Mental Health Exam 2 Quizlet- practice questions
1. The nurse finds a client crying in his room. The client states, "I'm so
sad and lonely. I'm sitting here crying like a baby." The nurse's best
response is:
a. "I think you are a fine man".
b. "Why don't you get involved in the activity group?"
c. "It's a gray rainy day. That's why you feel down. Everyone is down today."
d. "Are you embarrassed because you're crying?": d. "Are you
embarrassed because you're crying?"
2. A withdrawn client is assessed as having distorted thinking that is not
reality based. A nursing diagnosis that should be considered for her
would be
a. impaired verbal communication.
b. disturbed thought processes.
c. disturbed self-esteem.
d. defensive coping.: b. disturbed thought processes
3. Jim is sometimes seen moving his lips silently or murmuring to
himself when he does not realize others are watching. Sometimes when he
is con- versing with others, he suddenly stops, appears distracted for a
moment, and then resumes. Based on these observations, Jim most likely
,is experiencing which symptom(s)? Select all that apply:
a. Illusions.
b. Paranoia.
c. Delusional thinking.
d. Auditory hallucinations.
e. Impaired reality testing.
f. Stereotyped behaviors.: d. Auditory hallucinations.
e. Impaired reality testing.
4. Looseness of associations in a person with schizophrenia indicate
a. paranoia.
b. mood instability.
c. depersonalization.
d. poorly organized thinking.: d. poorly organized thinking.
5. Which assessment finding represents a negative symptom of
schizophre- nia?
,a. Apathy
b. Delusion
c. Motor tic
d. Hallucination: a. Apathy
6. In general, when a nurse admitting a client experiencing an acute
schizo- phrenia episode, she would most likely assess which of the
following?
a. Open and outgoing personality
b. Loss of contact with reality
c. Feelings of guilt and worthlessness
d. Logical and precise thinking: b. Loss of contact with reality
7. While the nurse was doing the assessment, Jeffery turned to an
empty chair talking as if someone was sitting there. The nurse was
unable to understand what he was mumbling. This, in fact, indicates that
the patient has:
a. Delusions.
b. Hallucinations.
c. Illusions.
d. Flight of ideas.: b. Hallucinations.
8. According to the previous scenario, which of the following symptoms
is considered a negative symptom of schizophrenia?
, a. The patient was mumbling.
b. The patient shouted; "They're coming! They're coming!"
c. The patient has anergia.
d. The patient believes that everything in the environment refer to him: c.
The patient has anergia.
-lack of energy which should be present
-a,b,d are all unwanted symptoms that shouldn't be present
9. The client is prescribed a first- generation neuroleptic for his
schizophre- nia. Discharge teaching by the nurse should include
contacting the health provider if which of the following occurs?
a. Elevated temperature
b. Blurred vision
1. The nurse finds a client crying in his room. The client states, "I'm so
sad and lonely. I'm sitting here crying like a baby." The nurse's best
response is:
a. "I think you are a fine man".
b. "Why don't you get involved in the activity group?"
c. "It's a gray rainy day. That's why you feel down. Everyone is down today."
d. "Are you embarrassed because you're crying?": d. "Are you
embarrassed because you're crying?"
2. A withdrawn client is assessed as having distorted thinking that is not
reality based. A nursing diagnosis that should be considered for her
would be
a. impaired verbal communication.
b. disturbed thought processes.
c. disturbed self-esteem.
d. defensive coping.: b. disturbed thought processes
3. Jim is sometimes seen moving his lips silently or murmuring to
himself when he does not realize others are watching. Sometimes when he
is con- versing with others, he suddenly stops, appears distracted for a
moment, and then resumes. Based on these observations, Jim most likely
,is experiencing which symptom(s)? Select all that apply:
a. Illusions.
b. Paranoia.
c. Delusional thinking.
d. Auditory hallucinations.
e. Impaired reality testing.
f. Stereotyped behaviors.: d. Auditory hallucinations.
e. Impaired reality testing.
4. Looseness of associations in a person with schizophrenia indicate
a. paranoia.
b. mood instability.
c. depersonalization.
d. poorly organized thinking.: d. poorly organized thinking.
5. Which assessment finding represents a negative symptom of
schizophre- nia?
,a. Apathy
b. Delusion
c. Motor tic
d. Hallucination: a. Apathy
6. In general, when a nurse admitting a client experiencing an acute
schizo- phrenia episode, she would most likely assess which of the
following?
a. Open and outgoing personality
b. Loss of contact with reality
c. Feelings of guilt and worthlessness
d. Logical and precise thinking: b. Loss of contact with reality
7. While the nurse was doing the assessment, Jeffery turned to an
empty chair talking as if someone was sitting there. The nurse was
unable to understand what he was mumbling. This, in fact, indicates that
the patient has:
a. Delusions.
b. Hallucinations.
c. Illusions.
d. Flight of ideas.: b. Hallucinations.
8. According to the previous scenario, which of the following symptoms
is considered a negative symptom of schizophrenia?
, a. The patient was mumbling.
b. The patient shouted; "They're coming! They're coming!"
c. The patient has anergia.
d. The patient believes that everything in the environment refer to him: c.
The patient has anergia.
-lack of energy which should be present
-a,b,d are all unwanted symptoms that shouldn't be present
9. The client is prescribed a first- generation neuroleptic for his
schizophre- nia. Discharge teaching by the nurse should include
contacting the health provider if which of the following occurs?
a. Elevated temperature
b. Blurred vision
