Mental Health Final Exam Questions & Answers With Complete Solution

Mental Health Final Exam Questions & Answers With Complete Solution A nurse performed these actions while caring for patients in an inpatient psychiatric setting. Which action violated patients' rights? A. Prohibited a patient from using the telephone B. In patient's presence, opened a package mailed to patient C. Remained within arm's length of patient with homicidal ideation D. Permitted a patient with psychosis to refuse oral psychotropic medication. correct answer- A. Prohibited a patient from using telephone A psychiatric nurse discusses rules of the therapeutic milieu and patient's rights with a newly admitted patient. Which rights should be included? (Select all that apply) The right to: A. Have visitors B. confidentiality C. A private Room D. complain about inadequate care E. select the nurse assigned to their care correct answer- A. Have visitors B. Confidentiality D. Complain about inadequate care A nurse prepares to administer a scheduled injection of haloperidol to a patient with schizophrenia. As the nurse swabs the site, the patient shouts, "Stop! I don't want to take that medicine anymore. I hate the side effects." Select the nurse's best action. A. Assemble other stuff for a show of force and proceed with injection, using restrains if necessary. B. Stop the medication administration procedure and say to the patient, "Tell me more about the side effects you've been having." C. Proceed with the injection but explain to the patient that here are medications that will help reduce the unpleasant side effects. D. Say to the patient, "Since i've already drawn the medication in the syringe, I'm required to give it, but let's talk to the doctor about delaying next month's dose." correct answer- B. Stop the medication administration procedure and say to the patient, "Tell me more about the side effects you've been having." An Adolescent hospitalized after a violent physical outburst tells the nurse, "i'm going to kill my father, but you can't tell anyone." Select the nurse's best response A. "you are right. Federal law requires me to keep clinical information private." B. "I Am obligated to share that information with the treatment team." C. "Those kinds of thoughts will make your hospitalization longer." D. "You should share this thought with your psychiatrist." correct answer- B. "I Am obligated to share that information with the treatment team." A voluntary hospitalized patient tells the nurse, "Get me the forms for discharge. I want to leave now." Select the nurse's best response. A. "I Will get the form for you right now and bring them to your room." B. "Since you signed your consent for treatment, you may leave if you desire." C. "I will get them for you, but let's talk about your decision to leave treatment." D. "I cannot give you those forms without your healthcare provider's permission." correct answer- C. "I will get them for you, but lets talk about your decision to leave treatment." Which individual diagnosed with mental illness needs psychiatric hospitalization the most? An individual: A. Who has a panic attack after her child gets lost in a shopping mall. B. With visions of demons emerging from cemetery plots throughout the community C. Who takes 38 acetaminophen tablets after the person's stock portfolio becomes worthless. D. Diagnosed with major depression who stops taking prescribed antidepressant medication correct answer- C. Who take 38 acetaminophen tablets after the person's stock portfolio becomes worthless During which phase of the nurse-patient relationship can the nurse anticipate that identified patient issues will be explored and resolved? A. Preorientation B. Orientation C. Working D. Termination correct answer- C. Working A staff nurse completes orientation to a psychiatric unit. The nurse may expert an advanced practice nurse to perform which additional intervention? A. Conduct mental health assessments. B. Prescribed psychotropic medication C. Established therapeutic relationships. D. Individualize nursing care plans. correct answer- B. Prescribed psychotropic medication Which finding best indicates that the goal "Demonstrate mentally healthy behavior" was achieved? A patient: A. Sees self as capable of achieving ideals and meeting demands B. Behaves without considering the consequences of personal action C. Aggressively meets own needs without considering the rights of others. D. Seeks help from others when assuming responsibility for major areas of own life. correct answer- A. Sees self as capable of achieving ideals and meeting demands A nurse uses Maslow's Hierarchy of needs to plan care for a patient with mental illness. Which problem will receive priority? A. Refuses to eat or bathe