N322 Mental Health Exam 2 Practice Questions & Answers Already Solved

The nurse finds a client crying in his room. The client states, "I'm so sad and lonely. I'm sitting here crying like a baby." The nurse's best response is: a. "I think you are a fine man". b. "Why don't you get involved in the activity group?" c. "It's a gray rainy day. That's why you feel down. Everyone is down today." d. "Are you embarrassed because you're crying?" - Answer d. "Are you embarrassed because you're crying?" A withdrawn client is assessed as having distorted thinking that is not reality based. A nursing diagnosis that should be considered for her would be a. impaired verbal communication. b. disturbed thought processes. c. disturbed self-esteem. d. defensive coping. - Answer b. disturbed thought processes Jim is sometimes seen moving his lips silently or murmuring to himself when he does not realize others are watching. Sometimes when he is conversing with others, he suddenly stops, appears distracted for a moment, and then resumes. Based on these observations, Jim most likely is experiencing which symptom(s)? Select all that apply: a. Illusions. b. Paranoia. c. Delusional thinking. d. Auditory hallucinations. e. Impaired reality testing. f. Stereotyped behaviors. - Answer d. Auditory hallucinations. e. Impaired reality testing. Looseness of associations in a person with schizophrenia indicate a. paranoia. b. mood instability. c. depersonalization. d. poorly organized thinking. - Answer d. poorly organized thinking. Which assessment finding represents a negative symptom of schizophrenia? a. Apathy b. Delusion c. Motor tic d. Hallucination - Answer a. Apathy In general, when a nurse admitting a client experiencing an acute schizophrenia episode, she would most likely assess which of the following? a. Open and outgoing personality b. Loss of contact with reality c. Feelings of guilt and worthlessness d. Logical and precise thinking - Answer b. Loss of contact with reality While the nurse was doing the assessment, Jeffery turned to an empty chair talking as if someone was sitting there. The nurse was unable to understand what he was mumbling. This, in fact, indicates that the patient has: a. Delusions. b. Hallucinations. c. Illusions. d. Flight of ideas. - Answer b. Hallucinations. According to the previous scenario, which of the following symptoms is considered a negative symptom of schizophrenia? a. The patient was mumbling. b. The patient shouted; "They're coming! They're coming!" c. The patient has anergia. d. The patient believes that everything in the environment refer to him - Answer c. The patient has anergia. -lack of energy which should be present -a,b,d are all unwanted symptoms that shouldn't be present The client is prescribed a first- generation neuroleptic for his schizophrenia. Discharge teaching by the nurse should include contacting the health provider if which of the following occurs? a. Elevated temperature b. Blurred vision c. Difficulty concentrating d. Inability to remain seated for long period of time - Answer a. Elevated temperature -Neuroleptic malignant syndrome The client has been on Haldol since admission. Which assessment by the nurse would best determine the effectiveness of a client's antipsychotic medication? a. The client no longer has hallucinations b. The client is no longer depressed c. The client has made a friend on the unit d. The client requested discharge - Answer a. The client no longer has hallucinations -first generation antipsychotic A client has developed neuroleptic malignant syndrome. A priority nursing intervention would be which of the following? a. Provide comfort and rest b. Measure intake and output c. Encourage client to remain active d. Monitor vital signs and blood pressure - Answer d. Monitor vital signs and blood pressure 1A client is admitted to the emergency room with complains of sore throat and fever. The client's mother informs the nurse that the client has been taking Clozaril. Which of the following laboratory tests is a priority at this time? a. Fasting blood sugar b. Cholesterol level c. Blood urea nitrogen d. White blood cell count - Answer d. White blood cell count 8. A new graduate has been assigned four patients whom she must perform an assessment on. Her assessment reveals several clients complain. Which client complains should receive priority? a. A client receiving Cogentin who states, "I can't read my book, everything seems blurred." b. The client receiving Clozapine who states, "I think I might be getting the flu, my throat is sore and I