NUR 1520 Mental Health NCLEX Questions With Complete
Solutions
A 18 year old female was sexually assaulted while on her way
home from work. She is brought to the ER by her mom. Sexual
assault is an example of the following type of crisis:
o Resulting from traumatic stress
o Dispositional
o Developmental crisis
o Reflecting psychopathology Correct Answers Resulting from
traumatic stress
A 60 year old client with chronic schizophrenia presents in to
ER with uncontrollable tongue movements, stiff neck, and
difficulty swallowing. What is happening and how is it
resolved?
-Neuroleptic malignant syndrome treated by discontinuing
antipsychotic medications
-Angranulocytosis treated by administration of clozapine
-extrapyramidal dyskinesia treated by discontinuing
antipsychotic medications
-tardive dyskinesia treated by discontinuing antipsychotic
medications Correct Answers -Tardive dyskinesia treated by
discontinuing antipsychotic medications
A client has a hx of drinking one pint of bourbon per day for the
past 6 months. He is brought to an ER by family who report that
his last drink was 1 hour ago. It is now 12 am. When should a
nurse expect this client to begin experiencing withdrawal
symptoms?
,o Shortly after 24 hours
o Between 3am and 11am
o At the beginning of the 3rd day Correct Answers Between
3am and 11am
A client is admitted to a psych unit with a dx of catatonic
schizophrenia. Which neurotransmitter should the nurse expect
to be elevated in the client?
o Dopamine
o Serotonin
o GABA
o Histamine Correct Answers Dopamine
A client is diagnosed with schizophrenia is slow to respond and
appears to be listening to unseen others. Which medication
administered addresses this positive symptom?
-Citalopram
-Phenelzine
-Risperidone
-Sertaline Correct Answers Risperidone
A client on an inpatient psych unit comes to the nurse to
complain about another patient (Peter) not cleaning up after
himself in the community restroom. The patient is angry and
upset. What is the best response by the nurse?
-Why don't you go discuss that with Peter
-I will go take care of it so Peter does not get upset
-I can see that you are angry. Let's discuss ways to approach
Peter with your concerns. Correct Answers I can see that you
are angry. Let's discuss ways to approach Peter with your
concerns.
,A client states: "I refuse to shower in this room. I must be very
cautious. The FBI placed a camera in here to monitor my every
move." Which of the following is the therapeutic response?
-That's not true
-I have a hard time believing that's true
-Surely you don't believe that
-I will help you search this room so that you can see there is no
camera Correct Answers I have a hard time believing that's true
A client with OCD spends many hours each day washing his
hands. The most likely reason he washes his hands so much is
that: Correct Answers It relieves his anxiety.
A crisis situation in which general functioning has been severely
impaired and the individual rendered incompetent or unable to
assume personal responsibility is called what? Correct Answers
psychiatric emergency
A decrease in acetylcholine may play a significant role in which
of the following illnesses?
- Alzheimer's disease
- Schizophrenia
-Anxiety Disorder
-Depression Correct Answers Alzheimer's disease
A decrease in norepinephrine may pay a significant role in:
o Bipolar disorder
o Schizophrenia
o Alzheimer's
o Depression Correct Answers Depression
, A decrease in which of the following neurotransmitters has been
implicated in depression?
-GABA, acetylcholine, and aspartate
-Norepinephrine, serotonin, and dopamine
-Somatostatin, substance P, and glycine
-Glutamate, histamine, and opioid peptides Correct Answers
Norepinephrine, serotonin, and dopamine
A despondent client who has just lost her husband of 30 years
tearfully states "I'll feel better if I sell my house and move"
Which nursing response is appropriate?
o I'm confident you know what's best for you.
o Tell me why you want to make this change
o This may not be the best time for you to make such an
important decision Correct Answers This may not be the best
time for you to make such an important decision-crisis situation,
requires nurse to be more upfront so no rash decisions are made.
A man diagnosed with alcohol dependence experiences his first
relapse. During his AA meeting, another group member states, I
relapsed three times, but now have been sober for 15 years.
Which of Yalom's curative group factors does this illustrate?
o Instillation of hope
o Catharisis
o Universality Correct Answers instillation of hope
A normal life cycle transition that may be anticipated but over
which the individual may feel a lack of control is what type of
crisis?
