Mental Health Exam 3
Types of Bereavement cont.: Complicated Frozen in a state of chronic mourning that lasts for more than a month to 6
Bereavement: months
Feeling that life is meaningless without the deceased person
Trouble accepting the death
The deceased had been experiencing a long-term chronic illness
Bitterness over the loss and wish their lives could revert to the time they were
together
What would the nurse assess as part of the physical Changes in health practices: The nurse would assess changes in health
health assessment for a patient experiencing a crisis practices as part of the physical health assessment. Assessing emotions and
coping strengths are part of the psychological domain. Assessing an
individual's ability to respond would be part of the social domain
A nurse is caring for a group of hospitalized clients with A man with major depressive disorder.
various psychiatric diagnoses. Which client has the
highest risk for a suicide attempt?
T or F: Women account for more cases of deaths from False: More men complete suicide, resulting in death, than women.
suicide than men
INITIAL Nursing Interventions: Physical Care Medication management- Clozapine- Lithium- SSRI
Which intervention reflects the psychological domain Challenging the patient's suicidal mindset
when providing care to a patient who has attempted Challenging the patient's suicidal mindset would be an intervention addressing
suicide? the patient's psychological domain. Providing care for the self-inflicted injury
and administering medications reflect the biologic domain. Providing social
skills training reflects the social domain
T or F: Most men who experience IPV are hesitant to True. Women are often afraid or reluctant to identify their abusers, and men are
report it. hesitant to report themselves as victims of IPV. In addition, men may fail to
consider behaviors such as slapping or hitting as abuse.
Rape is described as a crime of..? Violence. Rape is considered a crime of violence. Stalking is a crime of
intimidation. Power and anger may be involved with rape, but it is ultimately
called a crime of violence
Theories of Violence: Social learning theory Children witnessing violence in homes often perpetrate violent behavior in
families as adults, so Learn to accept violence and expect it (intergenerational
transmission of violence)
Theories of Violence: Cycle of Violence Phase 1: tension building, Phase 2: Violence erupts, Phase 3: Remorse ensues
, Mental Health Exam 3
Which of the following would a nurse assess first in a Lethality: Although social support, mental status, and dependency in the
survivor of violence relationship are important assessment areas, the priority assessment for a
survivor of violence is a lethality assessment to ascertain if the survivor is in
danger for their life. If so, the nurse must take immediate steps to ensure the
survivor's safety
Which symptoms are considered positive symptoms of Hallucinations: Positive symptoms of schizophrenia include the presence of
schizophrenia? abnormal behaviors or experiences, such as hallucinations and delusions, while
negative symptoms reflect a decrease or loss of normal functions, like
anhedonia and avolition.
T or F: Social theories contribute to changes in brain True. Social factors can contribute to the changes in brain function that result in
function that result in schizophrenia schizophrenia and add to the day-to-day challenges of living with a mental
illness
What would a nurse expect to assess in a patient Motor restlessness: Akathisia is manifested by obvious motor restlessness such
experiencing a kathisia? as rocking, pacing, or shifting from foot to foot. Resting tremor, masklike face,
and a shuffling gait would characterize Parkinsonism
Anticholinergic Crisis: Life-threatening condition overdose or sensitivity to drugs with anticholinergic properties
Anticholinergic Crisis: Treatment: Discontinuation of medication
Physostigmine
Gastric lavage, charcoal, catharsis for intentional overdoses
What would the nurse be least likely to assess in a Unreactive dilated pupils: Unreactive dilated pupils would suggest an
patient experiencing neuroleptic malignant syndrome anticholinergic crisis. Diaphoresis, muscle rigidity, and incontinence would be
associated with neuroleptic malignant syndrome
Schizoaffective Disorder (SAD) Better functioning status than schizophrenia, thus a better prognosis.
