Scribd
Upload
233 views8 pages

Mental Health Questions From Saunders

Uploaded by

msdriver18
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF or read online on Scribd
233 views8 pages

Mental Health Questions From Saunders

Uploaded by

msdriver18
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF or read online on Scribd
You are on page 1/ 8
a REVIEW QUESTIONS ‘Answers and rationales begin on p. 317, 4. A patient is admitted to a psychiatric unit following an unsuccessful suicide attempe. He repeatedly tells the nurse, “I want to die, please help me die.” The most appropriate nursing response © “Donic worry, you'e safe @ “Relax, nobody’s going co kill you.” & "Why do you want de™ © “You must be feeling very sad tight now. 2A shore gol adel pater sha he atient will inceract with two other patients by the end of the week, At the end af the meek lari socially withdrawn. The most a should be to: © Reevaluate the problem ® Change the goal © Modify the nursing interventions ® Change the goal to a long-term goal 3. A short-term expected outcome (goal) for a manic patient is that the patient will gain 3 pounds in 1 week. At the end of the week the patient has gained 2 pounds. The nurse should record which of the following outcomes? © Goal met ® Goal will be mec in 3 more days © Goal not met = © Goal partially met 4. A patient who has been receiving haloperidol (Haldol) regularly is currently on 5 mg po tid. When he arrives at the medication room for hs scheduled Haldol he tlls the nurse he has a sore throat. Which of the following nurs- ing actions is most appropriate? © Administer the Haldol with plenty of water @ Hold the Haldol and norify che physician ® Hold the Haldol and cake the patients temperature © Administer the Haldol and plan to take the patients temperature 5. A hospitalized schizophrenic patient who experiences auditory hallucinations is placed on clozapine (Clozaril) by his physician. The nurse knows the medication is cffecive when the patient report chat: © He no longer hears voices ® The voices arent as loud @ He is too drowsy to concentrate on the voices He does not disturb the other patients any more 6. A patient approaches the nurse and says, “I am omnipotent. Some day soon I'm going to take over this unit, youl ee.” ‘The appropriate nursing intervention should be to: © Calla code ® Tell the patient that no one is omnipotentand to calm down, @ Redirect the patient @ Ask the patient why he thinks he is omnipotent 7. During the termination phase of the nurse/patient rela- ‘ionship the patient abrupdy gets up and leaves. The mast appropriate nursing action should be to: © Go after the patient and bring him back ® Remain ac the interaction site until che end of the contracted time ® Resume her regularly scheduled activities © Speak with the head nurse about assigning another nurse co che patient ‘k the patient remains propriate nursing action 10. n R. 1B. 14. 15, 16. Mental Health Nursing 313 A patient is admitted to a psychiatric unit. After com- pleting the nursing history and assessment, the nurse determines that a tour of che unit and explanation of the unit rules and regulations is appropriate. The nurse's rationale for this intervention is to: © Reduce the patient’ anxiety ® Demonstrate that interaction with others is required. © Assure that patient rights arent violated © Make sure all the other patients know who the new patient is . The patient does not appear for a contracted interaction, with the nurse. The most appropriate nursing interve should be to: © Ignore it and see what evolves ® Show up early for the next scheduled interaction ® Remind the patient of contracted interaction times @ Reduce the patient's privileges ‘The nurse uses role playing asa therapeutic intervention for which phase of the nurse/patient relationship? © Preorientation ® Orientation @ Working © Termination ‘A man is angry with and actually hates his boss, but co his, co-workers he appears to be the boss’ favorite employee. This is an example of: © Repression @® Projection @ Reaction formation © Rationalization (On the day before finals a scudent has sweaty palms and “butterflies” in the stomach. The anxiety level is most probably: © Panic level @ Free floating © Apprehension