-Crisis reflecting psychopathology
Solutions
A 18 year old female was sexually assaulted while on her way
home from work. She is brought to the ER by her mom. Sexual
assault is an example of the following type of crisis:
o Resulting from traumatic stress
o Dispositional
o Developmental crisis
o Reflecting psychopathology Correct Answers Resulting from
traumatic stress
A 60 year old client with chronic schizophrenia presents in to
ER with uncontrollable tongue movements, stiff neck, and
difficulty swallowing. What is happening and how is it
resolved?
-Neuroleptic malignant syndrome treated by discontinuing
antipsychotic medications
-Angranulocytosis treated by administration of clozapine
-extrapyramidal dyskinesia treated by discontinuing
antipsychotic medications
-tardive dyskinesia treated by discontinuing antipsychotic
medications Correct Answers -Tardive dyskinesia treated by
discontinuing antipsychotic medications
A client has a hx of drinking one pint of bourbon per day for the
past 6 months. He is brought to an ER by family who report that
his last drink was 1 hour ago. It is now 12 am. When should a
nurse expect this client to begin experiencing withdrawal
symptoms?
,o Shortly after 24 hours
o Between 3am and 11am
o At the beginning of the 3rd day Correct Answers Between
3am and 11am
A client is admitted to a psych unit with a dx of catatonic
schizophrenia. Which neurotransmitter should the nurse expect
to be elevated in the client?
o Dopamine
o Serotonin
o GABA
o Histamine Correct Answers Dopamine
A client is diagnosed with schizophrenia is slow to respond and
appears to be listening to unseen others. Which medication
administered addresses this positive symptom?
-Citalopram
-Phenelzine
-Risperidone
-Sertaline Correct Answers Risperidone
A client on an inpatient psych unit comes to the nurse to
complain about another patient (Peter) not cleaning up after
himself in the community restroom. The patient is angry and
upset. What is the best response by the nurse?
-Why don't you go discuss that with Peter
-I will go take care of it so Peter does not get upset
-I can see that you are angry. Let's discuss ways to approach
Peter with your concerns. Correct Answers I can see that you
are angry. Let's discuss ways to approach Peter with your
concerns.
,A client states: "I refuse to shower in this room. I must be very
cautious. The FBI placed a camera in here to monitor my every
move." Which of the following is the therapeutic response?
-That's not true
-I have a hard time believing that's true
-Surely you don't believe that
-I will help you search this room so that you can see there is no
camera Correct Answers I have a hard time believing that's true
A client with OCD spends many hours each day washing his
hands. The most likely reason he washes his hands so much is
that: Correct Answers It relieves his anxiety.
A crisis situation in which general functioning has been severely
impaired and the individual rendered incompetent or unable to
assume personal responsibility is called what? Correct Answers
psychiatric emergency
A decrease in acetylcholine may play a significant role in which
of the following illnesses?
- Alzheimer's disease
- Schizophrenia
-Anxiety Disorder
-Depression Correct Answers Alzheimer's disease
A decrease in norepinephrine may pay a significant role in:
o Bipolar disorder
o Schizophrenia
o Alzheimer's
o Depression Correct Answers Depression
, A decrease in which of the following neurotransmitters has been
implicated in depression?
-GABA, acetylcholine, and aspartate
-Norepinephrine, serotonin, and dopamine
-Somatostatin, substance P, and glycine
-Glutamate, histamine, and opioid peptides Correct Answers
Norepinephrine, serotonin, and dopamine
A despondent client who has just lost her husband of 30 years
tearfully states "I'll feel better if I sell my house and move"
Which nursing response is appropriate?
o I'm confident you know what's best for you.
o Tell me why you want to make this change
o This may not be the best time for you to make such an
important decision Correct Answers This may not be the best
time for you to make such an important decision-crisis situation,
requires nurse to be more upfront so no rash decisions are made.
A man diagnosed with alcohol dependence experiences his first
relapse. During his AA meeting, another group member states, I
relapsed three times, but now have been sober for 15 years.
Which of Yalom's curative group factors does this illustrate?
o Instillation of hope
o Catharisis
o Universality Correct Answers instillation of hope
A normal life cycle transition that may be anticipated but over
which the individual may feel a lack of control is what type of
crisis?
-Crisis reflecting psychopathology
