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RN Mental Health Final Exam Practice Questions with Answers
Mental health (nurs 751)
Chamberlain University
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RN Mental Health Final Exam Practice Questions with Answers
2023 Complete Guide Rated A+
- A nursing student new to psychiatric-mental health nursing asks a peer what resources he can use to figure out which symptoms are present in a specific psychiatric disorder. The best answerwould be:
a. Nursing Interventions Classification (NIC) b. Nursing Outcomes Classification (NOC) c. NANDA-I nursing diagnoses d. DSM- 2 by: Epidemiological studies contribute to improvements in care for individuals with mental
a. Providing information about effective nursing techniques. b. Identifying risk factors that contribute to the development of a disorder. c. Identifying individuals in the general population who will develop a specific disorder. d. Identifying which individuals will respond favorably to a specific treatment.
- Besides antianxiety agents, which classification of drugs is also commonly given to treat anxiety and anxiety disorders? a. Antipsychotics b. Mood stabilizers c. Antidepressants d. Cholinesterase inhibitors
- What assessment question will provide the nurse with information regarding the effects of a woman9s circadian rhythms on her quality of life? a. <How much sleep do you usually get each night?= b. <Does your heart ever seem to skip a beat?= c. <When was the last time you had a fever?=
d. <Do you have problems urinating?= 5. You realize that your patient who is being treated for a major depressive disorder requires more teaching when she makes the following statement: a for a period of weeks.= <I have been on this antidepressant for 3 days. I realize that the full effect may not b. <I am going to ask my nurse practitioner to discontinue my Prozac today and let me start taking a monoamine oxidase inhibitor tomorrow.= c. <I may ask to have my medication changed to Wellbutrin due to the problems I am having being romantic with my wife.= d. <I realize that there are many antidepressants and it might take a while until we find the one that works best for me.= 6. A patient being treated for insomnia is prescribed ramel-teon (Rozerem). Which comorbid mental health condition would make this medication the hypnotic of choice for this particular patient? a. Obsessive-compulsive disorder b. Generalized anxiety disorder c. Persistent depressive disorder d. Substance use disorder 7. Which statement made by a patient prescribed bupropion (Wellbutrin) demonstrates that the medication education the patient received was effective? Select all that apply. a. <I hope Wellbutrin will help my depression and also help me to finally quit smoking.= b. <I9m happy to hear that I won9t need to worry too much about weight gain.= c. <It9s okay to take Wellbutrin since I haven9t had a seizure in 6 months.= d. <I need to be careful about driving since the medication could make me drowsy.= e. <My partner and I have discussed the possible effects this medication could have on our sex life.= 8. Which drug group calls for nursing assessment for development of abnormal movement disorders among individuals who take therapeutic dosages?
e. <Does the patient require the regular involvement of their family/significant other in planning and executing the plan of care?=
- Pablo is a homeless adult who has no family connection. Pablo passed out on the street and emergency medical services took him to the hospital where he expresses a wish to die. Thephysician recognizes evidence of substance use problems and mental health issues and recommends inpatient treatment for Pablo. What is the rationale for this treatment choice? Select all that apply. a. Intermittent supervision is available in inpatient settings. b. He requires stabilization of multiple symptoms. c. He has nutritional and self-care needs. d. Medication adherence will be mandated. e. He is in imminent danger of harming himself. 1? Which statement made by the nurse demonstrates the best understanding of nonverbal
a. <The patient9s verbal and nonverbal communication is often different.= b. <When my patient responds to my question, I check for congruence between verbal and nonverbal communication to help validate the response.= c. <If a patient is slumped in the chair, I can be sure he9s angry or depressed.= d. <It9s easier to understand verbal communication that nonverbal communication.= 2. Which nursing statement is an example of reflection? a. <I think this feeling will pass.= b. <So you are saying that life has no meaning.= c. <I9m not sure I understand what you mean.= d. <You look sad.= 3. When should a nurse be most alert to the possibility of communication errors resulting in harm to the patient?
