Mental Health Exam 1 Lippincott
Chapter Practice Questions well
answered
b. move clients to their home communities for treatment (Ch. 1) - correct answer ✔✔ The
primary purpose of the Community Mental Health Center Act of 1963 was to
a. get better treatment in larger, more urban areas.
b. move clients to their home communities for treatment.
c. provide former clients with employment opportunities.
d. remove the stigma of living in an institution.
d. Maintain a balance between the quality and costs of health care (Ch. 1) - correct answer ✔✔
Managed care is designed to
a. control health care costs by limiting access to care.
b. keep health care costs from increasing over time.
c. limit the amount of money paid to physicians and hospitals.
d. maintain a balance between the quality and costs of health care.
a. asylum (Ch. 1) - correct answer ✔✔ Hospitals established by Dorothea Dix were designed to
provide
a. asylum.
b. confinement.
c. therapeutic milieu.
,d. public safety.
d. Therapeutic nurse-client relationship (Ch. 1) - correct answer ✔✔ Hildegard Peplau is best
known for her writing about
a. community-based care.
b. humane treatment.
c. psychopharmacology.
d. therapeutic nurse-client relationship.
b. Equality in insurance coverage for mental illness (Ch. 1) - correct answer ✔✔ Mental health
parity laws ensure
a. better quality mental health treatment.
b. equality in insurance coverage for mental illness.
c. mental health treatment without stigma.
d. that persons receiving treatment really need it.
a. "I'm so glad I can have pizza as long as I don't order pepperoni." (Ch. 2) - correct answer ✔✔
The nurse is teaching a client taking an MAOI about foods with tyramine that they should avoid.
Which statement indicates that the client needs further teaching?
a. "I'm so glad I can have pizza as long as I don't order pepperoni."
b. "I will be able to eat cottage cheese without worrying."
c. "I will have to avoid drinking nonalcoholic beer."
d. "I can eat green beans on this diet."
,b. The nurse will evaluate the risk for suicide by overdose of the tricyclic antidepressant. (Ch. 2)
- correct answer ✔✔ A client who has been depressed and suicidal started taking a tricyclic
antidepressant 2 weeks ago and is now ready to leave the hospital to go home. Which is a
concern for the nurse as discharge plans are finalized?
a. The client may need a prescription for diphenhydramine (Benadryl) to use for side effects.
b. The nurse will evaluate the risk for suicide by overdose of the tricyclic antidepressant.
c. The nurse will need to include teaching regarding the signs of neuroleptic malignant syndrom
d. Severe vomiting, diarrhea, weakness (Ch. 2) - correct answer ✔✔ The signs of lithium toxicity
include which?
a. Sedation, fever, and restlessness
b. Psychomotor agitation, insomnia, and increased thirst
c. Elevated WBC count, sweating, and confusion
d. Severe vomiting, diarrhea, and weakness
c. growth suppression (Ch. 2) - correct answer ✔✔ Which is a concern for children taking
stimulants for ADHD for several years?
a. Dependence on the drug
b. Insomnia
c. Growth suppression
d. Weight gain
B. Benztropine (Cogentin), 2 mg PO (Ch. 2) - correct answer ✔✔ The nurse is caring for a client
with schizophrenia who is taking haloperidol (Haldol). The client complains of restlessness,
cannot sit still, and has muscle stiffness. Of the following prn medications, which would the
nurse administer?
, a. Haloperidol (Haldol), 5 mg PO
b. Benztropine (Cogentin), 2 mg PO
c. Propranolol (Inderal), 20 mg PO
d. Trazodone, 50 mg PO
B. Report any rashes to your doctor immediately (Ch. 2) - correct answer ✔✔ Client teaching for
lamotrigine (Lamictal) should include which instructions?
a. Eat a well-balanced diet to avoid weight gain.
b. Report any rashes to your doctor immediately.
c. Take each dose with food to avoid nausea.
d. This drug may cause psychological dependence.
