MENTAL HEALTH EXAM QUESTIONS AND ANSWERS 2024/2025.

MENTAL HEALTH EXAM QUESTIONS AND ANSWERS 2024/2025. 1.The drug most often abused by adolescents is: Alcohol Alcohol is the most frequently abused drug among adolescents. 2.A policeman complains of feeling tired and not able to sleep for an extended period of time after being assigned to work the night shift. He is most likely suffering from: Circadian rhythm sleep disorder Circadian rhythm sleep disorder is a sleep disruption that results from a mismatch between body rhythms and environmental demands. Primary hypersomnia occurs when a person sleeps during the night but naps during the day. Narcolepsy results in repeated attacks of sleep, and obstructive sleep apnea is a breathing-related sleep disorder and not a change in sleep time. 3.Children who are smaller at birth, have small heads (microcephaly), and fail to develop normally have characteristics of: Fetal alcohol syndrome These are some of the effects of fetal alcohol syndrome, which occurs with excessive alcohol use during pregnancy. 4. What is the main issue for adolescents with anorexia? Control The main issue for teenage anorectics is control. 5. The client has frequent drug reactions to, and side effects from, his medications. He is 72 years old and lives alone. What should he be assessed for? Concurrent substance use More than 40% of all drug reactions occur in persons older than 65, which suggests the possibility of substance abuse. 6. The school nurse reports that a student who was brought to her appears to be tense and angry, and her speech is rapid. She denies use of illegal substances. What does the nurse suspect the student has ingested? Ritalin A recent study has shown that 1 in 5 adolescents have abused prescription drugs. Tension, anger, and rapid speech are common to use of stimulants such as diet pills, amphetamines, and Ritalin. 7.A client is hospitalized for detoxification. A potentially serious complication of detoxification is which of the following? Seizure A potential fatal complication of detoxification is seizure activity. 8. Sleep disorders that are characterized by abnormal behavioral or physical events during sleep are called: Parasomnias Sleep disorders characterized by abnormal behavioral or physical events during sleep are called parasomnias and are caused by inappropriate activation of certain centers of the brain that control physical and emotional functions. Insomnia is the inability to fall asleep; dyssomnias are sleep disorders characterized by abnormal amounts, quality, or timing of sleep; and hypersomnia is an abnormally increased amount of sleep. 9. Sleep terrors usually occur only once a night, during stages 3 and 4 of NREM sleep. They are often accompanied by which physical sign? Intense stress Sleep terrors often are accompanied by physical signs of intense stress, such as increased heart rate, respirations, and muscle tone. 10. One begins to prefer being high to other activities during which stage of addiction? The early stage Correct These behaviors are typically seen in the early stage of addiction. Tolerance to the substance develops in the middle stage. The late stage is also known as the chronic stage, in which the need for the substance causes loss of control over one’s behavior. 11. Which of the following are interventions included in the plan of care for an individual with substance abuse? (Select all that apply) Meet physical needs during detoxification Correct Teach client about the negative effects of the disease Correct Focus on client’s weaknesses to encourage client to change Ignore physical symptoms of dependence and withdrawal to ensure the individual will rehabilitate Encourage client to focus on present and future, not only the past Correct Monitor the effects of therapies prescribed to control substance use Correct The most important intervention for clients with substance-related problems is to act as a therapeutic agent. Other interventions are designed to meet physical needs, especially during detoxification. Monitor effects of therapies; teach about the disease and its progression; help clients problem-solve; and encourage the client’s family and significant others to become involved. Focusing on the client’s weaknesses does not give the client a sense of hope.