Mental Health Exam 1

MENTAL HEALTH EXAM 1 1) In the shift a report, an off going nurse criticize a client who wears a heavy make ups & c/o her attitude. Which comment by the nurse receiving the report best demonstrate ….. Ours client need our help to learn behaviors that will help them get along in 2) A client thought to be checking/pocketing their medication is prescribed lithium 900 mg BID. The syrup contains 300 mg lithium per 5 ml. At 0800, how many milliliters would the nurse administer. (Record as a whole number) 900 mg/1 * 5ml/300 mg = 15 ml 3) Which statement should the nurse identify as correct regarding a client’s right to refuse medication? Professionals can override treatment refusal by an actively suicidal or homicidal client. 4) A 22-year-old college student is admitted to a hospital following a suicide attempt and states, "No one will ever love a loser like me." According to Erikson's theory of personality Intimacy vs. isolation 5) A client was transferred to the inpatient behavioral health unit due to a car accident that was planned. Which of the following has the nurse been completing on daily basis to check the client’s cognitive status? Mental status Examination 6) A client is screaming at the nurse who is attempting to give him his medication. He is yelling and screaming in his room at any staff members who walks by. Which of the following statement should be made by the nurse….? “Please stop screaming and walk with me outside.” 7) Which of the following classification of medication are utilized to treat depression? (Select all that apply). Selective serotonin reuptake inhibitors (SSRIs). Tricyclic antidepressants Monoamine oxidase inhibitors (MOIS) 8) During an intake assessment, a nurse asks both physiological and psychosocial questions, The client angrily responds, "I'm here for my heart, not my head problems." What are the nurse’s best response? "Psychological factors, like excessive stress, have been found to affect medical conditions." 9) A nurse is preparing to administer clozapine 300 mg PO daily to a client who has schizophrenia. The amount available is clozapine 200 mg tablets. How many tablets should the nurse administer? 300 mg/ 1 * 1 tablets/200 mg = 1.5 tablets 10) A client tells the nurse “ I feel bad because my mother does not want to return home after I leave the hospital. Which nursing response is most therapeutic? “You feel that your mother does not want you to come back home?”. 11) Which situation violates the ethical of veracity? A nurse tricks a client into seclusion by asking the client to carry linen to the seclusion room 12) An adolescent asks a nurse conducting an assessment interview “Why should I tell anything? You will just tell my parents whatever you find out”. Which of the following would be the most appropriate nursing response? "What you say about feelings is private, but some things, like suicidal thinking, must be reported to the treatment team." 13) Correctly identify the class of medication to the description which is best fit: Antipsychotic - Given to manage psychotic symptoms Benzodiazepine - GABA sustaining medication to treat anxiety Monoamine oxidase inhibitor (MAOI) - Tyramine rich foods can cause hypertensive crisis in people taking these medication Selective Serotonin Reuptake Inhibitors (SSRI) - Can lead to serotonin syndrome if with St. John's Wort 14) A nurse is educating a client about the difference between mental health and mental illness teaching was effective? Mental health is reflected by a person successfully adapting with adversity. 15) An voluntarily hospitalized client tells the nurse “Get me the forms for discharge against medical advice now”, Which is the nurse’s best response? “I will get them for you, but let’s talk about your decision to leave treatment”. 16) An instructor overhears the nursing student ask a client; this is your third admission. Why did you stop taking your medications? Which would be the most appropriate instructor response? "Your question implied criticism and could have the effect of making the client feel defensive". 17) According to Freud, which statement should a nurse associate with predominance of the superego? "I don't ever cheat on tests; it is wrong." 18) A male client frequently inquires about the female nursing students boyfriend and social activities and school experiences. Which is the best initial response by the student? She limits sharing personal information and stresses the client focus of the conversation 19) A nurse Is preparing to administer fluoxetine 30 mg PO daily to a client. The amount available 10 mg/ tablets. How many tablets should the nurse administer per dose? (Write the answer as a whole number). 30 mg/1 * 1 tablets/ 10 mg = 3 tablets 20) A mother who is notified that her child was killed in a tragic car accident states, “ I can’t bear to go on with my life. ." Which nursing statement conveys empathy? "It must be horrible to lose a child, and I'll stay with you until your husband arrives." 21) A client with paranoid schizophrenia believes evil spirits are being summarized by a local minister and verbally threatened to bomb to local church. The psychiatrist notifies the minister. What is the basis for this action? Demonstrated the duty to warn and protect. 22) Which of the following indicate that the integrity of the nurse-client relationship may be in jeopardy? (Select all that apply). Allowing the client to color a picture for the nurse Requesting to be reassigned to a particular client Contacting the client after discharge. 