




















Study with the several resources on Docsity
Earn points by helping other students or get them with a premium plan
Prepare for your exams
Study with the several resources on Docsity
Earn points to download
Earn points by helping other students or get them with a premium plan
Community
Ask the community for help and clear up your study doubts
Discover the best universities in your country according to Docsity users
Free resources
Download our free guides on studying techniques, anxiety management strategies, and thesis advice from Docsity tutors
A collection of practice questions and answers related to mental health concepts. It covers various topics, including stress, anxiety, depression, schizophrenia, personality disorders, and substance-related disorders. Designed to help students understand and retain key information about mental health conditions and their treatment.
Typology: Exams
1 / 28
This page cannot be seen from the preview
Don't miss anything!
being requires us to adjust or adapt to the environment"
being)"
perceived threat from an unknown source"
anxiety"
anxiety"
Escapes- substance use, spending sprees, Sexual promiscuity- acting out behaviours, Fatigue - decreased concentration and decision-making ability"
shifts in mood, energy and functional ability, possible genetic factor"
manic episodes extreme symptoms more than 1 week, Episode ranges from high manic to low depressive periods"
periods of hypomanic symptoms and periods of depression alternating periods recurrent with short periods of normalcy (usually less than 2 months), No delusional thinking or hallucinationsFunction is not severely impaired, Hospitalization often unnecessary"
flat affect"
environment"
Psychotherapy, Hospitalization for stabilizations PRN"
tremor, slurred speech, akathesia, dystonia, anxiety, distress, paranoia, and bradyphrenia, that are primarily associated with improper dosing of or unusual reactions to neuroleptic (antipsychotic) medications."
movement"
body movements. This may include grimacing, sticking out the tongue, or smacking the lips."
from 3 to 9 days after treatment started"
medical treatment ex. Medication, Reported symptoms exaggerated with little factual support, Persistent moderate to severe levels of anxiety, depression common, Excessive mental distress over symptoms is key"
preoccupation with having serious illness despite contrary evidence, Symptoms usually absent or of mild intensity, Concerns/anxiety disproportionate to ïllness.", Reassurance does not affect anxiety, Overconcern regarding health issues consumes life"
unwanted personal situation most with full recovery"
physical effects, Often used with other substances, High dose can result in anxiety, social withdrawal irritability"
injected, Users, demonstrate dangerous behaviours, Lack of judgement, Mood swings, fearfulness, anxiety, feelings of going insane, dying, The toxic episode, flashbacks"
Breath smells of pain/ solvent, Permanent CNS/ PNS damage possible"
compulsive, prolonged self-admin for no medical reason Initial high, them depression, motor functioning problems"
inhaled, Mood changes, weight loss, malnutrition, Chronic abuse"
sweating, restlessness,"
or anxiolytic-use disorders"
nervosa"
image disturbance, Weight loss via dieting, starvation or excessive exercise"
laxatives or diuretics"
destructive methods to prevent weight gain; purging, nonpurging, Inability to stop eating during a binge eating episode, Ashamed of disorder, attempt to hide symptoms, event trigger binge behaviours, Repeated use of risky methods to prevent weight gain"
Overweight, History of other psychological issues" "Which assessment data should the nurse consider as risk factors for possible violence in a client? (Select all that apply.) a. A diagnosis of somatization disorder b. A diagnosis of schizophrenia or bipolar disorder c. Substance intoxication d. Argumentative and demanding behavior
"Which statement is true regarding traumatic bereavement? a. The bereavement period is more prolonged but symptoms are less intense. b. Traumatic bereavement is characterized by the presence of survivor guilt. c. Traumatic bereavement only occurs following a natural disaster. d. Symptoms are most often more intense and prolonged than those associated with a natural
"A client whose home was destroyed during a tornado expresses to the nurse that they have been having disabling anxiety and nightmares for the past 2 weeks following this disaster. The most appropriate crisis intervention would be to: a. Encourage the client to recognize how lucky they are to be alive b. Discuss stages of grief and feelings associated with each c. Identify community resources that can help the client
a. The client has a new girlfriend. b. The client has an increased sense of self-worth. c. The client does not take antidepressants anymore.
"A 27-year-old female client was admitted to the psychiatric unit from the medical intensive care unit where she was treated for taking a deliberate overdose of her antidepressant medication, trazodone (Desyrel). She says to the nurse, "My boyfriend broke up with me. We had been together for 6 years. I love him so much. I know I'll never get over him." Which is the best response by the nurse? a. "You'll get over him in time." b. "Forget him. There are other fish in the sea." c. "You must be feeling very sad about your loss."
