MENTAL EXAM 1
A teenager is going with the driver education instructor for his driving exam. The student.. Butterflies in the stomach. The student feels highly motivated to... the driving exam. The client has which level of anxiety?
Mild
A nursing supervisor reprimands an employee for being chronically late for work. If the employee handles the reprimand using the defense mechanism of displacement, he would most likely do which of the following?
Tell the unit housekeeper that the unit housekeeper's work is sloppy
The client is prescribed fluoxetine for his depression. Which should the nurse include in the....?
The medication can take up to three weeks to take effect
A significant change in the treatment of people with mental illness occurred in the 1950s when
psychotropic drugs became available for use
. Medical insurance coverage for medical illnesses is greater than for psychiatric...term best describes this discrepancy?
Lack of parity
The creation of asylums during the 1800s was meant to
provide food and shelter for the mentally ill.
A client is presenting rapid coherent speech. The client has... inappropriately after buying clothing at the mall. The client is likely to be prescribed what medication to stabilize her mood?
Lithium
The recommended drug of choice for treating bipolar disorders is which of the following medication?
Lithium
A nurse is preparing a client for an MRI scan of the head. The nurse should ask the patient?
"Are you anxious about being in tight places?"
Which statement made by the student nurse should the
"As a mental health nurse, I will provide psychotherapy to clients"
What is the purpose of the Diagnostic and statistical
-To provide standard names and language to describe a mental disorder -To present symptoms that differentiate specific disorders -To assist in identifying underlying causes of disorders
A client is being discharged from residential treatment. Which of the following is linked to the client's ability to successfully remain in the community
Living environment
A nurse is researching mental health during ancient times
Mental illness is from imbalance of humors
An actually ill patient arrives to the Emergency Department
Boarding
The nurse is discharging the client today for community rehabilitation.. Meaningful work and relationships.
Club house Model
When a therapist shifts his her thoughts and feelings from his own past onto the client his/her is seeing.... Called which of the following?
Countertransference
The deliberate shift from treating patients in state hospitals to
Deinstitutionalization
A schizophrenic patient has been stable on oral R... for the past 10 weeks ...swallowing the pills a lot of the time. Which of the following can the nurse suggest to the client... help maintain therapeutic level with his antipsychotic medication?
Depot Injection
The family members of a patient with bipolar disorder express frustration with the unpredictable behaviors of their loved one. Which group should the nurse suggest as most helpful to this family?
Family education group
The nurse is educating the client and family members regarding schizophrenia. The nurse expresses to them that schizophrenia is associated with an abnormality of which structure of the cerebellum?
Frontal Lobe
Which of the following statements about the neurobiologic causes of mental illness is most accurate?
Genetics and heredity can explain all causes of mental illness
A client is accompanied by his mother for a mental health assessment. Which statement. The nurse recognizes as a key barrier to treatment ?
I feel just fine, I don't need to take this medication. It is my mother who ....
A nurse is instructing a client on taking lithium for bipolar disorders. The client will need to have.... 2 to 3 days initially to determine what about the drug level?
It's efficacy
The nurse is assessing a client who is talking about her son's recent death but who shows no emotion of any kind. The nurse recognizes this behavior as which of the following defense mechanisms?
Intellectualization
A client on the psychiatric ward is admitted for severe
Interpersonal
A patient has just been told she has cervical cancer. When asked about how this is impacting her, she states, ìIt's just an infection; it will clear up.î The statement indicates that this patient
Is using denial to protect herself from an emotionally painful thought.
A client who has anxiety is being treated with a benzodiazepine. A nurse is monitoring for... as the benzodiazepine is doing which of the following?
It increases the gamma-aminobutyric acid
A nurse is meeting with the city council to advocate for mentally ill persons and the establishment of a group home in a neighborhood where the plans have been strongly opposed by the neighbors. The nurse can effectively educate the public on the realities of group home by citing research that indicates
Most people with mental illness do not represent a significant danger to others.
Self-actualization in Maslow's hierarchy of needs refers to?
Motivation to develop to full potential
A client presents to the emergency department with a flat affect and disheveled appearance. The nurse objectively can see that the client has experienced an adventitious crisis. What are examples of adventitious crises?
Natural disasters Violent crimes War
A client is taking his antipsychotic medication as prescribed...Wednesday or Thursday. Vital signs show client with high fever...diaphoretic. The nurse notices the client appears pale which is...experiencing which of the following?
Neuroleptic malignant syndrome
The nurse is explaining the hospital routines and expectations to a newly admitted client... the client has any questions surrounding the admissions. Which stage is according to the nurse patient therapeutic relationship?
Orientation
A client is supposed to be ambulating ad lib. Instead, he refuses to get out of bed, asks for a bed bath, and makes many demands of the nurses. He also yells that they are lazy and incompetent. The client's behavior is an example of which of the following defense mechanisms?
Projection
A patient has been started on antidepressants. The interdisciplinary team member most responsible for monitoring effectiveness and side effects of this new medication is the
Psychiatric nurse
A patient with bipolar disorder taking lithium returns from a walk outside and reports feeling shaky and dizzy. The nurse suspects the patient is experiencing a toxic reaction to the lithium and immediately notifies the
Psychiatrist
A client is encouraged to join in daily outdoor games with peers on the unit. The interdisciplinary team member who will monitor the patient's involvement will be the?
Recreation therapist
Antidepressants are commonly used for major depressive disorders
Selective reuptake serotonin inhibitors
What is the key attribute to a mental health nurse?
Self awareness
A student is going to take an exam. The student cannot see anything beyond... the student feels the heart rate increasing with a sense of pressure on the chest. The student... hands are shaking this client is experiencing which of the following anxiety level?
Severe
A client lost a parent due to cancer. The client also lost their job a month earlier. The client is experiencing what type of crisis?
Situational
Which is the priority in patient care for people with severe mental illness?
Symptom Management
A client with auditory and visual hallucinations has just been diagnosed with schizophrenia
Thorazine
A patient who has been working on controlling impulsive behavior shows a strengthening ego through which of the following behaviors?
Weighing the advantages and disadvantages before making a decision
Deinstitutionalization has had negative consequences...mental health is
an increased number of admissions to available hospital services.
The goal of the 1963 Community Mental Health Centers Act was to
deinstitutionalize state hospitals.
The factor having the most influence on the current trend in treatment settings is the fact in recent years?
funding for community programs has been inadequate.
A client who is taking an MAO inhibitor for the past 2 months.
hypertensive crisis