Mental Health nursing final exam
questions n answers rated A+
Patient reports acute anxiety related to the death of a parent in an automobile accident two
hours earlier. The nurse should anticipate administering a med from what family? - correct
answer ✔✔ Benzodiazepines to increase the effect of GABA
Which of the following medications would be used when lithium is not effective? - correct
answer ✔✔ Divalproex sodium (Depakote)
A nurse cares for an older adult patient admitted for treatment of depression. the health care
provider prescribes an antidepressant medication, but the dose is more than the usual adult
dose. the nurse should? - correct answer ✔✔ hold the medication and consult the health care
provider.
A nurse at a behavioral health clinic sees an unfamiliar psychiatric diagnosis on a patients
insurance form. which resource should the nurse consult to discern the criteria used to establish
this diagnoses? - correct answer ✔✔ DSM-V diagnostic and Statistical Manual of Mental
Disorders
A patient begins a new program to assist with building social skills. in which part of the plan of
care should a nurse record the item, Encourage patient to attend one psychoeducational group
daily? - correct answer ✔✔ Implementation
According to Maslows hierarchy of needs, which of the following client situations would be
considered most basic? - correct answer ✔✔ Client seeks, shelter, food at a center of a battered
woman.
,A patient diagnosed with paranoid schizophrenia believes evil spirits are being summoned by a
local minister and verbally threatens to bomb a local church. the psychiatrist notifies the local
minister. the psychiatric has - correct answer ✔✔ demonstrated the duty of warn and
protect/tarasoff
A voluntary hospitalized patient tells the nurse I need to get out of here, I'm not getting better.
Get me the forms I need to sign to leave this place. what would the nurse say? - correct answer
✔✔ I will get them for you, but lets talk about your decision to leave treatment.
During an assessment interview a nurse asks the patient "how are you feeling this AM? What
part of the mental status exam is the nurse examining? - correct answer ✔✔ mood (mood and
affect)
A nurse documents patient appears to be restless and unable to sit still. he is unable to hold
productive conversation and tremulous during interview, what is the nursing dx? - correct
answer ✔✔ Anxiety
A patient should be considered for involuntary hospitalization for psychiatric care when he or
she - correct answer ✔✔ threatens to harm self or others
A patient diagnosed with major depressive disorder begins selective serotonin reuptake
inhibitor SSRI antidepressant therapy. priority information given to the patient and family
should include a - correct answer ✔✔ Report increase suicidal thoughts.
A client is prescribed lamatrogine for treatment of bipolar disorder which of the following is
most concerning? - correct answer ✔✔ SJS skin rash (stevens johnson syndrome)
A client with depression mentions to the nurse, "my mother says depression is a chemical
disorder. what does she mean?" the nurse's response is based on the theory that depression
primarily involves which of thee following neurotransmitters? - correct answer ✔✔ Serotonin
and Norepinephrine
, Nurse teaching a class for antidepressant to patients diagnosed with depression, which of the
following statement by a patient will indicate the nurse that further teaching is needed. -
correct answer ✔✔ I can discontinue mediation at anytime if medication is not working.
A newly admitted patient diagnosed with major depression has gained 20 pounds over a few
months and has suicidal ideation. the patient has taken an antidepressant medication for 1
week without remission of symptoms. select the priority nursing diagnosis - correct answer ✔✔
Risk for suicide.
What is the priority nursing diagnosis for a patient diagnosed with antisocial personality
disorder who has made threats against staff, ripped art off the walls, and thrown objects? -
correct answer ✔✔ Risk for other-directed violence.
Select the most appropriate label to complete this nursing diagnosis:__________, related to
feelings of shyness and poorly developed social skills as evidenced by watching television alone
at home every evening. - correct answer ✔✔ social isolation
At the time of discharge a patient expressed HI towards his brother, the pt believes his brother
is working with the government to keep him in the hospital. what should the nurse do? - correct
answer ✔✔ notify potential homicide victim and law enforcement.
A nurse assesses a confused older adult. the nurse experiences sadness and reflects, "the
patient is like one of my grandparents.... so helpless." what feelings does the nurse describe? -
correct answer ✔✔ Countertransference.