level © Alereness level A nursing diagnosis in psychiatric nursing is: © A behavior or problem related to its probable cause @ Not used, because murses do not diagnose @ Based on the medical condition of the patient Useful only in general hospital settings Suicide is most likely to occur: © On admission ® On discharge ® As the depression deepens @ As the deprenion i ‘You are attempting to communicate with your patient. ‘The patiene says, “My car is red, your hair is short, my socks are gold, DeWayne, Jewish, my wife's cooking is awful, she burns.” This is called: ® Word salad ® Ambivalence ® Confabulation © Flight of ideas Anxiety can be expressed through emotional feclings ‘Which of the following signs is last likely ro be observed in the anxious patient? © Fear Phobias ® Hostiliry ® Depression 314 Chapter 6 17. A patient tll the nurse tha the television is cursing het and that there are electrodes in her head thae make her arms and legs burn, The idea of che television cursing the patient isan example of © Persecurory delusion ® Visual hallucination © Incoherence ® Flighc of ideas 18. A patient els the nurse that there are eecttdes in her head that ate making her arms and legs burn. Which of the following tesponses is mas therapeutic? © “That's sil, your les ate okay.” ® “Does the fice travel From one leg to the other?” © “Iryout legs were burning, I would sce i” @ *Tundersand you fel the fie. How can you stop ie” 49, A newly admitted patient has not bathed in 4 weeks and is extemely disheveled, To help her with her ADLs aetiv= ites of daily living) itis appropriate for the nurse co: © Tnsee chat she bathe before she may have recreational -of fact way that she is expected t0 bathe each morning at 8 AM, stay with her, and assist her with this eask @ Postpone her bath until hee symproms subside as itis not the major concern now @ Tell her she will be excluded from social groups because she is untidy 20, Thorazine is one ofthe oldest and most widely prescribed antipsychotic medications. The correct generic name for Thorazine is © Fluphenazine ® Mesoridazine a. Anger and agreion @ Suspicion and jealousy @ Selfpity and selfcenteredness @ Simultaneous hero worship and hero hating 22, The ewo outstanding examples of paranoia include © Grandiosity and poversy ® Poverty and persecution @ Persecution and poisoning @ Grandiosiey and persecution 123, Patients who abuse alcohol may become temulous and have hallucinations when they stop drinking. This is called: © Tolerance ® Abstinence ® Withdrawal ® Dementia 24. Monoamine oxidase inhibitors are dangerous when used whith certain foods. The substance in these foods is called: © Histamine @ Phenylalanine @ Lysine @ Tyramine 25. Which of the following nursing measures is mos afm rec- ommended when caring fora patient who is aggresive and hyperactive? © Physically exeaning the patient @ Secluding the patient @ Providing safe, diversional sctviey 26, The a Richiasc hospital after superficially cutng her wis “Her awempted sicide is an example of © Poor impulse concol @ Regressive behavior © Manipulation @ Depresion| ‘A éyear-old gil i admitced to the psychi Supetiially cating her wrist. She as a history of prost- tution and minor drug abuse. An appropriate nursing goal for this paien isto: {© Show her that her life of prostitution is immoral @ Eliminate self-destructive manipulative behavior Gece to sete down with 2 husband © Convince her to have a tubal ligation to avoid pres nancy ‘A patient with a personality disorder is brought tothe ou patient clini by her mothes, who states er daughet soot ‘of control, The nurse should begin to foster erst by: {© “Telling her you are avilable regardles of her behavioe @ Tell her you care about her but may not lays approve of her behavior Avoid the establishment of cast because the relaton- og il renal be eninad Let her know she ean all you day or nighe During the eaiy phate of detosfiation, an asesment for physical signs should be made when the patient © Asks for medication to stop the “shaking” @ Vomits © Complain ofa sore throat ® Asks to eave che hospital @ Expl base? shanism used by the alcohotic 34 35, 36. 