a. Change of shift report b. Admission interviews c. One-to-one conversations with patients d. Conversations with patient families 4. During an admission assessment and interview, which channels of information communication should the nurse be monitoring? Select all that apply. a. Auditory b. Visual c. Written d. Tactile e. Olfactory 5 wrong thing= to a patient? What principle about nurse-patient communication should guide a nurse9s fear about <saying
a. Patients tend to appreciate a well-meaning person who conveys genuine acceptance, respect, and concern for their situation. b. The patient is more interested in talking to you than listening to what you have to say and so is not likely to be offended. c. Considering the patient9s history, there is little chance that the comment will do any actual harm. d. Most people with a mentally illness have by necessity developed a high tolerance of forgiveness. 6 forward to meeting with his new psychiatrist but frowns and avoids eye contact while You have been working closely with a patient for the past month. Today he tells you he is reporting this to you. Which of the following responses would most likely be therapeutic? a. <A new psychiatrist is a chance to start fresh; I9m sure it will go well for you.= b. <You say you look forward to the meeting, but you appear anxious or unhappy.= c. <I notice that you frowned and avoided eye contact just now. Don9t you feel well?=
- Which statement demonstrates a well-structured attempt at limit setting? a. <Hitting me when you are angry is unacceptable.= b. <I expect you to behave yourself during dinner.= c. <Come here, right now!= d. <Good boys don9t bite.=
- Which activity is most appropriate for a child with ADHD? a. Reading an adventure novel b. Monopoly c. Checkers d. Tennis 3 nurse practitioner: Cognitive-behavioral therapy is going well when a 12-year- old patient in therapy reports to
a. <I was so mad I wanted to hit my mother.= b. <I thought that everyone at school hated me. That9s not true. Most people like me and I have a friend named Todd.= c. <I forgot that you told me to breathe when I become angry.= d. <I scream as loud as I can when the train goes by the house.= 4. What assessment question should the nurse ask when attempting to determine a teenager9s mental health resilience? Select all that apply. a. <How did you cope when your father deployed with the Army for a year in Iraq?= b. <Who did you go to for advice while your father was away for a year in Iraq?= c. <How do you feel about talking to a mental health counselor?= d. <Where do you see yourself in 10 years?= e. <Do you like the school you go to?=
- Which factors tend to increase the difficulty of diagnosing young children who demonstrate behaviors associated with mental illness? Select all that apply. a. Limited language skills b. Level of cognitive development c. Level of emotional development d. Parental denial that a problem exists e. Severity of the typical mental illnesses observed in young children
- In pediatric mental health there is a lack of sufficient numbers of community-based resources and providers, and there are long waiting lists for services. This has resulted in: Select all that apply. a. Children of color and poor economic conditions being underserved b. Increased stress in the family unit c. Markedly increased funding d. Premature termination of services
- Child protective services have removed 10-year-old Christopher from his parents9 home due to neglect. Christopher reveals to the nurse that he considers the woman next door his <nice= mom,that he loves school, and gets above average grades. The strongest explanation of this response is: a. Temperament b. Genetic factors c. Resilience d. Paradoxical effects of neglect
- April, a 10-year-old admitted to inpatient pediatric care, has been getting more and more wound up and is losing self-control in the day room. Time-out does not appear to be an effective tool for April to engage in self-reflection. April9s mother admits to putting her in time-out up to 20 times a day. The nurse recognizes that: a. Time-out is an important part of April9s baseline discipline. b. Time-out is no longer an effective therapeutic measure.
b. Major depressive disorder c. Stomach cancer d. Polydipsia e. Metabolic syndrome 4. A female patient diagnosed with schizophrenia has been prescribed a first-generation antipsychotic medication. What information should the nurse provide to the patient regarding her signs and symptoms? a. Her memory problems will likely decrease. b. Depressive episodes should be less severe. c. She will probably enjoy social interactions more. d. She should experience a reduction in hallucinations. 5 schizophrenia? Which characteristic presents the greatest risk for injury to others by the patient diagnosed
a. Depersonalization b. Pressured speech c. Negative symptoms d. Paranoia 6. Gilbert, age 19, is described by his parents as a <moody child= with an onset of odd behavior about at age 14, which caused Gilbert to suffer academically and socially. Gilbert has lost the ability to complete household chores, is reluctant to leave the house, and is obsessed with the locks on the windows and doors. Due to Gilbert9s early and slow onset of what is now recognized as schizophrenia, his prognosis is considered: a. Favorable with medication b. In the relapse stage c. Improvable with psychosocial interventions d. To have a less positive outcome
- Which therapeutic communication statement might a psychiatric-mental health registered nurse use when a patient9s nursing diagnosis is altered thought processes? a. <I know you say you hear voices, but I cannot hear them.= b. <Stop listening to the voices, they are NOT real.= c. <You say you hear voices, what are they telling you?= d. <Please tell the voices to leave you alone for now.=
- When patients diagnosed with schizophrenia suffer from anosognosia, they often refuse medication, believing that: a. Medications provided are ineffective. b. Nurses are trying to control their minds. c. The medications will make them sick. d. They are not actually ill.
