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NURS 3525 MENTAL HEALTH EXAM REAL EXAM QUESTIONS AND CORRECT ANSWERS|KEISER UNIVERSITY
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NURS 3525 MENTAL HEALTH EXAM REAL EXAM QUESTIONS AND CORRECT ANSWERS|KEISER UNIVERSITY
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Test Bank for Psychiatric & Mental Health Nursing, 3rd Edition, Ruth Elder, Katie Evans, Debra Nizette.
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TEST BANK FOR PSYCHIATRIC & MENTAL HEALTH NURSING, 3RD EDITION, RUTH ELDER, KATIE EVANS, DEBRA NIZETTE
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NURS 3525 MENTAL HEALTH EXAM REAL EXAM QUESTIONSAND CORRECT ANSWERS|KEISER UNIVERSITY
A 19-year-old college student, Todd, is brought to your clinic by his mother. She is
concerned that there is something seriously wrong with him. She states for the past
6 months his behavior has become peculiar and he has flunked out of college. Todd
denies any recent illness or injuries. His past medical history is remarkable only for a
broken foot. His parents are both healthy. He has a paternal uncle who had similar
symptoms in college. The patient admits to smoking cigarettes and drinking alcohol.
He also admits to marijuana use but none in the last week. He denies using any other
substances. He denies any feelings of depression or anxiety. While speaking with
Todd and his mother you do a complete physical examination, which is essentially
normal. When you question him on how he is feeling, he says that he is very worried
that Microsoft has stolen his software for creating a better browser. He tells you he
has se - ANSWER: D) Schizophrenia
A 24-year-old secretary comes to your clinic, complaining of difficulty sleeping,
severe nightmares, and irritability. She states it all began 6 months ago when she
went to a fast food restaurant at midnight. While she was waiting in her car a man
entered through the passenger door and put a gun to her head. He had her drive to a
remote area, where he took her money and threatened to kill her. When the gun
jammed he panicked and ran off. Ever since this occurred the patient has been
having these symptoms. She states she jumps at every noise and refuses to drive at
night. She states her anxiety has had such a marked influence on her job
performance she is afraid she will be fired. She denies any recent illnesses or injuries.
Her past medical history is unremarkable. On examination you find a nervous woman
appearing her stated age. Her physical examination is unremarkable. You
recommend medication and counseling.
What - ANSWER: C) Post-traumatic stress disorder
A 75-year-old homemaker brings her 76-year-old husband to your clinic. She states
that 4 months ago he had a stroke and ever since she has been frustrated with his
problems with communication. They were at a restaurant after church one Sunday
when he suddenly became quiet. When she realized something was wrong he was
taken to the hospital by EMS. He spent 2 weeks in the hospital with right-sided
weakness and difficulty speaking. After hospitalization he was in a rehab center,
where he regained the ability to walk and most of the use of his right hand. He also
began to speak more, but she says that much of the time "he doesn't make any
sense." She gives an example that when she reminded him the car needed to be
serviced he told her "I will change the Kool-Aid out of the sink myself with the
ludrip." She says that these sayings are becoming frustrating. She wants you to tell
her what is wrong and what you can do about - ANSWER: A) Wernicke's aphasia
,A 32-year-old white female comes to your clinic, complaining of overwhelming
sadness. She says for the past 2 months she has had crying episodes, difficulty
sleeping, and problems with overeating. She says she used to go out with her friends
from work but now she just wants to go home and be by herself. She also thinks that
her work productivity has been dropping because she just is too tired to care or
concentrate. She denies any feelings of guilt or any suicidal ideation. She states that
she has never felt this way in the past. She denies any recent illness or injuries. Her
past medical history consists of an appendectomy when she was a teenager;
otherwise, she has been healthy. She is single and works as a clerk in a medical
office. She denies tobacco, alcohol, or illegal drug use. Her mother has high blood
pressure and her father has had a history of mental illness. On examination you see a
woman appearing her st - ANSWER: C) Major depressive episode
A 27-year-old woman is brought to your office by her mother. The mother tells you
that her daughter has been schizophrenic for the last 8 years and is starting to
decompensate despite medication. The patient states that she has been taking her
antipsychotic and she is doing just fine. Her mother retorts that her daughter has
become quite paranoid. When asked why, the mother gives an example about the
mailman. She says that her daughter goes and gets the mail every day and then
microwaves the letters. The patient agrees that she does this but only because she
sees the mailman flipping through the envelopes and she knows he's putting anthrax
on the letters. Her mother turns to her and says, "He's only sorting the mail!"
