NU 674
Psychiatric Mental
Healthcare II Review
Exam
Q&A
2024
,1. A 25-year-old patient presents with symptoms of acute anxiety and has
a history of generalized anxiety disorder. Which of the following
interventions should be prioritized?
A) Immediate administration of anxiolytics
B) Cognitive Behavioral Therapy (CBT)
C) Safety and risk assessment
D) Referral to a psychiatric specialist
**Answer: C** - Safety and risk assessment should be prioritized to
ensure the patient does not pose a danger to themselves or others.
2. A patient diagnosed with bipolar disorder is experiencing a manic
episode. What is an essential component of care management for this
patient?
A) Encouraging participation in group activities
B) Monitoring for mood swings and sleep patterns
C) Providing a quiet and low-stimulus environment
D) Initiating a high-calorie diet
**Answer: B** - Monitoring for mood swings and sleep patterns is
crucial in managing bipolar disorder to prevent escalation of symptoms.
3. When planning care for a patient with chronic schizophrenia, which
goal is most appropriate?
A) Complete remission of symptoms
B) Improvement in social functioning
C) Patient expresses feelings more openly
D) Patient adheres to medication regimen
**Answer: D** - Ensuring the patient adheres to their medication
regimen is vital for managing schizophrenia symptoms.
4. A geriatric patient with depression and dementia is refusing to eat.
Which intervention should be implemented first?
A) Nutritional counseling
B) Antidepressant medication adjustment
C) Evaluation by a speech therapist
D) Scheduled family meal times
**Answer: B** - Antidepressant medication adjustment may be
necessary as depression can lead to decreased appetite, especially in
dementia patients.
, 5. For a patient experiencing post-traumatic stress disorder (PTSD), which
therapy has been shown to be particularly effective?
A) Psychodynamic therapy
B) Exposure therapy
C) Supportive psychotherapy
D) Medication therapy with SSRIs
**Answer: B** - Exposure therapy is effective for treating PTSD as it
helps patients face and gain control of fear and distressing memories.
6. In managing a patient with an acute psychotic episode, what is the
primary treatment goal?
A) Social reintegration
B) Symptom stabilization
C) Insight into illness
D) Long-term medication compliance
**Answer: B** - Symptom stabilization is the primary goal to manage
acute episodes and ensure patient safety.
7. What is an important consideration when managing a patient with
borderline personality disorder?
A) Frequent hospitalizations are beneficial.
B) Establishing strict boundaries and consistency in treatment.
C) Avoiding all medications due to risk of dependency.
D) Encouraging strong emotional attachments with caregivers.
**Answer: B** - Establishing strict boundaries and consistency in
treatment helps manage expectations and reduces manipulative behaviors.
1. Which of the following is NOT a common acute psychiatric/mental
health disorder seen in pediatric patients?
A. Attention-deficit/hyperactivity disorder (ADHD)
B. Autism spectrum disorder
C. Major depressive disorder
D. Schizophrenia
Answer: D. Schizophrenia
Rationale: Schizophrenia is a chronic disorder typically diagnosed in late
adolescence or early adulthood.
Psychiatric Mental
Healthcare II Review
Exam
Q&A
2024
,1. A 25-year-old patient presents with symptoms of acute anxiety and has
a history of generalized anxiety disorder. Which of the following
interventions should be prioritized?
A) Immediate administration of anxiolytics
B) Cognitive Behavioral Therapy (CBT)
C) Safety and risk assessment
D) Referral to a psychiatric specialist
**Answer: C** - Safety and risk assessment should be prioritized to
ensure the patient does not pose a danger to themselves or others.
2. A patient diagnosed with bipolar disorder is experiencing a manic
episode. What is an essential component of care management for this
patient?
A) Encouraging participation in group activities
B) Monitoring for mood swings and sleep patterns
C) Providing a quiet and low-stimulus environment
D) Initiating a high-calorie diet
**Answer: B** - Monitoring for mood swings and sleep patterns is
crucial in managing bipolar disorder to prevent escalation of symptoms.
3. When planning care for a patient with chronic schizophrenia, which
goal is most appropriate?
A) Complete remission of symptoms
B) Improvement in social functioning
C) Patient expresses feelings more openly
D) Patient adheres to medication regimen
**Answer: D** - Ensuring the patient adheres to their medication
regimen is vital for managing schizophrenia symptoms.
4. A geriatric patient with depression and dementia is refusing to eat.
Which intervention should be implemented first?
A) Nutritional counseling
B) Antidepressant medication adjustment
C) Evaluation by a speech therapist
D) Scheduled family meal times
**Answer: B** - Antidepressant medication adjustment may be
necessary as depression can lead to decreased appetite, especially in
dementia patients.
, 5. For a patient experiencing post-traumatic stress disorder (PTSD), which
therapy has been shown to be particularly effective?
A) Psychodynamic therapy
B) Exposure therapy
C) Supportive psychotherapy
D) Medication therapy with SSRIs
**Answer: B** - Exposure therapy is effective for treating PTSD as it
helps patients face and gain control of fear and distressing memories.
6. In managing a patient with an acute psychotic episode, what is the
primary treatment goal?
A) Social reintegration
B) Symptom stabilization
C) Insight into illness
D) Long-term medication compliance
**Answer: B** - Symptom stabilization is the primary goal to manage
acute episodes and ensure patient safety.
7. What is an important consideration when managing a patient with
borderline personality disorder?
A) Frequent hospitalizations are beneficial.
B) Establishing strict boundaries and consistency in treatment.
C) Avoiding all medications due to risk of dependency.
D) Encouraging strong emotional attachments with caregivers.
**Answer: B** - Establishing strict boundaries and consistency in
treatment helps manage expectations and reduces manipulative behaviors.
1. Which of the following is NOT a common acute psychiatric/mental
health disorder seen in pediatric patients?
A. Attention-deficit/hyperactivity disorder (ADHD)
B. Autism spectrum disorder
C. Major depressive disorder
D. Schizophrenia
Answer: D. Schizophrenia
Rationale: Schizophrenia is a chronic disorder typically diagnosed in late
adolescence or early adulthood.