37, 38, 39, a ‘A key feature of patients with bor onder is chat they: © Are able to cope successfully in sociery ® Learn from previous mistakes © Are driven by intense hallucinations ® Manipulate everyone they ean AA patient approaches you and says, “With all my troubles feel worthless. I would like to end all this misery Everyone would be better off if| were gone.” Your mont appropriate response to this statement would be: © “Tell me more.” @ “Are you thinking of killing yourself” @ "Tan sce that you ate very upset” @ “Ihave o take blood pressures right now, then we can alk” During a group therapy session, a patient asks you what the difference is berween a psychosis and neurosis, Your ‘most comrect reply to this question is {© Paychotics can thinks neuroics ean think ® Psychorics are always depressed; neurotics are not depressed © Psychotics have disorg: thoughts are organized @ Paychotics are always in touch with reality: are notin touch with reality A patient complains of trouble with control of hes or his tongue. Also, the neck muscles are beginning to tighten and the patient is having difficulty keeping her or his headin an upright postion. Your fire response should be: © Check the medication administration record ® Call the physician @ Draw blood per standing order © Fill ou an incidene repore isis intervention theory is based on which of the fol lowing assumptions: Chis lead 6 lng een damage @ Crises have common elements tha are useful to know for incervention © A caisis is abnormal and occurs a8 a sign of deeper trouble © Aeetisis may take years to resolve In a ctsis the aim of intervention isto: © Rearrange life elements of the people involved ® Provide treatment for as long as possible @ Offer support and explore alternatives Avoid old ties because these led up to the crisis A 46-year-old woman is admitted to the hospital’s psy- chiatric unit because of an increasingly depressed mood. She tunable to care for her house, and her husband reports she stays up late at night, has difficulty geeting up inthe meroing and complains of abdominal pan, which she states is punishment for her sins. The patient's symp- tem ate characteristic of Alcoholic psychosis @ Afcouve daodee © Schizophrenia © Bipolar illness A depressed psychiatric patient who demonstrates che inability o arise in the morning is often described as having: © Loose associations © Difficuley in thinking © Psychomotor reardation ® Mental retardation deine personality dis anized thinking; neurotics’ neurotics 47. 49, Mental Health Nussing 315 A46-yearold patient is admitted to the hospitals psychi zie unit because of an increasingly depresed mood. ‘After afew weeks of treatment you observe that she has started putting on large amounts of makeup, has become secluctive with male patients, and stays up very late pac- ing the loot. You might conclude that the patiene: © Was initially diagnosed incorrecdy ® May be having a manic episode as part of her illness @ Is showing signs of recovery ® May be having side effects of the medication . Four of the major features that clearly distinguish schizophrenia from other mental illness are: © Low self-esteem, low morals, worthlessness, and overty @ Fanray, hallucinations, detasions and personalicy flaws Inappropriate affect, autistic behavior, ambivalence, and inability to associate thinking and reality ® Ambivalence, autism, apathy, and associative loose- |. Extreme mood swings ranging from deep depression to high activity levels is most often seen in: © Paranoid disorders ® Bipolar disorders © Schizophrenia © Eating disorders When dealing with a patient having somatic delusions, it is importanc to remember that © The patient really doesn’t feel the delusional sensa- @ Touching such a patient may be nontherapeutic, because they may have disturbed personal borders Agreeing with the patient is helpful © Meas carts aln aura arse complaints AA patient on suicide precautions reports a recent change in mood. The nurse knows: © This is a higherisk factor ® The crisis has probably passed ® The patient may be manic-depressive © The paciens is responding to the added atention of the precautions In assessing suicidal risk, which of che following isa tisk factor? reid © Long psychotherapeutic treatment ® A concrete plan that is relatively lethal ® Past attempts, because these usually mean the person is now able to cope better with stresses © Deviance in the person’s background . If you were to select a single identifying characteristic of the obsessive-compulsve patent, i would be: © Seclusiveness ® Aggression @ Otlstnce © Instant gratification ‘A teenager admits to you that he or she is smoking mari juana on a fairly regular basis. You would know that mar- Ijuana is considered a(n} © Highly addictive substance ® Amphetamine © Hallucinogen © Cannabinol 316 50, St. 52. 