PSYCHIATRIC MENTAL HEALTH
DISORDERS
Wellness Review Exam
Q&A
2024
, 1. Which of the following is a common symptom of major depressive
disorder?
a) Hypomania
b) Anhedonia
c) Delusions
d) Hallucinations
Answer: b) Anhedonia. Anhedonia is the loss of interest or pleasure in
previously enjoyable activities. It is one of the core features of major
depressive disorder, along with depressed mood and low energy.
Hypomania, delusions, and hallucinations are more characteristic of
bipolar disorder or psychotic disorders.
2. A nurse is caring for a patient with schizophrenia who has been
prescribed clozapine, an atypical antipsychotic medication. What is the
most important laboratory test to monitor for this patient?
a) Liver function tests
b) Blood glucose levels
c) Complete blood count
d) Serum electrolytes
Answer: c) Complete blood count. Clozapine can cause a rare but serious
side effect of agranulocytosis, which is a severe reduction in white blood
cells that increases the risk of infection. Patients on clozapine need to have
regular blood tests to check their white blood cell count and stop the
medication if it drops below a certain level. Liver function tests, blood
glucose levels, and serum electrolytes are also important to monitor for
patients on antipsychotic medications, but not as critical as the complete
blood count.
3. A nurse is conducting a mental status examination for a patient who has
been admitted to a psychiatric unit. The nurse asks the patient to repeat the
phrase "no ifs, ands, or buts" as part of testing the patient's:
a) Memory
b) Attention
c) Language
d) Orientation
Answer: b) Attention. Asking the patient to repeat a phrase that contains
words with similar sounds is a way of assessing the patient's attention
DISORDERS
Wellness Review Exam
Q&A
2024
, 1. Which of the following is a common symptom of major depressive
disorder?
a) Hypomania
b) Anhedonia
c) Delusions
d) Hallucinations
Answer: b) Anhedonia. Anhedonia is the loss of interest or pleasure in
previously enjoyable activities. It is one of the core features of major
depressive disorder, along with depressed mood and low energy.
Hypomania, delusions, and hallucinations are more characteristic of
bipolar disorder or psychotic disorders.
2. A nurse is caring for a patient with schizophrenia who has been
prescribed clozapine, an atypical antipsychotic medication. What is the
most important laboratory test to monitor for this patient?
a) Liver function tests
b) Blood glucose levels
c) Complete blood count
d) Serum electrolytes
Answer: c) Complete blood count. Clozapine can cause a rare but serious
side effect of agranulocytosis, which is a severe reduction in white blood
cells that increases the risk of infection. Patients on clozapine need to have
regular blood tests to check their white blood cell count and stop the
medication if it drops below a certain level. Liver function tests, blood
glucose levels, and serum electrolytes are also important to monitor for
patients on antipsychotic medications, but not as critical as the complete
blood count.
3. A nurse is conducting a mental status examination for a patient who has
been admitted to a psychiatric unit. The nurse asks the patient to repeat the
phrase "no ifs, ands, or buts" as part of testing the patient's:
a) Memory
b) Attention
c) Language
d) Orientation
Answer: b) Attention. Asking the patient to repeat a phrase that contains
words with similar sounds is a way of assessing the patient's attention
