MENTAL HEALTH NURSING QUESTIONS AND ANSWERS NEW UPDATE 2024/2025 ALL ANSWERS 100% CORRECT, Exams of Nursing

Download MENTAL HEALTH NURSING QUESTIONS AND ANSWERS NEW UPDATE 2024/2025 ALL ANSWERS 100% CORRECT and more Exams Nursing in PDF only on Docsity! MENTAL HEALTH NURSING QUESTIONS AND ANSWERS NEW UPDATE 2024/2025 ALL ANSWERS 100% CORRECT VERIFIED BEST GRADED A+ FOR SUCCESS A nurse is about to interview a patient whose glasses and hearing aid were placed in a safe- keeping locker when she was admitted. Before beginning the interview, which nursing intervention will best facilitate data collection? a. Ask the patient if she needs her glasses and hearing aid. b. Tell the patient where her safe-keeping locker is. c. Assist the patient in getting and putting on her glasses and hearing aid. d. Explain the importance of wearing her hearing aid and glasses. - CORRECT ANSWERS c. Assist the patient in getting and putting on her glasses and hearing aid. A patient whose hearing or sight is impaired may have difficulty providing information if these items have been removed from his or her possession. Assisting the patient in getting and wearing these assistive devices is the best initial intervention. Assessment of children should be accomplished by a combination of which of the following techniques? a. Interview and observation b. Standardized testing and interview c. Creative therapies d. Collateral data from school and family - CORRECT ANSWERS a. Interview and observation Assessment of children should be accomplished by a combination of interview and observation. When interviewing an adolescent patient, the nurse can expect the patient to be most concerned about which of the following issues? a. Confidentiality b. Sexual orientation c. Substance use or abuse MENTAL HEALTH NURSING QUESTIONS AND ANSWERS NEW UPDATE 2024/2025 ALL ANSWERS 100% CORRECT VERIFIED BEST GRADED A+ FOR SUCCESS d. Family mental problems - CORRECT ANSWERS a. Confidentiality Adolescents are often concerned that what they reveal to the nurse or health care team will be shared with parents. Confidentiality should be explained at the outset of the interview. The nurse best assesses the patient's spiritual life by asking which of the following? a. "Do you practice a specific religion?" b. "To whom do you turn in times of crisis?" c. "Do you attend church regularly?" d. "What role does religion or spiritual practice play in your life?" - CORRECT ANSWERS d. "What role does religion or spiritual practice play in your life?" Asking the patient to define the role of religion or spirituality in his or her life allows for discussion related to the other topics. Which nursing diagnosis for a psychiatric patient is correctly structured and worded? a. Hopelessness related to severe chronic depression b. Spiritual distress as evidenced by patient stating, "God has abandoned me because I'm a bad person" c. Defensive coping related to lack of insight associated with illicit drug use d. Imbalanced nutrition: less than body requirements related to poor self-concept as evidenced by reporting, "I don't deserve to eat." - CORRECT ANSWERS d. Imbalanced nutrition: less than body requirements related to poor self-concept as evidenced by reporting, "I don't deserve to eat." This diagnosis contains all the required components: problem statement, the etiology, and supporting data. MENTAL HEALTH NURSING QUESTIONS AND ANSWERS NEW UPDATE 2024/2025 ALL ANSWERS 100% CORRECT VERIFIED BEST GRADED A+ FOR SUCCESS obtain and succeed in interviews for a replacement job contributes to his enhanced resilience. You are helping your friend deal with his situation and find a replacement job but not in a manner that leads him to experience success via his own efforts. As a result of using your connections to set up an interview with your employer, your friend does not have an opportunity to experience a sense of mastery over stress, so this action is less likely to contribute to increased resilience. You are helping your friend deal with his situation and find a replacement job but not in a manner that leads him to experience success via his own efforts. As a result of connecting him with a friend of the family who owns his own business, your friend does not have an opportunity to experience a sense of mastery over stress, so this action is less likely to contribute to increased resilience. Helping him to understand that the layoff resulted from troubles in the economy and is not his fault does not provide your friend with an opportunity to experience a sense of mastery over stress, so this action is less likely to contribute to increased resilience. Which of the following situations best supports the diathesis-stress model of mental illness development? a. the rate of suicide increases during times of national disaster and despair b. a woman feels mildly anxious when asked to speak to a large group c. a man with no prior mental health problems experiences sadness after his divorce d. a man develops schizophrenia, but his identical twin remains free of mental illness - CORRECT ANSWERS d. a man develops schizophrenia, but his identical twin remains free of mental illness; The diathesis-stress theory states that some persons are born with a biological predisposition to mental illness but that mental illness does not necessarily develop unless those susceptible persons are exposed to stressors that trigger the illness. Thus, two persons may have the same genetic profile, but one might develop a mental illness due to stressful life experiences whereas the other, despite having the same genetic makeup, has a different life experience and fails to develop the illness. Although the rate of suicide may increase during times of national disaster and despair, there is not a biological predisposition for an increase in suicides. Speaking to a large group of people may be stressful, so mild anxiety would be considered a normal reaction. MENTAL HEALTH NURSING QUESTIONS AND ANSWERS NEW UPDATE 2024/2025 ALL ANSWERS 100% CORRECT VERIFIED BEST GRADED A+ FOR SUCCESS Experiencing sadness after a stressful environmental event does not indicate a mental illness. Of the following statements about mental illness, identify all of the correct ones: a. about 20% of Canadians experience a mental disorder during their lifetime b. mental disorders and diagnoses occur very consistently across cultures c. most serious mental illness are psychological rather than biological in nature d. the MHC report *Changing Directions, Changing Lives* outlines the mental health strategy for Canada - CORRECT ANSWERS a & d; One in five Canadians will develop a mental illness in their lifetime. The Mental Health Commission report Changing Directions, Changing Lives outlines the 2012 Mental Health Strategy for Canada, highlighting six strategic directions: promotion and prevention; recovery and rights; access to services; disparities and diversity; First Nations, Inuit and Métis; and leadership and collaboration. Which of the following actions represent the primary focus of psychiatric nursing for a basic- level registered nurse? a. determining a pt diagnosis according to the DSM-5 b. ordering diagnostic tests c. identify how a pt is coping wit ha symptom such as hallucinations d. guiding a patient to learn and use a variety of stress management techniques e. helping a pt without personal transport find a way to his/her treatment appts. f. collecting petition signatures seeking the removal of stigmatizing images on television - CORRECT ANSWERS c, d, e & f; The focus of psychiatric nursing involves using the nursing process to promote mental health and to facilitate constructive responses to mental health problems or psychiatric disorders. Identifying how a patient is coping with a symptom such as hallucinations, guiding a patient to learn stress-management techniques, helping a patient find transportation to treatment MENTAL HEALTH NURSING QUESTIONS AND ANSWERS NEW UPDATE 2024/2025 ALL ANSWERS 100% CORRECT VERIFIED BEST GRADED A+ FOR SUCCESS appointments, and collecting petition signatures seeking the removal of stigmatizing images on television are all roles of nurses working in psychiatry. The quantitative study of the distribution of mental disorders in human populations is called which of the following? a. mortality b. prevalence c. epidemiology d. clinical epidemiology - CORRECT ANSWERS c. epidemiology Epidemiology is the quantitative study of the distribution of mental disorders in human populations. Mortality refers to deaths. Prevalence refers to the proportion of a population with a mental disorder at a given time. Clinical epidemiology deals with what happens to people with illnesses who are seen by providers of care. Which statement best describes the DSM-5? a. It is a medical psychiatric assessment system. b. It is a compendium of treatment modalities. c. It offers a complete list of nursing diagnoses. d. It suggests common interventions for mental disorders. - CORRECT ANSWERS a. it is a medical psychiatric assessment system The DSM-5 is a classification of mental disorders that includes descriptions and criteria of diagnoses. Current information suggests that the most disabling mental disorders are the result of which of the following? a. Biological influences MENTAL HEALTH NURSING QUESTIONS AND ANSWERS NEW UPDATE 2024/2025 ALL ANSWERS 100% CORRECT VERIFIED BEST GRADED A+ FOR SUCCESS Which field of epidemiology is the nurse involved in when seeking outcomes for patients whose depression was treated with electroconvulsive therapy (ECT)? a. Experimental b. Descriptive c. Clinical d. Analytic - CORRECT ANSWERS d. Clinical Clinical epidemiology represents a broad field that addresses what happens to people with illnesses who are seen by providers of clinical care. Studies use traditional epidemiological methods and are conducted in groups that are usually defined by illness or symptoms or by diagnostic procedures or treatments given for the illness or symptoms. A patient tells the mental health nurse, "I am terribly frightened! I hear whispering that someone is going to kill me." Which criterion of mental health can the nurse assess as lacking? a. Control over behaviour b. Accurate appraisal of reality c. Effectiveness in work d. Healthy self-concept - CORRECT ANSWERS b. Accurate appraisal of reality The appraisal of reality is lacking for this patient. The patient does not have a picture of what is happening around himself or herself. A 14-year-old belongs to a gang that bullies and punishes other teens, engages in sexually promiscuous behaviour, attends school infrequently and argues with her parents, claiming they are just old-fashioned and don't understand her. What does the assessment data support about the patient? MENTAL HEALTH NURSING QUESTIONS AND ANSWERS NEW UPDATE 2024/2025 ALL ANSWERS 100% CORRECT VERIFIED BEST GRADED A+ FOR SUCCESS a. That she is exhibiting problems related to conduct and behaviour b. That she cannot accurately appraise reality c. That she is seriously and persistently mentally ill d. That she should be considered for group home placement - CORRECT ANSWERS a. That she is exhibiting problems related to conduct and behaviour This patient is demonstrating disturbed conduct and behaviour. This patient demonstrates undersocialized, aggressive behaviour such as a repetitive and persistent pattern of aggressive conduct in which the basic rights of others are violated. The nurse planning care for a mentally ill patient bases interventions for recovery on which of the following concepts? a. That