Mental Health Exam 2 Review Questions

Which are negative symptoms associated with schizophrenia? (Select all that apply) a) Hallucinations b) Delusions c) ambivalence d) avolition e) anhedonia c) ambivalence -unsure / indifferent feelings d) avolition- lack of motivation e) anhedonia - lack of feeling pleasure Positive symptoms of schizophrenia, specifically hallucinations and delusions, are thought to be caused by hyperactivity of which neurotransmitter? a) Dopamine b) Acetylcholine c) Norepinephrine d) Epinephrine a) Dopamine A client diagnosed with schizophrenia is having delusions that the client is being plotted against by the government. This would be documented as which type of delusion? a) nihilistic b) somatic c) grandiose d) persecutory d) persecutory A client has been prescribed clozapine for the treatment of schizophrenia. The client must be taught to monitor which blood component while taking this drug? a) white blood cells b) platelets c) hemoglobin d) hematocrit a) white blood cells Clozapine = Can cause leukocytosis When investigating biologic theories related to schizophrenia, which neuroanatomic findings would be consistent with this disorder? a) smaller third ventricle b) larger lateral ventricle c) larger hippocampus d) larger brain volume b) larger lateral ventricle A nurse is preparing to administer prescribed antipsychotic medication to a client with psychosis. The nurse identifies the prescribed medication as a first-generation antipsychotic. Which drug would the nurse most likely be administering? a) Fluphenazine b) Aripiprazole c) Clozapine d) Olanzapine a) Fluphenazine is a first generation antipsychotic Which are key diagnostic criteria of schizophrenia? Select all that apply. a) Major depression occurring concurrently with active symptoms b) One or more major areas of social or occupational functioning markedly below previously achieved levels c) Continuous signs for at least 6 months d) A direct physiologic effect of a substance or medical condition e) Delusions present for a significant portion of time during a 1-month period b) One or more major areas of social or occupational functioning markedly below previously achieved levels c) Continuous signs for at least 6 months e) Delusions present for a significant portion of time during a 1-month period A client diagnosed with delusional disorder who uses excessive health care resources most likely has which type of delusions? a) grandiose b) somatic c) jealous d) erotomanic b) somatic Persons who have somatic delusions believe that have a physical ailment. When assessing a person with delusional disorder, which finding would the nurse expect to assess? a) altered personality b) high level of intelligence c) changes in mental status d) few, if any, psychological deficits d) few, if any, psychological deficits Encephalopathic Syndrome has occurred in a few clients when haldol is taken with which medicine? a) motrin b) ativan c) lasix d) lithuium d) lithium Encephalopathic syndrome leads to irreversible brain damage A client with schizophrenia is experiencing delusions. The client states "There's a huge apocalypse coming and the end of the world is near". Which type of delusion is this? a) nihilistic b) persecutory c) somatic d) grandiose a) nihilistic A nihilistic delusion is one that involves the belief of impending doom. When preparing a class presentation about schizophrenia, which would the nurse most likely include? a) Improvement in symptoms can occur as a client with a history of schizophrenia reaches older adulthood b) Schizophrenia is more commonly diagnosed in children than adults c) Delusions are more commonly noted in children d) Very few individuals with schizophrenia reach older adulthood a) Improvement in symptoms can occur as a client with a history of schizophrenia reaches older adulthood A nurse is assessing a client with schizophrenia. The nurse may suspect that the client is experiencing water intoxication based on which findings? (select all that apply) a) irritability b) muscle twitching c) enhanced attention span d) emotional lability e) increase in hallucinations a) irritability b) muscle twitching d) emotional lability e) increase in hallucinations Which would a nurse expect to administer to a client with schizophrenia who is experiencing a dystonic reaction? a) Trihexyphenidyl b) Aripiprazole c) Benztropine d) Risperidone c) Benztropine A client with schizophrenia is prescribed clozapine. The nurse would monitor the client closely for signs of: a) weight loss b) nausea c) infection d) hypotension c) infection Which level of the social network generally consists of 30 to 40 people who the person sees regularly? a) level IV b) level