53, 54, Chapter 6 ‘Which of the following statements is most true about the lifference beeween a delusion and a hallucination? ® Delusions are fle belief; hallucinations are projections ® Delusions are systems; hallucinations are beliefs © Delusions are always true; hallucinations are always false ® Delusions are based on fact; hallucinations are based. on belief Which of the following statements about suicide is mast © Suicide is 100% preventable cis only inherited ide occurs without any prior warning @ Suicide lethality increases in proportion to the details ofthe plan ‘Your patient tells you that he or she is depressed over the recent death ofa parent. Which response is the best com ‘munication intervention for this patient? © Say nothing © “Wouldnit you rather talk about something else?” © “have some time. Would you like to tell me more about your feelings?” © "Idont have time for sad people. ‘You enter a patients room and stand jus inside the door. ‘The patient is obviously agitated and is escalating to che point chat physical harm may occur. What is your best © Take the patient to the seclusion room ® Talk to the patient and try co identify why he or she is so agitated © Go to the nurses’ station and re behavior ® Call the physician AA patient who has just ben admitted for polysubstance abuse is demanding to leave. Which of the following is the Bere nursing ation? © Ask the patient why he or she wants to leave 0 soon ® Inform the patient that no one is alowed to leave once he or she is admitted ® Take the patient to the seclusion room © Respond, “I would like you to tell me how you feel. Can you do that” port the patient's 55, 56. 57. 58, 59, . You ha Ta working with mental health pains you yoy tha all ecrds are conden which oe ky © Everyone who asks may see the ® Only the medical and nursin records © Only mares are allowed to make nes in they ® The patent may view er ot his record on You ate caring fora patient with major depresic’ planning activities, you know chat the ‘© Frequene changes in activities ® Constant redirection into numerous activities @ Bebavor modification that esc lg @ Welldefined, structured interactions atthe hen, ofereament * “eng ‘he dominan feling that che patient with major dey, sion is mar likely to display is ihe © Agitation 2 Abbtence © Anxiery @ Hopdenes a The drug that eannor be given if che poten: has cop sumed aleohol within the past 24 hours is: ves © Chlorpromazine (Thorazine) ® Loxapine succinate (Loxitane) © Disulfiram (Antabuse) © Tifluoperazine Stelazine) ‘To foster feelings chat bolster a patients self-esteem, important thatthe nurse: © Constantly criticize the patient's behavior ® Accepc and give postive reinforcement for zppap ate behavior © Enforce behavior modification, previous unacceptable behavior ® Remain very strict with unacceptable behavior and Structure precise expectations for the patent we answered a phone call. The caller els you tht she is going to commit suicide. What shouldbe your initial reponse? © “People who talk about it, never doit.” ® “Do you have a plan?” © "Why would you want ro do a ching like that” © “Could you tell me your phone number?” mn Patient needy, including ignoring all he ot a ‘ANSWERS AND RATIONALES «pat meme rsa oe ce an ope Saat tee etn 1 ee lg a impact re moe 09 Bice eed hn tyne oes midipehe ates man oar pa os OTE as gana ce Se ee o aren 8 CET aan este mg et Seed th nt ofits ge fees mee mete aces eer Salat eee peng Me umbcresdninusting he nein o Sieg inner ee fe i ole net oy o tater Soe pe natar re ine rl 0 RemLaricertttey aie dee pea a ees Sem Tense opr ee meres el eee Se as Perrone areas Tea ee often aricuspic cay are ees, Sree te i no peri fier ay ener eee Me tegseeg ene o Koger Seana Mega gle rl aay eee es (Vipiee eecg ye eer aes Beret oc de pea tetra oe ee eer Siecle tons 1. 