the patient has areas of strength on which to build b. That the patient has rights that must be respected c. That the patient comes with experiences that contribute to his or her problem. d. That the patient share fears that are similar to those of all mentally healthy individuals - CORRECT ANSWERS a. That the patient has areas of strength on which to build Nurses support recovery by evaluating patients with mental health issues for their strengths and their areas of high functioning. It is important to build on and encourage the strengths and many attributes of mental health in patients with mental health issues. An individual is found to consistently wear only a bathrobe and to neglect the cleanliness of his apartment. When neighbours ask him to stop his frequent outbursts of operatic arias, he acts outraged and tells them he must sing daily and will not promise to be quieter. What does this behaviour support about him? a. That he is demonstrating symptoms of bipolar disorder b. That he is socially deviant c. That he is egocentric MENTAL HEALTH NURSING QUESTIONS AND ANSWERS NEW UPDATE 2024/2025 ALL ANSWERS 100% CORRECT VERIFIED BEST GRADED A+ FOR SUCCESS d. That he is not demonstrating any definitive signs of mental illness - CORRECT ANSWERS d. That he is not demonstrating any definitive signs of mental illness One myth about mental illness is that to be mentally ill is to be different and odd. Another misconception is that to be healthy, a person must be logical and rational. Everyone dreams "irrational" dreams at night, and "irrational" emotions are universal human experiences and are essential to a fulfilling life. Some people who show extremely abnormal behaviour and are characterized as mentally ill are far more like the rest of us than different from us. No obvious and consistent line between mental illness and mental health exists. A nursing diagnosis for a patient with a psychiatric disorder serves which of the following purposes? a. It justifies the use of certain psychotropic medication. b. It provides data essential for insurance reimbursement. c. It provides a framework for selecting appropriate interventions. d. It completes the medical diagnostic statement. - CORRECT ANSWERS d. It completes the medical diagnostic statement. Nursing diagnoses provide the framework for identifying appropriate nursing interventions for dealing with the phenomena a patient with a mental health disorder is experiencing. The mental health status of a particular patient can best be assessed by considering which of the following? a. The degree of conformity of the individual to society's norms b. The degree to which an individual is logical and rational c. Placement on a continuum from health to illness d. The rate of intellectual and emotional growth - CORRECT ANSWERS c. Placement on a continuum from health to illness MENTAL HEALTH NURSING QUESTIONS AND ANSWERS NEW UPDATE 2024/2025 ALL ANSWERS 100% CORRECT VERIFIED BEST GRADED A+ FOR SUCCESS a. "You will participate in unit activities and groups daily." b. "You will be given a schedule daily of the groups we would like you to attend." c. "You will attend a psychotherapy group that I lead." d. "You will see your provider daily in a one-to-one session." - CORRECT ANSWERS c. "You will attend a psychotherapy group that I lead." Basic level RNs cannot perform psychotherapy. The other options are all appropriate expectations of a patient's schedule on a psychiatric unit. A nurse who is active in local consumer mental health groups and in local and provincial mental health associations and who keeps aware of provincial legislation and national strategy affecting mental illness treatment may positively affect the climate for treatment by doing which of the following? a. Becoming active in politics, leading to a potential political career b. Reducing the stigma of mental illness, promoting recovery, and advocating for equality in the strategic directions of mental health in Canada c. Encouraging laws that would make the involuntary long-term commitment process easier and faster for caregivers of mentally ill persons d. Advocating for reduced mental health insurance benefits to discourage abuse of the system by inappropriate psychiatric admissions - CORRECT ANSWERS b. Reducing the stigma of mental illness, promoting recovery, and advocating for equality in the strategic directions of mental health in Canada Nurses who are aware of policy and legal concerns and who are active in organizations that promote mental health awareness, recovery initiatives, and appropriate and equal treatment for mental illness help achieve the goal of parity, or equality of treatment for mentally ill individuals. Becoming active in politics may be a personal goal but does not directly or necessarily reduce stigma or encourage treatment equality. The other options are undesirable outcomes. Providing a large group of patients minimal care through assistance with tasks such as bathing, eating, and toileting was historically referred to as what form of care? MENTAL HEALTH NURSING QUESTIONS AND ANSWERS NEW UPDATE 2024/2025 ALL ANSWERS 100% CORRECT VERIFIED BEST GRADED A+ FOR SUCCESS a. Structural b. Moral treatment c. Custodial d. Asylum - CORRECT ANSWERS c. Custodial Provision of care to a large population of people receiving only minimal basic assistance in performing the basic daily necessities of life, such as dressing, eating, using a toilet, walking, and so on was known as custodial care. This emerged in Canada when immigration and urbanization trends expanded. Asylum-based training programs began in the late 1800s in Canada. What was the rationale for initiating psychiatric nursing training? a. There were greater needs for custodial care b. Changes in treatment approaches meant greater needs for nursing care and assistance c. The early feminist movement advocated for career training for women and girls d. The moral treatment era meant that early psychotherapy strategies were desired in asylum settings - CORRECT ANSWERS b. Changes in treatment approaches meant greater needs for nursing care and assistance As new medical and experimental techniques were being trialed in asylums, nursing care and assistance was required by medical doctors who were the instructors of the first Canadian psychiatric nursing schools. Which interventions could be seen as influenced by the moral treatment movement, with origins in late 1700s France? a. Providing structure and rules to the environment b. Patient teaching for self-care and empowerment c. Strict application of legal and ethical codes of conduct MENTAL HEALTH NURSING QUESTIONS AND ANSWERS NEW UPDATE 2024/2025 ALL ANSWERS 100% CORRECT VERIFIED BEST GRADED A+ FOR SUCCESS d. Talking to the patient and providing a calming, soothing environment - CORRECT ANSWERS d. Talking to the patient and providing a calming, soothing environment In the late 1700s, moral treatment was advocated for by a French physician, along with other humanitarians and reformers who desired more humane treatment of people with mental illness, by literally removing the chains of the patients, talking to them, and providing a calmer, soothing environment. Expanded community and advanced-practice roles for nurses in psychiatric mental health care can be traced to which historical trend? a. Asylum care b. Moral treatment c. Deinstitutionalization d. An aging population - CORRECT ANSWERS c. Deinstitutionalization Psychiatric nursing continued to take place predominantly in hospital settings until the 1960s, when deinstitutionalization—the shift from caring for people with mental illness in institutions to caring for them in communities—began, significantly changing the role of the nurse. A nurse employing practices of custodial care might be involved which activities? a. Promoting sleep hygiene and regulating the circadian rhythm b. Managing guardianship and trusteeship c. Bathing, feeding, toileting d. Cognitive-behavioural therapy - CORRECT ANSWERS c. Bathing, feeding, toileting In most historical asylum settings, a large population of people received only minimal care that was referred to as "custodial care." This care involved assistance in performing the basic daily necessities of life, such as dressing, eating, using a toilet, walking, and so on. The term continues to be used to this day in reference to basic physical care. MENTAL HEALTH NURSING QUESTIONS AND ANSWERS NEW UPDATE 2024/2025 ALL ANSWERS 100% CORRECT VERIFIED BEST GRADED A+ FOR SUCCESS Homeostasis is promoted by interaction between the brain and internal organs, mediated by which of the following? a. Conscious behaviour b. The autonomic nervous system c. The sympathetic nervous system d. The parasympathetic nervous system - CORRECT ANSWERS b. The autonomic nervous system The function of the autonomic nervous system is to transmit messages between the brain and the internal organs. This linkage promotes the maintenance of homeostasis. Cells that respond to stimuli, conduct electrical impulses, and release neurotransmitters are called which of the following? a. Neurons b. Synapses c. Dendrites d. Receptors - CORRECT ANSWERS a. Neurons Neurons are the basic functional unit of the nervous system and are responsible for sending and receiving messages as electrochemical events. Which imaging technique can provide information about brain function? a. Computed tomography (CT) scan b. Positron emission tomography (PET) scan c. Magnetic resonance imaging (MRI) scan d. Skull radiograph - CORRECT ANSWERS b. Positron emission tomography (PET) scan MENTAL HEALTH NURSING QUESTIONS AND ANSWERS NEW UPDATE 2024/2025 ALL ANSWERS 100% CORRECT VERIFIED BEST GRADED A+ FOR SUCCESS The positron emission tomography scan provides information about function; the other imaging techniques provide information about structure. When a tumour of the cerebellum is present, the nurse should expect that the patient would initially demonstrate which of the following? a. Disequilibrium b. Abnormal eye movement c. Impaired social judgement d. Blood pressure irregularities - CORRECT ANSWERS a. Disequilibrium The cerebellum is the organ primarily responsible for symptoms of equilibrium or imbalance. Which organs secrete hormones that are a normal component of the body's general response to stress? a. Hypothalamus, thyroid gland, pancreas b. Hypothalamus, pituitary gland, adrenal glands c. Pituitary gland, pancreas, thyroid gland d. Adrenal glands, parathyroid glands - CORRECT ANSWERS b. Hypothalamus, pituitary gland, adrenal glands The hypothalamus, pituitary, and adrenal glands act as a system that responds to mental and physical stress. The three hormones secreted—corticotropin-releasing hormone, corticotropin, and cortisol—influence the function of nerve cells of the brain. The behaviour of an individual who seems unable to learn right from wrong, who repeatedly violates laws, and who lies demonstrates problems related to the brain's inability to do which of the following? a. Regulate conscious mental activity MENTAL HEALTH NURSING QUESTIONS AND ANSWERS NEW UPDATE 2024/2025 ALL ANSWERS 100% CORRECT VERIFIED BEST GRADED A+ FOR SUCCESS b. Retain and recall past experience c. Regulate social behaviour d. Maintain homeostasis - CORRECT ANSWERS c. Regulate social behaviour The inability to regulate social behaviour usually results in antisocial behaviours such as lying, cheating, taking advantage of others, and breaking laws. A patient being medicated for both hallucinations and delusions reports being drowsy. The nurse will correctly interpret this symptom as