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HONDROS NUR 180 MENTAL HEALTH ACTUAL
FINAL EXAM 2025 ACCURATE SUMMER – FALL
QUARTERS GRADED A
You have a patient scheduled for surgery and wants to wear a bracelet that has significant meaning to them. When you ask them to remove it, they say they really wish they could wear it during the procedure. What do you do next? Determine if the item may remain in place during the procedure You have a muslim patient wishing to face MECCA. What position should the nurse place the patient's bed? South East direction from the United States You have a patient that is a jehovah's witness and the physician orders 2 units of blood ASAP but she refuses to sign the consent form. What should you do next. Notify the physician STAT and Report the patient's refusal You have a patient that recently lost a loved one and would like to attend a grief meeting but does not drive, cannot afford a taxi, doesn't wish to burden family or friends. What would you do next? Offer to acquire information about senior services that may help the patient.
You have a dying patient and family reports that the dying patient is speaking to a deceased loved one. Family comes to the nurses station concerned about too much pain medication. How should the nurse respond? This is a normal sign of approaching death and it is important that we do all we can to keep her pain tolerable. You have a patient prescribed Fluoxetine. Which response indicates further teaching is needed? The patient states "I must take this medication with a full meal." You have a patient admitted to the mental health unit. They have toothbrush, toothpaste, and dental floss in their pockets. They perform dental care as often as every 1/2 hour. How do you interpret these actions? Attempt to relieve anxiety. You have a patient having an acute panic attack. What would you do? Stay near the patient and reassure them they are safe. You have a patient that has a ritual that includes making and remaking their bed 30 times before they can go to sleep.Most of the time, they do not get into the bed until 3 AM. What action would you take? Suggest they begin their ritual earlier in the day.
What information is essential to teach the patient about MAIO's? To avoid all foods with thymine (3 SATA)You have a patient with mental and emotional difficulties is sensitive to sound and light. What actions will you take? 1 .Place the patient in a carpeted room,
- be sure that no lights are flickering,
- provide the patient with recordings of ocean waves and light rain. (3 SATA)You are assessing the coping patterns of a new patient. What data would you expect to find?
- Current stressors
- Use of drugs or alcohol
- Recent weight loss (3 SATA) What characteristics will you be looking for in a patient that you suspect has substance abuse disorder
- neglect of self care
- impaired family functioning
- increased use of the substance despite negative consequences. (4 SATA)Which of the following would mental health professionals strive to help patients develop and maintain regarding spiritual care?
- Inner strength
- Self awareness
- Life's meaning and purpose 4.Relationships to others (4 SATA)Collecting data of religious beliefs and practices from patients. What should you include?
- What role does religion play in your life?
- What is your source of strength and hope?
- What brings you comfort and joy?
- Does your religion have any special days? Patient prescribed Laxopam for anxiety. What indicates needs for further teaching? "I can take this medication to relieve everyday stress"
When reviewing data, which is the priority concern? Patient expressing feelings of doom and hopelessness. You have a patient having difficulty communicating their medical history. What would you do? Offer the patient a pen and paper which could help them communicate You are caring for a patient who has alzheimer's having difficulty in time orientation. What will you do to assist the patient to re-orient them? Create a calendar full of activities, times, dates, and events. You have a patient receiving palliative care. What can you teach the patient? The goal of palliative care is to relieve symptoms, life-threatening side effects, and diseases. To prevent liability related to controlled substance (in regards to morphine). What actions by the nurse would need further teaching? Morphine is NOT a controlled substance and will not be found in locked boxes.