- Kyle, a patient with schizophrenia, began to take the first-generation antipsychotic haloperidol (Haldol) last week. One day you find him sitting very stiffly and not moving. He is diaphoretic, and when you ask if he is okay he seems unable to respond verbally. His vital signs are: BP 170/100, P 110, T 104°F. What is the priority nursing intervention? Select all that apply. a. Hold his medication and contact his prescriber. b. Wipe him with a washcloth wet with cold water or alcohol. c. Administer a medication such as benztropine IM to correct this dystonic reaction. d. Reassure him that although there is no treatment for his tardive dyskinesia, it will pass. e. Hold his medication for now and consult his prescriber when he comes to the unit later today.
- Tomas is a 21-year-old male with a recent diagnosis of schizophrenia. Tomas9s nurse recognizes that self-medicating with excessive alcohol is common in this disease and can co- occur along with: a. Generally good health despite the mental illness. b. An aversion to drinking fluids. c. Anxiety and depression.
a. Reinforce that the level is considered therapeutic. b. Instruct the patient to hold the next dose of medication and contact the prescriber. c. Have the patient go to the hospital emergency room immediately. d. Alert the patient to the possibility of seizures and appropriate precautions. 5. Which intervention should the nurse implement when caring for a patient demonstrating manic behavior? Select all that apply. a. Monitor the patient9s vital signs frequently. b. Keep the patient distracted with group-oriented activities. c. Provide the patient with frequent milkshakes and protein drinks. d. Reduce the volume on the television and dim bright lights in the environment. e. Use a firm but calm voice to give specific concise directions to the patient. 6. Substance abuse is often present in people diagnosed with bipolar disorder. Laura, a 28-year- old with a diagnosis of bipolar disorder, drinks alcohol instead of taking her prescribed medications. The nurse caring for this patient recognizes that: a. Anxiety may be present. b. Alcohol ingestion is a form of self-medication. c. The patient is lacking a sufficient number of neurotransmitters. d. The patient is using alcohol because she is depressed. 7. Ted, a former executive, is now unemployed due to manic episodes at work. He was diagnosed with bipolar I 8 years ago. Ted has a history of IV drug abuse, which resulted in hepatitis C. He is taking his lithium exactly as scheduled, a fact that both Ted9s wife and hisblood tests confirm. To reduce Ted9s mania the psychiatric nurse practitioner recommends:
a. Clonazepam (Klonopin) b. Fluoxetine (Prozac) c. Electroconvulsive therapy (ECT) d. Lurasidone (Latuda)
- A 33-year-old female diagnosed with bipolar I disorder has been functioning well on lithium for 11 months. At her most recent checkup, the psychiatric nurse practitioner states, <You are ready to enter the maintenance therapy stage, so at this time I am going to adjust your dosage by prescribing=: a. A higher dosage b. Once a week dosing c. A lower dosage d. A different drug
- Tatiana has been hospitalized for an acute manic episode. On admission the nurse suspects lithium toxicity. What assessment findings would indicate the nurse9s suspicion as correct? a. Shortness of breath, gastrointestinal distress, chronic cough b. Ataxia, severe hypotension, large volume of dilute urine c. Gastrointestinal distress, thirst, nystagmus d. Electroencephalographic changes, chest pain, dizziness
- Luc9s family comes home one evening to find him extremely agitated and they suspect in a full manic episode. The family calls emergency medical services. While one medic is talkingwith Luc and his family, the other medic is counting something on his desk. What is the medic most likely counting? a. Hypodermic needles b. Fast food wrappers c. Empty soda cans d. Energy drink containers
- Which response by a 15-year-old demonstrates a common symptom observed in patients diagnosed with major depressive disorder? a. <I9m so restless. I can9t seem to sit still.= b. <I spend most of my time studying. I have to get into a good college.= c. <I9m not trying to diet, but I9ve lost about 5 pounds in the past 5 months.=
c. Hypothyroidism d. Crohn9s disease 6. Tammy, a 28-year-old with major depressive disorder and bulimia nervosa, is ready for discharge from the county hospital after 2 weeks of inpatient therapy. Tammy is takingcitalopram (Celexa) and reports that it has made her feel more hopeful. With a secondary diagnosis of bulimia nervosa, what is an alternative antidepressant to consider? a. Fluoxetine (Prozac) b. Isocarboxazid (Marplan) c. Amitriptyline d. Duloxetine (Cymbalta) 7. Cabot has multiple symptoms of depression including mood reactivity, social phobia, anxiety, and overeating. With a history of mild hypertension, which classification of antidepressants dispensed as a transdermal patch would be a safe medication? a. Tricyclic antidepressants b. Selective serotonin reuptake inhibitors c. Serotonin and norepinephrine reuptake inhibitors d. Monoamine oxidase inhibitor 8. When a nurse uses therapeutic communication with a withdrawn patient who has major depression, an effective method of managing the silence is to: a. Meditate in the quiet environment b. Ask simple questions even if the patient will not answer c. Use the technique of making observations d. Simply sit quietly and leave when the patient falls asleep 9. The biological approach to treating depression with electrodes surgically implanted into specific areas of the brain to stimulate the regions identified to be underactive in depression is: a. Transcranial magnetic stimulation