2 Mental Health Nursing 317 © Coneracted time withthe patient etme for that patent on The nue shoud seman for the ust ton ofthe contd tine @ lnapproprine: The acs alway the ptet, no the Kool, implementation, phos () © The unfanliar ase provoking” A cour and ti of expects wl eat wih oacag oe Pans re fe ofr ith others bu ate never, fepied wo do © Pans ecve scopy ofthe Pen Bil f Rights on imison and cit rien copy of che un lr tnd realions or eal explntion of them. Tit tails cand eure © Nahe purpore, The pen wl be inode ro the poey 2 ce fet communi ecg 9. Application, implementation, prychorocal (9) (©The working phase woul punt for the pace. ingen enon eng nd in nd todd the pases apocabiyfostheconcact, There may be'a ean the patent could keep the © The pat behavior shold not be ignored, and the patent neds to Know tha he has 3 respon 0 the conrer @ This presumes cae che patients behavior was oot dred. Showing up ety oe the nex session wl doc ange he patents Beso. 2 Reon nappa omen ‘Arangerents for netping naps i or 2 te keep appoincnnt sould be dacused hen fr ulatng the contac Knowledge implementation, pochosocil (6) (© Purp of ti phase toast pene wih por ive behavior change. The fost on the prt and tole playing canbe msighil prolemsling, © Dau coleton,sutodignose and planing ocat dutig this phx before meron wah the ene ® This the geting scquaned pace the cont formulae tnd pans problems identfed. Urey les 210 seston @ Diselation af he lao: synthesis of what hs cured and summary of pint progess me di oxau of paint prog Comprehension, seamen, pychosoi (8) (© Uses repre inp lf unscepable et ings while conscious effort made wo exes oppo Se ype of fangs © A blocking of psf or unacepable flings ® Giving of or ssigning of unatepable lings ro someone @ Explaining away, via loge contruction, unaceept able though tings oe Comprehension, sesseat, pechosoial 6) © specs le sy eed cone © Pane incdes low of convo @ Frelaing has no pic bec or ret @ Alera lve is ese severe, oly vague mpm 318 Chapter 3B. Comprehension panning. phono) © Correct because muses diagnose and reat hasan reaps lcs, beavis problems ested to haw probable cases: 1 Nass diagnose spon nd nt dee eis 1 The mol dagnose mayor may no be eed 0 the nursing dagos © Naring dagnasi ssf many divers sein 14, Comptchenion, aseumen,ewronment () (© Moat suthoies agree eh a8 depression fits the patina eter of commiting suki (© Theaenion ofthe psn big admied dvd tnd foci on the miso, and he or he 108 itt commit side dang te adion proce (© Discharge wil a ocr ibe paren ates si 1 As the depres deepens ils and es ie hat ‘nik ll ccs Beer th pans i xpeencing Seep ning 15, Compichenson assent, pry (0 By deininan, the ar ae yng by ence igh of as, (© Word lade mame ofr words & Ambrlenc sl hate you [Tove you'—opposite Feckngs within th ame thought @ Contbulaion i ling n't memory lap wich 16. Compcemin, semen’ pychooc ©) (0 Rescue ieshanctered by szcderted behavior 2nd teuvins ence daptesion sl br ity be obser: ‘pean sno ected by high lee faci. (© Fexrmay epee the crs fo ae. (© Pa dys have an set component & Houtlty may be soni he asus pte 47, Comprchenion, sessment, phos (2) (0 Tenecuory desi the eevson seul dos not fue the pnt shel peered by @ Nossal bllcinston. Not icokeen, ut suena, @ Serf fies ag 18, Competition, implemenation, © tecepe ely fer expeience and sugges el ‘ents @ Denis ely of he experience Enc ne he dlasion. © Denis ely of he experience 19, Conperheaon,emplenenaon, physio © Ces dea mage, Bap organ ite. {© May lead os power wragle 1 Nov rue she shouldbe encouraged to bein routine tnlfeate ar s00n posible © Moralsing dos rot el pine 20, Koondedge, planing ervitonment () (© Chorpromasine he genet mare for Thorne. 