Nursing 4530 Final Exam - Mental Health:
Questions With Correct Solutions
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Terms in this set (143)
The nurse is performing an C. "Every day birds sing songs for me and spread
assessment of geriatric patients in a flowers on the path where I walk."
community health care center. The
nurse reports that one of the patient's Rationale
has schizophrenia. Which statement Patients with schizophrenia have delusions of self-
made by the patient while interacting importance and state false events related to them,
with the nurse supports the nurse's like birds singing songs for them and spreading
assessment? flowers on their path.
A. "Every morning I enjoy the
humming of birds; it relaxes me."
B. "Every day my friends wait for me in
front of my gate for our morning
walk."
C. "Every day birds sing songs for me
and spread flowers on the path where
I walk."
D. "Everyone feels as if I am a burden
to them; I would like to put an end to
their problem."
,A nurse understands that D. Cholestatic jaundice
antipsychotic drugs may sometimes
have toxic effects. The nurse suggests Rational
to the patient' s guardians to give the Antipsychotics may cause cholestatic jaundice
patient foods rich in carbohydrates because of impaired liver function. Hence, a liver
and protein and to ensure that the function test should be performed every 6 months.
patient undergoes a liver function test The patients must be given foods rich in
every 6 months. Which of these toxic carbohydrates and protein in order to enhance liver
effects was the nurse thinking about function.
when making such a suggestion?
A. Weight gain
B. Hyperpyrexia
C. Agranulocytosis
D. Cholestatic jaundice
A nurse manager plans to follow up B. "Tell me more about how someone keeps trying to
with a nurse after hearing which poison your food."
comment while talking to a patient
who is reporting someone is trying to Rationale
poison him or her? It is nontherapeutic to reinforce the delusion by
A. "Let's discuss the stressors you have encouraging the individual to focus on the details, as
in your life right now." suggested by asking the patient how his or her food
B. "Tell me more about how someone is being poisoned. The statements "Have other
keeps trying to poison your food." members of your family ever experienced this kind of
C. "Have other members of your thing?", "How has this affected your ability to keep a
family ever experienced this kind of job or care for yourself?", and "Let's discuss the
thing?" stressors you have in your life right now" do not
D. "How has this affected your ability reinforce the delusion. Rather, they help gain
to keep a job or care for yourself?" knowledge about the history of the disorder in the
family, the extent of the dysfunction the fear is
causing, and the triggers that may have resulted in
this behavior
,Which side effect of antipsychotic B. Tardive dyskinesia
medication is generally nonreversible?
A. Dystonic reaction Rationale
B. Tardive dyskinesia Tardive dyskinesia is not always reversible with
C. Pseudoparkinsonism discontinuation of the medication and has no proven
D. Anticholinergic effects cure. The side effects of anticholinergic effects,
pseudoparkinsonism, and dystonic reaction often
appear early in therapy and can be minimized with
treatment.
A desired outcome for a patient A. Ask for validation of reality
diagnosed with schizophrenia who is
experiencing auditory hallucinations Rationale
would be that the patient will... Beginning to question his or her own altered
A. Ask for validation of reality perceptions by seeking input from staff is highly
B. Describe content of hallucinations desirable.
C. Demonstrate a cool, aloof
demeanor
D. Identify prodromal symptoms of
disorder
A nurse works with a patient in the A. Paranoia
acute phase of schizophrenia. Which D. Delusional thinking
assessment findings increase the risk E. Command hallucinations
of aggression and violence? (Select
all that apply) Rationale
A. Paranoia A small percentage of patients with schizophrenia,
B. Flat affect especially during the acute phase, may exhibit a risk
C. Poor hygiene for physical violence, typically in response to
D. Delusional thinking hallucinations (especially command hallucinations),
E. Command hallucinations delusions, paranoia, and impaired judgment or
impulse control. Poor hygiene and a flat affect are
negative symptoms that usually are not associated
with aggression or violence.
, A patient diagnosed with C. Auditory
schizophrenia is most likely to
experience which type of Rationale
hallucination? Patients diagnosed with schizophrenia may
A. Visual experience hallucinations arising out of any of the
B. Tactile senses; however, auditory hallucinations are
C. Auditory experienced by 60% of people with schizophrenia at
D. Olfactory some time during their lives. Visual hallucinations
more commonly are associated with substance
abuse and withdrawal. Tactile and olfactory
hallucinations are rare.
What electrolyte imbalance can be C. Hyponatremia
seen in patients who have
schizophrenia who are experiencing Rationale In patients with schizophrenia, polydipsia is
polydipsia? seen as a result of dry mouth. Patients experience
A. Hypokalemia excessive thirst because of antipsychotic drugs and
B. Hypocalcemia drink a lot of water. Polydipsia is characterized by
C. Hyponatremia hyponatremia, confusion, and severe symptoms of
D. Hypercalcemia schizophrenia. It is caused by the inability of the
kidneys to filter excess fluids. Hypokalemia is a
condition that produces reduced levels of potassium,
which can be caused by antibiotics. Hypocalcemia
refers to increased levels of calcium as a result of a
deficiency of vitamin D or defective absorption. It
can also happen because of impaired metabolism of
vitamin D in the body. Hypercalcemia is an increase
in levels of calcium seen during hyperparathyroidism.