b. Deep brain stimulation c. Vagus nerve stimulation d. Electroconvulsive therapy 10. Two months ago, Natasha9s husband died suddenly and she has been overwhelmed with grief. When Natasha is subsequently diagnosed with major depressive disorder, her daughter, Nadia, makes which true statement? a. <Depression often begins after a major loss. Losing dad was a major loss.= b. <Bereavement and depression are the same problem.= c. <Mourning is pathological and not normal behavior.= d. <Antidepressant medications will not help this type of depression.=
- Which statement made by the patient demonstrates an understanding of the treatment of choice for patients managing the effects of traumatic events? a. <I attend my therapy sessions regularly.= b. <Those intrusive memories are hidden for a reason and should stay hidden.= c. <Keeping busy is the key to getting mentally healthy.= d. <I9ve agreed to move in with my parents so I9ll get the support I need.=
- Which goal should be addressed initially when providing care for 10-year-old Harper who is diagnosed with posttraumatic stress disorder (PTSD)? a. Harper will be able to identify feelings through the use of play therapy. b. Harper and her parents will have access to protective resources available through social services. c. Harper will demonstrate the effective use of relaxation techniques to restore a sense of control over disturbing thoughts. d. Harper and her parents will demonstrate an understanding of the personal human response to traumatic events.
- The care plan of a male patient diagnosed with a dissociative disorder includes the nursing diagnosis ineffective coping. Which behavior demonstrated by the patient supports this nursing diagnosis?
children who have suffered trauma and knows her teaching was effective when the foster mother states: a. <I understand that imaginary friends are abnormal.= b. <I understand that imaginary friends are a maladaptive behavior.= c. <I understand that imaginary friends are a coping mechanism.= d. <I understand that we should tell the child that imaginary friends are unacceptable.= 8. An incest survivor undergoing treatment at the mental health clinic is relieved when she learns that her anxiety and depression are: a. Going to be eradicated with treatment b. Normal and will soon pass c. Abnormal but will pass d. A normal reaction to posttraumatic events 9. During a routine health screening, a grieving widow whose husband died 15 months ago reports emptiness, a loss of self, difficulty thinking of the future, and anger at her dead husband. The nurse suggests bereavement counseling. The widow is most likely suffering from: a. Major depression b. Normal grieving c. Adjustment disorder d. Posttraumatic stress disorder 10. A young child is found wandering alone at a mall. A male store employee approaches and asks where her parents are. She responds, <I don9t know. Maybe you will take me home with you?= This sort of response in children may be due to: a. A lack of bonding as an infant b. A healthy confidence in the child c. Adequate parental bonding d. Normal parenting
- Which patient statement acknowledges the characteristic behavior associated with a diagnosis of pica? a. <Nothing could make me drink milk.= b. <I9m ashamed of it, but I eat my hair.= c. <I haven9t eaten a green vegetable since I was 3 years old.= d. <I regurgitate and re-chew my food after almost every meal.=
- When considering an eating disorder, what is a physical criterion for hospital admission? a. A daytime heart rate of less than 50 beats per minute b. An oral temperature of 100°F or more c. 90% of ideal body weight d. Systolic blood pressure greater than 130 mm Hg
- When considering the need for monitoring, which intervention should the nurse implement for a patient with anorexia nervosa? Select all that apply. a. Provide scheduled portion-controlled meals and snacks. b. Congratulate patients for weight gain and behaviors that promote weight gain. c. Limit time spent in bathroom during periods when not under direct supervision. d. Promote exercise as a method to increase appetite. e. Observe patient during and after meals/snacks to ensure that adequate intake is achieved and maintained.
- Which intervention will promote independence in a patient being treated for bulimia nervosa? a. Have the patient monitor daily caloric intake and intake and output of fluids. b. Encourage the patient to use behavior modification techniques to promote weight gain behaviors. c. Ask the patient to use a daily log to record feelings and circumstances related to urges to purge.
RN Mental Health Final Exam Practice Questions with Answers
Course: Mental health (nurs 751)
University: Chamberlain University
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