"The nurse identifies the primary nursing diagnosis for a client as "Risk for suicide related to feelings of hopelessness from loss of relationship." Which outcome criterion is most appropriate for this diagnosis? a. The client has experienced no self-harm. b. The client sets realistic goals. c. The client expresses some optimism and hope for the future.
"A client is hospitalized following a suicide attempt after breaking up with their boyfriend. The client says to the nurse, "When I get out of here, I'm going to try this again, and next time I'll choose a no-fail method." Which is the best response by the nurse? a. "You are safe here. We will make sure nothing happens to you." b. "You're just lucky your roommate came home when she did." c. "What exactly do you plan to do?"
"In determining degree of suicide risk with a suicidal client, the nurse assesses the following behavioral manifestations: severely depressed, withdrawn, statements of worthlessness, difficulty accomplishing activities of daily living, no close support systems. The nurse identifies the client's risk for suicide as which of the following? a. Low risk b. High risk c. Imminent risk
"A client who has been hospitalized following a suicide attempt is placed on suicide precautions on the psychiatric unit. The client admits that they are still feeling suicidal. Which of the following interventions is most appropriate in this instance? (Select all that apply.) a. Restrict access to any item that might be harmful by placing the client in a seclusion room. b. Check on the client every 15 minutes at irregular intervals or assign a staff person to stay with them on a one-to-one basis. c. Obtain an order from the physician to give the client a sedative to calm them and reduce suicide ideas. d. Do not allow the client to participate in any unit activities while they are on suicide precautions. e. Ask the client specific questions about their thoughts, plans, and intentions related to suicide.
"1. Which technique is used to promote adequate nutritional intake for a client in an acute manic episode who is not eating? a. Sit with the client during meals to reinforce the importance of eating everything on the tray. b. Have family members bring food from home so the client will have only favorite foods. c. Provide high-calorie, nutritious finger foods and snacks that can be eaten "on the run."
"2. A client who has been prescribed lithium carbonate for bipolar I disorder asks the nurse what is a normal range for lithium blood levels. Which is the most accurate response? a. 0.6 to 1.2 mEq/L b. 0.1 to 5 mEq/L c. Above 1.2 mEq/L
"3. Although historically lithium has been the medication of choice for mania, several others have been used with good results. Which medication is used in the treatment of bipolar disorder? (Select all that apply.) a. Olanzapine (Zyprexa) b. Oxycodone (Oxycontin) c. Carbamazepine (Tegretol) d. Gabapentin (Neurontin)
"4. A client who is experiencing a manic episode is admitted to the psychiatric unit after being brought to the emergency department by a family member. The client yells, "I need to get out of here because the interplanetary council has elected me president of the universe." This is an example of: a. A delusion of grandeur b. A delusion of persecution
"10. A client admitted to the inpatient psychiatric unit with bipolar disorder tells the nurse, "I need to sit in on change-of-shift report because I have been appointed director of this unit." Which action by the nurse demonstrates the best clinical judgment at this point? a. Invite the client to sit in on the change-of-shift report, but do not share any confidential client information. b. Instruct the client that this is not permitted and redirect the client to other unit activities that are available. c. Tell the client that they are delusional but that these symptoms will go away with medication.
"1. A client, who is a veteran of the war in Iraq, is diagnosed with PTSD. The client, John, says to the nurse, "I can't figure out why God took my buddy instead of me." From this statement, the nurse assesses which of the following in John? a. Repressed anger b. Survivor's guilt c. Intrusive thoughts
"2. Which treatment regimen would most appropriately be ordered for a client with PTSD? a. Paroxetine and group therapy b. Diazepam and implosion therapy c. Alprazolam and behavior therapy
"3. Which finding may be influential in the predisposition to PTSD? a. Resilient personality traits b. Ketamine deficiency c. History of dementia
"4. Which statement is true regarding the diagnosis of an adjustment disorder? a. The client will require long-term psychotherapy to achieve relief. b. The client likely inherited a genetic tendency for the disorder. c. Symptoms will likely remit once the client has accepted the changes that precipitated difficulties with adjustment.