related to the drug's effect on the brain's ability to regulate which of the following? a. Mood b. Thought c. Memory d. Sleep - CORRECT ANSWERS d. sleep A number of psychotropic drugs have adverse effects that interfere with the brain's ability to regulate sleep alertness. These adverse effects range from lethargy to extreme drowsiness. As the patient's body becomes accustomed to the drug, the drowsiness should dissipate. A patient's communication is marked by loose associations and word salad. Dysfunction of which portion of the brain is responsible for these symptoms? a. Cerebrum b. Cerebellum c. Brain stem d. Basal ganglia - CORRECT ANSWERS a. Cerebrum The ability to think and speak logically is controlled by the cerebrum. MENTAL HEALTH NURSING QUESTIONS AND ANSWERS NEW UPDATE 2024/2025 ALL ANSWERS 100% CORRECT VERIFIED BEST GRADED A+ FOR SUCCESS d. Reduced auditory hallucinations - CORRECT ANSWERS a. Less anxiety Gamma-aminobutyric acid (GABA) is thought to modulate neuronal excitability and anxiety. A drug that increases the effectiveness of GABA would result in anxiety reduction. The medication prescribed for a patient acts by blocking reuptake of both serotonin and norepinephrine. The nurse evaluates the treatment as successful when observing which of the following? a. Laughing at a joke b. Exercising a sore shoulder c. Writing down his telephone number d. Going to his room to "calm down" - CORRECT ANSWERS a. Laughing at a joke Depression is thought to be at least in part caused by lowered levels of serotonin and norepinephrine. Increasing the amount of these transmitters in the brain by blocking reuptake may result in mood elevation. The physician tells a patient suspected of experiencing obessive-complusive disorder that "We want to do an imaging study that will tell us which parts of your brain are particularly active." From this explanation, the nurse can determine that the physician will order which of the following? a. A computed tomography scan b. A positron emission tomography scan c. A ventriculogram d. An electroencephalogram - CORRECT ANSWERS b. A positron emission tomography scan A positron emission tomography scan detects brain activity. The other imaging studies are limited to visualization of structures. MENTAL HEALTH NURSING QUESTIONS AND ANSWERS NEW UPDATE 2024/2025 ALL ANSWERS 100% CORRECT VERIFIED BEST GRADED A+ FOR SUCCESS A patient is admitted to the hospital experiencing severe depression. The nurse recognizes the possibility that depression may be related to a stress-induced hormonal imbalance associated with which of the following? a. Luteinizing hormone b. Cortisol c. Gonadotropin d. Clomipramine - CORRECT ANSWERS b. Cortisol Cortisol is a hormone released during periods of stress. You are caring for Veena, a 38-year-old patient with major depression. She has just met with her psychiatrist. She states to you, "My doctor said something about the medicine she is ordering working on my neurotransmitters. What exactly are neurotransmitters?" Which is your best response? a. "Neurotransmitters are chemical messengers in the brain that help regulate specific functions." b. "Neurotransmitters are too complicated to explain easily. Just know that the medication will help your mood." c. "Neurotransmitters are the reason you are depressed." d. "I will ask your provider to give you a more in-depth explanation." - CORRECT ANSWERS a. "Neurotransmitters are chemical messengers in the brain that help regulate specific functions." Neurotransmitters are chemicals released from neurons that function as neuromessengers and influence brain functions. Telling the patient that the answer is too complicated belittles the patient by implying she cannot understand, while stating that neurotransmitters are the reason she is depressed is too simplistic. Asking the provider to give the education abdicates your responsibility to provide patient education. MENTAL HEALTH NURSING QUESTIONS AND ANSWERS NEW UPDATE 2024/2025 ALL ANSWERS 100% CORRECT VERIFIED BEST GRADED A+ FOR SUCCESS Veena's psychiatrist writes orders including medication to treat her depression. Based on current understanding of brain physiology, which of the following neurotransmitters would you expect to see targeted with the medication ordered? a. Dopamine b. GABA c. Serotonin or norepinephrine d. Acetylcholine - CORRECT ANSWERS c. Serotonin or norepinephrine Antidepressant medication targets serotonin and norepinephrine. Dopamine is implicated in schizophrenia (increase) and Parkinson's disease (decrease). GABA is implicated in anxiety disorders. Acetylcholine is implicated in Alzheimer's disease as well as Huntington's disease and Parkinson's disease. The term pharmacodynamics refers to the effect of the drug on the body, while pharmacokinetics refers to which of the following? a. The effect of the drug specifically on the brain and movement b. The effect of the person on the drug c. The effect of the drug on children and adolescents d. The effect of the drug on the half-life and ability of the liver to excrete - CORRECT ANSWERS b. The effect of the person on the drug Pharmacokinetics refers to the effect of the person on the drug and helps to guide dosing. The other options are incorrect. Which of the following patients would need monitoring for potential development of the adverse effect of hypothyroidism? a. The patient taking fluoxetine hydrochloride (Prozac) b. The patient taking valproate (Depakote) MENTAL HEALTH NURSING QUESTIONS AND ANSWERS NEW UPDATE 2024/2025 ALL ANSWERS 100% CORRECT VERIFIED BEST GRADED A+ FOR SUCCESS b. Patient's family and friends c. Patient's nonverbal responses d. Patient's medical treatment records - CORRECT ANSWERS a. Patient's own words and actions The patient should always be considered the primary data source. At times, however, the patient will be unable to fulfill this role. The basic implementation skills are accomplished through which of the following? a. The condition's etiology and the patient's symptomatology b. The nursing diagnosis and the condition's ethology c. The nurse-patient relationship and therapeutic interventions d. The medical diagnosis and the nursing diagnosis - CORRECT ANSWERS c. The nurse- patient relationship and therapeutic interventions Basic implementation skills are evidence-informed, as much as possible, and accomplished through the nurse-patient relationship and therapeutic interventions. During the initial assessment interview with a psychiatric patient, how should the nurse regard the spiritual assessment? a. As optional b. As important to complete c. As less relevant than the cultural assessment d. As relevant only when the patient is oriented - CORRECT ANSWERS b. As important to complete For many patients, religious or spiritual practices are an important part of the quality of their lives. Nurses should support the spiritual dimension of the person. To do so, assessment is necessary. MENTAL HEALTH NURSING QUESTIONS AND ANSWERS NEW UPDATE 2024/2025 ALL ANSWERS 100% CORRECT VERIFIED BEST GRADED A+ FOR SUCCESS What three structural components comprise a nursing diagnosis? a. Problem, outcome, intervention b. Problem, etiology, supporting data c. Unmet need, goal, outcome criterion d. Presenting symptom, treatment, goal - CORRECT ANSWERS b. Problem, etiology, supporting data The components of the nursing diagnosis are problem, etiology, and supporting data. Which of the following is a tool the novice nurse might refer to when writing treatment results criteria? a. The North American Nursing Diagnosis Association (NANDA) b. The Joint Commission (formally JCAHO) c. The Nursing Interventions Classification (NIC) d. The Nursing Outcomes Classification (NOC) - CORRECT ANSWERS d. The Nursing Outcomes Classification (NOC) The Nursing Outcomes Classification (NOC) is a useful publication for those beginning psychiatric mental health nursing practice. NOC includes a total of 385 standardized outcomes that provide a mechanism for communicating the effect of nursing interventions on the well-being of patients, families, and communities. The mental status examination aids in the collection of what type of data? a. Covert b. Physical c. Objective MENTAL HEALTH NURSING QUESTIONS AND ANSWERS NEW UPDATE 2024/2025 ALL ANSWERS 100% CORRECT VERIFIED BEST GRADED A+ FOR SUCCESS d. Subjective - CORRECT ANSWERS c. Objective The mental status exam mostly aids in the collection of objective data. Which of the following is the principle that is the basis of nursing outcome planning? a. Individuals have the right to autonomy to make decisions that affect them. b. Nursing interventions are designed to solve individuals' problems for them. c. The goal of nursing action is to create a dependency between the patient and the caregiver. d. Nurses have the best understanding of patient problems and so they direct outcome selection. - CORRECT ANSWERS a. Individuals have the right to autonomy to make decisions that affect them. This is the only true statement. The nurse and the patient should work collaboratively because each has knowledge to contribute to planning for the attainment of mutually derived outcomes. Which of the following is the most likely factor to interfere with data collection in an initial assessment interview of an older adult? a. Whether the patient has any physical limitations b. The interviewing nurse's level of anxiety c. The presence of any counter-transference d. The nurse's attitudes about aging - CORRECT ANSWERS a. Whether the patient has any physical limitations While all the options can interfere, the most prevalent one affecting the data collected is any physical or cognitive deficiencies (or both) the patient may possess. MENTAL HEALTH NURSING QUESTIONS AND ANSWERS NEW UPDATE 2024/2025 ALL ANSWERS 100% CORRECT VERIFIED BEST GRADED A+ FOR SUCCESS Which of the following is the major distinction between fear and anxiety? a. Fear is a universal experience; anxiety is neurotic. b. Fear enables constructive action; anxiety is dysfunctional. c. Fear is a psychological experience; anxiety is a physiological experience. d. Fear is a response to a specific danger; anxiety is a response to an unknown danger. - CORRECT ANSWERS d. Fear is a response to a specific danger; anxiety is a response to an unknown danger. Fear is a response to an objective danger; anxiety is a response to a subjective danger. Which of the following is the initial nursing action for a newly admitted anxious patient? a Assess the patient's use of defence mechanisms b. Assess the patient's level of anxiety c. Limit environmental stimuli d. Provide antianxiety medication - CORRECT ANSWERS b. Assess the patient's level of anxiety The priority nursing action is the assessment of the patient's anxiety level. Selective inattention is first noted when experiencing which level of anxiety? a. Mild b. Moderate c. Severe d. Panic - CORRECT ANSWERS b. moderate MENTAL HEALTH NURSING QUESTIONS AND ANSWERS NEW UPDATE 2024/2025 ALL ANSWERS 100% CORRECT VERIFIED BEST GRADED A+ FOR SUCCESS When moderate anxiety is present, the individual's perceptual field is reduced and the patient is not able to see the entire picture of events. Delusionary thinking is a characteristic of which of the following? a. Chronic anxiety b. Acute anxiety c. Severe anxiety d. Panic level anxiety - CORRECT ANSWERS d. Panic level anxiety Panic level anxiety is the most extreme level and results in markedly disturbed thinking. Which of the following is generally true about ego defence mechanisms? a. They often involve some degree of self-deception. b. They