Mental Health Midterm Review Exam
UPDATED ACTUAL QUESTIONS AND
CORRECT ANSWERS
A 28-year old woman is admitted to a general medical unit for hypoglycemia. A psychiatry
consultation is requested because the patient's story "doesn't fit". The patient tells the
psychiatrist how bad the problem is and uses medical jargon. She appears to be an intelligent
person with strong dependency needs. The nurse interrupts the psychiatrist and tells him that
she found insulin-filled syringes beneath the patient's pillow. This upsets the patient and
before anything can be done about it, she elopes from the hospital. What is the most likely
diagnosis in this patient?
A.hypochondriasis
B.munchausen syndrome on self (factitious disorder imposed on self)
C.malingering
D.munchausen syndrome by proxy (factitious disorder imposed on others) - correct
answer b. Munchausen syndrome on self (factitious disorder imposed on self)
A 34-year old male is seen in a psychiatric emergency room of a city hospital for bizarre
presentation. Social worker tells the psychiatrist that after obtaining extensive collateral
information, she learned that the patient lives in a nearby town and was "normal" until a
severe earthquake hit the town recently. He is not able to recall his personal information, and
neither is he able to explain how he traveled the 65 miles from his town or when he arrived in
this city after the earthquake. There is no history of any substance abuse and family members
are concerned. What is the defense mechanism on this patient that will lead to a diagnose?
A.dissociation
B.undoing
C.splitting
D.idealization - correct answer a.dissociation
, When working with a patient newly emigrated from asia who has been assessed as having
xenophobia, the nurse could anticipate making the assessment that the individual:
A.resists sharing food with others
B.would be reluctant to ride an elevator
C.is unlikely to talk with nonfamily members
D.fears the consequences of going out of doors - correct answer c.is unlikely to talk
with nonfamily members
Lithium create changes in an important body electrolyte, knowing this which is helpful
treatment for lithium intoxication.
A.gastric lavage
B.activated charcoal
C.kidney function
D.saline infusion - correct answer c.kidney function
Which nursing intervention would be appropriately addressed during the orientation phase of
the nurse-patient relationship?
A.self reflection by the nurse regarding personal biases and prejudices regarding the patient.
B.patient works at prioritizing personal needs and develops realistic expected outcomes.
C.establishing the contract between the nurse and the patient regarding mutual needs and
expectations
D.patient commits to the reinforcement of positive personal characteristics while working on
problems and concerns - correct answer c.establishing the contract between the nurse
and the patient regarding mutual needs and expectations
Some of the adverse reactions listed below has been reported with ssri. What is the most
common of them?
UPDATED ACTUAL QUESTIONS AND
CORRECT ANSWERS
A 28-year old woman is admitted to a general medical unit for hypoglycemia. A psychiatry
consultation is requested because the patient's story "doesn't fit". The patient tells the
psychiatrist how bad the problem is and uses medical jargon. She appears to be an intelligent
person with strong dependency needs. The nurse interrupts the psychiatrist and tells him that
she found insulin-filled syringes beneath the patient's pillow. This upsets the patient and
before anything can be done about it, she elopes from the hospital. What is the most likely
diagnosis in this patient?
A.hypochondriasis
B.munchausen syndrome on self (factitious disorder imposed on self)
C.malingering
D.munchausen syndrome by proxy (factitious disorder imposed on others) - correct
answer b. Munchausen syndrome on self (factitious disorder imposed on self)
A 34-year old male is seen in a psychiatric emergency room of a city hospital for bizarre
presentation. Social worker tells the psychiatrist that after obtaining extensive collateral
information, she learned that the patient lives in a nearby town and was "normal" until a
severe earthquake hit the town recently. He is not able to recall his personal information, and
neither is he able to explain how he traveled the 65 miles from his town or when he arrived in
this city after the earthquake. There is no history of any substance abuse and family members
are concerned. What is the defense mechanism on this patient that will lead to a diagnose?
A.dissociation
B.undoing
C.splitting
D.idealization - correct answer a.dissociation
, When working with a patient newly emigrated from asia who has been assessed as having
xenophobia, the nurse could anticipate making the assessment that the individual:
A.resists sharing food with others
B.would be reluctant to ride an elevator
C.is unlikely to talk with nonfamily members
D.fears the consequences of going out of doors - correct answer c.is unlikely to talk
with nonfamily members
Lithium create changes in an important body electrolyte, knowing this which is helpful
treatment for lithium intoxication.
A.gastric lavage
B.activated charcoal
C.kidney function
D.saline infusion - correct answer c.kidney function
Which nursing intervention would be appropriately addressed during the orientation phase of
the nurse-patient relationship?
A.self reflection by the nurse regarding personal biases and prejudices regarding the patient.
B.patient works at prioritizing personal needs and develops realistic expected outcomes.
C.establishing the contract between the nurse and the patient regarding mutual needs and
expectations
D.patient commits to the reinforcement of positive personal characteristics while working on
problems and concerns - correct answer c.establishing the contract between the nurse
and the patient regarding mutual needs and expectations
Some of the adverse reactions listed below has been reported with ssri. What is the most
common of them?
