present for treatment because of awareness of how their behavior is affecting others.