are rarely used by mentally healthy people. c. They seldom make the person more comfortable. d. They are usually effective in resolving conflicts. - CORRECT ANSWERS a. They often involve some degree of self-deception. Most ego defence mechanisms, with the exception of the mature defences, alter the individual's perception of reality to produce varying degrees of self-deception. A 20-year-old man was sexually molested at age 10, but he can no longer remember the incident. Which ego defence mechanism is in use? a. Projection b. Repression c. Displacement MENTAL HEALTH NURSING QUESTIONS AND ANSWERS NEW UPDATE 2024/2025 ALL ANSWERS 100% CORRECT VERIFIED BEST GRADED A+ FOR SUCCESS d. Reaction formation - CORRECT ANSWERS b. Repression Repression is a defence mechanism that excludes unwanted or unpleasant experiences, emotions, or ideas from conscious awareness. The defence mechanisms that can be used in only healthy ways include which of the following? a. Suppression and humour b. Altruism and sublimation c. Idealization and splitting d. Reaction formation and denial - CORRECT ANSWERS b. Altruism and sublimation Altruism and sublimation are known as mature defences. They cannot be used in unhealthy ways. Altruism results in resolving emotional conflicts by meeting the needs of others, and sublimation substitutes socially acceptable activity for unacceptable impulses. Which behaviour would be characteristic of an individual who is displacing anger? a. Lying b. Stealing c. Slapping d. Procrastinating - CORRECT ANSWERS d. Procrastinating A passive-aggressive person deals with emotional conflict by indirectly and unassertively expressing aggression toward others. Procrastination is an expression of resistance. A person recently gave up smoking and now talks constantly about how smoking fouls the air, causes cancer, and "burns" money that could be better spent to feed the poor. This person is demonstrating which of the following defence mechanisms? MENTAL HEALTH NURSING QUESTIONS AND ANSWERS NEW UPDATE 2024/2025 ALL ANSWERS 100% CORRECT VERIFIED BEST GRADED A+ FOR SUCCESS d. Fear of impending doom - CORRECT ANSWERS d. Fear of impending doom The feelings of terror present during a panic attack are so severe that normal function is suspended, the perceptual field is severely limited, and misinterpretation of reality may occur. Working to help the patient view an occurrence in a more positive light is called which of the following? a. Flooding b. Desensitization c. Response prevention d. Cognitive restructuring - CORRECT ANSWERS d. Cognitive restructuring The purpose of cognitive restructuring is to change the individual's negative view of an event or a situation to a view that remains consistent with the facts but that is more positive. Which of the following is the primary purpose of performing a physical examination before beginning treatment for any anxiety disorder? a. Protect the nurse legally b. Establish the nursing diagnosis of priority c. Obtain information about the patient's psychosocial background d. Determine whether the anxiety is primary or secondary in origin - CORRECT ANSWERS d. Determine whether the anxiety is primary or secondary in origin The symptoms of anxiety can be caused by a number of physical disorders or are said to be caused by an underlying physical disorder. The treatment for secondary anxiety is treatment of the underlying cause. MENTAL HEALTH NURSING QUESTIONS AND ANSWERS NEW UPDATE 2024/2025 ALL ANSWERS 100% CORRECT VERIFIED BEST GRADED A+ FOR SUCCESS Which of the following is an important question to ask during the assessment of a patient diagnosed with anxiety disorder? a. "How often do you hear voices?" b. "Have you ever considered suicide?" c. "How long has your memory been bad?" d. "Do your thoughts always seem jumbled?" - CORRECT ANSWERS b. "Have you ever considered suicide?" The presence of anxiety may cause an individual to consider suicide as a means of finding comfort and peace. Suicide assessment is appropriate for any patient with higher levels of anxiety. Which of the following is a possible outcome criterion for a patient diagnosed with anxiety disorder? a. Patient demonstrates effective coping strategies b. Patient reports reduced hallucinations c. Patient reports feelings of tension and fatigue d. Patient demonstrates persistent avoidance behaviours - CORRECT ANSWERS a. Patient demonstrates effective coping strategies Inability to leave one's home because of avoidance of severe anxiety suggests which of the following anxiety disorders? a. Panic attacks with agoraphobia b. Obsessive-compulsive disorder c Post-traumatic stress response d. Generalized anxiety disorder - CORRECT ANSWERS a. Panic attacks with agoraphobia MENTAL HEALTH NURSING QUESTIONS AND ANSWERS NEW UPDATE 2024/2025 ALL ANSWERS 100% CORRECT VERIFIED BEST GRADED A+ FOR SUCCESS Panic disorder with agoraphobia is characterized by recurrent panic attacks combined with agoraphobia. Agoraphobia involves intense, excessive anxiety about being in places or situations from which escape might be difficult or embarrassing or in which help might not be available if a panic attack occurred. A teenager changes study habits to earn better grades after initially failing a test. This behavioural change is likely a result of which of the following? a. A rude awakening b. Normal anxiety c. Trait anxiety d. Altruism - CORRECT ANSWERS b. Normal anxiety Normal anxiety is a healthy life force needed to carry out the tasks of living and striving toward goals. It prompts constructive actions. A young adult applying for a position is mildly tense but eager to begin the interview. This can be assessed as showing which of the following? a. Denial b. Compensation c. Normal anxiety d. Selective inattention - CORRECT ANSWERS c. Normal anxiety Normal anxiety is a healthy life force needed to carry out the tasks of living and striving toward goals. It prompts constructive actions. A patient frantically reports to the nurse that "You have got to help me! Something terrible is happening. I can't think. My heart is pounding, and my head is throbbing." The nurse should assess the patient's level of anxiety as which of the following? MENTAL HEALTH NURSING QUESTIONS AND ANSWERS NEW UPDATE 2024/2025 ALL ANSWERS 100% CORRECT VERIFIED BEST GRADED A+ FOR SUCCESS a. A history of childhood trauma b. A sibling with the disorder c. An eating disorder d. A phobia as well - CORRECT ANSWERS b. A sibling with the disorder Research shows that first-degree biological relatives of those with OCD have a higher frequency of the disorder than exists in the general population. A patient is diagnosed with generalized anxiety disorder (GAD). The nursing assessment supports this diagnosis when the patient reports which of the following? a. That his symptoms started right after he was robbed at gunpoint b. Being so worried he hasn't been able to work for the last 12 months c. That eating in public makes him extremely uncomfortable d. Repeatedly verbalizing his prayers helps him feel relaxed - CORRECT ANSWERS b. Being so worried he hasn't been able to work for the last 12 months GAD is characterized by symptomatology that lasts 6 months or longer. If a patient's record mentions that the patient habitually relies on rationalization, the nurse might expect the patient to do which of the following? a. Make jokes to relieve tension b. Miss appointments c. Justify illogical ideas and feelings d. Behave in ways that are the opposite of his or her feelings - CORRECT ANSWERS c. Justify illogical ideas and feelings Rationalization involves justifying illogical or unreasonable ideas or feelings by developing logical explanations that satisfy the teller and the listener. MENTAL HEALTH NURSING QUESTIONS AND ANSWERS NEW UPDATE 2024/2025 ALL ANSWERS 100% CORRECT VERIFIED BEST GRADED A+ FOR SUCCESS Panic attacks in Latin American individuals often involve which of the following? a. Repetitive involuntary actions b. Blushing c. Fear of dying d. Offensive vebalizations - CORRECT ANSWERS c. Fear of dying Panic attacks in Latin Americans and Northern Europeans often involve sensations of choking, smothering, numbness or tingling, as well as a fear of dying. The plan of care for a patient who has elaborate washing rituals specifies that response prevention is to be used. Which scenario is an example of response prevention? a. Having the patient repeatedly touch "dirty" objects b. Not allowing the patient to seek reassurance from staff c. Not allowing the patient to wash hands after touching a "dirty" object d. Telling the patient that he or she must relax whenever tension mounts - CORRECT ANSWERS c. Not allowing the patient to wash hands after touching a "dirty" object Response prevention is a technique by which the patient is prevented from engaging in the compulsive ritual. A form of behaviour therapy, response prevention is never undertaken without physician approval. A patient is experiencing a panic attack. The nurse can be most therapeutic by doing which of the following? a. Telling the patient to take slow, deep breaths b. Verbalizing mild disapproval of the anxious behaviour c. Asking the patient what he means when he says "I am dying" MENTAL HEALTH NURSING QUESTIONS AND ANSWERS NEW UPDATE 2024/2025 ALL ANSWERS 100% CORRECT VERIFIED BEST GRADED A+ FOR SUCCESS d. Offering an explanation about why the symptoms are occurring - CORRECT ANSWERS a. Telling the patient to take slow, deep breaths Slow diaphragmatic breathing can induce relaxation and reduce symptoms of anxiety. Often the nurse has to tell the patient to "breathe with me" and keep the patient focused on the task. The slower breathing also reduces the threat of hypercapnia, with its attendant symptoms. The nurse caring for a patient experiencing a panic attack anticipates that the psychiatrist would order a stat dose of which of the following? a. Standard antipsychotic medication b. Tricyclic antidepressant medication c. Anticholinergic medication d. A short-acting benzodiazepine medication - CORRECT ANSWERS d. A short-acting benzodiazepine medication A short-acting benzodiazepine is the only type of medication listed that would lessen the patient's symptoms of anxiety within a few minutes. Anticholinergics do not lower anxiety; tricyclic antidepressants have very little antianxiety effect and have a slow onset of action; and a standard antipsychotic medication will lower anxiety but has a slower onset of action and the potential for more side effects. A military veteran is entering treatment for post-traumatic stress disorder following after a return from duty in Afghanistan. Which of the following is an important facet of assessment? a. Ascertain how long ago the trauma occurred b. Find out if the patient uses acting-out behaviour c. Determine use of chemical substances for anxiety relief d. Establish whether the patient has chronic hypertension related to high anxiety - CORRECT ANSWERS c. Determine use of chemical substances for anxiety relief MENTAL HEALTH NURSING QUESTIONS AND ANSWERS NEW UPDATE 2024/2025 ALL ANSWERS 100% CORRECT VERIFIED BEST GRADED A+ FOR SUCCESS You are providing teaching to Lana, a preoperative patient just before surgery. She is becoming more and more anxious as you talk. She begins to complain of dizziness and heart pounding, and she is trembling. She seems confused. Which of the following is your best response? a. Reinforce the preoperative teaching by restating it slowly. b. Have Lana read the teaching materials instead of instructing her verbally. c. Have a family member