blunted significantly reduced intensity of emotional expression
bright smiling or a positive expression of mood
flat absent or nearly absent affective expression
inappropriate discordant affective reaction (mood and speech don't match- laughing during
a sad story)
labile Changing rapidly and often
restricted or constricted mildly reduced in the range and intensity of emotional expression
Types of Bereavement cont.: Complicated Frozen in a state of chronic mourning that lasts for more than a month to 6
Bereavement: months
Feeling that life is meaningless without the deceased person
Trouble accepting the death
The deceased had been experiencing a long-term chronic illness
Bitterness over the loss and wish their lives could revert to the time they were
together
What would the nurse assess as part of the physical Changes in health practices: The nurse would assess changes in health
health assessment for a patient experiencing a crisis practices as part of the physical health assessment. Assessing emotions and
coping strengths are part of the psychological domain. Assessing an
individual's ability to respond would be part of the social domain
A nurse is caring for a group of hospitalized clients with A man with major depressive disorder.
various psychiatric diagnoses. Which client has the
highest risk for a suicide attempt?
T or F: Women account for more cases of deaths from False: More men complete suicide, resulting in death, than women.
suicide than men
INITIAL Nursing Interventions: Physical Care Medication management- Clozapine- Lithium- SSRI
Which intervention reflects the psychological domain Challenging the patient's suicidal mindset
when providing care to a patient who has attempted Challenging the patient's suicidal mindset would be an intervention addressing
suicide? the patient's psychological domain. Providing care for the self-inflicted injury
and administering medications reflect the biologic domain. Providing social
skills training reflects the social domain
T or F: Most men who experience IPV are hesitant to True. Women are often afraid or reluctant to identify their abusers, and men are
report it. hesitant to report themselves as victims of IPV. In addition, men may fail to
consider behaviors such as slapping or hitting as abuse.
Rape is described as a crime of..? Violence. Rape is considered a crime of violence. Stalking is a crime of
intimidation. Power and anger may be involved with rape, but it is ultimately
called a crime of violence
Theories of Violence: Social learning theory Children witnessing violence in homes often perpetrate violent behavior in
families as adults, so Learn to accept violence and expect it (intergenerational
transmission of violence)
Theories of Violence: Cycle of Violence Phase 1: tension building, Phase 2: Violence erupts, Phase 3: Remorse ensues
, Mental Health Exam 3
Which of the following would a nurse assess first in a Lethality: Although social support, mental status, and dependency in the
survivor of violence relationship are important assessment areas, the priority assessment for a
survivor of violence is a lethality assessment to ascertain if the survivor is in
danger for their life. If so, the nurse must take immediate steps to ensure the
survivor's safety
Which symptoms are considered positive symptoms of Hallucinations: Positive symptoms of schizophrenia include the presence of
schizophrenia? abnormal behaviors or experiences, such as hallucinations and delusions, while
negative symptoms reflect a decrease or loss of normal functions, like
anhedonia and avolition.
T or F: Social theories contribute to changes in brain True. Social factors can contribute to the changes in brain function that result in
function that result in schizophrenia schizophrenia and add to the day-to-day challenges of living with a mental
illness
What would a nurse expect to assess in a patient Motor restlessness: Akathisia is manifested by obvious motor restlessness such
experiencing a kathisia? as rocking, pacing, or shifting from foot to foot. Resting tremor, masklike face,
and a shuffling gait would characterize Parkinsonism
Anticholinergic Crisis: Life-threatening condition overdose or sensitivity to drugs with anticholinergic properties
Anticholinergic Crisis: Treatment: Discontinuation of medication
Physostigmine
Gastric lavage, charcoal, catharsis for intentional overdoses
What would the nurse be least likely to assess in a Unreactive dilated pupils: Unreactive dilated pupils would suggest an
patient experiencing neuroleptic malignant syndrome anticholinergic crisis. Diaphoresis, muscle rigidity, and incontinence would be
associated with neuroleptic malignant syndrome
Schizoaffective Disorder (SAD) Better functioning status than schizophrenia, thus a better prognosis.
blunted significantly reduced intensity of emotional expression
bright smiling or a positive expression of mood
flat absent or nearly absent affective expression
inappropriate discordant affective reaction (mood and speech don't match- laughing during
a sad story)
labile Changing rapidly and often
restricted or constricted mildly reduced in the range and intensity of emotional expression
