NUR 2488 / NUR2488/ NUR 2459 Mental
Health Test Bank | Questions and
Answers
1. The nurse is caring for a patient who exhibits disorganized thinking Dand delusions. The
patient repeatedly states, "I hear voices of aliens trying to contact me." The nurse should
recognize this presentation as which type of major depressive disorder (MDD)
A. Catatonic
B. Atypical
C. Melancholic
D. Psychotic
2. Which patient statement indicates learned helplessness?
A. "I am a horrible person"
B. "Everyone in the world is just out to get me"
C. "It's all my fault that my husband left me for another woman"
D. "I hate myself"
3. The nurse is planning care for a patient with depression who will be discharged to home
soon. What aspect of teaching should be priority on the nurse's discharge plan of care?
A. Pharmacological teaching
B. Safety risk
C. Awareness of symptoms of increasing depression
D. The need for interpersonal contact
,4. The nurse is reviewing orders given for a patient with depression. Which order should the
nurse question?
A. A low starting dose of tricyclic antidepressants.
B. An SSRI given initially with an MAOI
C. Electroconvulsive therapy to treat suicidal thoughts
D. Elavil to address the patient's agitation
5. Which of the following are considered vegetative signs of depression?
A. Hallucinations and delusions
B. Expressions of guilt and worthlessness
C. Feelings of helplessness and hopelessness
D. Changes in physiological functioning such as appetite and sleep disturbances
6. Which behavior exhibited by a person with mania should the nurse choose to address
first?
A. Indiscriminate sexual relations
B. Excessive spending of money
C. Declaration of "being at one with the world"
D. Demonstration of flight of ideas
7. The nurse is planning care for a person experiencing the acute phase of mania. Which is
the priority intervention?
A. Prevent injury
, B. Maintain stable cardiac status
C. Get the person to demonstrate self-control
D. Ensure that the person gets sufficient sleep and rest
8. Jim is sometimes seen moving his lips silently or murmuring to himself when he does not
realize others are watching. Sometimes when he is conversing with others, he suddenly
stops, appears distracted for a moment, and then resumes. Based on these observations,
which symptom or set of symptoms is Jim most likely experiencing? Select all that apply.
A. Illusions
B. Paranoia
C. Delusional thinking
D. Auditory hallucinations
E. Impaired reality testing
F. Stereotyped behaviors
9. Maricel a person diagnosed with schizophrenia is encouraged to attend groups but stays
in er room instead. Staff and peers encourage her participation, but her hygiene remains
poor. She does to seem to care that others wish that she would believe differently. Which
is the most likely explanation for Maricel's failure to respond to other's efforts to help her
behave in a more adaptive fashion? Select all that apply.
A. She is avocational
B. She is displaying anergia
C. She is displaying negativism
D. She is exhibiting paranoid delusion
E. She is being resistant of oppositional
F. She is experiencing social withdrawal
G. She is apathetic to her schizophrenia
, 10. The nurse is attempting to interview Mr.Jones a newly admitted involuntary person with
schizophrenia. Mr. Jones seems evasive and uncomfortable and gives one-word responses
that are minimally informative. Which response would be most useful for facilitating the
interview?
A. "Why did you come to the hospital today?"
B. "It must be difficult to be admitted to a hospital against your will"
C. " If you could cooperate for just a few minutes, we could get this done"
D. "Did your schizophrenia get worse because you stopped taking your
medication?"
11. Which female patient should the nurse recognize as having the highest risk to have or
develop bulimia nervosa?
A. Grew up in an underserved area
B. Lives in a society influenced by Eastern cultural beliefs
C. Is a 20 year old
D. Is Asian Canadian
12. The nurse is caring for a 16-year old female patient with anorexia nervosa. What should
the initial nursing intervention be upon the patient's admission to the unit?
