Mental Health nursing final exam questions and correct
answers
A 79-year-old white man tells a visiting nurse, "I've been feeling down lately. My
family and friends are all dead. My money is running out, and my health is
failing." The nurse should analyze this comment as - ANS✅✅evidence of
suicide risk
Which of the following is not a documentation guideline for rape? -
ANS✅✅instead of intercourse, use penetration
instead of alleged, use reported
instead of refused, use declined
Patient reports acute anxiety related to the death of a parent in an automobile
accident two hours earlier. The nurse should anticipate administering a med from
what family? - ANS✅✅Benzodiazepines to increase the effect of GABA
Which of the following medications would be used when lithium is not effective?
- ANS✅✅Divalproex sodium (Depakote)
A nurse cares for an older adult patient admitted for treatment of depression. the
health care provider prescribes an antidepressant medication, but the dose is
more than the usual adult dose. the nurse should? - ANS✅✅hold the
medication and consult the health care provider.
,A nurse at a behavioral health clinic sees an unfamiliar psychiatric diagnosis on a
patients insurance form. which resource should the nurse consult to discern the
criteria used to establish this diagnoses? - ANS✅✅DSM-V diagnostic and
Statistical Manual of Mental Disorders
A patient begins a new program to assist with building social skills. in which part
of the plan of care should a nurse record the item, Encourage patient to attend
one psychoeducational group daily? - ANS✅✅Implementation
According to Maslows hierarchy of needs, which of the following client situations
would be considered most basic? - ANS✅✅Client seeks, shelter, food at a
center of a battered woman.
A patient diagnosed with paranoid schizophrenia believes evil spirits are being
summoned by a local minister and verbally threatens to bomb a local church. the
psychiatrist notifies the local minister. the psychiatric has -
ANS✅✅demonstrated the duty of warn and protect/tarasoff
A voluntary hospitalized patient tells the nurse I need to get out of here, I'm not
getting better. Get me the forms I need to sign to leave this place. what would
the nurse say? - ANS✅✅I will get them for you, but lets talk about your
decision to leave treatment.
During an assessment interview a nurse asks the patient "how are you feeling this
AM? What part of the mental status exam is the nurse examining? -
ANS✅✅mood (mood and affect)
, A nurse documents patient appears to be restless and unable to sit still. he is
unable to hold productive conversation and tremulous during interview, what is
the nursing dx? - ANS✅✅Anxiety
A patient should be considered for involuntary hospitalization for psychiatric care
when he or she - ANS✅✅threatens to harm self or others
A patient diagnosed with major depressive disorder begins selective serotonin
reuptake inhibitor SSRI antidepressant therapy. priority information given to the
patient and family should include a - ANS✅✅Report increase suicidal
thoughts.
A client is prescribed lamatrogine for treatment of bipolar disorder which of the
following is most concerning? - ANS✅✅SJS skin rash (stevens johnson
syndrome)
A client with depression mentions to the nurse, "my mother says depression is a
chemical disorder. what does she mean?" the nurse's response is based on the
theory that depression primarily involves which of thee following
neurotransmitters? - ANS✅✅Serotonin and Norepinephrine
Nurse teaching a class for antidepressant to patients diagnosed with depression,
which of the following statement by a patient will indicate the nurse that further
teaching is needed. - ANS✅✅I can discontinue mediation at anytime if
medication is not working.
A newly admitted patient diagnosed with major depression has gained 20 pounds
over a few months and has suicidal ideation. the patient has taken an
answers
A 79-year-old white man tells a visiting nurse, "I've been feeling down lately. My
family and friends are all dead. My money is running out, and my health is
failing." The nurse should analyze this comment as - ANS✅✅evidence of
suicide risk
Which of the following is not a documentation guideline for rape? -
ANS✅✅instead of intercourse, use penetration
instead of alleged, use reported
instead of refused, use declined
Patient reports acute anxiety related to the death of a parent in an automobile
accident two hours earlier. The nurse should anticipate administering a med from
what family? - ANS✅✅Benzodiazepines to increase the effect of GABA
Which of the following medications would be used when lithium is not effective?
- ANS✅✅Divalproex sodium (Depakote)
A nurse cares for an older adult patient admitted for treatment of depression. the
health care provider prescribes an antidepressant medication, but the dose is
more than the usual adult dose. the nurse should? - ANS✅✅hold the
medication and consult the health care provider.
,A nurse at a behavioral health clinic sees an unfamiliar psychiatric diagnosis on a
patients insurance form. which resource should the nurse consult to discern the
criteria used to establish this diagnoses? - ANS✅✅DSM-V diagnostic and
Statistical Manual of Mental Disorders
A patient begins a new program to assist with building social skills. in which part
of the plan of care should a nurse record the item, Encourage patient to attend
one psychoeducational group daily? - ANS✅✅Implementation
According to Maslows hierarchy of needs, which of the following client situations
would be considered most basic? - ANS✅✅Client seeks, shelter, food at a
center of a battered woman.
A patient diagnosed with paranoid schizophrenia believes evil spirits are being
summoned by a local minister and verbally threatens to bomb a local church. the
psychiatrist notifies the local minister. the psychiatric has -
ANS✅✅demonstrated the duty of warn and protect/tarasoff
A voluntary hospitalized patient tells the nurse I need to get out of here, I'm not
getting better. Get me the forms I need to sign to leave this place. what would
the nurse say? - ANS✅✅I will get them for you, but lets talk about your
decision to leave treatment.
During an assessment interview a nurse asks the patient "how are you feeling this
AM? What part of the mental status exam is the nurse examining? -
ANS✅✅mood (mood and affect)
, A nurse documents patient appears to be restless and unable to sit still. he is
unable to hold productive conversation and tremulous during interview, what is
the nursing dx? - ANS✅✅Anxiety
A patient should be considered for involuntary hospitalization for psychiatric care
when he or she - ANS✅✅threatens to harm self or others
A patient diagnosed with major depressive disorder begins selective serotonin
reuptake inhibitor SSRI antidepressant therapy. priority information given to the
patient and family should include a - ANS✅✅Report increase suicidal
thoughts.
A client is prescribed lamatrogine for treatment of bipolar disorder which of the
following is most concerning? - ANS✅✅SJS skin rash (stevens johnson
syndrome)
A client with depression mentions to the nurse, "my mother says depression is a
chemical disorder. what does she mean?" the nurse's response is based on the
theory that depression primarily involves which of thee following
neurotransmitters? - ANS✅✅Serotonin and Norepinephrine
Nurse teaching a class for antidepressant to patients diagnosed with depression,
which of the following statement by a patient will indicate the nurse that further
teaching is needed. - ANS✅✅I can discontinue mediation at anytime if
medication is not working.
A newly admitted patient diagnosed with major depression has gained 20 pounds
over a few months and has suicidal ideation. the patient has taken an