Which best describes the patient's abnormality of perception?
A) Illusion
B) Hallucination
C) Fugue state - ANSWER: A) Illusion
A 22-year-old man is brought to your office by his father to discuss his son's mental
health disorder. The patient was diagnosed with schizophrenia 6 months ago and has
been taking medication since. The father states that his son's dose isn't high enough
and you need to raise it. He states that his son has been hearing things that don't
exist. You ask the young man what is going on and he tells you that his father is just
jealous because his sister talks only to him. His father turns to him and says, "Son,
you know your sister died 2 years ago!" His son replies "Well, she still talks to me in
my head all the time!"
Which best describes this patient's abnormality of perception?
A) Illusion
B) Hallucination
C) Fugue state - ANSWER: B) Hallucination
A 26-year-old violinist comes to your clinic, complaining of anxiety. He is a first chair
violinist in the local symphony orchestra and has started having symptoms during
performances, such as sweating, shaking, and hyperventilating. It has gotten so bad
that he has thought about giving up his first chair status so he does not have to play
the solo during one of the movements. He says that he never has these symptoms
during rehearsals or when he is practicing. He denies having any of these symptoms
at any other time. His past medical history is unremarkable. He denies any tobacco
, use, drug use, or alcohol abuse. His parents are both healthy. On examination you
see a young man who appears worried. His vital signs and physical examination are
unremarkable.
What type of anxiety disorder best describes his situation?
A) Panic disorder
B) Specific phobia
C) Social phobia
D) Generalized anxiety disorder - ANSWER: C) Social phobia
A 23-year-old ticket agent is brought in by her husband because he is concerned
about her recent behavior. He states that for the last 2 weeks she has been
completely out of control. He says that she hasn't showered in days, stays awake
most of the night cleaning their apartment, and has run up over $1,000 on their
credit cards. While he is talking, the patient interrupts him frequently and declares
this is all untrue and she has never been so happy and fulfilled in her whole life. She
speaks very quickly, changing the subject often. After a longer than normal interview
you find out she has had no recent illnesses or injuries. Her past medical history is
unremarkable. Both her parents are healthy but the husband has heard rumors
about an aunt with similar symptoms. She and her husband have no children. She
smokes one pack of cigarettes a day (although she has been chain-smoking in the
last 2 weeks), drinks four to si - ANSWER: B) Manic episode
A 72-year-old African-American male is brought to your clinic by his daughter for a
follow-up visit after his recent hospitalization. He had been admitted to the local
hospital for speech problems and weakness in his right arm and leg. On admission
his MRI showed a small stroke. The patient was in rehab for 1 month following his
initial presentation. He is now walking with a walker and has good use of his arm. His
daughter complains, however, that everyone is still having trouble communicating
with the patient. You ask the patient how he thinks he is doing. Although it is hard
for you to make out his words you believe his answer is "well . . . fine . . . doing . . .
okay." His prior medical history involved high blood pressure and coronary artery
disease. He is a widower and retired handyman. He has three children who are
healthy. He denies tobacco, alcohol, or drug use. He has no other current symptoms.
On examinati - ANSWER: B) Broca's aphasia
A 35-year-old stockbroker comes to your office, complaining of feeling tired and
irritable. She also says she feels like nothing ever goes her way and that nothing
good ever happens. When you ask her how long she has felt this way she laughs and
says, "Since when have I not?" She relates that she has felt pessimistic about life in
general since she was in high school. She denies any problems with sleep, appetite,
or concentration, and states she hasn't thought about killing herself. She reports no
recent illnesses or injuries. She is single. She smokes one pack of cigarettes a day,
drinks occasionally, and hasn't taken any illegal drugs since college. Her mother
suffers from depression and her father has high blood pressure. On examination her
vital signs and physical examination are unremarkable.
What mental health disorder best describes her symptoms?
A) Major depressive episode
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