Download Mental Health Exam 2 Quizlet- practice questions & Answers 2025 and more Exams Nursing in PDF only on Docsity!
questions & Answers 2025
The nurse finds a client crying in his room. The client states, "I'm so sad and lonely. I'm sitting here crying like a baby." The nurse's best response is: a. "I think you are a fine man". b. "Why don't you get involved in the activity group?" c. "It's a gray rainy day. That's why you feel down. Everyone is down today." d. "Are you embarrassed because you're crying?" - CORRECT ANSWERS ✔✔d. "Are you embarrassed because you're crying?" A withdrawn client is assessed as having distorted thinking that is not reality based. A nursing diagnosis that should be considered for her would be a. impaired verbal communication. b. disturbed thought processes. c. disturbed self-esteem. d. defensive coping. - CORRECT ANSWERS ✔✔b. disturbed thought processes
questions & Answers 2025
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, Jim most likely is experiencing which symptom(s)? Select all that apply: a. Illusions. b. Paranoia. c. Delusional thinking. d. Auditory hallucinations. e. Impaired reality testing. f. Stereotyped behaviors. - CORRECT ANSWERS ✔✔d. Auditory hallucinations. e. Impaired reality testing. Looseness of associations in a person with schizophrenia indicate a. paranoia. b. mood instability. c. depersonalization.
questions & Answers 2025
While the nurse was doing the assessment, Jeffery turned to an empty chair talking as if someone was sitting there. The nurse was unable to understand what he was mumbling. This, in fact, indicates that the patient has: a. Delusions. b. Hallucinations. c. Illusions. d. Flight of ideas. - CORRECT ANSWERS ✔✔b. Hallucinations. According to the previous scenario, which of the following symptoms is considered a negative symptom of schizophrenia? a. The patient was mumbling. b. The patient shouted; "They're coming! They're coming!" c. The patient has anergia. d. The patient believes that everything in the environment refer to him - CORRECT ANSWERS ✔✔c. The patient has anergia. -lack of energy which should be present -a,b,d are all unwanted symptoms that shouldn't be present
questions & Answers 2025
The client is prescribed a first- generation neuroleptic for his schizophrenia. Discharge teaching by the nurse should include contacting the health provider if which of the following occurs? a. Elevated temperature b. Blurred vision c. Difficulty concentrating d. Inability to remain seated for long period of time - CORRECT ANSWERS ✔✔a. Elevated temperature -Neuroleptic malignant syndrome The client has been on Haldol since admission. Which assessment by the nurse would best determine the effectiveness of a client's antipsychotic medication? a. The client no longer has hallucinations b. The client is no longer depressed c. The client has made a friend on the unit d. The client requested discharge - CORRECT ANSWERS ✔✔a. The client no longer has hallucinations
questions & Answers 2025
- A new graduate has been assigned four patients whom she must perform an assessment on. Her assessment reveals several clients complain. Which client complains should receive priority? a. A client receiving Cogentin who states, "I can't read my book, everything seems blurred." b. The client receiving Clozapine who states, "I think I might be getting the flu, my throat is sore and I feel very tired." c. A client who was admitted for alcoholism and states, " I took my valium but I still feel nervous. d. A client receiving Prozac who states "This medicine makes me sleepy. Is that that normal?" - CORRECT ANSWERS ✔✔b. The client receiving Clozapine who states, "I think I might be getting the flu, my throat is sore and I feel very tired." During a one-to-one session with a client, the nurse notes that the client is unable to stop moving. He frequently stands-up and begins pacing while answering the nurse's questions. The nurse assesses the client's need to be in constant motion as which of the following? a. Akathesia b. Flight-of-ideas c. Echopraxia
questions & Answers 2025
d. Neuroleptic syndrome - CORRECT ANSWERS ✔✔a. Akathesia
- Jeffery is encouraged to attend groups but stays in his room instead. Staff and peers encourage his participation, but his hygiene remains poor. He does not seem to care that others wish that he would behave differently. Which is the most likely explanation for Jeffery failure to respond to others efforts to help him behave in more adaptive fashion? Select all that apply: a. He is avolitional. -drained of energy, goals and tasks b. He is displaying anergia. -lack of energy c. He is displaying negativism -has symptoms that would not normally be present d. He is experiencing social withdrawal. e. He is apathetic due to his schizophrenia- lack of energy towards condition - CORRECT ANSWERS ✔✔a, b, c, d, e Currently what is understood to be the causation of schizophrenia? A. A combination of inherited and nongenetic factors B. Deficient amounts of the neurotransmitter dopamine
questions & Answers 2025
D. Tardive dyskinesia - CORRECT ANSWERS ✔✔D. Tardive dyskinesia The most common course of schizophrenia is an initial episode followed by what course of events? A. Recurrent acute exacerbations and deterioration B. Recurrent acute exacerbations C. Continuous deterioration D. Complete recovery - CORRECT ANSWERS ✔✔A. Recurrent acute exacerbations and deterioration A client diagnosed with paranoid schizophrenia tells the nurse, "I have to get away. The volmers are coming to execute me." The term "volmers" can be assessed as A. a neologism. B. clang association. C. blocking. D. a delusion. - CORRECT ANSWERS ✔✔A. a neologism
questions & Answers 2025
-a relatively recent or isolated term, word, or phrase that may be in the process of entering common use, but that has not yet been fully accepted into mainstream language. A client diagnosed with paranoid schizophrenia refuses food, stating the voices are saying the food is contaminated and deadly. Which response should the nurse provide to this client statement? A. "You are safe here in the hospital; nothing bad will happen to you." B. "The voices are wrong about the hospital food. It is not contaminated." C. "I understand that the voices are very real to you, but I do not hear them." D. "Other people are eating the food, and nothing is happening to them." - CORRECT ANSWERS ✔✔C. "I understand that the voices are very real to you, but I do not hear them." A client, who has been prescribed clozapine 6 weeks ago, reports flulike symptoms including a fever and a very sore throat, the nurse should initiate which nursing intervention? A. Suggest that the client take something for the fever and get extra rest.