B. Reports feelings of alienation from family C. Is reluctant to participate in unti social activities. D. Is unaware of medication action and side effects correct answer- A. Refuses to eat or bathe Inpatient hospitalization for persons with mental illness is generally reserved for patients who: A. Present a clear danger to self or others B. are noncompliant with medication at home C. Have limited support system in the community. D. Develop new symptoms during the course of an illness correct answer- A. Present a clear danger to self or others A nurse inspects an inpatient psychiatric unit and finds that exits are free of obstructions, no one is smoking, and the janitor's close is locked. These observations relate to: A. Coordinating care of patients B. Management of milieu safety C. Management of interpersonal climate D. Use of therapeutic intervention strategies correct answer- B. Management of milieu safety. An adolescent client is admitted to an acute care unity following an attempt to commit suicide. He hasn't said a word to anyone. Which of the following interventions should the nurse plan to implement first? A. Arrange one-to-one observation of the client. B. Encourage the client to interact with peers C. Teach the client about medication for depression. D. Obtain a medical history from the client and family. correct answer- A. Arrange one-to one observation of the client. A nurse is told during change-of shift report that a client is stuporous. When assessing the client, which of the following findings should the nurse expect? A. the client arouses briefly in response to a sternal rub B. The client has a Glasgow coma scale score less than 5 C. The client exhibits decorticate rigidity. D. The client is alert but disoriented to time and place correct answer- A. The client arouses briefly in response to a sternal rub Which statement about diagnosis of a mental disorder is true? A. The symptoms of each disorder are common among all cultures. B. Culture may cause variation in symptoms for each clinical disorder. C. All mental disorders listed in the DSM-5 seen in all other cultures D. Psychiatric diagnoses are listed in separately from other physical disorders in gives axes system. correct answer- B. Culture may cause variations in symptoms for each clinical disorder. A cognitive therapist would help a client restructure the thought "I am stupid!" to A. "What i did was stupid." B. "I am not as smart as others." C. "Things usually go wrong for me." D. "Things like this should not happen to anyone." correct answer- A. "What I did was stupid." The premise underlying behavioral therapy is A. Behavior is learned and can be modified B. Behavior is a product of unconscious drives. C. Motives must change before behavior changes D. Behavior is determined by a cognitions; change in conniptions produce new behavior correct answer- A. Behavior is learned and can be modified Which of the following is the most vital element of therapeutic inpatient milieu? A. It creates an environment for safety and success B. It creates and environment for rest and recuperation C. It creates a structure that is easier for staff to manage D. It creates a structure that rewards the well-behaved correct answer- A. It creates and environment for safety and sccess A client is admired for the third time to a psychiatric hospital with a diagnosis of schizophrenia. During the admission procedure, the nurse notices that the client is limping, quite dirty and unkempt, and seem to be actively hallucinating. Which of the following should the nurse's priority nursing assessment be? A. Perception of reality B. Support system/ Emergency contacts C. Physical Needs D. Mental Status correct answer- C. Physical Needs Which of the following are documentation of client's affect? (Select all that apply) A. Crying B. Worthless C. Frowning D. Euphoric E. Blunted correct answer- A: Crying C: Frowning E: Blunted A patient asks, "What are neurotransmitters? The doctor said mine are imbalanced." Select the nurse's best response. A. "What medications are you taking, are you experiencing side effects?" B. "They proceed us from harmful effects of free radicals, much like our nerves and white matter." C. "Neurotransmitters are substances we consume that influence memory and mood. D. "Neurotransmitters are natural chemicals that pass messages between brain cells." correct answer- D. "Neurotransmitters are natural chemicals that pass messages between brain cells." The nurse administers a medication that potentiates the action of gamma-aminobutyric acid (GABA). Which effect would be expected? A. Reduce Anxiety B. Improved Memory C. More organize thinking D. Fewer sensory perceptual alteration correct answer- A. Reduce Anxiety Exclusive use of Western