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MHTC Exam Practice Questions And Correct
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A sustained emotional state that affects one's overall personality and life functioning is termed: - ANSWER Mood
Most depressive responses in children are tied to: - ANSWER A specific event or situation
The moods of adolescents: - ANSWER Commonly swing from feeling vulnerable and dependent to knowing that they are the smartest one in the family
Depression in the elderly is: - ANSWER Very common. (40%) but is not a normal consequence of aging. Most likely linked to a physical cause
Theories that consider depression to be a cluster of learned responses are termed ____ theories. -ANSWER Behavioral
Clients with bipolar I, bipolar II, or cyclothymic disorders differ in the - type of: -ANSWER Depression? Mania? Cycles? Intensity? Behavior?
A female client manifests feelings of worthlessness, guilt, and despair in every thought, movement, and activity. Her physical appearance has deteriorated, and she is often unable to eat. What does the client have? - ANSWER Severe depression
Severe, prolonged depression impacts a person's risk for physical illness by ____ the risk. - ANSWER increasing
A disorder defined as daily moderate depression that lasts longer than 2 years is called
a(n) ____ disorder - ANSWER dysthymic
The client lives his life by rapidly bouncing from feelings of deep sadness to great joy. The client's diagnosis is most likely: - ANSWER cyclothymia
Recent studies have demonstrated that daily exposure to full-spectrum light (phototherapy) is most effective in improving symptoms in people who are experiencing:
- ANSWER Symptoms of sadness and social withdrawal in people with seasonal affective D/O or late luteal phase D/O
The purpose of treatment during the first phase of depression is to: - ANSWER Decrease symptoms and inappropriate behaviors
The client has recently initiated antidepressant drug therapy. He comes to the nurse and tells her that he has a headache, palpitations, and stiffness of the neck. What is the priority action of the nurse? ANSWER Report signs to physician. These are serious side effects.
Clients taking lithium should watch their water and salt intake because: ANSWER Clients should watch their water and salt intake when taking lithium because:
The nurse must be alert to signs of suicidal thoughts with clients in whom major depressive disorders have been diagnosed because approximately _________ die from suicide. ANSWER 15%
During the continuation phase of therapy, a client with a diagnosis of depression asks, "What is the goal of therapy during this 4- to 9-month period?" What is the nurse's best response? ANSWER Prevent relapse into distressing emotional stress
A client diagnosed with major depressive disorder is to receive electroconvulsive therapy (ECT). Which information will the nurse include in teaching the client? - ANS Increased levels of neurotransmitter norepinephrine. Last 15 min. but shocks just a few seconds. 6-12 treatments are administered over a course of several weeks
Suicide in the United States is: - ANSWER 11th leading cause of death in the US
The theory that believes that suicide rates are influenced by group support, social changes, regulations, religion, legal sanctions or limitations, and philosophical beliefs is called the ____ theory. - ANSWER Sociological
Due to the emotions involved with a suicidal act, the loss of a loved one through suicide compares with the grief reaction of a natural death in that it is ____ stressful. - ANSWER more
Children are at greater risk for committing suicide if they have ____ problems. - ANSWER mental health
Suicide is attempted three times more frequently by ____ but is more often successfully completed by ____. - ANSWER women, men
Thoughts or fantasies about suicide that are expressed but have no definite intent are called: - ANSWER suicidal ideations
The client tells the nurse during the nursing history interview that he would be better off dead. The best response by the care provider is:- ANSWER "Do you have any plans", "Do you think that you can control your behavior and refrain from acting your thoughts or impulses?"
The first priority for care of clients who may be suicidal is: - ANSWER Protect from harm
The caregiver works with suicidal clients to establish therapeutic rapport. The focused communications and concerned actions encourage suicidal persons to: - ANSWER Develop more effective strategies for living satisfying lives
Suicide attempts by ____ are more successful because one out of every two attempts results in death - ANSWER Firearms?