"5. The physician orders sertraline (Zoloft) for a client who is hospitalized with an adjustment disorder with depressed mood. Which benefit is intended? a. Increase energy and elevate mood
b. Stimulate the central nervous system c. Prevent psychotic symptoms
"10. A client, age 16, has recently been diagnosed with diabetes mellitus. The client must watch their diet and take an oral hypoglycemic medication daily. The client has become very depressed, and the client's mother reports that they refuse to change their diet and often skips their medication. The client has been hospitalized for stabilization of their blood glucose level. The psychiatric nurse practitioner has been called in as a consultant. Which nursing diagnosis by the psychiatric nurse would be a priority for the client at this time? a. Anxiety related to hospitalization evidenced by nonadherence b. Low self-esteem related to feeling different from their peers evidenced by social isolation c. Risk for suicide related to new diagnosis of diabetes mellitus as evidenced by reports of depression d. Risk-prone health behavior related to denial of seriousness of their illness evidenced by refusal
"1. Which drug class is most commonly used for management of the child with ADHD? a. CNS depressants (e.g., diazepam [Valium]) b. CNS stimulants (e.g., methylphenidate [Ritalin]) c. Anticonvulsants (e.g., phenytoin [Dilantin])
"2. The nursing history and assessment of an adolescent with a conduct disorder might reveal all behaviors except: a. Manipulation of others for fulfillment of own desires b. Chronic violation of rules c. Feelings of guilt associated with the exploitation of others
"3. Certain family dynamics are believed to predispose adolescents to the development of conduct disorder. Which pattern is thought to be a contributing factor? a. Parents who are overprotective b. Parents who have high expectations for their children c. Parents who consistently set limits on their children's behavior
"4. Which statement about oppositional behavior in children is true? a. Oppositional behavior in a child over 2 years of age is diagnostic of ODD. b. Oppositional behavior at various stages of development is normal and healthy. c. Oppositional behavior is genetic.
a. Age-related changes in the cardiovascular system b. Anxiety c. The effects of pathological depression
"5. The developmental task of transcendence suggests that mental health in older adulthood is contingent upon: a. Being able to ignore the stigmas associated with being old b. Developing the ability to be alone c. Transcending physical limitations imposed by age-related changes in the body
"6. A male client, age 79, is admitted to the psychiatric unit for depression. He has lost weight and become socially isolated. His wife died 5 years ago, and his son tells the nurse, "He did very well when Mom died. He didn't even cry." Which is the priority nursing diagnosis? a. Maladaptive grieving b. Imbalanced nutrition: less than body requirements c. Social isolation
"7. A male client, age 79, is admitted to the psychiatric unit for depression. He has lost weight and has become socially isolated. His wife died 5 years ago, and his son tells the nurse, "He did very well when Mom died. He didn't even cry." Which is the priority nursing intervention? a. Take blood pressure once each shift. b. Ensure that the client attends group activities. c. Encourage the client to eat all of the food on his food tray.
"8. A 75-year-old male client, who is taking a selective serotonin reuptake inhibitor (SSRI) for depression, reports to the nurse that he recently began having erectile dysfunction. Which is the most appropriate action by the nurse? a. Set clear boundaries that this is not an appropriate topic to discuss with the nurse. b. Instruct the client that this is a potential side effect of his medication and ask whether he would prefer to explore other treatment options. c. Educate the client that this is a normal age-related change and cannot be treated. d. Reinforce that this is a common symptom of depression and should subside after 4 to 6 weeks
"9. An 80-year-old client says to the nurse, "I'm all alone now. My husband is gone. My best friend is gone. My daughter is busy with her work and family. I might as well just go, too." Which is the best response by the nurse? a. "Are you having thoughts of wanting to hurt yourself or take your own life?"
b. "You have lots to live for, but we need to talk to your daughter about her priorities." c. "It's hard getting old."
"10. An older male client with depression says to the nurse, "I don't want to go to that crafts class. I'm too old to learn anything." Which of these is the most appropriate action by the nurse at this point? a. Tell the client that groups are mandatory and escort him by the hand. b. Pat the client on the shoulder and tell him "We all feel that way sometimes." c. Educate the client that people don't typically lose the ability to learn as they age and encourage him to express his thoughts and feelings associated with aging.
"1. A soldier who was deployed to Afghanistan a year ago is returning home this week. Which of the following postdeployment situations may be likely to occur during the first few months after returning home to his spouse and family? (Select all that apply.) a. A honeymoon period of physical reconnection b. Resistance from the spouse regarding possible loss of autonomy c. Rejection by the children for perceived abandonment
"7. A veteran of the war in Iraq has been diagnosed with PTSD. He has been hospitalized on the psychiatric unit following an attempted suicide. In the middle of the night, he wakes up yelling and tells the nurse he was having a flashback to when his unit transport drove over an improvised explosive device and most of his fellow soldiers were killed. He is breathing heavily and perspiring, and his heart is pounding. Which is the nurse's most appropriate initial intervention? a. Contact the doctor on call to report the incident. b. Administer the prn order for chlorpromazine. c. Stay with the client and reassure him of his safety.
