MH exam3.
• Question 1
A patient with a history of cocaine use reports a concurrent history of
using other drugs in order to counteract the effects of cocaine. Which drug
is this patient likely to have abused?
Selected
Answer: Alcohol
Answers: PCP
Alcohol
Methylpheni
date
Caffeine
Response
Feedback: Alcohol is a depressant which can neutralize the effects of
cocaine, which is a stimulant. Caffeine, methylphenidate (used
to treat ADHD) and the illegal drug PCP are also stimulating and
would only exacerbate the effects of cocaine.
• Question 2
A patient is admitted with a heart rate of 53 bpm, respirations 6/min, temp
96.8 and pinpoint pupils. Based on these clinical manifestations, what
substance did this patient most likely overdose on?
Selected
Answer: Marijuana
Answers: Opioids
Alcohol
Marijuana
Amphetam
ine
Response
Feedback: Opioids include prescribed medications such as oxycodone and
morphine, and the illegal substance heroin. The above
symptoms are typical of opioid overdose, but are not typically
,MH exam3.
seen with marijuana, alcohol or amphetamines.
• Question 3
An elderly client with cognitive impairment is combative and pulled out a
nasogastric tube, intravenous line, and indwelling urinary catheter. What
can the nurse anticipate that the health care provider will most likely
prescribe?
Selected
Answer: A small dose of a selective serotonin
reuptake inhibitor
Answers: A small dose of a selective serotonin
reuptake inhibitor
A large dose of a benzodiazepine
A maintenance dose of buspirone
A small dose of an atypical antipsychotic
Response
Feedback Aggressive behavior can be safely managed by antipsychotic
: medication. Initial dosing should be small and raised cautiously
until behavior is controlled. Selective serotonin reuptake
inhibitors are not indicated for aggressive behavior. If a
benzodiazepine is used, the initial dose should be low.
Buspirone is not effective if given on an as-needed basis. It is
administered in small divided doses daily to control agitation.
• Question 4
A nursing care plan contains the intervention “monitor for complications of
refeeding syndrome.” Which body system should a nurse most closely
monitor for clinical manifestations of dysfunction?
Selected
Answer: Central
nervous
Answers: Renal
Central
nervous
Endocrine
Cardiovascu
lar
Response
Feedback: Refeeding resulting in too-rapid weight gain can overwhelm the
heart, resulting in cardiovascular collapse; thus focused
assessment becomes a necessity to ensure patient
physiological integrity. The other body systems are not initially
involved in the refeeding syndrome.
• Question 5
, MH exam3.
Which of the following is the best example of all-or-nothing thinking, a
common cognitive distortion of patients with an eating disorder?
Selected
Answer: “If I gain any weight, I’ll keep going until I’m huge.”
Answers: “If I gain any weight, I’ll keep going until I’m huge.”
“When people tell me I’m looking better, they really
mean I’m fatter.”
“No one likes me because I’m fat.”
“When I’m thin, I’m perfect.”
Response In all-or-nothing thinking, the person cannot see any middle
Feedback:
ground between extremes; a person with an eating disorder will
see themselves as either thin or immense. The other comments
are common in eating disorders but are not examples of all-or-
nothing thinking.
• Question 6
A nurse reports to the interdisciplinary team that a patient with an
antisocial personality disorder lies to other patients, verbally abuses a
patient with Alzheimer’s disease, and flatters the primary nurse. This
patient is detached and superficial during counseling sessions. Which
behavior most clearly warrants limit setting?
Selected
Answer: Flattering the nurse
Answers: Lying to other patients
Flattering the nurse
Verbal abuse of another patient
Detached superficiality during
counseling
Response
Feedback: Limits must be set in areas in which the patient’s behavior
affects the rights of others. Limiting verbal abuse of another
patient is a priority intervention. The other concerns should be
addressed during therapeutic encounters.
• Question 7
Which of the following are primary characteristics of a person with
borderline personality disorder?
