Exam 4 Mental Health Exam Questions and Answers Latest Update
Science Medicine Psychiatry
C
1. How do anti anxiety medications, such as a. Depressing the CNS
benzodiazepines, produce a calming
effect?
2. There is a narrow margin between the b. 1.5 mEq/L
therapeutic and toxic levels of lithium
carbonate. Symptoms of toxicity are most
likely to appear when the serum levels
exceed:
3. Initial symptoms of lithium toxicity include: c. Vomiting, diarrhea
4. Antipsychotic medications are thought to b. Blocking the action of dopamine in the brain
decrease psychotic symptoms by:
5. Part of the nurse's ongoing assessment of a. Muscular weakness, rigidity, tremors, facial spasms
the client taking antipsychotic medications is
to observe for extrapyramidal symptoms.
Which of the following are examples of
extrapyramidal symptoms?
6. A client who is prescribed haloperidol is b. Administer prn benztropine (Cogentin).
observed to be staring at the ceiling and
says they cannot move their eyes. The nurse
notices that the client also appears to have
muscle spasms in their legs and hands. What
is the most appropriate action for the nurse
to take at this point?
Exam 4 Mental Health Exam Questions and Answers Latest Update
,Exam 4 Mental Health Exam Questions and Answers Latest Update
7. A client reports to the nurse that, after a. Educate the client that this medication may not be fully
having been on their antidepressant effective for up to 4 weeks.
medication (fluoxetine) for almost 2 weeks,
they don't feel much better. Which of these
actions by the nurse demonstrates the best
clinical judgment?
8. A client who was recently prescribed an b.. Inform the client that foods or beverages with high caffeine
MAOI tells the nurse that they drink 3 to 4 content increase the risk for
cups of coffee with each meal. Which of serious hypertension and arrhythmias.
these actions by the nurse demonstrates the
best clinical judgment?
9. A young adult client has been prescribed d. Conduct a suicide risk assessment.
an SSRI antidepressant, which they have
been taking for 1 week. The client reports
that they feel that they are getting worse
and that nothing is going to help. Which of
these actions by the nurse is a priority?
10. A licensed practical nurse who is b. "No. Doses of this medication should not be doubled since
administering medications reports to the RN that poses an increased risk for
in charge that he forgot to give the last seizures."
scheduled dose of bupropion to a client. He
asks the RN if he should give the client two
doses at the next scheduled time. Which of
these responses by the nurse demonstrates
the best clinical judgment?
1. An example of a treatable (reversible) c. Electrolyte imbalances
form of NCD is one that is caused by which e. Folate deficiency
of the following? (Select all that apply.)
2. NCD due to Alzheimer's disease is d. Amyloid beta plaques and neurofibrillary tangles
associated with the presence of which
anomaly?
3. Which medications have been indicated a. Donepezil (Aricept)
for improvement in cognitive functioning in b. Rivastigmine (Exelon)
mild to moderate Alzheimer's disease? e. Galantamine (Razadyne)
(Select all that apply.)
4. Which factor is not associated with an a. Multiple small strokes
increased incidence of neurocognitive
disorder due to Alzheimer's disease?
5. In addition to disturbances in cognition a. Personality
and orientation, individuals with Alzheimer's c. Speech
disease may also show changes in which of e. Mobility
the following? (Select all that apply.)
Exam 4 Mental Health Exam Questions and Answers Latest Update
, Exam 4 Mental Health Exam Questions and Answers Latest Update
6. A client, who has NCD due to Alzheimer's b. "Today is Tuesday, October 21st. We will have supper soon,
disease, says to the nurse, "I have a date and then your daughter will come to visit."
tonight. I always have a date on Christmas."
Which of the following is the most
appropriate response?
7. A client, who has NCD due to Alzheimer's d. Ensure that the client gets regular physical exercise during
disease, has trouble sleeping and wanders the day.
around at night. Which of the following
nursing actions would be best to promote
sleep in this client?
8. The night nurse finds a client with c. "This is the patio door. Are you looking for the bathroom?"
Alzheimer's disease wandering the hallway
at 4 a.m. and trying to open the door to the
side yard. Which statement is the best initial
response by the nurse?
9. A client with neurocognitive disease due b. Ensuring that the environment is safe to prevent injury
to Alzheimer's disease is admitted to the
hospital. Which action by the nurse is a
priority?
10. Which intervention is most appropriate c. Provide step-by-step instructions and plenty of time to
for helping a client with Alzheimer's disease perform independently as many ADLs
with ADLs? as possible.
1. A client has been diagnosed with D. The client stays at home for fear of being in a place from
agoraphobia. Which behavior would be which they cannot escape.
most characteristic of this disorder?
2. Which of the following is the most c. Facing fears in gradual step progression
appropriate therapy for a client with
agoraphobia?
3. With implosion therapy, a client with d. Presented with intense exposure to a variety of stimuli
phobic anxiety would be: associated with the phobic object or
situation
4. A client with OCD spends many hours a. Relieve anxiety
each day washing their hands. Which is the
most likely reason for washing hands so
much?
5. A client is receiving habit-reversal therapy. a. Awareness training
Which element would be included in this b. Competing response training
therapy? (Select all that apply.) c. Social support
Exam 4 Mental Health Exam Questions and Answers Latest Update
Science Medicine Psychiatry
C
1. How do anti anxiety medications, such as a. Depressing the CNS
benzodiazepines, produce a calming
effect?