23) A client diagnosed with schizophrenia refuses to take medication citing the right to autonomy. Under which circumstances would a nurse have the right to medicate the client? A client physically attacks another client after being confronted in group therapy 24) A nurse working with a newly admitted client explaining the unit rules and daily schedules. The nurse understands that providing a consistent routine, and a daily structure is an example of which of the following Therapeutic milieu 25) Which of the following should the nurse plan to include In the assessment of an older adult client? Identify physical needs and necessary accommodations for this client 26) According to Maslow’s hierarchy of needs, which of the following client situations would be considered most basic? A client seeks shelter at a center for battered woman. 27) Identify the following theorist to the theory or concept related to them. Sigmund Feud – Id, Ego, Superego B. F. Skinner – Classic and operant conditioning A. Maslow – Hierarchy of Needs Aaron Beck – Automatic thoughts and cognitive 28) A client diagnosed with schizophrenia receives fluphenazine from a home health nurse. The client refuses the medication during one regularly scheduled home visit. Which nursing intervention is ethically appropriate? Allow the client to decline the medication, document the refusal and inform the provider 29) In treatment of anxiety disorders, benzodiazepines are indicated for ___ use and have___ Short term; high 30) During the recent counseling session with a depressed client, the psychiatric nurse observes sign of transference. Which statement by the client would indicate that the nurse is correct? You sure do remind me of my mom 31) Which is a goal for orientation phase of the nurse-client relationship Establish Trust 32) Which expected client outcome should a nurse identify as being correctly formulated as a fully develop SMART? Client will initiate interaction with one peer during free time within 2 days. 33) After fasting from 10 p.m. the previous evening a client finds out that the blood test has been canceled. The client swears at the nurse and states, “You are incompetent!” Which is the nurse’s best response? I see that you are upset, but I feel uncomfortable when you swear at me. 34) The nurse recognizes which need as the priority concern according to Maslow’s Hierarchy of needs? A client exhibiting aggressive behavior toward another client 35) A client on an inpatient psychiatric unit suffering from major depression. He has poor appetite and poverty of speech. Which response by the nurse demonstrates offering self? I would like to sit with you for a while to help you get comfortable talking to me. 36) A nurse asks a client, “if you had a fever and vomiting for 3 days, what would you do? Which aspect of the mental status examination is the nurse assessing? Cognition 37) A client has been involuntarily admitted to an inpatient behavior health unit. During the admission. Which of the following rights does the patient still retains? (Select all that apply) The right to informed consent – This was the only answer in my exam. Only one answer to choose The right to refuse medication 38) The nurse is performing a mental status assessment on an elderly nursing home resident. The client is alert and oriented to person, place and time, the nurse is addressing which part of the…. Level of consciousness 39) In a psychiatric in-patient setting, the nurse observes an adolescent client’s peer calling the client names. In this context which statement by the nurse exemplifies the concept of empathy? "I can see that you are upset. I am here to listen if you would like to talk”. 40) Which nontherapeutic communication technique is used in the following example? Client, “I and …. discharge”. Nurse: Why? you should be happy to leave Minimizing feelings 41) During an intake interview, which question would assist the nurse in gathering data about the client’s judgement? "If you found a stamped, addressed envelope in the street, what would you do?" 42) A mental health technician asks the nurse, “How do psychiatrist determine which diagnostic to give a client? Know which is the nurse's best response. Psychiatrists use criteria from the American Psychiatric Association Diagnostic and Statistical Manual of Mental Disorders (DSM-5). 43) Which client action should a nurse expect during the working phase of the nurse-client relationship? The client gains insight and incorporates alternative behaviors. 44) A 4 year old child grabs a toy from their siblings, saying “I want that toy now:” The siblings cry, and the child’s parent becomes upset with the behavior. Using the Freudian theory, a nurse can interpret the child’s behavior as a product of impulses originating in the: Id 45) A nurse is preparing to administer haloperidol 75mg IM per week. Available is haloperidol 100 mg/ml. How many ml should the nurse administer per dose? (Record answers to the nearest hundredth). 75 mg/ 1 * 1ml/100mg = 0.75 ml 46) A client tells a nurse that he hates his doctor and plans to hurt the doctor, but she did not report this prior to leaving. When the nurse returns to work the next day, she finds that the physician has been brutally beaten by the client and the physician is hospitalized. Which of the following best represents the nurse’s failure to act by not reporting the client’s intent? Negligence 47) The nurse, working on an in-patient psychiatric unit, show an understanding of therapeutic milieu by which of the following actions. Having the client decide when group therapy will occur 48) A school age is active with sports and had received a most improved player award his tournament. According to Erickson, which describes his client’ developmental task assessment ……. Industry vs inferiority 49) A nurse is preparing to administer lithium 300mg PO every 8 hr. Available is lithium 150 mg capsule. How many capsules should the nurse administer per dose? (Record answer as a whole number) 300mg/ 1 * 1 capsules/150 mg = 2 capsules. 50) A newly admitted client is hyperactive, restless, and disorganized. The client goes to the dinning room and begins to throw food. Verbal intervention is ineffective. Seclusion is instituted for the primary purpose of: Reducing environmental stimuli that negatively affect the patient