NEW NURS 3524 MENTAL HEALTH REAL
EXAM WITH Q&A TESTED AND APPROVED!!!
When developing a plan of care for a patient who is involuntarily admitted to a psychiatric
short stay inpatient unit due to high risk of self-harm, the nurse's primary focus will be:
a. Promoting independence within the community
b. Achieving a basic functional level
c. Stabilizing acute symptoms
d. Educating about psychotropic medication -- ANSWER--c. Stabilizing acute symptoms
A patient, who is 84 years of age and in good health, has begun to pay less attention to his
hygiene and seems less aware of his surroundings after the death of his wife. He complains of
difficulty concentrating and sleeping and reports that he lacks energy. Which response by the
nurse is most appropriate?
a. Arrange for an appointment with his physician for evaluation and treatment of
suspected depression.
b. Avoid touch and proximity, which are likely to be uncomfortable for the client and
may provoke aggression when he is disoriented.
c. Meet with family and support persons to help them accept, anticipate, and prepare for
the progression of his stage 2 dementia.
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d. Reorient the patient by pointing out the day and date each time you interact with him.
-- ANSWER--a. Arrange for an appointment with his physician for evaluation and treatment
of suspected depression.
Which best describes the patient's experience of Obsessive-Compulsive Disorder (OCD)?
a. A heart-pounding terror that strikes with the force of a lightning bolt, without warning
b. Ongoing generalized feelings of uneasiness not relieved easily
c. Exaggerated startle reflex, nightmares and insomnia are common
d. Persistent intrusive and unwanted thoughts with repetitious uncontrollable acts --
ANSWER--d. Persistent intrusive and unwanted thoughts with repetitious uncontrollable
acts
A patient is recovering from a major depressive episode. In providing psychoeducation, the
nurse would be correct in:
a. Explaining the importance of depending on family and friends support to help lift their
mood
b. Encouraging the patient to identify early warning signs of relapse and seeking help quickly
c. Explaining to the patient goal setting is not as important as celebrating life
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d. Reminding the patient that d expression is an illness and may be difficult to control
symptoms -- ANSWER--b. Encouraging the patient to identify early warning signs of
relapse and seeking help quickly
The patient's daughter tells the nurse the patient did not recognize her at the visit. The patient
is experiencing:
a. Apraxia
b. Aphasia
c. Agnosia
d. Akathisia -- ANSWER--c. Agnosia
What diagnostic criteria differentiates delirium from dementia?
a. Language disturbance
b. Memory impairment
c. Disturbance of consciousness
d. Apraxia -- ANSWER--c. Disturbance of consciousness
What medication instruction should the nurse include in the discharge teaching plan of an
adolescent patient who was recently placed on an antidepressant? There may be:
a. A decrease in the patient's neurodevelopment.
b. An increase in suicidal thoughts and behaviors.