A. Build a therapeutic relationship
B. Increase the patients caloric consumption
C. Involve the patient in group therapy to build a support group.
D. Self-asses to decrease tendencies toward authoritarianism
Health Test Bank | Questions and
Answers
1. The nurse is caring for a patient who exhibits disorganized thinking Dand delusions. The
patient repeatedly states, "I hear voices of aliens trying to contact me." The nurse should
recognize this presentation as which type of major depressive disorder (MDD)
A. Catatonic
B. Atypical
C. Melancholic
D. Psychotic
2. Which patient statement indicates learned helplessness?
A. "I am a horrible person"
B. "Everyone in the world is just out to get me"
C. "It's all my fault that my husband left me for another woman"
D. "I hate myself"
3. The nurse is planning care for a patient with depression who will be discharged to home
soon. What aspect of teaching should be priority on the nurse's discharge plan of care?
A. Pharmacological teaching
B. Safety risk
C. Awareness of symptoms of increasing depression
D. The need for interpersonal contact
,4. The nurse is reviewing orders given for a patient with depression. Which order should the
nurse question?
A. A low starting dose of tricyclic antidepressants.
B. An SSRI given initially with an MAOI
C. Electroconvulsive therapy to treat suicidal thoughts
D. Elavil to address the patient's agitation
5. Which of the following are considered vegetative signs of depression?
A. Hallucinations and delusions
B. Expressions of guilt and worthlessness
C. Feelings of helplessness and hopelessness
D. Changes in physiological functioning such as appetite and sleep disturbances
6. Which behavior exhibited by a person with mania should the nurse choose to address
first?
A. Indiscriminate sexual relations
B. Excessive spending of money
C. Declaration of "being at one with the world"
D. Demonstration of flight of ideas
7. The nurse is planning care for a person experiencing the acute phase of mania. Which is
the priority intervention?
A. Prevent injury
, B. Maintain stable cardiac status
C. Get the person to demonstrate self-control
D. Ensure that the person gets sufficient sleep and rest
8. Jim is sometimes seen moving his lips silently or murmuring to himself when he does not
realize others are watching. Sometimes when he is conversing with others, he suddenly
stops, appears distracted for a moment, and then resumes. Based on these observations,
which symptom or set of symptoms is Jim most likely experiencing? Select all that apply.
A. Illusions
B. Paranoia
C. Delusional thinking
D. Auditory hallucinations
E. Impaired reality testing
F. Stereotyped behaviors
9. Maricel a person diagnosed with schizophrenia is encouraged to attend groups but stays
in er room instead. Staff and peers encourage her participation, but her hygiene remains
poor. She does to seem to care that others wish that she would believe differently. Which
is the most likely explanation for Maricel's failure to respond to other's efforts to help her
behave in a more adaptive fashion? Select all that apply.
A. She is avocational
B. She is displaying anergia
C. She is displaying negativism
D. She is exhibiting paranoid delusion
E. She is being resistant of oppositional
F. She is experiencing social withdrawal
G. She is apathetic to her schizophrenia
, 10. The nurse is attempting to interview Mr.Jones a newly admitted involuntary person with
schizophrenia. Mr. Jones seems evasive and uncomfortable and gives one-word responses
that are minimally informative. Which response would be most useful for facilitating the
interview?
A. "Why did you come to the hospital today?"
B. "It must be difficult to be admitted to a hospital against your will"
C. " If you could cooperate for just a few minutes, we could get this done"
D. "Did your schizophrenia get worse because you stopped taking your
medication?"
11. Which female patient should the nurse recognize as having the highest risk to have or
develop bulimia nervosa?
A. Grew up in an underserved area
B. Lives in a society influenced by Eastern cultural beliefs
C. Is a 20 year old
D. Is Asian Canadian
12. The nurse is caring for a 16-year old female patient with anorexia nervosa. What should
the initial nursing intervention be upon the patient's admission to the unit?
A. Build a therapeutic relationship
B. Increase the patients caloric consumption
C. Involve the patient in group therapy to build a support group.
D. Self-asses to decrease tendencies toward authoritarianism