read the preoperative materials to Lana. d. Don't attempt any teaching at this time. - CORRECT ANSWERS d. Don't attempt any teaching at this time. Patients experiencing severe anxiety, as the symptoms suggest, are unable to learn or solve problems. The other options would not be effective because you are still attempting to teach someone who has a severe level of anxiety. Lana is out of surgery and on the medical-surgical unit for recovery. You visit her the day after her surgical procedure. While you are in the room, Lana becomes visibly anxious and short of breath, and she states, "I feel so anxious! Something is wrong!" Which of the following is your best action? a. Reassure Lana that she is experiencing normal anxiety and do deep breathing exercises with her b. Use the call light to inquire whether Lana has any prn anxiety medication c. Call for help and assess Lana's vital signs d. Tell Lana you will stay with her until the anxiety subsides - CORRECT ANSWERS c. Call for help and assess Lana's vital signs In anxiety caused by a medical condition, the individual's symptoms of anxiety are a direct physiological result of a medical condition, such as hyperthyroidism, pulmonary embolism, or cardiac dysrhythmias. In this case, Lana is postoperative and could be experiencing a pulmonary embolism, as evidenced by the shortness of breath and anxiety. She needs immediate evaluation for any serious medical condition. The other options would all be appropriate after it has been determined that no serious medical condition is causing the anxiety. MENTAL HEALTH NURSING QUESTIONS AND ANSWERS NEW UPDATE 2024/2025 ALL ANSWERS 100% CORRECT VERIFIED BEST GRADED A+ FOR SUCCESS Which medication could the nurse anticipate administering as a prn anxiolytic for a patient's acute panic attacks? a. Lorazepam (Ativan) (benzodiazepine) b. Buspirone (Bustab) (nonbenzodiazepine) c. Clomipramine (Anafranil) (tricyclic antidepressant) d. Atenolol (Tenormin) (beta blocker) - CORRECT ANSWERS a. Lorazepam (Ativan) (benzodiazepine) The only short-acting medication for prn use for acute anxiety would be lorazepam. Bruce is a 65-year-old patient with concurrent disorders of social anxiety and substance (alcohol) abuse. On vacation in a busy urban area, his symptoms worsened and he went to a walk-in clinic where the physician ordered lorazepam (Ativan), 1 mg PO bid, for anxiety. You question this order for which of the following reasons? a. Bruce may become addicted faster than younger patients. b. Bruce is at risk for misuse of benzodiazepines because of his history of addiction. c. Bruce has a history of nonadherence to medications. d. Bruce should be treated with cognitive therapies rather than medication because of his advanced age. - CORRECT ANSWERS b. Bruce is at risk for misuse of benzodiazepines because of his history of addiction. An important nursing intervention is to assess for prior history of addiction or potential for substance abuse. In a patient who has a history of addiction, lorazepam would be contraindicated because of the potential for addiction. There is no evidence to suggest that older patients become addicted faster than younger patients. A history of nonadherence would not lead to you to question this drug order. Medication and other therapies are used congruently with all age levels. Which of the following would be assessed as a negative symptom of schizophrenia? MENTAL HEALTH NURSING QUESTIONS AND ANSWERS NEW UPDATE 2024/2025 ALL ANSWERS 100% CORRECT VERIFIED BEST GRADED A+ FOR SUCCESS a. Anhedonia b. Hostility c. Agitation d. Hallucinations - CORRECT ANSWERS a. Anhedonia Negative symptoms refer to deficits that characterize schizophrenia. They include the crippling symptoms of affective blunting (lack of facial expression), anergia (lack of energy), anhedonia (inability to experience happiness), avolition (lack of motivation), poverty of content of speech, poverty of speech, and thought blocking. Which of the following types of altered perception are most commonly experienced by patients with schizophrenia? a. Delusions b. Illusions c. Tactile hallucinations d. Auditory hallucinations - CORRECT ANSWERS d. Auditory hallucinations Hallucinations, especially auditory hallucinations, are the major example of alterations of perception in schizophrenia. They are experienced by as many as 90% of individuals with schizophrenia. The most common course of schizophrenia is an initial episode followed by which of the following? a. Recurrent acute exacerbations and deterioration b. Recurrent acute exacerbations c. Continuous deterioration d. Complete recovery - CORRECT ANSWERS a. Recurrent acute exacerbations and deterioration MENTAL HEALTH NURSING QUESTIONS AND ANSWERS NEW UPDATE 2024/2025 ALL ANSWERS 100% CORRECT VERIFIED BEST GRADED A+ FOR SUCCESS b. Personality conflict c. Neural dysfunction d. Dependency needs - CORRECT ANSWERS c. Neural dysfunction Schizophrenia is considered a neurobiological disorder. The course of schizophrenia involves recurrences. With each relapse, further deterioration is noted. Residual schizophrenia refers to the disorder when active phase symptoms are no longer present and the individual is left with two or more of the following symptoms: lack of initiative, social withdrawal, impaired role function, marked speech deficits, and odd beliefs. A patient diagnosed with paranoid schizophrenia refuses food, stating the voices are saying the food is contaminated and deadly. Which of the following would be a therapeutic response for the nurse? 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." This reply acknowledges the patient's reality but offers the nurse's perception that he or she is not experiencing the same thing. A patient diagnosed with schizophrenia experiencing disorganization would have greatest difficulty with the nurse doing which of the following? a. Interacting with a neutral attitude b. Using concrete language c. Giving multistep directions d. Providing nutritional supplements - CORRECT ANSWERS b. Using concrete language MENTAL HEALTH NURSING QUESTIONS AND ANSWERS NEW UPDATE 2024/2025 ALL ANSWERS 100% CORRECT VERIFIED BEST GRADED A+ FOR SUCCESS The thought processes of the patient with schizophrenia experiencing disorganization are severely disordered. Severe perceptual problems may be present, making it extremely difficult for the patient to understand what others are saying. All communication should be simple and concrete and may need to be repeated several times. Which of the following is a nursing intervention designed to help a patient with schizophrenia manage relapse? a. Schedule the patient to attend group therapy that includes those who have relapsed. b. Teach the patient and family about behaviours associated with relapse. c. Remind the patient of the need to return for periodic blood draws to minimize the risk for relapse. d. Help the patient and family adapt to the stigma of chronic mental illness and periodic relapses. - CORRECT ANSWERS b. Teach the patient and family about behaviours associated with relapse. By knowing what behaviours signal impending relapse, interventions can be quickly invoked when the behaviours occur. The earlier the intervention, the greater the likelihood that a recurrence can be averted. A patient 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 which of the following? a. A neologism b. Clang association c. Blocking d. A delusion - CORRECT ANSWERS a. A neologism A neologism is a newly coined word that has meaning only for the patient. MENTAL HEALTH NURSING QUESTIONS AND ANSWERS NEW UPDATE 2024/2025 ALL ANSWERS 100% CORRECT VERIFIED BEST GRADED A+ FOR SUCCESS When a patient diagnosed with paranoid schizophrenia tells the nurse, "I have to get away. The volmers are coming to execute me," which of the following would be an appropriate response for the nurse? a. "You are safe here. This is a locked unit, and no one can get in." b. "I do not believe I understand the word volmers. Tell me more about them." c. "Why do you think someone or something is going to harm you?" d. "It must be frightening to think something is going to harm you." - CORRECT ANSWERS d. "It must be frightening to think something is going to harm you." This response focuses on the patient's feelings and neither directly supports the delusion nor denies the patient's experience. Option A gives global reassurance. Option B encourages elaboration about the delusion. Option C asks for information that the patient will likely be unable to answer. A desired outcome for a patient diagnosed with schizophrenia who has a nursing diagnosis of Disturbed sensory perception: auditory hallucinations related to neurobiological dysfunction would be that the patient will do which of the following? a. Ask for validation of reality b. Describe content of hallucinations c. Demonstrate a cool, aloof demeanour d. Identify prodromal symptoms of disorder - CORRECT ANSWERS a. Ask for validation of reality Beginning to question his or her own altered perceptions by seeking input from staff is highly desirable. A patient has reached the stable plateau phase of schizophrenia. Which of the following would be an appropriate clinical focus for planning? a. Safety and crisis intervention MENTAL HEALTH NURSING QUESTIONS AND ANSWERS NEW UPDATE 2024/2025 ALL ANSWERS 100% CORRECT VERIFIED BEST GRADED A+ FOR SUCCESS Which of the following is true regarding schizophrenia treatment and outcomes? a. If treated quickly following diagnosis, schizophrenia can be cured. b. Schizophrenia can be managed by receiving treatment only at the time of acute exacerbations. c. Patients with schizophrenia often do not fully respond to treatment and have residual symptoms and varying degrees of disability. d. If patients with schizophrenia stay on their drug regimen, they usually lead fully productive lives with no further symptoms. - CORRECT ANSWERS c. Patients with schizophrenia often do not fully respond to treatment and have residual symptoms and varying degrees of disability. Unfortunately, in most cases, schizophrenia does not respond fully to available treatments; it leaves residual symptoms and causes varying degrees of dysfunction or disability. The other options are all untrue of schizophrenia. Declan is a 26-year-old patient with schizophrenia. He states to you, "My, oh my. My mother is brother. Anytime now it can happen to my mother." Which of the following would be your best response? a. "You are having problems with your speech. You need to try harder to be clear." b. "You are confused. I will take you to your room to rest a while." c. "I will get you a prn medication for agitation." d. "I'm sorry, I didn't understand that. Do you want to talk more about your mother as we did yesterday?" - CORRECT ANSWERS d. "I'm sorry, I didn't understand that. Do you want to talk more about your mother as we did yesterday?" The guidelines that are useful in communicating with a patient with disorganized or bizarre speech are to place the difficulty in understanding on yourself, not the patient, and look for themes that may be helpful in interpreting what the patient wants to say. Telling the patient he needs to try harder to be clearer is unrealistic since the patient would be unable do this. The other options are not useful in communicating with this patient and attempting to find common themes. MENTAL HEALTH NURSING QUESTIONS AND ANSWERS NEW UPDATE 2024/2025 ALL ANSWERS 100% CORRECT VERIFIED BEST GRADED A+ FOR SUCCESS Declan is being discharged from the psychiatric unit on risperidone (Risperdal). You are providing medication teaching to Declan and his mother, who is his primary caregiver. Which of the following statements is the appropriate response to Declan's mother's question regarding the risk for extrapyramidal side effects (EPSs) while taking risperidone? 