A psychiatric-mental health nurse is conducting a presentation for a community group
about mental health disorders. The nurse determines that the presentation was
successful when the group identifies which characteristics as reflecting a mental health
disorder? Select all that apply.
A. The person experiences some type of distress related to change in thinking.
B. The person's mood is unusual
C. The person's altered mood leads to impaired functioning
D. The person can deal with increased stressE. The person sees the world realistically -
Correct Answer A,C
A psychiatric-mental health nurse works to avoid using nontherapeutic communication
techniques when engaging with clients. Which technique would the nurse most likely
avoid using? Select all that apply.
A. Silence
B. Agreement
C. Disapproving
D. Validation
E. Confrontation - Correct Answer B, C
A psychiatric-mental health nurse is teaching a client about cognitive behavioral therapy
(CBT). Which concept would the nurse most likely include as important to this therapy?
Select all that apply.
A. CBT is loosely structured psychotherapy
B. CBT focuses on identifying negative, inaccurate thoughts
C. CBT strives to help the client accurately interpret situations
D. CBT is based on global evaluation of human worth
E. CBT focuses on what is healthful and functional only - Correct Answer B, C
Patients with depression must exhibit either _________ or ____________ to be
considered as having symptomatic requirements for diagnosis.
A. Suicidal behaviors or thoughts
B. Feelings of worthlessness
C. Loss of interest in activities
D. Fatigue
E. Depressed Mood - Correct Answer C, E
After learning about theories of depression, the instructor determines the education was
successful when the students identify which of the following biological factors as playing
a potential role in depression? Select all that apply.
, A. Serotonergic activity
B. Negative distortions of thought
C. Inflammation
D. Genetic Risk
E. Social Environment - Correct Answer A, C, D
Which of the following would the nurse be alert for in a patient receiving fluoxetine?
A. Hypertensive crisis
B. Sedation
C. Weight gain
D. Serotonin syndrome - Correct Answer D
When would you expect a patient with fluoxetine to be at highest risk to develop
serotonin syndrome?
A. In the first 72 hours of starting medication
B. In the first 10 days of starting medication
C. Once the medication reaches therapeutic levels (around week 2 of administration)
D. Serotonin Syndrome is equally likely to occur at any point throughout treatment -
Correct Answer A
What are possible topics the nurse may wish to discuss with patients and their families
when discharging the patient with a prescription for amitriptyline (Elavil) following a
suicide attempt? Select all that apply.
A. Chewing sugar free gum may alleviate medication induced dry mouth
B. They can continue taking any OTCs and supplements of their choosing
C. The family should work with the patient to ensure that a limited quantity of the
medication is available at a time
D. The patient should change position more slowly to minimize dizziness
E. Medication should reach full potential for alleviating symptoms within 10-14 days -
Correct Answer A, C, D
A client with bipolar disorder is prescribed divalproex sodium (Depakote) as part of the
treatment plan. Before administering the medication, which of the following tests should
be done?
A. Blood Glucose
B. EKG
C. Liver function test
D. Urinalysis - Correct Answer C
A client asks the nurse whether he needs to alter any of his activities because he is
taking Lithium. Which of the following responses would be most appropriate?