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Mental Health final SLCC Questions and Answers 100% Correct
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Mental Health final SLCC
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Mental Health final SLCCA patient's relationships are intense and unstable. The patient initially idealizes the
significant other and then devalues them, resulting in frequent feelings of emptiness.
This patient will benefit from interventions to develop which aspect of mental health?
a. Effectiveness in work
b. Communication skills
c. Productive activities
d. Fulfilling relationships - answerd. Fulfilling relationships.
A nurse is part of a multidisciplinary team working with groups of depressed patients.
Half the patients receive supportive interventions and antidepressant medication. The
other half receives only medication. The team measures outcomes for each group.
Which type of study is evident?
a. Prevalence
b. Clinical epidemiology
c. Descriptive epidemiology
d. Experimental epidemiology - answerb. Clinical epidemiology.
A 4-year-old grabs toys from siblings and says, "I want that now!" The siblings cry, and
the child's parent becomes upset with the behavior. Using Freudian theory, the nurse
can interpret this behavior as a product of impulses originating in the:
a. id
b. Ego
c. superego
d. preconscious - answera. id
A patient says, "I never know the answers" and "My opinion doesn't count." The nurse
correctly assesses that this patient had difficulty resolving which psychosocial crisis?
a. Initiative versus guilt
b. Trust versus mustrust
c. Autonomy versus shame and doubt
d. Generativity versus self-absorption - answerc. Autonomy versus shame and doubt
Operant conditioning is part of the treatment plan to encourage speech in a child who is
nearly mute. Which technique applies?
,a. Encourage the child to observe others talking.
b. Include the child in small group activities
c. Give the child a small treat for speaking.
d. Teach the child relaxation techniques - answerc. Give the child a small treat for
speaking
A nurse cares for patients taking various medications, including buspirone (BuSpar),
haloperidol (Haldol), carbamazepine (Tegretol), trazodone (Desyrel), and phenelzine,
(Nardil). The nurse will order a special diet for the patient who takes:
a. buspirone
b. haloperidol
c. carbamazepine
d. trazodone
e. phenelzine - answere. phenelzine
A category 5 hurricane is approaching. Which change in an individual's vital signs is
most likely?
a. Pulse rate changes from 90 to 72
b. Pupil size changes from 6 mm to 4 mm
c. Complaints of intestinal cramping begin
d. Blood pressure changes from 114/62 to 136/78 - answerd. Blood pressure changes
from 114/62 to 136/78
A patient was hospitalized for a reaction to psychotropic medication. A new medication
was prescribed, and the patient was monitored for 24 hours. During pre-discharge
planning, the case manager learned that the patient received a notice of eviction on the
day of admission. Select the most appropriate action for the case manager.
a. Cancel the patient's discharge from the hospital
b. Contact the landlord who evicted the patient to further discuss the situation.
c. Arrange a temporary place for the patient to stay until new housing can be arranged.
d. Determine whether the adverse medication reaction was artificial, because the
patient had nowhere to live. - answerc. Arrange a temporary place for the patient to stay
until new housing can be arranged.
At age 19, an individual developed a serious mental illness. Symptoms continued for 2
years despite treatment, and the individual is unable to work. For which resource should
this individual apply?
a. Social security disability insurance
b. Veterans Administration benefits
c. Supplemental security income
d. Welfare - answerc. Supplemental security income
, Select the example of tertiary prevention
a. Helping a person with serious and persistent mental illness learn to manage money.
b. Restraining a psychotic patient who has become aggressive and assaultive
c. Teaching school-age children about the dangers of drugs and alcohol
d. Genetic counseling with a young couple expecting their first child. - answera. Helping
a person with serious and persistent mental illness learn to manage money.
A patient with schizophrenia has been stable in the community for 6 weeks. Today the
patient's spouse calls the nurse to report the patient's thinking is disorganized. The
nurse makes a home visit and learns the patient is willing to take medication but forgot
to have the prescription refilled. The nurse arranges a refill. Select the best outcome to
add to the plan of care.
a. The patient's spouse will mark dates for prescription refills on the family calendar.
b. The nurse will obtain prescription refills every 90 days and deliver to the patient.
c. The patient will call the nurse weekly to discuss medication-related issues.
d. The patient will report to the clinic for medication follow-up every week. - answera.
The patient's spouse will mark dates for prescription refills on the family calendar.
A Native American patient describes difficulty learning as a cild, living on a reservation,
and being sent away to a Native American boarding school. The patient began using
alcohol as a teenager to escape feelings of isolation but stopped 10 years ago when
gastritis developed. The patient now says, "I feel stupid and good for nothing. I don't
help my people." Which nursing diagnosis applies?
a. Risk for other-directed violence
b. Chronic low self-esteem
c. Deficient knowledge
d. Non-adherence - answerb. Chronic low self-esteem
A depressed patient believes in traditional remedies but agrees to take an
antidepressant medication. The patient tells the nurse, "I will also treat my symptoms
with my own healing practices." Select the nurse's most important response.
a. "You agreed to take this prescription. You must avoid herbal remedies."
b. "What herbs and special foods do you plan to use?"
c. "Will your treatment include yoga or meditation?"
d. "Will you do special breathing exercises?" - answerb. "What herbs and special foods
do you plan to use?"
What is the legal significance of a nurse's action when a patient verbally refuses
medication and the nurse gives the medication over the patient's objection? The nurse:
a. has been negligent.
b. committed malpractice
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