NSG-3450 Mental Health Exam #4
Questions with correct Answers |100%
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1. A 24-hour observation is a good choice for restraint in which of the following
patients?
A) A patient with borderline personality disorder
B) An inmate with suicidal ideation on hospice care
C) A patient with acute anxiety disorder
D) A patient with mild depression
Answer: B
2. A female patient diagnosed with schizophrenia has been prescribed a
first-generation antipsychotic medication. What information should the nurse
provide to the patient regarding her signs and symptoms?
A) She will experience increased energy levels
B) She will have improved memory function
C) She will sleep more than usual
D) She should experience a reduction in hallucinations
Answer: D
3. A forensic nurse examiner is interviewing an individual accused of a
homicide. Which question should the nurse ask in preparation for a possible
legal insanity defense?
A) "What is your employment history?"
B) "Do you ever hear voices that no one else can hear?"
C) "Do you remember your childhood?"
D) "What medications are you currently taking?"
Answer: B
,4. A newly admitted male patient has a long history of aggressive behavior
toward staff. Which statement by the nurse demonstrates the need for more
information about the use of restraint?
A) "I will document all aggressive incidents carefully."
B) "I'll call the primary provider and get an as-needed (PRN)
seclusion/restraint order."
C) "I will increase observation every 15 minutes."
D) "I will assign a staff member to stay with the patient."
Answer: B
5. A nurse named Darryl has been hired to work in a psychiatric intensive care
unit. He has undergone training on recognizing escalating anger. Which
statement indicates that he understands danger signs in regard to
aggression?
A) "Patients who are quiet are always the safest."
B) "An obvious change in behavior is a risk factor for aggression."
C) "Only young males display aggressive tendencies."
D) "Verbal threats are not a real warning sign."
Answer: B
6. A patient reports that "the voices are really bad today." Helpful nursing
responses would include:
A) "You need to ignore those voices completely."
B) "The voices are not real, so stop listening to them."
C) "Those voices will go away with medication alone."
D) Encouraging the patient to use competing auditory stimuli, such as
humming or listening to music
Answer: D
7. A young woman named Carly was raped after closing shift behind the
restaurant where she works. Six months have passed and Carly has not been
able to return to work, refuses to go out to eat, and feels that she has less
value as a woman now that she has been raped. Carly's clinical presentation
suggests:
, A) Denial
B) Projection
C) Avoidance
D) Rationalization
Answer: C
8. Adolescents often display fluctuations in mood along with undeveloped
emotional regulation and poor tolerance for frustration. Emotional and
behavioral control usually increases over the course of adolescence due to:
A) Prefrontal cortex development
B) Cerebellum maturation
C) Temporal lobe changes
D) Parietal lobe expansion
Answer: B
9. After talking with her 85-year-old mother, Nancy became concerned enough
to drive to her home and check on her. Her mother's appearance was
disheveled, her words were nonsensical, she smelled strongly of urine, and
there was a stain on her dressing gown. Because she is a nurse, Nancy
recognizes that her mother's condition is likely due to:
A) Stroke
B) Alzheimer's disease
C) A urinary tract infection
D) Severe depression
Answer: C
10. An appropriate expected outcome in individual therapy regarding the
perpetrator of abuse would be:
A) The perpetrator will blame their childhood for their behavior
B) The perpetrator will recognize destructive patterns of behavior and learn
alternate responses
C) The perpetrator will avoid all contact with others
D) The perpetrator will accept full responsibility without any insight
Questions with correct Answers |100%
verified
1. A 24-hour observation is a good choice for restraint in which of the following
patients?
A) A patient with borderline personality disorder
B) An inmate with suicidal ideation on hospice care
C) A patient with acute anxiety disorder
D) A patient with mild depression
Answer: B
2. A female patient diagnosed with schizophrenia has been prescribed a
first-generation antipsychotic medication. What information should the nurse
provide to the patient regarding her signs and symptoms?
A) She will experience increased energy levels
B) She will have improved memory function
C) She will sleep more than usual
D) She should experience a reduction in hallucinations
Answer: D
3. A forensic nurse examiner is interviewing an individual accused of a
homicide. Which question should the nurse ask in preparation for a possible
legal insanity defense?
A) "What is your employment history?"
B) "Do you ever hear voices that no one else can hear?"
C) "Do you remember your childhood?"
D) "What medications are you currently taking?"
Answer: B
,4. A newly admitted male patient has a long history of aggressive behavior
toward staff. Which statement by the nurse demonstrates the need for more
information about the use of restraint?
A) "I will document all aggressive incidents carefully."
B) "I'll call the primary provider and get an as-needed (PRN)
seclusion/restraint order."
C) "I will increase observation every 15 minutes."
D) "I will assign a staff member to stay with the patient."
Answer: B
5. A nurse named Darryl has been hired to work in a psychiatric intensive care
unit. He has undergone training on recognizing escalating anger. Which
statement indicates that he understands danger signs in regard to
aggression?
A) "Patients who are quiet are always the safest."
B) "An obvious change in behavior is a risk factor for aggression."
C) "Only young males display aggressive tendencies."
D) "Verbal threats are not a real warning sign."
Answer: B
6. A patient reports that "the voices are really bad today." Helpful nursing
responses would include:
A) "You need to ignore those voices completely."
B) "The voices are not real, so stop listening to them."
C) "Those voices will go away with medication alone."
D) Encouraging the patient to use competing auditory stimuli, such as
humming or listening to music
Answer: D
7. A young woman named Carly was raped after closing shift behind the
restaurant where she works. Six months have passed and Carly has not been
able to return to work, refuses to go out to eat, and feels that she has less
value as a woman now that she has been raped. Carly's clinical presentation
suggests:
, A) Denial
B) Projection
C) Avoidance
D) Rationalization
Answer: C
8. Adolescents often display fluctuations in mood along with undeveloped
emotional regulation and poor tolerance for frustration. Emotional and
behavioral control usually increases over the course of adolescence due to:
A) Prefrontal cortex development
B) Cerebellum maturation
C) Temporal lobe changes
D) Parietal lobe expansion
Answer: B
9. After talking with her 85-year-old mother, Nancy became concerned enough
to drive to her home and check on her. Her mother's appearance was
disheveled, her words were nonsensical, she smelled strongly of urine, and
there was a stain on her dressing gown. Because she is a nurse, Nancy
recognizes that her mother's condition is likely due to:
A) Stroke
B) Alzheimer's disease
C) A urinary tract infection
D) Severe depression
Answer: C
10. An appropriate expected outcome in individual therapy regarding the
perpetrator of abuse would be:
A) The perpetrator will blame their childhood for their behavior
B) The perpetrator will recognize destructive patterns of behavior and learn
alternate responses
C) The perpetrator will avoid all contact with others
D) The perpetrator will accept full responsibility without any insight