1B Flapbenerie she genre name or Prosi {© Metordarine is the generic name fr Seen {© Compaine tthe ride sme for prochorprsine, 21, Compecheson scesment, pcos () (© Stpion and jealouy atthe predominant boughs tf the praroid pai © Paranoid patent ate preoccupied with suspicion nd alos tha there ae not subsancal poses. € Seip nd emer mor Saeki the deposed pater whee Bente eog fale 9 Thais doo of brn, 22. Conprenn, mennere pyc ty See eee tue ah th cdl ae om 6 sey isan economic rion 8 Semon ort § Ressiop msm cane of sis 2B, Kaeinigr seers thls 2 pene ron oping hg $ rhc cas netted thin & pain noc ink fen, Denaro 2a. Korii igloo, ping © yamine 8 Nines 6.3. An ied bc ot oct 2 Gone ran ny ar mite mon oe fate deworng he Tesco tt Repos exw ens Age 2a Bercy mod ba Se bdel SY reno sie © Wile mprpin doco tec Se... bel «© Depending on the ceo he sgn, feminine Soon Boat be are speoptne won es i ngraine Con yoctelmeniy” 26, Competes ssumane pov) Dlg he it door mechan in de ‘ctcn dap ted sean dk «2 The dices he ween nd aren ‘cause thas is uncompensated. ig © Galangal oo, a ed Wy ke sdon but Engen a Sg tens off The skin a i epee Sn Spite ae om te ng ine 6 Salon dae nti in he dco oie 27. Conpchenin, inplmeneion, hoes) (© Lithium the mediation of hace a he sip dso © Chitra Thoin) iran nip Ne Si ipl dor 6 Fsbemoe Cin) inant a i. ing 6 Imipramine (Tf an aiepremar of es ge gos 28, Conpecnanstesimen, pryehovcl ) {© nunc ad wings ena ke thenpeti rast 0 Warhol nor snowedge aos ome ec panee Kear moe sboue hem Ao IS atin ot alan. © food nl hn he pain eng Romer oe moje nd ome © Seeranorle for. 29, Compreenon, ascent, pyhaaci () 8 Castel mone btn etliy doer io dlions or halunadon oe @® Not relevant. ‘er 20. Comprstemion see (© Poor impulic som Inpulve behane Regs i nox conc stution dos no inde cate, move confab aan © Maybe manipulative bt sion des ot inde © Probably not depressive suaion this, iment, physologie ) rol; superficial wrietcuttng is ovoe Siatys sel ari ee propre, SMa sl atin seamen 3 Se oer » Oana ear Bre felon OF te Tas the mow sour conquer 2nd rues meat ihe physloge ee ‘The vomiting is unconealle and mien ck uciool and lid tnake, Wane gee ingot vomited within minute Tee ae anemic woul be aprons sored ean Pils; tspinton and empeaca sc mee! © Uru thang intr ecg cuca sane Meicaion uty oncet’o cased tine © No ned © meses ules he ae ter Scompyingcomplaas © Thisropone is rbcrne 34, Comprehension, asesene atonnect ) © Manipal sd sonal iyo © They manage opty. but vad se vidane Sehavior snag dose she ow rs @ They never seen so len fom prvous sit ates they eet hem me mada 6 Deluslons maybe, but news hallucnae nee 2 poole cons hh brine prea 35. Comprehension, planing ernment 0) © uci he pl chet inrvene © "Tel emote ny ot eal ln 9 gi cnt alt pa. 9 Incore: anyoespracis you ih sateere the ons in th quest, find our ty have pn, 36. Kaonils, implemen bean) © OF the choles her, thst mot conto © Notte Pychoscs ca thnk ti aoa, 2 Paychovcs ae racy depend monly fey emat speein aly © Those ements ae revered. The pcos in in tein he neo so ely bey my ed tol 37. Compcert, assent, pclae (2) (0 Ths cones ene The patent maybe expe ‘rng hbo cle EPS etapa {mpt0ms). These gmptons ate asexited withthe administration of antipsychotic medicnroee Incidental there wil probaly bean as BS oe a tulonodeedo wren ti EPS ccs, @® Necapproprat sr freon, @ Nota firs respons, bt aay be required a ome int in the en 38. Kool, sees, physiologic) asso dry © Unsly resolve in sone fsion withow long erm damage @ Fare satemen © Usual rete in ew wes. 38. Knowle implementation, environment) © Ofens new eberver bpm soring Ou com pees and ofring fl Slcone © Reva gal © rete i abeys ie ed, © Od des ae oer sengihened 40, Comprehension, sessment, pchosocial() © ‘Acne corer chanced by dep mood, low energy and semati delasions, ©@ Nocindieed in station {© Unknown fom das given; ay o may not be 41. Kaowllge,sscsumenepgchsecl © Paychomotr retardation charactors low motor sett based on pychologe fan 0 ineleane '@ Notin sation 42. Comprehension, sessment, poychosocil() © "The behav changes inate mania © May noc be wu diagnos wae acura forthe pe senting saps @ Nove; ange too mpd and exveme © Uninc 48. Koovldge,aueament, pochoscia () © “Thee a the four iso schiaphenia © Povey san economic sats hence this anor ia © Schinopieicpaens may have hallucinations ane

You might also like

pFad - Phonifier reborn

Pfad - The Proxy pFad of © 2024 Garber Painting. All rights reserved.

Note: This service is not intended for secure transactions such as banking, social media, email, or purchasing. Use at your own risk. We assume no liability whatsoever for broken pages.


Alternative Proxies:

Alternative Proxy

pFad Proxy

pFad v3 Proxy

pFad v4 Proxy