Mental Health Final Exam with verified
answers
All of the following are nursing diagnoses identified for a client who is living
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with Schizophrenia. The student nurse correctly anticipates which diagnosis
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will resolve when the client's negative symptoms improve?:
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a) Impaired verbal communication
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b) Risk of other directed violence
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c) Disturbed thought processes
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d) Social isolation - correct answer ✔d) Social isolation
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The nurse understands that empathy is essential to the therapeutic
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relationship. When a patient makes the statement, "I am just devastated that
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my marriage is falling apart," the nurse can best show empathy through which
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of the following responses?:
| | | |
a) "I have been divorced too. I know how hard it is."
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b) "At least you have support from your family"
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c) "You feel like your world is falling apart right now."
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d) "I feel sorry for what you are going through." - correct answer ✔c) "You feel
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like your world is falling apart right now."
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Which would be a reason for a student nurse to use the DSM?
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a) Obtain a framework to evaluate treatments
| | | | | |
b) Understand the reason for the admission and the nature of psychiatric
| | | | | | | | | | |
illnesses.
|
,c) Identifying the medical diagnosis and research evidence
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d) Identify guidelines to treat clients - correct answer ✔c) Identifying the
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medical diagnosis and research evidence
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Which of the following treatment modalities is most effective for OCD?
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a) Behavioral techniques
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b) Medication
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c) Behavioral techniques and medication
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d) Ignoring it - correct answer ✔c) Behavioural techniques and medication
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Annika , a 27 year old young woman on your unit, cries and states, "I'm really
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sick of feeling this way. Nothing ever seems to go right in my life." Which
| | | | | | | | | | | | | | |
response that you could make would be most therapeutic:
| | | | | | | | |
a) "Annika I can see you are sad. Try to look at the positive side of things"
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b) "You are feeling really sad right now. It's a hard time for you."
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c) "Hang in there, Your medication will start in a few days".
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d) "Annika, nothing every goes right. That is life". - correct answer ✔b) "You
| | | | | | | | | | | | |
are feeling really sad right now. It's a hard time for you."
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The following clients are waiting to be seen in the Emergency Department.
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Which client should the nurse assess first?
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a) A person who has used cocaine and has chest pain
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b) An intoxicated client with a long history of alcholism
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c) A client who recently experienced a "bad trip" from LSD.
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d) A woman who thinks she was given ketamine - correct answer ✔a) A person
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who has used cocaine and has chest pain
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,You are completing a mental status exam (MSE) on Susan , who is 10 years old.
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You recognize that the MSE is a brief narrative that reflects observations and
| | | | | | | | | | | | |
impressions that:
| |
a) remain relatively stable over time.
| | | | |
b) are used exclusively in mental health settings.
| | | | | | |
c) are variable over time.
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d) are objective of the interviewer. - correct answer ✔c) are variable over time.
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Which is a nursing intervention that would best promote the development of
| | | | | | | | | | |
trust in the nurse-client relationship?:
| | | | |
a) Simply and clearly providing reasons for policies and procedures
| | | | | | | | |
b) Calling the client by name and title ( Mr. Hawkins)
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c) Taking the client's ideas into consideration when planning care
| | | | | | | | |
d) Striving to understand the motivations behind the client's behaviour -
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correct answer ✔a) Simply and clearly providing reasons for policies and
| | | | | | | | | | |
procedures
|
Which of the following statements is True about mental illness? Mental illness
| | | | | | | | | | |
is:
|
a) often caused by bad parenting
| | | | |
b) a major cause of violent behaviour
| | | | | |
c) a flaw in one's personality
| | | | |
d) an illness from which one can recover - correct answer ✔d) an illness from
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which one can recover
| | | |
, Wernicke's Syndrome is caused by: | | | |
a) increased dopamine levels.
| | |
b) increased calcium levels.
| | |
c) deficient adrenergic stimulation.
| | |
d) deficient GI absorption of thiamine. - correct answer ✔d) deficient GI
| | | | | | | | | | |
absorption of thiamine.
| | |
Which of the following symptoms presented by the client requires the nurse's
| | | | | | | | | | |
immediate attention?
| |
a) Outlandish behaviors, nonstop chatter, and inappropriate dress.
| | | | | | |
b) Grandiose delusions of being a royal descendent of King Arthur.
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c) Nonstop physical activity and poor nutritional intake.
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d) Incessant talking that includes sexual innuendo and teasing of the staff. -
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correct answer ✔c) Nonstop physical activity and poor nutritional intake.
| | | | | | | | | |
Which of the following factors influencing the Mental Status assessment is
| | | | | | | | | |
under the nurse's control?
| | | |
a) Client participation and feedback
| | | |
b) Nurse's attitude and approach
| | | |
c) Client's ability to understand
| | | |
d) Client's health status - correct answer ✔b) Nurse's attitude and approach
| | | | | | | | | | |
All of the following are included in the plan of care for a client with
| | | | | | | | | | | | | |
schizophrenia. Which nursing intervention should the nurse perform first when
| | | | | | | | | |
caring for this client?
| | | |
a) Observe for signs of fear or agitation
| | | | | | |
answers
All of the following are nursing diagnoses identified for a client who is living
| | | | | | | | | | | | |
with Schizophrenia. The student nurse correctly anticipates which diagnosis
| | | | | | | | |
will resolve when the client's negative symptoms improve?:
| | | | | | | |
a) Impaired verbal communication
| | |
b) Risk of other directed violence
| | | | |
c) Disturbed thought processes
| | |
d) Social isolation - correct answer ✔d) Social isolation
| | | | | | | |
The nurse understands that empathy is essential to the therapeutic
| | | | | | | | |
relationship. When a patient makes the statement, "I am just devastated that
| | | | | | | | | | | |
my marriage is falling apart," the nurse can best show empathy through which
| | | | | | | | | | | | |
of the following responses?:
| | | |
a) "I have been divorced too. I know how hard it is."