Questions With Correct Solutions
Save Groups
Terms in this set (143)
The nurse is performing an C. "Every day birds sing songs for me and spread
assessment of geriatric patients in a flowers on the path where I walk."
community health care center. The
nurse reports that one of the patient's Rationale
has schizophrenia. Which statement Patients with schizophrenia have delusions of self-
made by the patient while interacting importance and state false events related to them,
with the nurse supports the nurse's like birds singing songs for them and spreading
assessment? flowers on their path.
A. "Every morning I enjoy the
humming of birds; it relaxes me."
B. "Every day my friends wait for me in
front of my gate for our morning
walk."
C. "Every day birds sing songs for me
and spread flowers on the path where
I walk."
D. "Everyone feels as if I am a burden
to them; I would like to put an end to
their problem."
,A nurse understands that D. Cholestatic jaundice
antipsychotic drugs may sometimes
have toxic effects. The nurse suggests Rational
to the patient' s guardians to give the Antipsychotics may cause cholestatic jaundice
patient foods rich in carbohydrates because of impaired liver function. Hence, a liver
and protein and to ensure that the function test should be performed every 6 months.
patient undergoes a liver function test The patients must be given foods rich in
every 6 months. Which of these toxic carbohydrates and protein in order to enhance liver
effects was the nurse thinking about function.
when making such a suggestion?
A. Weight gain
B. Hyperpyrexia
C. Agranulocytosis
D. Cholestatic jaundice
A nurse manager plans to follow up B. "Tell me more about how someone keeps trying to
with a nurse after hearing which poison your food."
comment while talking to a patient
who is reporting someone is trying to Rationale
poison him or her? It is nontherapeutic to reinforce the delusion by
A. "Let's discuss the stressors you have encouraging the individual to focus on the details, as
in your life right now." suggested by asking the patient how his or her food
B. "Tell me more about how someone is being poisoned. The statements "Have other
keeps trying to poison your food." members of your family ever experienced this kind of
C. "Have other members of your thing?", "How has this affected your ability to keep a
family ever experienced this kind of job or care for yourself?", and "Let's discuss the
thing?" stressors you have in your life right now" do not
D. "How has this affected your ability reinforce the delusion. Rather, they help gain
to keep a job or care for yourself?" knowledge about the history of the disorder in the
family, the extent of the dysfunction the fear is
causing, and the triggers that may have resulted in
this behavior
,Which side effect of antipsychotic B. Tardive dyskinesia
medication is generally nonreversible?
A. Dystonic reaction Rationale
B. Tardive dyskinesia Tardive dyskinesia is not always reversible with
C. Pseudoparkinsonism discontinuation of the medication and has no proven
D. Anticholinergic effects cure. The side effects of anticholinergic effects,
pseudoparkinsonism, and dystonic reaction often
appear early in therapy and can be minimized with
treatment.
A desired outcome for a patient A. Ask for validation of reality
diagnosed with schizophrenia who is
experiencing auditory hallucinations Rationale
would be that the patient will... Beginning to question his or her own altered
A. Ask for validation of reality perceptions by seeking input from staff is highly
B. Describe content of hallucinations desirable.
C. Demonstrate a cool, aloof
demeanor
D. Identify prodromal symptoms of
disorder
A nurse works with a patient in the A. Paranoia
acute phase of schizophrenia. Which D. Delusional thinking
assessment findings increase the risk E. Command hallucinations
of aggression and violence? (Select
all that apply) Rationale
A. Paranoia A small percentage of patients with schizophrenia,
B. Flat affect especially during the acute phase, may exhibit a risk
C. Poor hygiene for physical violence, typically in response to
D. Delusional thinking hallucinations (especially command hallucinations),
E. Command hallucinations delusions, paranoia, and impaired judgment or
impulse control. Poor hygiene and a flat affect are
negative symptoms that usually are not associated
with aggression or violence.
, A patient diagnosed with C. Auditory
schizophrenia is most likely to
experience which type of Rationale
hallucination? Patients diagnosed with schizophrenia may
A. Visual experience hallucinations arising out of any of the
B. Tactile senses; however, auditory hallucinations are
C. Auditory experienced by 60% of people with schizophrenia at
D. Olfactory some time during their lives. Visual hallucinations
more commonly are associated with substance
abuse and withdrawal. Tactile and olfactory
hallucinations are rare.
What electrolyte imbalance can be C. Hyponatremia
seen in patients who have
schizophrenia who are experiencing Rationale In patients with schizophrenia, polydipsia is
polydipsia? seen as a result of dry mouth. Patients experience
A. Hypokalemia excessive thirst because of antipsychotic drugs and
B. Hypocalcemia drink a lot of water. Polydipsia is characterized by
C. Hyponatremia hyponatremia, confusion, and severe symptoms of
D. Hypercalcemia schizophrenia. It is caused by the inability of the
kidneys to filter excess fluids. Hypokalemia is a
condition that produces reduced levels of potassium,
which can be caused by antibiotics. Hypocalcemia
refers to increased levels of calcium as a result of a
deficiency of vitamin D or defective absorption. It
can also happen because of impaired metabolism of
vitamin D in the body. Hypercalcemia is an increase
in levels of calcium seen during hyperparathyroidism.
