Mental Health Exam Questions with
Complete Solutions
A 19 year old male is under your service for suicidal ideation and your team has a safety plan in
place. You answer the phone at the service you work and the person on the other end states
that she is his mother, she sounds upset and she asks if he is under your service and tearfully
asks for an update. Your next action is: - ANSWERSTell them that you can hear she is upset but
you can't answer her questions and then hand the phone to the preceptor
What are the ethical issues concerning the use of antipsychotic medications under a compulsory
treatment order? - ANSWERSNon-maleficence - drug prescribed for mental illness can be potent
agents, causing major side effects, creating problems with toxicity and potentially shortening life
expectancy
Administration of medications without consent compromises consumers autonomy
The visible difference in affect and behaviour caused by antipsychotics may increase stigma
All of the above
The mental health compulsory assessment and treatment act may be stopped when -
ANSWERSAfter section 8A if the person is not seen by the GP ??
At section 10 if the psychiatrist believes he or she does not have a mental disorder
At any point while under the mental health act if the service user is assessed and does not have
a mental disorder
All of the above
A patient is admitted to the hospital as a voluntary/informal service user. This means he/she -
ANSWERSMaintains full legal rights to make decisions relating to his/her treatment
, Being placed under section 11 of the Mental health (compulsory assessment and treatmement)
Act 1992 means that a patient - ANSWERSIs required to undergo a compulsory further 5 days
period of assessment and treatment. During this time assessment of the patient's mental state
is compulsory, and the patient can not refuse to take the medications prescribed
Mark approaches you on a night shift and says that he can see ghosts in his room and that it is
telling him he is in danger. The BEST response you should give is to - ANSWERSListen to Mark's
experience of the ghost and reassure him of his safety
When undertaking an admission of a person with depression, as the nurse you would expect to
find the following characteristic symptoms - ANSWERSDecreased concentration and anhedonia
The concordance of schizophrenia is monozygotic twins is less than 100%, however higher than
the rest of the population. That suggests that - ANSWERSBoth environmental and genetic
influences are implicated in the development of schizophrenia
A side effect of Clozapine is - ANSWERSAgranulocytosis
Like minds like mine' is - ANSWERSA national anti-stigma programme
Which of the examples below describes the LEAST appropriate situation to assess and treat an
individual under Mental Health Act 1992 - ANSWERSLegolas appears thin but says that he is
"too heavy" and hasn't been eating for the last few weeks. His GP finds that Legolas seems to
have a distorted self-image and has some abnormal bloods, and is 8kg underweight.
A Maori client reports hearing the voice of a family member who has recently passed away, his
family members say that he is experiencing a spiritual gift and it is comforting to the whanau.
This may be considered to be - ANSWERSA culturally appropriate response to bereavement that
is not a mental disorder but should be followed up on
Complete Solutions
A 19 year old male is under your service for suicidal ideation and your team has a safety plan in
place. You answer the phone at the service you work and the person on the other end states
that she is his mother, she sounds upset and she asks if he is under your service and tearfully
asks for an update. Your next action is: - ANSWERSTell them that you can hear she is upset but
you can't answer her questions and then hand the phone to the preceptor
What are the ethical issues concerning the use of antipsychotic medications under a compulsory
treatment order? - ANSWERSNon-maleficence - drug prescribed for mental illness can be potent
agents, causing major side effects, creating problems with toxicity and potentially shortening life
expectancy
Administration of medications without consent compromises consumers autonomy
The visible difference in affect and behaviour caused by antipsychotics may increase stigma
All of the above
The mental health compulsory assessment and treatment act may be stopped when -
ANSWERSAfter section 8A if the person is not seen by the GP ??
At section 10 if the psychiatrist believes he or she does not have a mental disorder
At any point while under the mental health act if the service user is assessed and does not have
a mental disorder
All of the above
A patient is admitted to the hospital as a voluntary/informal service user. This means he/she -
ANSWERSMaintains full legal rights to make decisions relating to his/her treatment
, Being placed under section 11 of the Mental health (compulsory assessment and treatmement)
Act 1992 means that a patient - ANSWERSIs required to undergo a compulsory further 5 days
period of assessment and treatment. During this time assessment of the patient's mental state
is compulsory, and the patient can not refuse to take the medications prescribed
Mark approaches you on a night shift and says that he can see ghosts in his room and that it is
telling him he is in danger. The BEST response you should give is to - ANSWERSListen to Mark's
experience of the ghost and reassure him of his safety
When undertaking an admission of a person with depression, as the nurse you would expect to
find the following characteristic symptoms - ANSWERSDecreased concentration and anhedonia
The concordance of schizophrenia is monozygotic twins is less than 100%, however higher than
the rest of the population. That suggests that - ANSWERSBoth environmental and genetic
influences are implicated in the development of schizophrenia
A side effect of Clozapine is - ANSWERSAgranulocytosis
Like minds like mine' is - ANSWERSA national anti-stigma programme
Which of the examples below describes the LEAST appropriate situation to assess and treat an
individual under Mental Health Act 1992 - ANSWERSLegolas appears thin but says that he is
"too heavy" and hasn't been eating for the last few weeks. His GP finds that Legolas seems to
have a distorted self-image and has some abnormal bloods, and is 8kg underweight.
A Maori client reports hearing the voice of a family member who has recently passed away, his
family members say that he is experiencing a spiritual gift and it is comforting to the whanau.
This may be considered to be - ANSWERSA culturally appropriate response to bereavement that
is not a mental disorder but should be followed up on