C. Prolixin, 5mg PO tid (Ch. 2) - correct answer ✔✔ Which physician order would the nurse
question for a client who has stated, "I'm allergic to phenothiazines?"
a. Haldol, 5 mg PO bid
b. Navane, 10 mg PO bid
c. Prolixin, 5 mg PO tid
d. Risperdal, 2 mg bid
B. Antipsychotics (Ch. 2) - correct answer ✔✔ Clients taking which type of psychotropic
medications need close monitoring of their cardiac status?
a. Antidepressants
b. Antipsychotics
Chapter Practice Questions well
answered
b. move clients to their home communities for treatment (Ch. 1) - correct answer ✔✔ The
primary purpose of the Community Mental Health Center Act of 1963 was to
a. get better treatment in larger, more urban areas.
b. move clients to their home communities for treatment.
c. provide former clients with employment opportunities.
d. remove the stigma of living in an institution.
d. Maintain a balance between the quality and costs of health care (Ch. 1) - correct answer ✔✔
Managed care is designed to
a. control health care costs by limiting access to care.
b. keep health care costs from increasing over time.
c. limit the amount of money paid to physicians and hospitals.
d. maintain a balance between the quality and costs of health care.
a. asylum (Ch. 1) - correct answer ✔✔ Hospitals established by Dorothea Dix were designed to
provide
a. asylum.
b. confinement.
c. therapeutic milieu.
,d. public safety.
d. Therapeutic nurse-client relationship (Ch. 1) - correct answer ✔✔ Hildegard Peplau is best
known for her writing about
a. community-based care.
b. humane treatment.
c. psychopharmacology.
d. therapeutic nurse-client relationship.
b. Equality in insurance coverage for mental illness (Ch. 1) - correct answer ✔✔ Mental health
parity laws ensure
a. better quality mental health treatment.
b. equality in insurance coverage for mental illness.
c. mental health treatment without stigma.
d. that persons receiving treatment really need it.
a. "I'm so glad I can have pizza as long as I don't order pepperoni." (Ch. 2) - correct answer ✔✔
The nurse is teaching a client taking an MAOI about foods with tyramine that they should avoid.
Which statement indicates that the client needs further teaching?
a. "I'm so glad I can have pizza as long as I don't order pepperoni."
b. "I will be able to eat cottage cheese without worrying."
c. "I will have to avoid drinking nonalcoholic beer."
d. "I can eat green beans on this diet."
,b. The nurse will evaluate the risk for suicide by overdose of the tricyclic antidepressant. (Ch. 2)
- correct answer ✔✔ A client who has been depressed and suicidal started taking a tricyclic
antidepressant 2 weeks ago and is now ready to leave the hospital to go home. Which is a
concern for the nurse as discharge plans are finalized?
a. The client may need a prescription for diphenhydramine (Benadryl) to use for side effects.
b. The nurse will evaluate the risk for suicide by overdose of the tricyclic antidepressant.
c. The nurse will need to include teaching regarding the signs of neuroleptic malignant syndrom
d. Severe vomiting, diarrhea, weakness (Ch. 2) - correct answer ✔✔ The signs of lithium toxicity
include which?
a. Sedation, fever, and restlessness
b. Psychomotor agitation, insomnia, and increased thirst
c. Elevated WBC count, sweating, and confusion
d. Severe vomiting, diarrhea, and weakness
c. growth suppression (Ch. 2) - correct answer ✔✔ Which is a concern for children taking
stimulants for ADHD for several years?
a. Dependence on the drug
b. Insomnia
c. Growth suppression
d. Weight gain
B. Benztropine (Cogentin), 2 mg PO (Ch. 2) - correct answer ✔✔ The nurse is caring for a client
with schizophrenia who is taking haloperidol (Haldol). The client complains of restlessness,
cannot sit still, and has muscle stiffness. Of the following prn medications, which would the
nurse administer?
, a. Haloperidol (Haldol), 5 mg PO
b. Benztropine (Cogentin), 2 mg PO
c. Propranolol (Inderal), 20 mg PO
d. Trazodone, 50 mg PO
B. Report any rashes to your doctor immediately (Ch. 2) - correct answer ✔✔ Client teaching for
lamotrigine (Lamictal) should include which instructions?
a. Eat a well-balanced diet to avoid weight gain.
b. Report any rashes to your doctor immediately.
c. Take each dose with food to avoid nausea.
d. This drug may cause psychological dependence.
C. Prolixin, 5mg PO tid (Ch. 2) - correct answer ✔✔ Which physician order would the nurse
question for a client who has stated, "I'm allergic to phenothiazines?"
a. Haldol, 5 mg PO bid
b. Navane, 10 mg PO bid
c. Prolixin, 5 mg PO tid
d. Risperdal, 2 mg bid
B. Antipsychotics (Ch. 2) - correct answer ✔✔ Clients taking which type of psychotropic
medications need close monitoring of their cardiac status?
a. Antidepressants
b. Antipsychotics