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 Declan's mother to ask the provider to change the medication to clozapine (Clozaril) instead of risperidone. - CORRECT ANSWERS c. Risperidone is a newer antipsychotic medication and has a lower risk of EPSs than older antipsychotics. Risperidone is a newer, atypical antipsychotic. All newer antipsychotic medications have a lower incidence of EPSs than older, traditional antipsychotics. The other responses are untrue. There is no reason to advise a medication change at this time. A new psychiatric nursing assistant mentions to the nurse, "Depression seems to be a disorder of old people. All the depressed patients on the unit are older than 60 years." Which of the following replies by the nurse clarifies the prevalence of this disorder? a. "That is a good observation. Depression does mostly strike people older than 50 years." b. "Depression is seen in people of all ages, from childhood to old age." c. "Depression is most often seen among the middle adult age group." d. "The age of onset for most depressive episodes is given as 18 years." - CORRECT ANSWERS b. "Depression is seen in people of all ages, from childhood to old age." Depression can occur at any age. Children, adolescents, adults, and the elderly may all experience depression. Which of the following statements about the co-morbidity of depression is accurate? MENTAL HEALTH NURSING QUESTIONS AND ANSWERS NEW UPDATE 2024/2025 ALL ANSWERS 100% CORRECT VERIFIED BEST GRADED A+ FOR SUCCESS a. Depression most often exists in an individual as a single entity. b. Depression is commonly seen in individuals with medical disorders. c. Substance abuse and depression are seldom seen as co-morbid disorders. d. Depression may coexist with other disorders but is rarely seen with schizophrenia. - CORRECT ANSWERS b. Depression is commonly seen in individuals with medical disorders. Depression commonly accompanies medical disorders. The other options are false statements. Beck's cognitive theory suggests that the etiology of depression is related to which of the following? a. Sleep abnormalities b. Serotonin circuit dysfunction c. Negative processing of information d. A belief that one has no control over outcomes - CORRECT ANSWERS c. Negative processing of information Beck is a cognitive theorist who developed the theory of the cognitive triad of three automatic thoughts responsible for people becoming depressed: (1) a negative, self- deprecating view of oneself; (2) a pessimistic view of the world; and (3) the belief that negative reinforcement will continue. When the clinician mentions that a patient has anhedonia, what can the nurse expect about the patient? a. The patient has poor retention of recent events. b. The patient experienced a weight loss from anorexia. c. The patient obtains no pleasure from previously enjoyed activities. MENTAL HEALTH NURSING QUESTIONS AND ANSWERS NEW UPDATE 2024/2025 ALL ANSWERS 100% CORRECT VERIFIED BEST GRADED A+ FOR SUCCESS d. Central serotonin syndrome - CORRECT ANSWERS c. Psychomotor agitation These behaviours describe the psychomotor agitation sometimes seen in patients with the agitated type of depression. Dysthymia cannot be diagnosed unless it has existed for how long? a. At least 3 months b. At least 6 months c. At least 1 year d. At least 2 years - CORRECT ANSWERS d. At least 2 years Dysthymia is a chronic condition that by definition has to have existed for longer than 2 years. When the nurse remarks to a depressed patient, "I see you are trying not to cry. Tell me what is happening.", the nurse should be prepared to do which of the following? a. Wait quietly for the patient to reply b. Prompt the patient if the reply is slow c. Repeat the question if the patient does not answer promptly d. Review the patient's medical record to support the patient's response - CORRECT ANSWERS a. Wait quietly for the patient to reply Depressed patients think slowly and take long periods to formulate answers and respond. The nurse must be prepared to wait for a reply. Which of the following statements would show acceptance of a depressed, mute patient? a. "I will be spending time with you each day to try to improve your mood." MENTAL HEALTH NURSING QUESTIONS AND ANSWERS NEW UPDATE 2024/2025 ALL ANSWERS 100% CORRECT VERIFIED BEST GRADED A+ FOR SUCCESS b. "I would like to sit with you for 15 minutes now and again this afternoon." c. "Each day we will spend time together to talk about things that are bothering you." d. "It is important for you to share your thoughts with someone who can help you evaluate your thinking." - CORRECT ANSWERS b. "I would like to sit with you for 15 minutes now and again this afternoon." Spending time with the patient without making demands is a good way to show acceptance. Which of the following nursing diagnoses is least likely to be chosen after analysis of data pertinent to a patient with post-partum depression. a. Impaired parenting b. Ineffective role performance c. Health-seeking behaviours d. Risk for impaired parent/infant/child attachment - CORRECT ANSWERS c. Health-seeking behaviours A patient with severe depression of any etiology will not have the mental or physical energy to engage in health-seeking behaviours. Further, her negative view of self and the world would preclude such thinking. A depressed patient tells the nurse, "There is no sense in trying. I am never able to do anything right!" The nurse can identify this cognitive distortion as an example of which of the following? a. Self-blame b. Catatonia c. Learned helplessness d. Discounting positive attributes - CORRECT ANSWERS c. Learned helplessness MENTAL HEALTH NURSING QUESTIONS AND ANSWERS NEW UPDATE 2024/2025 ALL ANSWERS 100% CORRECT VERIFIED BEST GRADED A+ FOR SUCCESS Learned helplessness results in depression when the patient feels no control over the outcome of a situation. A depressed, socially withdrawn patient tells the nurse, "There is no sense in trying. I am never able to do anything right!" The nurse can best begin to attack this cognitive distortion by doing which of the following? a. Suggesting, "Let's look at what you just said, that you can 'never do anything right.'" b. Querying, "Tell me what things you think you are not able to do correctly." c. Asking, "Is this part of the reason you think no one likes you?" d. Saying, "That is the most unrealistic thing I have ever heard." - CORRECT ANSWERS a. Suggesting, "Let's look at what you just said, that you can 'never do anything right.'" Cognitive distortions can be refuted by examining them, but to examine them, the nurse must gain the patient's willingness to participate. A depressed patient tells the nurse he is in the "acute phase" of his treatment for depression. What does the nurse recognize about the patient's treatment? a. He has been in treatment for more than 4 months. b. His treatment is directed toward relapse prevention. c. His treatment focuses on prevention of future depression. d. His treatment focuses on reducing depressive symptoms. - CORRECT ANSWERS d. His treatment focuses on reducing depressive symptoms. The acute phase of depression therapy (6-12 weeks) is directed toward the reduction of symptoms and restoration of psychosocial and work function and may require some hospitalization. A patient prescribed a monamine oxidase inhibitor (MOA) has a pass to go out to lunch. Given a choice of the following entrees, which of the following can the patient safely eat? MENTAL HEALTH NURSING QUESTIONS AND ANSWERS NEW UPDATE 2024/2025 ALL ANSWERS 100% CORRECT VERIFIED BEST GRADED A+ FOR SUCCESS Sasha has been having angry outbursts with staff and peers on the unit. You are talking with her on her third day of admission. You ask whether she is having any thoughts of suicide. Sasha becomes angry and defensive, shouting, "I'm sick of you people! Are you ever do is ask me the same question over and over. Get out of here!" Your response is based on the knowledge of which of the following? a. That Sasha is getting better because she is able to be assertive. b. That Sasha may be at high risk for self-harm. c. That Sasha is probably experiencing transference. d. That Sasha may be angry at someone else and projecting that anger to staff. - CORRECT ANSWERS b. That Sasha may be at high risk for self-harm. Overt hostility is highly correlated with suicide; therefore the patient may be considered high risk, and appropriate precautions should be taken. The other responses are incorrect, with no evidence to support them. Sasha is started on fluoxetine (Prozac). Which statement by Sasha indicates that she understands the medication teaching you have provided? a. "I will make sure to get plenty of sunshine and not use sunscreen to avoid a skin reaction." b. "I will not take any over-the-counter medication while on the fluoxetine." c. "I will report any symptoms of high fever, fast heartbeat, or abdominal pain to my provider right away." d. "I will report increased thirst and urination to my provider." - CORRECT ANSWERS c. "I will report any symptoms of high fever, fast heartbeat, or abdominal pain to my provider right away." This describes symptoms of serotonin syndrome, a life-threatening complication of selective serotonin reuptake inhibitor (SSRI) medication. The other options are incorrect because the patient should be wearing sunscreen to avoid sunburn, may take over-the-counter medications if sanctioned by the provider, and would not have been educated to report increased thirst and urination as a side effect of fluoxetine. MENTAL HEALTH NURSING QUESTIONS AND ANSWERS NEW UPDATE 2024/2025 ALL ANSWERS 100% CORRECT VERIFIED BEST GRADED A+ FOR SUCCESS Sasha's roommate Kate was admitted with major depression and suicidal ideation with a plan to overdose. Kate is preparing for discharge and asks you, "Why did Dr. Tremonti give me a prescription for only 7 days of amitriptyline?" Your response is based on knowledge of which of the following? a. That amitriptyline (Elavil) is very expensive, so the patient may have to buy fewer at a time. b. That Dr. Tremonti is going to see how Kate responds to the first week of medication to evaluate its effectiveness. c. That Dr. Tremonti wants to see whether any minor adverse effects occur within the first week of administration. d. That amitriptyline (Elavil) is lethal in overdose. - CORRECT ANSWERS d. That amitriptyline (Elavil) is lethal in overdose. Amitriptyline is a tricyclic antidepressant (TCA); these drugs are known to be lethal in smaller doses than other antidepressants. Because the patient had a plan of overdose, the best course of action is to give a small prescription, requiring her to visit her provider's office more often for monitoring of suicidal ideation and plan. Tricyclics are not known to be expensive. Antidepressant therapy usually takes several weeks to produce full results, so the patient would not be evaluated after only one week. Adverse effects are always a consideration but not the most important consideration with TCAs. Which of the following is the first-line drug used to treat mania? a. Lithium carbonate (Lithium) b. Carbamazepine (Tegretol) c. Lamotrigine (Lamictal) d. Clonazepam (Rivotril) - CORRECT ANSWERS a. Lithium carbonate (Lithium) Lithium, a mood stabilizer, is the first-line drug for use in treating