"8. Mike, a veteran of combat in Afghanistan, has a diagnosis of mild TBI. The psychiatric home health nurse from the VA medical center is assigned to make home visits to Mike and his wife, Marissa, who is his caregiver. Which of the following would be an appropriate nursing intervention by the home health nurse? (Select all that apply.) a. Assess for the use of substances by Mike or Marissa. b. Encourage Marissa to do everything for Mike to prevent further deterioration in his condition. c. Assess Marissa's level of stress and potential for burnout. d. Encourage Marissa to allow Mike to be as independent as possible.
"2.The nurse is caring for an actively suicidal client on the psychiatric unit. What is the nurse's priority intervention? A. Discuss strategies for the management of anxiety, anger, and frustration. B. Provide opportunities for increasing the client's self-worth, morale, and control. C. Place client on suicide precautions with one-to-one observation.
-one to one observation equals a safe environment -safety is priority" "3.A client with a history of a suicide attempt has been discharged and is being followed in an outpatient clinic. At this time, which is the most appropriate nursing intervention for this client? A. Provide the client with a safe and structured environment. B. Isolate the client from all stressful situations that may precipitate a suicide attempt. C. Observe the client continuously to prevent self-harm.
-coping is best" "1.Two months ago, Ms. T was sexually assaulted while jogging in an isolated park. She is hospitalized for suicidal ideation at this time. She awakens in the middle of the night screaming about having nightmares of the incident. Which of the following is the most appropriate initial nursing intervention? A. Call the doctor to report the incident. B. Stay with Ms. T until the anxiety has subsided. C. Administer p r n alprazolam
-do not leave client alone experiencing nightmares or anxiety" "2.Which of the following medications is considered to be a first-line medication of choice in the treatment of P T S D? A. Alprazolam B. Propranolol C. Carbamazepine
-SSRIs are first line" "1.Which of the following complementary therapies has been used successfully to alleviate symptoms in veterans with P T S D?
A. Vitamin B B. Hypnosis C. Prolonged exposure therapy
-relieves pain, anxiety, nightmares" "1.A suicidal client with a history of manic behavior is admitted to the emergency department. The client's diagnosis is documented as bipolar 1 disorder: current episode depressed. What is the rationale for this diagnosis instead of a diagnosis of major depressive disorder A. The physician does not believe the client is suffering from major depression. B. The client has experienced a manic episode in the past. C. The client does not exhibit psychotic symptoms.
-past history of mania and current suicide attempt support diagnosis of bipolar 1" "2.In the initial stages of caring for a client experiencing an acute manic episode, what should the nurse consider to be the priority nursing diagnosis? A. Risk for injury related to excessive hyperactivity B. Disturbed sleep pattern related to manic hyperactivity C. Imbalanced nutrition, less than body requirements, related to inadequate intake
-safety is always most important" "1.An adolescent diagnosed with ADHD is having difficulty maintaining concentration in the inpatient milieu. Which nursing intervention would help improve the client's task performance? A. Mandate that the client remains in his room until all homework is complete. B. Remove privileges if homework is not completed within a 2-hour period. C. Encourage dividing tasks into smaller, attainable steps and reward successful completion.
-short span can be overwhelmed with big tasks -reward for completion" "2.Conduct disorder may be a precursor to the diagnosis of which personality disorder? A. Narcissistic personality disorder B. Antisocial personality disorder C. Histrionic personality disorder
"A nurse is assessing a client who has PTSD following an assault that caused hospitalization.
anger" "A client commits suicide in an acute mental health facility. Which if the priority intervention for
have warned them that he was contemplating suicide."
uncomfortable, Severe- exhausting, Panic- can be violent"
object or person"
in response to any significant loss"
successfully cope with a loss"
symptoms continuing months after a loss"
worry re various situations on most days, over a period of at least 6 months"
the following: • Restlessness, muscle tension, irritability• Difficulty falling asleep/ staying asleep, fatigue • Chest pain, hyperventilation, headaches • Tremors, increased urinary frequency, GI disturbances"
intermittently without warning"
panic attacks"
or situations that pose little danger"
embarrassment is possible"
involving actual death or threat of severe injury"
disorder in which a person has uncontrollable, reoccurring thoughts and behaviours that he or she feels the urge to repeat over and over."
actions consuming more than 1 hr per day Invasive, inappropriate thoughts commonly related to sexuality, violence, illness, death or contamination Inability to finish tasks"
Antianxiety drugs (Valium in the 1950s and now benzodiazepines), Most success combined with psychotherapy"
psychological thinking"
interest in activities most of each day for 2 weeks; single or recurrent episodes"