When the environment is insecure or threatening, the belief that life is short or will be violently ended is most convincing for: - ANSWER Cry for help
Persons who commit suicide are depressed or psychotic. This statement is a(n): - ANSWER False/myth
The nurse is caring for a male pt w/a major depressive disorder who has not responded well to various treatments. The latest treatment method resulted in slight improvement. Now, the pt has a very positive affect and feels "amazingly better." The nurse sh - ANSWER Question patient, as a sudden good mood usually indicates that the decision to commit suicide has been made
A woman's fiancé cancels the wedding and she attempts suicide by taking pills. She then calls everyone and informs them of this. She is demonstrating: - ANSWER Denial of acceptance of a lessened quality, style or stride of life
A terminally ill woman client selects the time and place of her death. This is an example of: - ANSWER Alleviate distress associated with events that threaten wholeness of a person. Rational suicide.
A 50-year-married male client whose wife just died from cancer is diagnosed with a chronic debilitating illness. The client has refused to eat, drink, or take his medications. This client is exhibiting behavior characteristic of: - ANSWER Passive suicide
In the __________ dimension, a person who contemplates suicide exhibits distorted thinking and self-defeating thoughts - ANSWER Intellectual
Which of the following are included in the continuum of self-protective responses? Select all that apply. - ANSWER Suicide, self injury, indirect self-destructive behavior, growth-promting risk taking, self enhancement
Which are facts about suicide? Select all that apply - ANSWER Most people
The pt tells the nurse that she feels that her meds is not helping her dissociative dx of depersonalization disorder b/c she is not thinking clearly, having memory problems and judgment, and disoriented to the time. This client most likely will be: - ANSWER
Anxiety, when it is an ineffective response in a person, has the characteristic of - ANSWER Ineffective attempts to cope. Doint otehr activities to avoid delaing with stress
When a client has a mild level of anxiety his or her emotional response is - ANSWER Feelings of relative comfort and safety. Relaxed, calm appearance and voice. Performance is automatic, habitual behaviors occur
A college female student seeks the counselor's help with test anxiety. The patient describes the following experience while taking an examination: &It feels like the time I have to take the exam is racing by and I just cant answer any of the questions "this is level - Severe -
A male client diagnosed with an anxiety disorder occasionally suffers panic attacks after his anxiety becomes very high. The physiological responses the nurse would expect for this client are: - ANSWER Pale, B/P falls-hypotension, muscular coordination poor. Pain and hearing sensations diminished
A learned response to an anticipated event, such as when the person who does not like to fly experiences nausea and sweaty palms before boarding the airplane, is best described as: - ANSWER Signal anxiety
A client tells the nurse that exercising in the gym helps him keep his stress level reduced. Which type of coping mechanism best describes this situation? - ANSWER Physical
A nurse who speaks to teens about the dangers of tanning beds in causing skin cancer but loves to tan herself and does so before she goes on vacation is using which defense mechanism? - ANSWER Subsitution
The nurse knows that several theories have been proposed to explain anxiety. Which theory explains anxiety as a result of interactions with others? - ANSWER Interpersonal model
A married couple who have separated and plan to divorce are seeking counseling for their 9-year-old daughter. The girl has been exhibiting symptoms of deep anxiety in situations that are non-significant and refuses to talk about the divorce with her parents
- ANSWER Avoidance behavior, situation anxiety
Teenagers who poorly cope with anxiety show anxiety by: - ANSWER Acting out inappropriately-run away, theft, angry/defiant, agressive, manipulative, drugs, high-risk behaviors
What is the term for physical expression of anxiety by an individual in ways such as nausea or headaches? - ANSWER Somatize
Which term best describes an individual's feelings of anxiety that are broad, long-lasting, and excessive? - ANSWER Generalized anxiety disorder
A female client tells the nurse that she is terrified to go to the grocery store. The nurse knows this client most likely has: - ANSWER Agoraphobia
A client has constant thoughts about locking his front door every time he leaves his house. This client is experiencing a/an: - ANSWER OCD
Which is a typical symptom of posttraumatic stress disorder? - ANSWER Flashbacks
The treatment team and a male client in whom obsessive-compulsive disorder associated with hand washing has been diagnosed decide on a treatment plan for the disorder. The nurse institute the plan by having the pt gradually extend the time b/w hand washes- ANSWER Systematic desentization (step by step)
A female client is being treated for an anxiety disorder with a benzodiazepine. She