bipolar disorder. A person who has numerous hypomanic and dysthymic episodes can be assessed as demonstrating characteristics of which of the following? MENTAL HEALTH NURSING QUESTIONS AND ANSWERS NEW UPDATE 2024/2025 ALL ANSWERS 100% CORRECT VERIFIED BEST GRADED A+ FOR SUCCESS a. Bipolar II disorder b. Bipolar I disorder c. Cyclothymia d. Seasonal affective disorder - CORRECT ANSWERS c. Cyclothymia Cyclothymia refers to mood swings involving hypomania and dysthymia of 2 years' duration. The mood swings are not severe enough to prompt hospitalization. A bipolar patient tells the nurse, "I have the best voice in the world. The three tenors who do all those TV concerts are going to retire because they can't compete with me." The nurse would make the assessment that the patient is displaying which of the following? a. Flight of ideas b. Distractibility c. Limit testing d. Grandiosity - CORRECT ANSWERS d. Grandiosity Exaggerated belief in one's own importance, identity, or capabilities is seen with grandiosity. Which behaviour would be most characteristic of a patient 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 d. Watching others intently and talking little - CORRECT ANSWERS a. Going rapidly from one activity to another Hyperactivity and distractibility are basic to manic episodes. MENTAL HEALTH NURSING QUESTIONS AND ANSWERS NEW UPDATE 2024/2025 ALL ANSWERS 100% CORRECT VERIFIED BEST GRADED A+ FOR SUCCESS c. 30 minutes before meals d. 2 hours after meals - CORRECT ANSWERS a. With meals Many patients find that taking lithium with or shortly after meals minimizes gastric distress. Which of the following is the priority nursing diagnosis for a hyperactive manic patient during the acute phase? a. Risk for injury b. Ineffective role performance c. Risk for other-directed violence d. Impaired verbal communication - CORRECT ANSWERS a. Risk for injury Risk for injury is high, related to the patient's hyperactivity and poor judgement. A bipolar patient whose continuing phase treatment consists of lithium therapy and cognitive-behavioural therapy may not adhere with the medication regime. Which factor would be of least concern to the nurse developing a psychoeducation plan to foster adherence? a. The adverse effects are unpleasant. b. The voices tell the patient to stop taking it. Correct c. The patient prefers to feel "high" and energetic. d. The patient feels well and denies the possibility of recurrence. - CORRECT ANSWERS b. The voices tell the patient to stop taking it. Manic patients may hallucinate during the delirious state but generally do not hear voices. Psychoeducation would not be going on during the time the patient is delirious. MENTAL HEALTH NURSING QUESTIONS AND ANSWERS NEW UPDATE 2024/2025 ALL ANSWERS 100% CORRECT VERIFIED BEST GRADED A+ FOR SUCCESS A manic patient tells a nurse, "Bud. Crud. Dud. I'm a real stud! You'd like what I have to offer. Let's go to my room." Which of the following would be the best approach for the nurse to use? a. "What an offensive thing to suggest!" b. "I don't have sex with patients." c. "It's time to work on your art project." d. "Let's walk down to the seclusion room." - CORRECT ANSWERS c. "It's time to work on your art project." Distractibility works as the nurse's friend. Rather than discuss the invitation, the nurse may be more effective by redirecting the patient. Which of the following would be a desired outcome for the maintenance phase of treatment for a manic patient? a. The patient would exhibit optimistic, energetic, playful behaviour b. The patient would adhere to follow-up medical appointments c. The patient would take medication more than 50% of the time d. The patient would use alcohol to moderate occasional mood "highs" - CORRECT ANSWERS b. The patient would adhere to follow-up medical appointments The patient would be living in the community during the maintenance phase. Keeping follow-up appointments is highly desirable. What action should the nurse take on learning that a manic patient's serum lithium level is 1.8 mEq/L? a. Withhold medication and notify the physician. b. Continue to administer medication as ordered. c. Advise the patient to limit fluids for 12 hours. MENTAL HEALTH NURSING QUESTIONS AND ANSWERS NEW UPDATE 2024/2025 ALL ANSWERS 100% CORRECT VERIFIED BEST GRADED A+ FOR SUCCESS d. Advise the patient to curtail salt intake for 24 hours. - CORRECT ANSWERS a. Withhold medication and notify the physician. The patient's lithium level has exceeded desirable limits. Additional doses of the medication should be withheld and the physician notified. To plan care for a manic patient, the nurse must consider that lithium cannot be started until which of the following? a. The physical examination and laboratory tests are analyzed b. The initial doses of antipsychotic medication have brought behaviour under control c. Seclusion has proven ineffective as a means of controlling assaultive behaviour d. Electroconvulsive therapy can be scheduled to coincide with lithium administration - CORRECT ANSWERS a. The physical examination and laboratory tests are analyzed Lithium should not be given to patients with impaired renal or thyroid function. A thorough physical examination and various laboratory tests are necessary to rule out other organic causes for the behaviour and to ensure that the lithium can be excreted normally. Which of the following would be a desirable short-term goal for the nursing diagnosis Defensive coping related to biochemical changes as evidenced by aggressive verbal and physical behaviours? a. Making no attempts at self-harm within 12 hours of admission b. Sleeping soundly for 12 of the next 24 hours c. Willingly taking prescribed medication as offered by staff within 24 hours of admission d. Demonstrating psychomotor retardation associated with sedation from prescribed medication within 6 hours of admission - CORRECT ANSWERS a. Making no attempts at self- harm within 12 hours of admission Whenever aggressive verbal or physical behaviours are demonstrated, a desirable goal is cessation of those behaviours. Verbal and physical aggression are most apt to occur when MENTAL HEALTH NURSING QUESTIONS AND ANSWERS NEW UPDATE 2024/2025 ALL ANSWERS 100% CORRECT VERIFIED BEST GRADED A+ FOR SUCCESS a. Increased appetite b. Decreased social interaction c. Increased attention to bodily functions d. Decreased sleep - CORRECT ANSWERS d. Decreased sleep Changes in sleep patterns are especially important because they usually precede mania. Even a single night of unexplainable sleep loss can be taken as an early warning of impending mania. The other options do not indicate impending mania. Which of the following describe the symptoms of the manic phase of bipolar disorder? (Select all that apply.) a. Excessive energy b. Fatigue and increased sleep c. Low self-esteem d. Pressured speech e. Purposeless movement f. Racing thoughts g. Withdrawal from environment h. Distractibility - CORRECT ANSWERS a, d, e, f, & h All these options describe mania. The other options more aptly describe the opposite of what happens in mania. A nurse caring for a patient diagnosed with a personality disorder should expect that the patient will exhibit which of the following? a. Frequent episodes of psychosis b. Overinvolvement with the needs of significant others MENTAL HEALTH NURSING QUESTIONS AND ANSWERS NEW UPDATE 2024/2025 ALL ANSWERS 100% CORRECT VERIFIED BEST GRADED A+ FOR SUCCESS c. Challenges in self-identity and self-direction d. Abnormal ego functioning - CORRECT ANSWERS c. Challenges in self-identity and self- direction Personality patterns persist unmodified over long periods of time. Challenges in self-identity and self-direction are characteristic of individuals with a personality disorder. Which of the following statements is descriptive of patients with a personality disorder? a. They are resistant to behavioural change. b. They have an ability to tolerate frustration and pain. c. They usually seek help to change maladaptive behaviours. d. They have little difficulty forming satisfying and intimate relationships. - CORRECT ANSWERS a. They are resistant to behavioural change. Personality disorders are deeply ingrained and pervasive. Patients with personality disorders find it very difficult, if not nearly impossible, to change. Change proceeds very slowly. Research has indicated that the antisocial personality may be characterized by which of the following? a. Social isolation b. Lack of remorse c. Learning difficulties d. Difficulty with reality testing - CORRECT ANSWERS b. Lack of remorse Individuals with an antisocial personality exhibit a lack of remorse when confronted with the results of their thoughtless, irresponsible behaviour toward others. MENTAL HEALTH NURSING QUESTIONS AND ANSWERS NEW UPDATE 2024/2025 ALL ANSWERS 100% CORRECT VERIFIED BEST GRADED A+ FOR SUCCESS Which of the following is the primary goal of milieu therapy for patients diagnosed with personality disorders? a. To manage the effect the behaviour has on the entire group b. To provide one-on-one therapy for each member of the milieu c. To help the patient remain uninvolved with other patients d. To promote a laissez-faire attitude among the staff members - CORRECT ANSWERS a. To manage the effect the behaviour has on the entire group The primary goal of milieu therapy is affect management in a group context. Which characteristic behaviours will the nurse assess in the narcissistic patient? a. Dramatic expression of emotion, being easily led b. Perfectionism and preoccupation with detail c. Grandiose, exploitive, and rage-filled behaviour d. Angry, highly suspicious, aloof, withdrawn behaviour - CORRECT ANSWERS c. Grandiose, exploitive, and rage-filled behaviour Narcissistic patients give the impression of being invulnerable and superior to others to protect their fragile self-esteem. Which of the following patients diagnosed with a personality disorder is most likely to be admitted to a psychiatric unit? a. One who has paranoid personality disorder and is suspicious of his neighbours b. One who has narcissistic personality disorder and is highly self-important c. One who has borderline personality disorder and is impulsive d. One who has dependent personality disorder and clings to her husband - CORRECT ANSWERS c. One who has borderline personality disorder and is impulsive MENTAL HEALTH NURSING QUESTIONS AND ANSWERS NEW UPDATE 2024/2025 ALL ANSWERS 100% CORRECT VERIFIED BEST GRADED A+ FOR SUCCESS The characteristics for the diagnosis of Ineffective coping include crisis, high levels of anxiety, anger, and aggression; child, elder, or spouse abuse; and difficulty in relationships and manipulation. Interdependence would not be considered a symptom for ineffective coping. When providing care for a patient diagnosed with borderline personality disorder, the nurse will need to consider strategies for dealing with which of the following? a. The patient's mood shifts, impulsivity, and splitting b. The patient's grief, anger, and social isolation c. The patient's altered sensory perceptions and suspicion d. The patient's perfectionism and preoccupation with detail - CORRECT ANSWERS a. The patient's mood shifts, impulsivity, and splitting Borderline personality disorder has the central characteristic of instability in affect, identity, and relationships. Individuals with this disorder desperately seek relationships to avoid feeling abandoned, but they often drive others away with excessive demands, impulsive behaviour, or uncontrolled anger. Their frequent use of the defence of splitting