psychological theories by nurses making client assessments will result in A. High level of care for all clients. B. Standardization of nomenclature for psychiatric disorders. C. Inadequate assessment of clients of diverse cultures. D. Greater ease in select appropriate treatment interventions correct answer- C. Inadequate assessment of clients of diverse cultures. In which part of nursing care plan would the nurse expect to find this statement: Offer snacks and fingers foods frequently. A. Assessment B. Diagnosis C. Intervention D. Evaluation correct answer- C. Intervention A nurse assess a newly admitted client diagnosed with Alzheimer's disease and a UTI. The nurse asks the client's sibling for information about the home environment, ADLs and medications. What type of information source is the sibling?' A. Primary B. Secondary C. Private D. Informed correct answer- B. Secondary A nurse taught a client about important precautions associated with a new prescription. Afterward, the client accurately summarized major self-management strategies associated with his drug. Which step of the nursing process applies the client's summarization A. Assessment B. Diagnosis C. Intervention D. Evaluation correct answer- D. Evaluation Which of the following would be assessed by a negative symptom of schizophrenia? A. Anhedonia B. Hostility C. Agitation D. Hallucinations. correct answer- A. Anhedonia Which symptoms would NOT be assessed as a positive symptoms of Schizophrenia? A. Delusion of persecution B. Auditory hallucinations C. Affective flattening D. Idea of reference correct answer- C. Affective flattening Which side effect of antipsychotic medication is generally nonreversible? A. Anticholinergic effects B. Pseudoparkinsonism C. Dystonic reaction D. Tardive Dyskinesia correct answer- D. Tardive Dyskinesia A client diagnosed with disorganized schizophrenia would have greatest difficulty with the nurse: A. Interacting with a neutral attitude B. Using concrete language. C. Giving multistep directions. D. Providing nutritional supplements correct answer- C. Giving multistep directions. When a client diagnosed with paranoid schizophrenia tells the nurse, " i have to get away. The Volmers are coming to execute me, " An appropriate response for the nurse would be A. "You are safe here. Please lie down and try to rest." B. "I do not believe I understand the word Volmers. Tell me more about them." C. "Why do you think someone or something is going to harm you?" D. "It must be frightening to think something is going to harm you." correct answer- D. "It must be frightening to think something is going to harm you." Which assessment finding is the best predictor of violence in a newly admitted client? A. Recent assault on a drinking companion B. Family history of bipolar disorder C. The nurse subjective feeling that the client is uncooperative D. A childhood history of being bullies at school correct answer- A. Recent assault on a Drinking companion Which would be the most appropriate response by the nurse to help client who is demonstrating escalating anger? A. Walk the client to his room and help him practice stress-reduction techniques, such as deep breathing or muscle relaxation. B. Suggest that the client spend more time in the gym with a punching bag to relieve his stress. C. Suggest that the client spend some time pacing rapidly in the hallway until he feels less stressed D. Sit with the client in the day room so that he can vent his anger and not isolate himself. correct answer- A. Walk the client to his room and help him practice stress-reduction techniques, such as deep breathing or muscle relaxation. A patient diagnosed with schizophrenia tells the nurse, "the CIA is monitoring us through the fluorescent lights in this room. Be careful what you say." Which response by the nurse would be most therapeutic? A. "Let's talk about something other than the CIA." B. "It sounds like you're concerned about your privacy." C. "The CIA is prohibited from operating in health care facilities." D. "You have lost touch with reality, which is a symptoms of your illness." correct answer- B. "It sounds like you're concerned about your privacy." A nurse interacts with a newly hospitalized patient. Select the nurse's comment act applies the communication technique of "offering self." A. "I've also had traumatic life experiences. Maybe it would help if i told you about them." B. "Why do you think you had so much difficulty adjusting to this change in your life?" C. "I hope you will feel better after getting accustomed to how this unit operates." D. "I'd like to sit with you for a while to help you get comfortable talking to me." correct answer- D. "I'd like to sit with you for a while to help you get comfortable talking