questions & Answers 2025
The purpose of the Abnormal Involuntary Movement Scale (AIMS) assessment on a persistently mentally ill client who has been diagnosed with schizophrenia is early detection of A. acute dystonia. B. tardive dyskinesia. C. cholestatic jaundice. D. pseudoparkinsonism. - CORRECT ANSWERS ✔✔B. tardive dyskinesia. Nico, a 22-year-old patient, is diagnosed with schizophrenia. Which of the following symptoms would alert a provider to a possible diagnosis of schizophrenia in a 22-year-old male client? A. Excessive sleeping with disturbing dreams B. Hearing voices telling him to hurt his roommate C. Withdrawal from college because of failing grades D. Chaotic and dysfunctional relationships with his family and peers - CORRECT ANSWERS ✔✔B. Hearing voices telling him to hurt his roommate A teenaged client is being discharged from the psychiatric unit with a prescription for risperidone. The nurse providing medication
questions & Answers 2025
teaching to the client's mother should provide which response when asked about the risk her son faces for extrapyramidal side effects (EPSs)? A. All antipsychotic medications have an equal chance of producing EPSs. B. Newer antipsychotic medications have a higher risk for EPSs. C. Risperidone is a newer antipsychotic medication and has a lower risk of EPSs than older antipsychotics. D. Advise the mother to ask the provider to change the medication to clozapine instead of risperidone. - CORRECT ANSWERS ✔✔C. Risperidone is a newer antipsychotic medication and has a lower risk of EPSs than older antipsychotics. Which characteristic presents the greatest risk for injury to others by the patient diagnosed with schizophrenia? A) Depersonalization B) Pressured speech C) Negative symptoms D) Paranoia - CORRECT ANSWERS ✔✔D) Paranoia
questions & Answers 2025
Prevention of ______and ________from sudden cardiac collapse are essential during acute mania. - CORRECT ANSWERS ✔✔exhaustion; death The nurse is planning care for a patient experiencing the acute phase of mania. Which is the priority intervention? A. Maintain stable cardiac status. B. Prevent injury. C. Get the patient to demonstrate thought self-control. D. Ensure that the patient get sufficient sleep and rest. - CORRECT ANSWERS ✔✔B. Prevent injury. Formulate three nursing diagnosis appropriate for a patient with mania - CORRECT ANSWERS ✔✔-Risk for injury -Risk for suicide -Risk for malnutrition Describe common medications used for bipolar disorders - CORRECT ANSWERS ✔✔-Antipsychotics -Mood stabilizers -Anti-anxiety
questions & Answers 2025
-Antidepressant
- What critical information should the nurse provide about the use of lithium? A. "You will still have hypersexual tendencies. So be certain to use protection when engaging in intercourse". B. "Lithium will help you to only feel the euphoria of mania but not the anxiety" C. "It will take one to two weeks and may be longer for this medication to start working fully". D. "This medication is a cure for bipolar disorder" - CORRECT ANSWERS ✔✔C. "It will take one to two weeks and may be longer for this medication to start working fully". The nurse has provided education for a patient in the continuation phase after discharge from the hospital. What indicates that the plan of care has been successful? Select all that apply: A. Patient identifies three signs and symptoms of relapse.
questions & Answers 2025
What term is used to identify the condition demonstrated by a person who has numerous hypomanic and dysthymic episodes over a two-year period? A. Bipolar II disorder. B. Bipolar I disorder. C. Cyclothymia. D. Seasonal affective disorder. - CORRECT ANSWERS ✔✔C. Cyclothymia. When a client reports that lithium causes an upset stomach, the nurse should make which suggestion associated with taking the medication? A. With meals B. With an antacid C. 30 minutes before meals D. 2 hours after meals - CORRECT ANSWERS ✔✔A. With meals When a client experiences four or more mood episodes in a 12- month period, which term is used to describe this behavior?
questions & Answers 2025
A. Dyssynchronous B. Incongruent C. Cyclothymic D. Rapid cycling - CORRECT ANSWERS ✔✔D. Rapid cycling The nurse can expect a client demonstrating typical manic behavior to be attired in clothing that includes with characteristics? A. Dark colored and modest B. Colorful and outlandish C. Compulsively neat and clean D. Ill-fitted and ragged - CORRECT ANSWERS ✔✔B. Colorful and outlandish Which behavior would be characteristic of a client during a manic episode? A. Going rapidly from one activity to another B. Taking frequent rest periods and naps during the day C. Being unwilling to leave home to see other people
