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2024/25 MENTAL HEALTH FINAL EXAM | 159 QUESTIONS | WITH ACTUAL ANSWERS!!
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2024/25 MENTAL HEALTH FINAL EXAM | 159 QUESTIONS | WITH ACTUAL ANSWERS!!
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2024/25 MENTAL HEALTH FINAL EXAM | 159QUESTIONS | WITH ACTUAL ANSWERS!!
All of the following are nursing diagnoses identified for a client who is living
with Schizophrenia. The student nurse correctly anticipates which diagnosis will
resolve when the client's negative symptoms improve?:
a) Impaired verbal communication
b) Risk of other directed violence
c) Disturbed thought processes
d) Social isolation Answer - d) Social isolation
The nurse understands that empathy is essential to the therapeutic
relationship. When a patient makes the statement, "I am just devastated that
my marriage is falling apart," the nurse can best show empathy through which
of the following responses?:
a) "I have been divorced too. I know how hard it is."
b) "At least you have support from your family"
c) "You feel like your world is falling apart right now."
d) "I feel sorry for what you are going through." Answer - c) "You feel like your
world is falling apart right now."
Which would be a reason for a student nurse to use the DSM?
a) Obtain a framework to evaluate treatments
b) Understand the reason for the admission and the nature of psychiatric
illnesses.
c) Identifying the medical diagnosis and research evidence
,d) Identify guidelines to treat clients Answer - c) Identifying the medical
diagnosis and research evidence
Which of the following treatment modalities is most effective for OCD?
a) Behavioral techniques
b) Medication
c) Behavioral techniques and medication
d) Ignoring it Answer - c) Behavioural techniques and medication
Annika , a 27 year old young woman on your unit, cries and states, "I'm really
sick of feeling this way. Nothing ever seems to go right in my life." Which
response that you could make would be most therapeutic:
a) "Annika I can see you are sad. Try to look at the positive side of things"
b) "You are feeling really sad right now. It's a hard time for you."
c) "Hang in there, Your medication will start in a few days".
d) "Annika, nothing every goes right. That is life". Answer - b) "You are feeling
really sad right now. It's a hard time for you."
The following clients are waiting to be seen in the Emergency Department.
Which client should the nurse assess first?
a) A person who has used cocaine and has chest pain
b) An intoxicated client with a long history of alcholism
c) A client who recently experienced a "bad trip" from LSD.
d) A woman who thinks she was given ketamine Answer - a) A person who has
used cocaine and has chest pain
You are completing a mental status exam (MSE) on Susan , who is 10 years old.
You recognize that the MSE is a brief narrative that reflects observations and
impressions that:
,a) remain relatively stable over time.
b) are used exclusively in mental health settings.
c) are variable over time.
d) are objective of the interviewer. Answer - c) are variable over time.
Which is a nursing intervention that would best promote the development of
trust in the nurse-client relationship?:
a) Simply and clearly providing reasons for policies and procedures
b) Calling the client by name and title ( Mr. Hawkins)
c) Taking the client's ideas into consideration when planning care
d) Striving to understand the motivations behind the client's behaviour Answer
- a) Simply and clearly providing reasons for policies and procedures
Which of the following statements is True about mental illness? Mental illness
is:
a) often caused by bad parenting
b) a major cause of violent behaviour
c) a flaw in one's personality
d) an illness from which one can recover Answer - d) an illness from which one
can recover
Wernicke's Syndrome is caused by:
a) increased dopamine levels.
b) increased calcium levels.
c) deficient adrenergic stimulation.
d) deficient GI absorption of thiamine. Answer - d) deficient GI absorption of
thiamine.
, Which of the following symptoms presented by the client requires the nurse's
immediate attention?
a) Outlandish behaviors, nonstop chatter, and inappropriate dress.
b) Grandiose delusions of being a royal descendent of King Arthur.
c) Nonstop physical activity and poor nutritional intake.
d) Incessant talking that includes sexual innuendo and teasing of the staff.
Answer - c) Nonstop physical activity and poor nutritional intake.
Which of the following factors influencing the Mental Status assessment is
under the nurse's control?
a) Client participation and feedback
b) Nurse's attitude and approach
c) Client's ability to understand
d) Client's health status Answer - b) Nurse's attitude and approach
All of the following are included in the plan of care for a client with
schizophrenia. Which nursing intervention should the nurse perform first when
caring for this client?
a) Observe for signs of fear or agitation
b) Maintain reality through frequent contact
c) Encourage to participate in the treatment milieu
d) Assess community support systems Answer - a) Observe for signs of fear or
agitation
One of the primary differences between social and therapeutic relationships is
the
a) amount of emotion invested.
b) kind of information given.
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