NURS 2023- Concepts in Mental Health
Which characteristic in an adolescent female is sometimes associated with the prodromal phase of
schizophrenia?
A) Always afraid another student will steal her belongings
B) An unusual interest in numbers and specific topics
C) Demonstrates no interest in athletics or organized sports
D) Appears more comfortable among males - B
Which nursing intervention is particularly well chosen for addressing a population at high risk for
developing schizophrenia?
A) screening a group of males between the ages of 15 and 25 for early symptoms
B) Forming a support group for females ages 25 to 35 who are diagnosed with substance use issues
C) Providing a group for patients between the ages of 45 and 55 with information on coping skills that
have proven to be effective
D) Educating the parents of a group of developmentally delayed 5 to 6 year olds on the importance of
early intervention - A
To provide effective care for the patient diagnosed with schizophrenia, the nurse should frequently
assess for which associated conditions? Select all that apply
A) Alcohol use disorder
B) Major depressive disorder
C) Stomach cancer
D) Polydipsia
E) Metabolic syndrome - A,B,D,E
A female patient diagnosed with schizophrenia has been prescribed a first generation antipsychotic
medication. What info 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 interaction more
D) She should experience a reduction in hallucinations - D
Which characteristic presents the greatest risk for injury to others by the patient diagnosed with
schizophrenia?
A) Depersonalization
B) Pressured speech
C) Negative symptoms
D) Paranoia - D
Gilbert age 19 is described by his parents as a Moody child with an onset of odd behavior 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 gilberts early and slow onset of what is now recognized as schizophrenia, his prognosis it's
considered :
A) favorable with medication
B) in the relapse stage
C) improvable with psychosocial interventions
D) to have a less positive outcome - D
Which therapeutic communication statement might a psychiatric mental health RN used when a
patients nursing diagnosis is altered thought process ?
A) it must be difficult to hear voices like that, though 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) just tell the voices to leave you alone for now - A
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) medications will make them sick
D) they're not actually ill - D
Kyle, patient with schizophrenia began to take the 1st generation antipsychotic haloperidol last week .
One day you find him sitting very stiffly and not moving. He is diaphoretic and when you ask him if he is
OK he seems unable to respond verbally. His vital signs are BP , pulse 110 , temperature 40.1
degrees Celsius, what is the priority nursing intervention ?
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 a benzo tropine I am to correct the 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 - A
Thomas is a 21 year old male with a recent diagnosis of schizophrenia. Thomas is nurse recognizes that
self-medicating with excessive alcohol is common in this disease and co- occur along with :
A) generally good health despite the mental illness
B) an aversion to drinking fluids
C) anxiety and depression
D) the ability to express his needs - C
A person complaints that most staff do not like her or care what happens to her but says that you are
special and she can tell that you are a caring person. She talks with you about being unsure of what she
wants to do with her life and her mixed up feelings about relationships. When you tell her that you will
be on vacation next week she becomes very angry. 2 hours later she is found using a curling iron to burn
her underarms and explains that her makes her numbness stop . Given this presentation you would
deduce that this person most likely has which personality disorder ?
A) obsessive compulsive
B) Borderline
C) Antisocial
D) Schizotypal - B
Which statement about people with personality disorders is most accurate?
, A) unlike those with mood or psychotic disorders, they are at very low risk for suicide
B) They tend not to perceive themselves as having a problem but instead believe that their problems are
caused by how others behave towards them
C) they are believed to be purely psychological disorders, that is disorders arising from psychological
rather than neurological or other physiological abnormalities
D) their symptoms are not as disabling as most other mental disorders therefore their care tends to be
less challenging in less complicated for staff - B
A person shows the nurse multiple fresh , serious but nonlife threatening self inflicted cuts on her
forearm. Which response would be the most therapeutic?
A) Convey empathy and explore issues that led to the self injury as you administer first aid to the
wounds
B) Care for the wounds then search the person for sharp objects in place the person on one to one
observation or in seclusion for her own safety
C) Recognizing that the self injury is aat it's heart maladaptive attempt to obtain attention , extinguish
the behavior by minimizing the attention paid to it
D) maintain a neutral demeanor while addressing the wounds and then assign the person to write a list
of circumstances that led to the injury before discussing it further - D
A patient is flirting with appear in his overheard asking him to intercede with staff so that she will be
given privileges to leave the inpatient mental health unit. Later, she offers it back rub to nurse if that
nurse will give her the PRN sedation early although it has been ordered for 10:00 o'clock. Which
response to such behaviors would be most therapeutic?
A) Inform the patient that she is being manipulative
B) Advise the other nurses that this patient is being manipulative and that they should ignore her when
she behaves this way
C) Bargained with the patient to determine a reasonable compromise regarding how much of such
behavior is acceptable before the patient crosses a line
D) Ignore the behavior for the time being so that the patient will find it unrewarding and in turn seek
other hopefully more adaptive ways to meet her needs - A
A person becomes frustrated and angry when trying to get his MP3 player and headset to function
properly and angrily throws it across the room, nearly hitting appear with it . Which intervention would
be the most therapeutic ?