feel very tired." c. A client who was admitted for alcoholism and states, " I took my valium but I still feel nervous. d. A client receiving Prozac who states "This medicine makes me sleepy. Is that that normal?" - Answer b. The client receiving Clozapine who states, "I think I might be getting the flu, my throat is sore and I feel very tired." During a one-to-one session with a client, the nurse notes that the client is unable to stop moving. He frequently stands-up and begins pacing while answering the nurse's questions. The nurse assesses the client's need to be in constant motion as which of the following? a. Akathesia b. Flight-of-ideas c. Echopraxia d. Neuroleptic syndrome - Answer a. Akathesia 1. Jeffery is encouraged to attend groups but stays in his room instead. Staff and peers encourage his participation, but his hygiene remains poor. He does not seem to care that others wish that he would behave differently. Which is the most likely explanation for Jeffery failure to respond to others efforts to help him behave in more adaptive fashion? Select all that apply: a. He is avolitional. -drained of energy, goals and tasks b. He is displaying anergia. -lack of energy c. He is displaying negativism -has symptoms that would not normally be present d. He is experiencing social withdrawal. e. He is apathetic due to his schizophrenia- lack of energy towards condition - Answer a, b, c, d, e Currently what is understood to be the causation of schizophrenia? A. A combination of inherited and nongenetic factors B. Deficient amounts of the neurotransmitter dopamine C. Excessive amounts of the neurotransmitter serotonin D. Stress related and ineffective stress management skills - Answer A. A combination of inherited and nongenetic factors Which of the following would be assessed as a negative symptom of schizophrenia? A. Anhedonia B. Hostility C. Agitation D. Hallucinations - Answer A. Anhedonia - inability to experience pleasure in activities that usually produce it Which side effect of antipsychotic medication is generally nonreversible? A. Anticholinergic effects B. Pseudoparkinsonism C. Dystonic reaction D. Tardive dyskinesia - Answer D. Tardive dyskinesia The most common course of schizophrenia is an initial episode followed by what course of events? A. Recurrent acute exacerbations and deterioration B. Recurrent acute exacerbations C. Continuous deterioration D. Complete recovery - Answer A. Recurrent acute exacerbations and deterioration A client diagnosed with paranoid schizophrenia tells the nurse, "I have to get away. The volmers are coming to execute me." The term "volmers" can be assessed as A. a neologism. B. clang association. C. blocking. D. a delusion. - Answer A. a neologism -a relatively recent or isolated term, word, or phrase that may be in the process of entering common use, but that has not yet been fully accepted into mainstream language. A client diagnosed with paranoid schizophrenia refuses food, stating the voices are saying the food is contaminated and deadly. Which response should the nurse provide to this client statement? A. "You are safe here in the hospital; nothing bad will happen to you." B. "The voices are wrong about the hospital food. It is not contaminated." C. "I understand that the voices are very real to you, but I do not hear them." D. "Other people are eating the food, and nothing is happening to them." - Answer C. "I understand that the voices are very real to you, but I do not hear them." A client, who has been prescribed clozapine 6 weeks ago, reports flulike symptoms including a fever and a very sore throat, the nurse should initiate which nursing intervention? A. Suggest that the client take something for the fever and get extra rest. B. Advise the physician that the client should be admitted to the hospital. C. Arrange for the client to have blood drawn for a white blood cell count. D. Consider recommending a change of antipsychotic medication. - Answer C. Arrange for the client to have blood drawn for a white blood cell count. When a client diagnosed with paranoid schizophrenia tells the nurse, "I have to get away. The volmers are coming to execute me," an appropriate response for the nurse would be: A. "You are safe here. This is a locked unit, and no one can get in." B. "I do not believe I understand the word volmers. Tell me more about them." C. "Why do you think someone or something is going to harm you?" D. "It must be frightening to think something is going to harm you." - Answer D. "It must be frightening to think something is going to harm you."