strains personal relationships and creates turmoil in health care settings. A newly admitted patient has an axis II diagnosis of schizoid personality disorder. Which will be the nursing intervention of highest priority? a. Set firm limits on behaviour b. Respect need for social isolation c. Encourage expression of feelings d. Involve in milieu and group activities - CORRECT ANSWERS b. Respect need for social isolation Schizoid personality disorder has the primary feature of emotional detachment. Individuals do not seek out or enjoy close relationships. They are reclusive, avoidant, and uncooperative. They do not do well with resocialization. MENTAL HEALTH NURSING QUESTIONS AND ANSWERS NEW UPDATE 2024/2025 ALL ANSWERS 100% CORRECT VERIFIED BEST GRADED A+ FOR SUCCESS A patient diagnosed with obsessive-compulsive personality disorder takes the nurse aside and mentions, "I've observed you interacting with that new patient. You are not approaching him properly. You should be more forceful with him." Which of the following would be the best response for the nurse? a. "I will be continuing to follow the care plan for the patient." b. "I see you are trying to control that patient's therapy as well as your own." c. "Your eye for perfection extends even to my nursing interventions." d. "That patient's care is really of no concern to you or to other patients." - CORRECT ANSWERS a. "I will be continuing to follow the care plan for the patient." Obsessive-compulsive personality disorder has the key factor of perfectionism with a focus on orderliness and control. These individuals get so preoccupied with details and rules that they may not be able to accomplish the tasks. Guard against engaging in power struggles with a patient with obsessive-compulsive disorder. Which of the following is the priority nursing intervention for a patient diagnosed with borderline personality disorder? a. Protect other patients from manipulation b. Respect the patient's need for social isolation c. Assess for suicidal and self-mutilating behaviours d. Provide clear, consistent limits and boundaries - CORRECT ANSWERS c. Assess for suicidal and self-mutilating behaviours One of the primary nursing guidelines and interventions for patients with a personality disorder is to assess for suicidal and self-mutilating behaviours, especially during times of stress. A nurse who is idealized by a patient is at risk for which of the following? a. Becoming overinvolved and being protective and indulgent MENTAL HEALTH NURSING QUESTIONS AND ANSWERS NEW UPDATE 2024/2025 ALL ANSWERS 100% CORRECT VERIFIED BEST GRADED A+ FOR SUCCESS b. Becoming indecisive about planned interventions c. Developing a prejudicial, blaming orientation d. Stringent enforcement of boundaries and limits - CORRECT ANSWERS a. Becoming overinvolved and being protective and indulgent Finding an approach for helping patients with personality disorders who have overwhelming needs can be challenging for caregivers. For example, a female patient with borderline personality disorder may briefly idealize her male nurse on the inpatient unit, telling staff and patients alike that she is "the luckiest patient because she has the best nurse in the hospital." The rest of the team initially realizes that this behaviour is an exaggeration, and they have a neutral response. But after days of constant dramatic praise, some members of the team may start to feel inadequate and jealous of the nurse. They begin to make critical remarks about minor events to prove that the nurse is not perfect. Open communication in staff meetings and ongoing clinical supervision are important aspects of self-care for the nurse working with these patients to maintain objectivity. Patients demonstrating characteristics of personality disorders have various self-defeating behaviours and interpersonal problems despite having near-normal ego functioning and intact reality testing. Which nursing diagnosis addresses this sort of interpersonal dysfunction? a. Spiritual distress b. Defensive coping c. Impaired social interaction d. Disturbed sensory perception - CORRECT ANSWERS c. Impaired social interaction For a patient who has difficulty in relationships and is very manipulative, the nursing diagnosis of Impaired social interaction would be used. Marisol is a 37-year-old patient referred to the mental health clinic with a suspected personality disorder. She is withdrawn and suspicious and states she has always preferred to be alone. She describes herself as having "special powers" and states that she is thinking of opening a business where she gives "readings" to people about their future. She states, "I MENTAL HEALTH NURSING QUESTIONS AND ANSWERS NEW UPDATE 2024/2025 ALL ANSWERS 100% CORRECT VERIFIED BEST GRADED A+ FOR SUCCESS One of the pathological personality traits seen in people with BPD is negative effect, which is characterized by emotional lability, that is, rapidly shifting emotions from one extreme to another. Patients exhibiting this trait are often documented as being labile. The patient with bulimia differs from the patient with anorexia nervosa in which of the following ways? a. By maintaining a normal weight b. By holding a distorted body image c. By doing more rigorous exercising d. By purging to keep weight down - CORRECT ANSWERS a. By maintaining a normal weight Many bulimics are at or near normal weight, whereas patients with anorexia nervosa are underweight. Which of the following is a subjective symptom the nurse would expect to note during assessment of a patient with anorexia nervosa? a. Lanugo b. Hypotension c. 25-lb weight loss d. Fear of gaining weight - CORRECT ANSWERS d. Fear of gaining weight During assessment of a patient with anorexia nervosa, which of the following indications is it unlikely that the nurse would note? a. Introversion b. Social isolation c. High self-esteem d Obsessive-compulsive tendencies - CORRECT ANSWERS c. High self-esteem MENTAL HEALTH NURSING QUESTIONS AND ANSWERS NEW UPDATE 2024/2025 ALL ANSWERS 100% CORRECT VERIFIED BEST GRADED A+ FOR SUCCESS Most patients with eating disorders have low self-esteem. Biological theorists suggest that the cause of eating disorders may be which of the following? a. Normal weight phobia b. Body image disturbance c. Serotonin imbalance d. Dopamine excess - CORRECT ANSWERS c. Serotonin imbalance Selective serotonin reuptake inhibitors have been shown to improve the rate of weight gain and reduce the occurrence of relapse. A patient who is 16 years old, is 160 cm tall, and weighs 36 kilograms eats one tiny meal daily and engages in a rigorous exercise program. The nursing diagnosis for this patient would be a. Death anxiety b. Ineffective denial c. Disturbed sensory perception d. Imbalanced nutrition: less than body requirements - CORRECT ANSWERS d. Imbalanced nutrition: less than body requirements A body weight of 36 kilograms for a 16-year-old who is 160 cm tall is ample evidence of this diagnosis. Which of the following is a coping mechanism used excessively by patients with anorexia nervosa? MENTAL HEALTH NURSING QUESTIONS AND ANSWERS NEW UPDATE 2024/2025 ALL ANSWERS 100% CORRECT VERIFIED BEST GRADED A+ FOR SUCCESS a. Denial b. Humour c. Altruism d. Projection - CORRECT ANSWERS a. Denial Denial of excessive thinness is the mainstay of the patient with anorexia nervosa. A patient reveals that she induces vomiting as often as a dozen times a day. Which of the following would the nurse expect assessment findings to reveal? a. Tachycardia b. Hypokalemia c. Hypercalcemia d. Hypolipidemia - CORRECT ANSWERS b. Hypokalemia Vomiting causes loss of potassium, leading to hypokalemia. A patient with bulimia nervosa uses enemas and laxatives to purge to maintain her weight. For which imbalance should the nurse assess? a. An increase in the red blood cell count b. A disruption of the fluid and electrolyte balance c. An elevated serum potassium level d. An elevated serum sodium level - CORRECT ANSWERS b. A disruption of the fluid and electrolyte balance Disruption of the fluid and electrolyte balance is usually the result of excessive use of enemas and laxatives. MENTAL HEALTH NURSING QUESTIONS AND ANSWERS NEW UPDATE 2024/2025 ALL ANSWERS 100% CORRECT VERIFIED BEST GRADED A+ FOR SUCCESS Which assessment question should be asked of a patient suspected of demonstrating characteristics of anorexia nervosa? a. "Do you find yourself feeling hungry?" b. "How would you describe your body?" c. "How often do you force yourself to vomit?" d. "Why do you choose to take laxatives?" - CORRECT ANSWERS b. "How would you describe your body?" This question will reveal the cognitive distortion consistent with anorexia nervosa. Invariably the patient will describe self as fat despite being excessively underweight. Which statement is least likely to be made by a patient diagnosed with bulimia nervosa during the assessment interview? a. "I eat three meals each day and purge every evening." b. "I'm concerned about what others think about my binging and purging." c. "I feel as though my eating and purging are out of my control." d. "When I eat I feel calm, but then I realize I have to make myself vomit or gain weight." - CORRECT ANSWERS a. "I eat three meals each day and purge every evening." Most patients with bulimia purge after each meal. Assessment of a patient suspected of experiencing bulimia nervosa calls for the nurse to perform which of the following? a. A range of motion assessment b. Inspection of body cavities c. Inspection of the oral cavity MENTAL HEALTH NURSING QUESTIONS AND ANSWERS NEW UPDATE 2024/2025 ALL ANSWERS 100% CORRECT VERIFIED BEST GRADED A+ FOR SUCCESS d. Body fat analysis - CORRECT ANSWERS c. Inspection of the oral cavity Repeated vomiting often causes dental erosions and caries. Which diagnosis from the list below would be given priority for a patient diagnosed with bulimia nervosa ? a. Disturbed body image b. Chronic low self-esteem c. Risk for injury: electrolyte imbalance d. Ineffective coping: impulsive responses to problems - CORRECT ANSWERS c. Risk for injury: electrolyte imbalance The patient who engages in purging and excessive use of laxatives and enemas is at risk for metabolic acidosis from bicarbonate loss. Which intervention would be removed from the plan of care for a patient diagnosed with bulimia nervosa? a. Teach that fasting sets one up to binge eat b. Assist patient to identify trigger foods c. Support importance of avoiding forbidden foods d. Teach patient to plan and eat regularly scheduled meals - CORRECT ANSWERS c. Support importance of avoiding forbidden foods No foods should be considered forbidden foods. This issue may be a focus of cognitive behavioural therapy. The nurse working with patients diagnosed with eating disorders can help families develop effective coping mechanisms by doing which of the following? MENTAL HEALTH NURSING QUESTIONS AND ANSWERS NEW UPDATE 2024/2025 ALL ANSWERS 100% CORRECT VERIFIED BEST GRADED A+ FOR SUCCESS a. Teaching the family about the disorder and the patient's behaviours b. Stressing the need to suppress overt conflict within the family c. Urging the family to demonstrate greater caring for the patient d. Encouraging the family to use their usual social behaviours at meals - CORRECT ANSWERS a. Teaching the family about the disorder and the patient's behaviours Families need information about specific eating disorders and the behaviours often seen in patients with these disorders. This information can serve as a basis for additional learning about how to support the family member.