| | | | | | | | | | |
b) "At least you have support from your family"
| | | | | | | |
c) "You feel like your world is falling apart right now."
| | | | | | | | | |
d) "I feel sorry for what you are going through." - correct answer ✔c) "You feel
| | | | | | | | | | | | | | |
like your world is falling apart right now."
| | | | | | | |
Which would be a reason for a student nurse to use the DSM?
| | | | | | | | | | | |
a) Obtain a framework to evaluate treatments
| | | | | |
b) Understand the reason for the admission and the nature of psychiatric
| | | | | | | | | | |
illnesses.
|
,c) Identifying the medical diagnosis and research evidence
| | | | | | |
d) Identify guidelines to treat clients - correct answer ✔c) Identifying the
| | | | | | | | | | |
medical diagnosis and research evidence
| | | | |
Which of the following treatment modalities is most effective for OCD?
| | | | | | | | | |
a) Behavioral techniques
| |
b) Medication
|
c) Behavioral techniques and medication
| | | |
d) Ignoring it - correct answer ✔c) Behavioural techniques and medication
| | | | | | | | | |
Annika , a 27 year old young woman on your unit, cries and states, "I'm really
| | | | | | | | | | | | | | |
sick of feeling this way. Nothing ever seems to go right in my life." Which
| | | | | | | | | | | | | | |
response that you could make would be most therapeutic:
| | | | | | | | |
a) "Annika I can see you are sad. Try to look at the positive side of things"
| | | | | | | | | | | | | | | |
b) "You are feeling really sad right now. It's a hard time for you."
| | | | | | | | | | | | |
c) "Hang in there, Your medication will start in a few days".
| | | | | | | | | | |
d) "Annika, nothing every goes right. That is life". - correct answer ✔b) "You
| | | | | | | | | | | | |
are feeling really sad right now. It's a hard time for you."
| | | | | | | | | | | |
The following clients are waiting to be seen in the Emergency Department.
| | | | | | | | | | |
Which client should the nurse assess first?
| | | | | | |
a) A person who has used cocaine and has chest pain
| | | | | | | | | |
b) An intoxicated client with a long history of alcholism
| | | | | | | | |
c) A client who recently experienced a "bad trip" from LSD.
| | | | | | | | | |
d) A woman who thinks she was given ketamine - correct answer ✔a) A person
| | | | | | | | | | | | | |
who has used cocaine and has chest pain
| | | | | | | |
,You are completing a mental status exam (MSE) on Susan , who is 10 years old.
| | | | | | | | | | | | | | |
You recognize that the MSE is a brief narrative that reflects observations and
| | | | | | | | | | | | |
impressions that:
| |
a) remain relatively stable over time.
| | | | |
b) are used exclusively in mental health settings.
| | | | | | |
c) are variable over time.
| | | |
d) are objective of the interviewer. - correct answer ✔c) are variable over time.
| | | | | | | | | | | | |
Which is a nursing intervention that would best promote the development of
| | | | | | | | | | |
trust in the nurse-client relationship?:
| | | | |
a) Simply and clearly providing reasons for policies and procedures
| | | | | | | | |
b) Calling the client by name and title ( Mr. Hawkins)
| | | | | | | | | |
c) Taking the client's ideas into consideration when planning care
| | | | | | | | |
d) Striving to understand the motivations behind the client's behaviour -
| | | | | | | | | |
correct answer ✔a) Simply and clearly providing reasons for policies and
| | | | | | | | | | |
procedures
|
Which of the following statements is True about mental illness? Mental illness
| | | | | | | | | | |
is:
|
a) often caused by bad parenting
| | | | |
b) a major cause of violent behaviour
| | | | | |
c) a flaw in one's personality
| | | | |
d) an illness from which one can recover - correct answer ✔d) an illness from
| | | | | | | | | | | | | |
which one can recover
| | | |
, Wernicke's Syndrome is caused by: | | | |
a) increased dopamine levels.
| | |
b) increased calcium levels.
| | |
c) deficient adrenergic stimulation.
| | |
d) deficient GI absorption of thiamine. - correct answer ✔d) deficient GI
| | | | | | | | | | |
absorption of thiamine.
| | |
Which of the following symptoms presented by the client requires the nurse's
| | | | | | | | | | |
immediate attention?
| |
a) Outlandish behaviors, nonstop chatter, and inappropriate dress.
| | | | | | |
b) Grandiose delusions of being a royal descendent of King Arthur.
| | | | | | | | | |
c) Nonstop physical activity and poor nutritional intake.
| | | | | | |
d) Incessant talking that includes sexual innuendo and teasing of the staff. -
| | | | | | | | | | | |
correct answer ✔c) Nonstop physical activity and poor nutritional intake.
| | | | | | | | | |
Which of the following factors influencing the Mental Status assessment is
| | | | | | | | | |
under the nurse's control?
| | | |
a) Client participation and feedback
| | | |
b) Nurse's attitude and approach
| | | |
c) Client's ability to understand
| | | |
d) Client's health status - correct answer ✔b) Nurse's attitude and approach
| | | | | | | | | | |
All of the following are included in the plan of care for a client with
| | | | | | | | | | | | | |
schizophrenia. Which nursing intervention should the nurse perform first when
| | | | | | | | | |
caring for this client?
| | | |
a) Observe for signs of fear or agitation
| | | | | | |