to me." A patient tells the nurse, "I don't think i'll ever get out of here." Select the nurse's most therapeutic response. A. "Don't talk that way. Of course you will leave here!" B. "Keep up the good work, and you certainly will." C. "You don't think you're making progress?" D. "Everyone feels that way sometimes." correct answer- C. "You don't think you're making progress?" During the First interview with a parent whose child died in a car accident, the nurse felt empathic and reaches out to take the patient's hand. Select the correct analysis of the nurses behavior. A. It shows empty and compassion. It will encourage the patient to continue to express feelings. B. The gesture is premature. The patient's cultural and individual interpretation of touch is unknown . C. The patient will perceive the gesture as intrusive and overstepping boundaries. D. The action is inappropriate. Psychiatric patient should not be touched. correct answer- B. The gesture is premature. The patient's cultural and individual interpretation of touch is unknown . During a One-on-One interaction with the nurse, a patient frequently looks nervously at the door. Select the best comment by the nurse regarding this nonverbal communication. A. "I notice you keep looking toward the door." B. "This is our time together. No one is going to interrupt us." C. "It looks as if you are eager to end out discussion for today. D. "If you are uncomfortable in this room, we can move someplace else." correct answer- A. "I notice you keep looking toward the door." A school age child tells the school nurse, "Other kids call me mean names and will not sit with me at lunch. Nobody likes me." Select the nurse's most therapeutic response. A. "Just ignore them any they will leave you alone." B. "You should make friends with other children." C. "Call them names if they do that to you." D. "Tell me more about how you feel." correct answer- D. "Tell me more about how you feel." A nurse is caring for an older client who begins to cry and states, "I knew God would punish me and I deserve this horrible sickness!" Which of the following responses should the nurse make? A. Why do you think you deserve this punishment? B. Don't worry about being punished by God. C. Let's talk about what is upsetting you D. You shouldn't say things that will upset you so much correct answer- C. Let's talk about what is upsetting you Which food choice are best for a bipolar client in the manic phase? (Select all that apply) A. Roast beef and asparagus B. Spaghetti and meatballs C. Cheeseburger D. Ham and eggs E. Peanut butter and Jelly sandwich correct answer- C. Cheeseburger E. Peanut Butter and Jelly Sandwich Which nursing charting entry is documentation of a behavioral symptom of mania? A. thoughts granted, flight of ideas noted B. Mood euphoric and expansive. Rates mood 10/10 C. Pacing halls throughout the day. Exhibits poor impulse control. D. Easily distracted, unable to focus on goals correct answer- C. "Pacing halls throughout the day. Exhibits poor impulse control." A nurse on an in-patient psychiatric unit receives report at 1500 hours. Which client would need be assessed first? A. A client on a one to one status because of active suicidal ideations B. A client pacing the hall and experiencing irritability and flight of ideas. C. A client diagnosed with hypomania monopolizing time in the milieu. D. A client with a history of mania who is to be discharged in the morning. correct answer- B. A client pacing the hall and experiencing irritability and flight of ideas. A client states to a nurse, "I feel as though I am the only one in the world feeling so depressed." The nurse responds, "I know what you mean." The nurse is obstructing communication in which of the following ways? A. Making value judgements B. Falsely reassuring the client C. Minimizing feelings D. Disapproving/Disagreeing correct answer- C. Minimizing Feelings A newly admitted client diagnosed with bipolar I disorder is experiencing a manic episode. Which nursing diagnosis is a priority at the time? A. Risk for violence: Other-directed R/T poor impulse control B. Altered Thought process R/T hallucinations. C. Social isolation R/T manic excitement. D. Low self-esteem R/T guilt about promiscuity correct answer- A. Risk for violence: Other-directed R/T poor impulse control A client has been hospitalized for a manic episode. Which behavior would suggest that the treatment has been effective? A. The client is no longer loud hostile to others. B. The client directs anger verbally to the person who annoys her. C. The client presents a list of grievances to the nurse manger. D. The client attempt to involve other clients in her situation correct answer- A. The client is no longer loud and hospital to others.