Selected
Answer: Demonstrated a self-defeating cycle of
behavior
Answers: Demonstrates flexibility and
compromise
• Question 1
A patient with a history of cocaine use reports a concurrent history of
using other drugs in order to counteract the effects of cocaine. Which drug
is this patient likely to have abused?
Selected
Answer: Alcohol
Answers: PCP
Alcohol
Methylpheni
date
Caffeine
Response
Feedback: Alcohol is a depressant which can neutralize the effects of
cocaine, which is a stimulant. Caffeine, methylphenidate (used
to treat ADHD) and the illegal drug PCP are also stimulating and
would only exacerbate the effects of cocaine.
• Question 2
A patient is admitted with a heart rate of 53 bpm, respirations 6/min, temp
96.8 and pinpoint pupils. Based on these clinical manifestations, what
substance did this patient most likely overdose on?
Selected
Answer: Marijuana
Answers: Opioids
Alcohol
Marijuana
Amphetam
ine
Response
Feedback: Opioids include prescribed medications such as oxycodone and
morphine, and the illegal substance heroin. The above
symptoms are typical of opioid overdose, but are not typically
,MH exam3.
seen with marijuana, alcohol or amphetamines.
• Question 3
An elderly client with cognitive impairment is combative and pulled out a
nasogastric tube, intravenous line, and indwelling urinary catheter. What
can the nurse anticipate that the health care provider will most likely
prescribe?
Selected
Answer: A small dose of a selective serotonin
reuptake inhibitor
Answers: A small dose of a selective serotonin
reuptake inhibitor
A large dose of a benzodiazepine
A maintenance dose of buspirone
A small dose of an atypical antipsychotic
Response
Feedback Aggressive behavior can be safely managed by antipsychotic
: medication. Initial dosing should be small and raised cautiously
until behavior is controlled. Selective serotonin reuptake
inhibitors are not indicated for aggressive behavior. If a
benzodiazepine is used, the initial dose should be low.
Buspirone is not effective if given on an as-needed basis. It is
administered in small divided doses daily to control agitation.
• Question 4
A nursing care plan contains the intervention “monitor for complications of
refeeding syndrome.” Which body system should a nurse most closely
monitor for clinical manifestations of dysfunction?
Selected
Answer: Central
nervous
Answers: Renal
Central
nervous
Endocrine
Cardiovascu
lar
Response
Feedback: Refeeding resulting in too-rapid weight gain can overwhelm the
heart, resulting in cardiovascular collapse; thus focused
assessment becomes a necessity to ensure patient
physiological integrity. The other body systems are not initially
involved in the refeeding syndrome.
• Question 5
, MH exam3.
Which of the following is the best example of all-or-nothing thinking, a
common cognitive distortion of patients with an eating disorder?
Selected
Answer: “If I gain any weight, I’ll keep going until I’m huge.”
Answers: “If I gain any weight, I’ll keep going until I’m huge.”
“When people tell me I’m looking better, they really
mean I’m fatter.”
“No one likes me because I’m fat.”
“When I’m thin, I’m perfect.”
Response In all-or-nothing thinking, the person cannot see any middle
Feedback:
ground between extremes; a person with an eating disorder will
see themselves as either thin or immense. The other comments
are common in eating disorders but are not examples of all-or-
nothing thinking.
• Question 6
A nurse reports to the interdisciplinary team that a patient with an
antisocial personality disorder lies to other patients, verbally abuses a
patient with Alzheimer’s disease, and flatters the primary nurse. This
patient is detached and superficial during counseling sessions. Which
behavior most clearly warrants limit setting?
Selected
Answer: Flattering the nurse
Answers: Lying to other patients
Flattering the nurse
Verbal abuse of another patient
Detached superficiality during
counseling
Response
Feedback: Limits must be set in areas in which the patient’s behavior
affects the rights of others. Limiting verbal abuse of another
patient is a priority intervention. The other concerns should be
addressed during therapeutic encounters.
• Question 7
Which of the following are primary characteristics of a person with
borderline personality disorder?
Selected
Answer: Demonstrated a self-defeating cycle of
behavior
Answers: Demonstrates flexibility and
compromise