A 15 year old patient place on restraints how often do you have to renew order? - correct
answer ✔✔ every 2 hours
questions n answers rated A+
Patient reports acute anxiety related to the death of a parent in an automobile accident two
hours earlier. The nurse should anticipate administering a med from what family? - correct
answer ✔✔ Benzodiazepines to increase the effect of GABA
Which of the following medications would be used when lithium is not effective? - correct
answer ✔✔ Divalproex sodium (Depakote)
A nurse cares for an older adult patient admitted for treatment of depression. the health care
provider prescribes an antidepressant medication, but the dose is more than the usual adult
dose. the nurse should? - correct answer ✔✔ hold the medication and consult the health care
provider.
A nurse at a behavioral health clinic sees an unfamiliar psychiatric diagnosis on a patients
insurance form. which resource should the nurse consult to discern the criteria used to establish
this diagnoses? - correct answer ✔✔ DSM-V diagnostic and Statistical Manual of Mental
Disorders
A patient begins a new program to assist with building social skills. in which part of the plan of
care should a nurse record the item, Encourage patient to attend one psychoeducational group
daily? - correct answer ✔✔ Implementation
According to Maslows hierarchy of needs, which of the following client situations would be
considered most basic? - correct answer ✔✔ Client seeks, shelter, food at a center of a battered
woman.
,A patient diagnosed with paranoid schizophrenia believes evil spirits are being summoned by a
local minister and verbally threatens to bomb a local church. the psychiatrist notifies the local
minister. the psychiatric has - correct answer ✔✔ demonstrated the duty of warn and
protect/tarasoff
A voluntary hospitalized patient tells the nurse I need to get out of here, I'm not getting better.
Get me the forms I need to sign to leave this place. what would the nurse say? - correct answer
✔✔ I will get them for you, but lets talk about your decision to leave treatment.
During an assessment interview a nurse asks the patient "how are you feeling this AM? What
part of the mental status exam is the nurse examining? - correct answer ✔✔ mood (mood and
affect)
A nurse documents patient appears to be restless and unable to sit still. he is unable to hold
productive conversation and tremulous during interview, what is the nursing dx? - correct
answer ✔✔ Anxiety
A patient should be considered for involuntary hospitalization for psychiatric care when he or
she - correct answer ✔✔ threatens to harm self or others
A patient diagnosed with major depressive disorder begins selective serotonin reuptake
inhibitor SSRI antidepressant therapy. priority information given to the patient and family
should include a - correct answer ✔✔ Report increase suicidal thoughts.
A client is prescribed lamatrogine for treatment of bipolar disorder which of the following is
most concerning? - correct answer ✔✔ SJS skin rash (stevens johnson syndrome)
A client with depression mentions to the nurse, "my mother says depression is a chemical
disorder. what does she mean?" the nurse's response is based on the theory that depression
primarily involves which of thee following neurotransmitters? - correct answer ✔✔ Serotonin
and Norepinephrine
, Nurse teaching a class for antidepressant to patients diagnosed with depression, which of the
following statement by a patient will indicate the nurse that further teaching is needed. -
correct answer ✔✔ I can discontinue mediation at anytime if medication is not working.
A newly admitted patient diagnosed with major depression has gained 20 pounds over a few
months and has suicidal ideation. the patient has taken an antidepressant medication for 1
week without remission of symptoms. select the priority nursing diagnosis - correct answer ✔✔
Risk for suicide.
What is the priority nursing diagnosis for a patient diagnosed with antisocial personality
disorder who has made threats against staff, ripped art off the walls, and thrown objects? -
correct answer ✔✔ Risk for other-directed violence.
Select the most appropriate label to complete this nursing diagnosis:__________, related to
feelings of shyness and poorly developed social skills as evidenced by watching television alone
at home every evening. - correct answer ✔✔ social isolation
At the time of discharge a patient expressed HI towards his brother, the pt believes his brother
is working with the government to keep him in the hospital. what should the nurse do? - correct
answer ✔✔ notify potential homicide victim and law enforcement.
A nurse assesses a confused older adult. the nurse experiences sadness and reflects, "the
patient is like one of my grandparents.... so helpless." what feelings does the nurse describe? -
correct answer ✔✔ Countertransference.
A 15 year old patient place on restraints how often do you have to renew order? - correct
answer ✔✔ every 2 hours
