MENTAL HEALTH STUDY GUIDE- UPDATED REVISION GUIDE

MENTAL HEALTH STUDY GUIDE- UPDATED REVISION GUIDE 1. A 45-year-old male patient has just started on lithium for manic episodes of bipolar disorder. He tells you that he gets a sour feeling in his stomach when he takes the medicine. What is the best response by the nurse? a. I believe you'll adjust to it. It is important that you continue with the lithium b. This is could be a toxic effect. Let's not take the next dose, and I'll call the doctor c. It is your right to refuse the medication. I support your decision d. Tomorrow. We will give you your lithium after you eat breakfast 2. A nurse is caring for a client who has bipolar disorder. Which of the following should be recognized as a manic behavior? (SATA) a. Dressing in black clothing b. Interacting with others in a flirtatious way c. Talking in a rapid continuous speech d. Spending large sums of money e. Sleeping for long periods of time 3. A nurse is caring for a client who begins to cry and states. "I knew karma would come back to me and punish me with this deadly disease!" which of the following responses should the nurse make? a. Let's talk about what is upsetting you b. You shouldn't say things that will just make you more upset c. Why do you think you deserve this? d. Don't worry about karma right now 4. A client recently admitted to the behavioral unit, quickly paces about the dayroom while pounding his fists together. The client's speech pattern is rapid, and his affect appears animated and angry. Based on these observations, which intervention should be the nurse's immediate priority? a. Conducting a mental status exam b. Call the provider for an order for seclusion c. Provide a safe therapeutic milieu d. Review the client's medication regimen 5. A client in the detox unit is withdrawing from extensive heroin use. What would be an expected finding with regards to the client's pupils? a. Nystagmus b. Tadpole c. Constricted d. Dilated 6. A client with a personality disorder by eccentric behavior with cognitive and perceptual distortions likely has what? a. Histrionic personality disorder b. Schizoid personality disorder c. Schizotypal personality disorder d. Borderline personality disorder 7. The nurse completes an assessment of a client who is being admitted to the mental health unit. Which finding requires immediate intervention? a. The client states that he can't eat much and hasn't been able to sleep well for the past week b. The client states that he wishes he could find a way to harm himself c. The spouse states the she disapproves of the treatment plan. d. The presence of small bruises on the client's legs and old scars on both wrists 8. A hospitalized client who has been experiencing delusions begin to shout. "you're all here to kill me. Let me out of here!" which response is most therapeutic? a. I'll leave and come back later when you calm down b. No that is not true. Look at who I am c. What makes you think we plan to kill you d. It must be frightening to think others may want to hurt you 9. Which statement about persons with personality disorder is accurate? a. Unlike those with mood or psychotic disorders. Personality disorders have no suicide risk b. Their symptoms are not as disabling as most other mental disorders. Therefore their care tends to be less challenging and complicated for staff c. They are all manipulative and. Staff needs to be educated and prepared to provide firm and non-judgmental care d. They tend not to perceive themselves as having a problem but instead believe their problems are caused by how others behave towards them. 10. Ed a client tells a nurse that she is the nicest person in the entire hospital. But when the nurse removes Ed's belt from his room. Ed calls her very rude names and yells our that she is the meanest nurse ever. Which defense mechanism is being used? a. Rationalization b. Dissociation c. Displacement d. Splitting 11. A client on the psych unit states, "how do you feel about me refusing to go to group today?" which would be a therapeutic response by the nurse? a. Can you be sure to go to group tomorrow b. I'm not happy about that c. How do you feel about not going to group today d. That's not an appropriate question to ask 13. A 15 year old ran away from home six times and was arrested twice on separate occasions for destruction of public property and shoplifting. Which diagnosis is supported by this adolescent's behavior? a. Conduct disorder b. Intermittent explosive disorder c. Oppositional defiant disorder d. Attention deficit hyperactive disorder 14. A nurse is providing teaching to a client who is taking disulfiram for the management of alcohol dependence. Which of the following should the nurse encourage the client to avoid? a. Chocolate b. Vanilla extract c. Peppermint candy d. Salt 15. Which type of therapy would be most useful when working with a 9-year-old child with opposition defiant disorder? a. Bibliotherapy b. Behavioral therapy c. Cognitive therapy d. Electroconvulsive therapy 16. A nurse is caring for a client who has schizophrenia and exhibits lack of grooming and flat affect. The nurse should anticipate a prescription of which of the following medications? a. Loxapine b. Fluphenazine c. Diphenhydramine d. Risperidone 17. A nurse decides to put a client who has psychotic disorder in seclusion overnight because the unit is very short-staffed and the client frequently argues with other clients. The nurse's actions are an example of which of the following torts? a. Battery b. Invasion of privacy c. False imprisonment d. Assault 18. A client who attempted suicide by overdosing with antidepressant pills has been admitted to the psychiatric unit. The nurse, being most concerned with client's safety, would take which action? a. Place the client in restraints for 30 min b. Use reminiscence therapy, and discuss the overdose event tomorrow c. Ensure that a staff member is with the client at all times d. Request that a friendly peer remain with the client at all times 19. A patient with schizophrenia has been placed on clozapine. The priority discharge teaching should include which statement? a. Keep alcohol consumption to 1 drink a day at most b. Maintain a strict tyramine free daily diet c. Report for weekly blood tests for CBC level d. Wear long sleeves and a hat outdoors 20. A nurse is providing care for a client who has anorexia nervosa. Which of the following interventions is appropriate? a. Schedule regular weigh-in times b. Complement the client for weight gain c. Allow the client to eat any time d. Provide privacy when the friends visit 21. A client on the psychiatric unit states. "I can't ever sleep because I'm crying all night." Which response by the nurse is most therapeutic? a. Sometimes its relieving to let out a good cry b. Help me understand what you're going through c. You will eventually. I went through similar crisis 2 years ago. d. Can you imagine what your parents would do in this situation? 22. You are caring for Gabby, a 12 years old patient with oppositional defiant disorder. Gabby's mother asks you what type of medication is usually prescribed for this diagnosis. Which is an appropriate response? a. The care plan likely will include antipsychotics and anxiolytics and the patient will likely wean off them in the future b. Interventions for this disorder usually include treatment with mood stabilizers or "off-label" uses of other classification of medications c. Treatment of this disorder does not usually involve any specific medication, but focuses on adaptive mechanisms d. Psychiatric medications have not been proven to work in the child and adolescent population 23. In developing a plan of care for a client who has diagnosis of somatic symptom disorder. The nurse should consider which important fact? a. The client's symptoms have an odd physiological cause b. The client's symptoms are the focus of treatment c. The symptoms are real to the client d. The client will be extremely anxious about the symptom 24. Which person is at the highest risk for suicide a. A 50-year-old married white male with depression who has a plan to overdose if circumstances at work do not improve b. A 45-year-old married white female who recently lost her parents. Suffers from cyclothymia and cut herself once as a teenager c. A young single white male who is alcohol dependent, hopeless, impulsive. Has just been rejected by his girlfriend and has ready access to a gun he has hidden d. An older Hispanic male who is catholic. Is living with a debilitating chronic illness is recently widowed and states: "God can take me too if he wants." 25. A nurse is caring for a client from opioid addiction. Which of the following medications should be included in client care? a. Methadone b. Lithium c. Disulfiram d. Risperidone 26. After taking fluphenazine for several days. A client states to the nurse. "for some reason I can't sit still. I feel so restless all the time." the nursing assessment of this client is likely to indicate which of the following? CONTINUED.................DOWNLOAD FOR MORE REVISION