2. There is a narrow margin between the b. 1.5 mEq/L
therapeutic and toxic levels of lithium
carbonate. Symptoms of toxicity are most
likely to appear when the serum levels
exceed:
3. Initial symptoms of lithium toxicity include: c. Vomiting, diarrhea
4. Antipsychotic medications are thought to b. Blocking the action of dopamine in the brain
decrease psychotic symptoms by:
5. Part of the nurse's ongoing assessment of a. Muscular weakness, rigidity, tremors, facial spasms
the client taking antipsychotic medications is
to observe for extrapyramidal symptoms.
Which of the following are examples of
extrapyramidal symptoms?
6. A client who is prescribed haloperidol is b. Administer prn benztropine (Cogentin).
observed to be staring at the ceiling and
says they cannot move their eyes. The nurse
notices that the client also appears to have
muscle spasms in their legs and hands. What
is the most appropriate action for the nurse
to take at this point?
Exam 4 Mental Health Exam Questions and Answers Latest Update
,Exam 4 Mental Health Exam Questions and Answers Latest Update
7. A client reports to the nurse that, after a. Educate the client that this medication may not be fully
having been on their antidepressant effective for up to 4 weeks.
medication (fluoxetine) for almost 2 weeks,
they don't feel much better. Which of these
actions by the nurse demonstrates the best
clinical judgment?
8. A client who was recently prescribed an b.. Inform the client that foods or beverages with high caffeine
MAOI tells the nurse that they drink 3 to 4 content increase the risk for
cups of coffee with each meal. Which of serious hypertension and arrhythmias.
these actions by the nurse demonstrates the
best clinical judgment?
9. A young adult client has been prescribed d. Conduct a suicide risk assessment.
an SSRI antidepressant, which they have
been taking for 1 week. The client reports
that they feel that they are getting worse
and that nothing is going to help. Which of
these actions by the nurse is a priority?
10. A licensed practical nurse who is b. "No. Doses of this medication should not be doubled since
administering medications reports to the RN that poses an increased risk for
in charge that he forgot to give the last seizures."
scheduled dose of bupropion to a client. He
asks the RN if he should give the client two
doses at the next scheduled time. Which of
these responses by the nurse demonstrates
the best clinical judgment?
1. An example of a treatable (reversible) c. Electrolyte imbalances
form of NCD is one that is caused by which e. Folate deficiency
of the following? (Select all that apply.)
2. NCD due to Alzheimer's disease is d. Amyloid beta plaques and neurofibrillary tangles
associated with the presence of which
anomaly?
3. Which medications have been indicated a. Donepezil (Aricept)
for improvement in cognitive functioning in b. Rivastigmine (Exelon)
mild to moderate Alzheimer's disease? e. Galantamine (Razadyne)
(Select all that apply.)
4. Which factor is not associated with an a. Multiple small strokes
increased incidence of neurocognitive
disorder due to Alzheimer's disease?
5. In addition to disturbances in cognition a. Personality
and orientation, individuals with Alzheimer's c. Speech
disease may also show changes in which of e. Mobility
the following? (Select all that apply.)
Exam 4 Mental Health Exam Questions and Answers Latest Update
, Exam 4 Mental Health Exam Questions and Answers Latest Update
6. A client, who has NCD due to Alzheimer's b. "Today is Tuesday, October 21st. We will have supper soon,
disease, says to the nurse, "I have a date and then your daughter will come to visit."
tonight. I always have a date on Christmas."
Which of the following is the most
appropriate response?
7. A client, who has NCD due to Alzheimer's d. Ensure that the client gets regular physical exercise during
disease, has trouble sleeping and wanders the day.
around at night. Which of the following
nursing actions would be best to promote
sleep in this client?
8. The night nurse finds a client with c. "This is the patio door. Are you looking for the bathroom?"
Alzheimer's disease wandering the hallway
at 4 a.m. and trying to open the door to the
side yard. Which statement is the best initial
response by the nurse?
9. A client with neurocognitive disease due b. Ensuring that the environment is safe to prevent injury
to Alzheimer's disease is admitted to the
hospital. Which action by the nurse is a
priority?
10. Which intervention is most appropriate c. Provide step-by-step instructions and plenty of time to
for helping a client with Alzheimer's disease perform independently as many ADLs
with ADLs? as possible.
1. A client has been diagnosed with D. The client stays at home for fear of being in a place from
agoraphobia. Which behavior would be which they cannot escape.
most characteristic of this disorder?
2. Which of the following is the most c. Facing fears in gradual step progression
appropriate therapy for a client with
agoraphobia?
3. With implosion therapy, a client with d. Presented with intense exposure to a variety of stimuli
phobic anxiety would be: associated with the phobic object or
situation
4. A client with OCD spends many hours a. Relieve anxiety
each day washing their hands. Which is the
most likely reason for washing hands so
much?
5. A client is receiving habit-reversal therapy. a. Awareness training
Which element would be included in this b. Competing response training
therapy? (Select all that apply.) c. Social support
Exam 4 Mental Health Exam Questions and Answers Latest Update