Patient has moods between wildly euphoric and energetic to deeply melancholy and depressed. What would be your priority? Symptoms related to bi-polar disorder You are working on a peds unit with a child who's father was recently deployed oversees. Child has been unusually quiet, melancholy, and disturbed sleep patterns. What would you tell the mother? These are signs of situational depression related to the father leaving. Should return to normal when the father returns. Which intervention would address feelings that frequently occur in survivors of suicide victims Feelings of guilt, anger, and shame You are working with a patient that has Wernicke's. The nurse anticipates giving thymine to this patient. What will this accomplish? It will help prevent irreversible brain damage. What is the purpose of giving Naltrexone (Narco)? To reverese opioid overdose
What is the goal of assisting a patient with bi-polar in organizing medications and arranging transportation? Restore the person to optimal functioning. What risks are relates to ineffective coping that you can help to prevent? Destructive behavior in drug/alcohol abuse What symptoms of an acute stress response would you base your interventions on? Emotional, psychological, and behavioral changes. Which factors contribute to violence in a community? Poverty and lack of fulfilling work contributes to aggressive behaviors. What action will you take when planning care for a patient with cognitive impairment? Structured daily routines How will theraputic massage and biofeedback help a patient? By helping the patient learn to manage stress
What level prevention is it when teaching people emergency stress stoppers and daily relaxation? Primary (to reduce the probability) What is the goal of screening postpartum mothers for depression? Early identification and prompt intervention Patient has received several doses of Haldol (Haloperidol). A couple of hours later, they have a stiffly fixed position, lower jaw is thrusted forward and they are drooling. What would you want to give this patient? You are going to administer diphenhydramine via IM How do you respond to someone who says "the voices are telling me to do things". How would the nurse respond? What are the voices telling you to do? You have a patient reporting muscle stiffness, diaphoretic, drooling, and having difficulty swallowing. What action would you take? Immediately notify the healthcare provider.
You have a person who is shouting "We are all plotting to destroy you!" How would you respond? Feeling that people want to destroy you must be very frightening! What would the nurse say to the patient feeling overwhelmed with anxiety? "What kind of things do you like to do to reduce your stress?" What would you want to tell a patient recently prescribed fluoxetine (prozac)? May take up to 4 weeks to be effective You have a patient concerned about ants climbing up the walls and into the room. How do you respond to this patient? Share that the nurse does not see any ants. You have a patient taking clozapine. What information would you offer to this patient? You should contact your healthcare provider with muscle stiffness or high fever
What kind of meds would you give to a patient who reports feeling sad and thoughts of self- harm for the last 2 weeks? Offer SNRI Patient has been recently dx with anorexia nervosa. What would you do next? Introduce herself to the patient You have a patient running down the hallway shouting "I'm going to explode!" What would you do? Stop them, tell them to take a deep breath. Which assessment finding would you report to the PCP of a patient that has anorexia nervosa? Potassium level of 3. How do you respond to a patient that frequently manipulates other patients and staff? "Tell me what prompted you to act in this manner" Which behavior warrants limit-setting?
You have a severely depressed patient being discharged. What action would you take? Develop a goal directive problem-centered relationship. Patient states "I feel close to you, you are the only true friend I have" How would you respond? "Our relationship is professional, but let's explore ways to strengthen friendships" Judaism. Patient is dying and requests spiritual beliefs to be followed. What action would you take? Offer the family assistance with any religious traditions. A woman who has been in an abusive relationship over the last 7 years arrives at the crisis center with her 2 children crying. What do you do? Direct her to the nearest woman's domestic abuse center You are working with a male client to instill a feeling of self-commitment to improve his self- esteem. What would you do? Have the client promise himself that he will do the best he can, knowing that failure is a possibility
You have a patient that is a roman catholic and you are gathering information for spiritual assessment. What action would you take? Assess the patient for any spiritual beliefs and document information Which patient would indicate spiritual distress? Patient hesitating to talk to their church's pastor What would you do in regards to spiritual care? Help patient's maintain self-awareness and inner strength. What statement by the nurse is an example of therapeutic communication? "I think you need to know more about how your medications work." You have a patient undergoing electroconvulsive therapy in the morning. What do you need to do prior? Allow the patient to sign the informed consent after the Dr. explains the procedure
Patient who recently overdosed with an opiate and was given a narcan an hour ago What symptom would require immediate action from the nurse for a newly admitted patient has a blood alcohol level of 41%. CNS depression