Which characteristic in an adolescent female is sometimes associated with the prodromal phase of
schizophrenia?
A) Always afraid another student will steal her belongings
B) An unusual interest in numbers and specific topics
C) Demonstrates no interest in athletics or organized sports
D) Appears more comfortable among males - B
Which nursing intervention is particularly well chosen for addressing a population at high risk for
developing schizophrenia?
A) screening a group of males between the ages of 15 and 25 for early symptoms
B) Forming a support group for females ages 25 to 35 who are diagnosed with substance use issues
C) Providing a group for patients between the ages of 45 and 55 with information on coping skills that
have proven to be effective
D) Educating the parents of a group of developmentally delayed 5 to 6 year olds on the importance of
early intervention - A
To provide effective care for the patient diagnosed with schizophrenia, the nurse should frequently
assess for which associated conditions? Select all that apply
A) Alcohol use disorder
B) Major depressive disorder
C) Stomach cancer
D) Polydipsia
E) Metabolic syndrome - A,B,D,E
A female patient diagnosed with schizophrenia has been prescribed a first generation antipsychotic
medication. What info 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 interaction more
D) She should experience a reduction in hallucinations - D
Which characteristic presents the greatest risk for injury to others by the patient diagnosed with
schizophrenia?
A) Depersonalization
B) Pressured speech
C) Negative symptoms
D) Paranoia - D
Gilbert age 19 is described by his parents as a Moody child with an onset of odd behavior 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 gilberts early and slow onset of what is now recognized as schizophrenia, his prognosis it's
considered :
A) favorable with medication
B) in the relapse stage
C) improvable with psychosocial interventions
D) to have a less positive outcome - D
Which therapeutic communication statement might a psychiatric mental health RN used when a
patients nursing diagnosis is altered thought process ?
A) it must be difficult to hear voices like that, though 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) just tell the voices to leave you alone for now - A
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) medications will make them sick
D) they're not actually ill - D
Kyle, patient with schizophrenia began to take the 1st generation antipsychotic haloperidol last week .
One day you find him sitting very stiffly and not moving. He is diaphoretic and when you ask him if he is
OK he seems unable to respond verbally. His vital signs are BP , pulse 110 , temperature 40.1
degrees Celsius, what is the priority nursing intervention ?
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 a benzo tropine I am to correct the 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 - A
Thomas is a 21 year old male with a recent diagnosis of schizophrenia. Thomas is nurse recognizes that
self-medicating with excessive alcohol is common in this disease and co- occur along with :
A) generally good health despite the mental illness
B) an aversion to drinking fluids
C) anxiety and depression
D) the ability to express his needs - C
A person complaints that most staff do not like her or care what happens to her but says that you are
special and she can tell that you are a caring person. She talks with you about being unsure of what she
wants to do with her life and her mixed up feelings about relationships. When you tell her that you will
be on vacation next week she becomes very angry. 2 hours later she is found using a curling iron to burn
her underarms and explains that her makes her numbness stop . Given this presentation you would
deduce that this person most likely has which personality disorder ?
A) obsessive compulsive
B) Borderline
C) Antisocial
D) Schizotypal - B
Which statement about people with personality disorders is most accurate?
, A) unlike those with mood or psychotic disorders, they are at very low risk for suicide
B) They tend not to perceive themselves as having a problem but instead believe that their problems are
caused by how others behave towards them
C) they are believed to be purely psychological disorders, that is disorders arising from psychological
rather than neurological or other physiological abnormalities
D) their symptoms are not as disabling as most other mental disorders therefore their care tends to be
less challenging in less complicated for staff - B
A person shows the nurse multiple fresh , serious but nonlife threatening self inflicted cuts on her
forearm. Which response would be the most therapeutic?
A) Convey empathy and explore issues that led to the self injury as you administer first aid to the
wounds
B) Care for the wounds then search the person for sharp objects in place the person on one to one
observation or in seclusion for her own safety
C) Recognizing that the self injury is aat it's heart maladaptive attempt to obtain attention , extinguish
the behavior by minimizing the attention paid to it
D) maintain a neutral demeanor while addressing the wounds and then assign the person to write a list
of circumstances that led to the injury before discussing it further - D
A patient is flirting with appear in his overheard asking him to intercede with staff so that she will be
given privileges to leave the inpatient mental health unit. Later, she offers it back rub to nurse if that
nurse will give her the PRN sedation early although it has been ordered for 10:00 o'clock. Which
response to such behaviors would be most therapeutic?
A) Inform the patient that she is being manipulative
B) Advise the other nurses that this patient is being manipulative and that they should ignore her when
she behaves this way
C) Bargained with the patient to determine a reasonable compromise regarding how much of such
behavior is acceptable before the patient crosses a line
D) Ignore the behavior for the time being so that the patient will find it unrewarding and in turn seek
other hopefully more adaptive ways to meet her needs - A
A person becomes frustrated and angry when trying to get his MP3 player and headset to function
properly and angrily throws it across the room, nearly hitting appear with it . Which intervention would
be the most therapeutic ?