III c) level II d) level I c) level II There is not a level IV. Which activity occurs in the secondary level of the person's appraisal of the stressor? a) the person explains the outcomes of events b) the person determines whether the goal is relevant c) the person determines whether the goal is consistent with his or her values d) the person determines whether a personal commitment is present a) the person explains the outcomes of events Secondary appraisal: The person determines the outcome of events Primary appraisal: Person evaluates the events occurring in their life as a threat, harm, or a challenge. The person then determines if the goal is 1.) relevant 2.) consistent with their values/beliefs 3.) or a personal commitment is present In the stress response, what is consistent with activation of the sympathetic nervous system? a) decreased blood pressure b) increased blood sugar c) increased digestion d) decreased heart rate b) increased blood sugar Sympathetic = fight or flight Parasympathetic= Rest and digest Which stage of Hans Selye's general adaption model (GAS) occurs if homeostasis is not achieved during stress? a) exhaustion b) resistance c) equilibrium d) alarm a) Exhaustion 3 stages of GAS: 1.) alarm reaction (a threat is perceived and the body responds physiologically) 2.) stage of resistance (coping mechanisms are used to try to reestablish homeostasis) 3.) Exhaustion (occurs if homeostasis is not reached*) A Psychiatric-nurse is reading a journal article about stress and emotional responses to it. The nurse determines understanding of the topic by identifying hope, compassion, empathy, and sympathy as which type of emotions? a) positive b) negative c) borderline d) nonemotions c) borderline Adaption is a persons capacity to survive and flourish. Adaption affects which areas? (Select all that apply) a) financial status b) social functioning c) psychological well being d) coping e) health b) social functioning c) psychological well being d) coping e) health A client tells the nurse "I am taking care of a friend who is ill". The nurse interprets this statement as reflecting which function of social support? a) informational b) tangible c) emotional d) financial b) tangible tangible = direct aid (examples = gifts or loans, doing a chore or job, or taking care of someone who is ill) Which personality type is characterized by competitive and aggressive behavior? a) type A b) type B c) type C d) type D a) type A A nurse is counseling a female client who is the primary caregiver for her older adult mother who requires total care due to stroke. The client reports having difficulty "recovering from the flu". She tells the nurse she has been experiencing flu-like symptoms for over two weeks. The client is most likely experiencing what consequence of chronic stress? a) decreased hormonal activity b) overactivity of the immune system c) reduction in lymphocyte function d) lowered levels of serum cortisol c) reduction in lymphocyte function Chronic stress causes immune function to decline A nurse is seeing a school aged child who has been the victim of physical abuse by a parent. The nurse recognizes that the client is more likely to experience which mental health issues in the future? a) substance misuse b) schizophrenia c) major depressive disorder d) bipolar disorder e) anorexia a) substance misuse c) major depressive disorder e) anorexia A nurse is seeing a male client who is obese and wants to lose weight. The client discusses why he wants to lose weight, how he recognizes that being obese is unhealthy, and that he plans to remain committed to a healthy lifestyle. The nurse recognizes that the client is engaging in which activity? a) coping b) fight or flight c) secondary appraisal d) primary appraisal d) primary appraisal Primary appraisal: Person evaluates the events occurring in their life as a threat, harm, or a challenge. The person then determines if the goal is 1.) relevant 2.) consistent with their values/beliefs 3.) or a personal commitment is present The nurse is seeing a client who is experiencing depression. The nurse recognizes that the client has a type C personality. Which assessment findings would the nurse document as evidence for type C personality? a) The client is easily agreeable to any appointment times available b) The client is observed pacing in the waiting room c) The client often misses or is late for appointments d) The client becomes defensive when challenged a) The client is easily agreeable to any appointment times available Type C personalities are described as having difficulty expressing emotion and are introverted, respectful, conforming, compliant, and eager to please and avoid conflict.