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1. What role does family history play in the assessment of psychotic disorders?
It is irrelevant to the assessment process.
It helps identify genetic predispositions to mental health conditions.
It determines the specific treatment plan for the patient.
It solely focuses on the patient's past medication history.
2. What type of question encourages a detailed response and allows for
elaboration?
Open-ended questions
Multiple choice questions
Closed-ended questions
Yes or no questions
3. What is the primary purpose of restating in therapeutic communication?
To provide advice and solutions to the patient.
To change the subject of the conversation.
To clarify and confirm understanding of the patient's message.
To express personal feelings about the patient's situation.
4. The nurse would recognize that which of the following signs/symptoms are
indicative of anticholinergic side effects most often associated with typical
antipsychotic medications?
Tremors, spasms of the tongue, pacing, and shuffling gait
, Double vision, insomnia, headache, and urinary frequency
Blurred vision, constipation, dry mouth, and urinary hesitancy
Agitation, pacing, slurred speech, and sedation
5. What is one key goal of crisis management in mental health nursing?
To diagnose the patient's condition.
To prescribe medication for treatment.
To stabilize the patient and ensure safety.
To conduct long-term therapy sessions.
6. A nurse is caring for a patient who states, 'I have got to get out of this
hospital! They have found my address and are coming for my family!' The
nurse responds, 'Don't worry, no one will harm your family.' What type of
communication breakdown does this response represent?
Using a value statement
Providing a passive statement
Showing disapproval
Offering false reassurance
7. Describe how 2nd generation antipsychotics differ from 1st generation
antipsychotics in their mechanism of action.
Both generations work equally on dopamine receptors but differ in
side effects.
1st generation antipsychotics have no effect on serotonin receptors.
2nd generation antipsychotics block both dopamine and serotonin
receptors, while 1st generation primarily block dopamine receptors.
, 2nd generation antipsychotics only affect serotonin levels, whereas 1st
generation affect dopamine levels.
8. As the nurse is performing an assessment on a client, the client is yelling and
is hitting the nurse's hand with a rolled-up newspaper. Which action will the
nurse take to prevent further escalation of behavior?
Administer medications to decrease anxiety by force if needed.
In a calm voice, direct the client to take a cooling off period in their
room.
Talk to the client about the triggers that led to the aggressive
behavior.
Inform the client that they will be placed in seclusion if they do not
behave.
9. Describe how the exploring technique can enhance communication with
patients experiencing psychotic disorders.
The exploring technique is used to limit patient responses to yes or no
answers.
The exploring technique focuses on giving patients solutions to their
problems.
The exploring technique is primarily for gathering clinical data only.
The exploring technique helps patients articulate their experiences,
fostering a deeper understanding of their condition.
10. What is one key benefit of using reflection in communication within mental
health nursing?
It ensures the patient follows instructions.
It helps clarify the patient's feelings and thoughts.
, It reduces the need for medication.
It allows the nurse to dominate the conversation.
11. Describe the function of GABA in relation to mental health and its impact on
psychotic disorders.
GABA has no significant role in mental health and is mainly involved in
muscle control.
GABA functions as an inhibitory neurotransmitter that helps
regulate neuronal excitability, which is crucial in managing
symptoms of psychotic disorders.
GABA is responsible for the production of dopamine, which is linked
to mood regulation.
GABA primarily enhances excitatory signals in the brain, leading to
increased anxiety.
12. What therapeutic communication technique offers presence, interest and a
desire to understand, but is not offered to get the person to talk or behave
in a specific way?
making observations
offering self
exploring
focusing
13. In a scenario where a patient with schizophrenia is experiencing a crisis,
which level of communication would be most effective for a nurse to use?
Group communication
Interpersonal communication