Mental health PNH 401 | UPDATED Questions with 100% Verified
Answers
Question: A patient with rheumatoid arthritis reports feeling hopeless and losing interest in activities. The
nurse recognizes this patient is at increased risk for depression because: A. Depression only occurs in terminal
illnesses. B. Chronic pain always causes depression. C. Inflammation has been identified as an etiological
factor in mood disorders. D. All patients with arthritis develop depression.
Answer:
C. Inflammation has been identified as an etiological factor in mood disorders. Rationale Research shows that
chronic inflammation, such as in rheumatoid arthritis, contributes to depression by affecting brain
neurotransmitters and mood regulation. • A: Incorrect-depression occurs in many illnesses, not just terminal
ones. • B: Incorrect-chronic pain increases the risk but does not always cause depression. • D: Incorrect-not
every patient with arthritis develops depression.
Question: What is not an example of harm reduction? A. Nonsmoking bylaws B. Naloxone kit distribution C.
Laws against drinking and driving D. Giving substance users "clean drugs"
Answer:
D. Giving substance users "clean drugs" Rationale Harm reduction reduces the harmful consequences of risky
behaviours. Examples include: * naloxone distribution * smoking bylaws * impaired driving laws The wording
in D is incorrect. Harm reduction programs may provide sterile equipment or prescribed safer-supply
programs—not simply "clean drugs."
Question: A patient in a manic episode is pacing rapidly and has not eaten lunch. What is the priority nursing
intervention? A. Insist the patient sit down for a full meal. B. Restrict the patient to their room until they eat. C.
Document the refusal and wait until dinner. D. Offer high-calorie finger foods the patient can eat while moving.
Answer:
D. Offer high-calorie finger foods the patient can eat while moving. Rationale Patients experiencing mania
often cannot remain seated because of hyperactivity. High-calorie finger foods: • maintain nutrition • are easy
to eat while pacing • decrease conflict with the patient
Question: A patient newly diagnosed with depression asks when they should take their SSRI. What is the
nurse's best response? A. "Take it for one month, then stop." B. "Take it daily as prescribed, even when you
start feeling better." C. "Take it only at bedtime." D. "Take it only when you feel sad."
Answer:
B. "Take it daily as prescribed, even when you start feeling better." Rationale SSRIs must be taken every day as
prescribed. Patients should not stop medication simply because they feel better, and SRIs are not PRN
medications.
Answers
Question: A patient with rheumatoid arthritis reports feeling hopeless and losing interest in activities. The
nurse recognizes this patient is at increased risk for depression because: A. Depression only occurs in terminal
illnesses. B. Chronic pain always causes depression. C. Inflammation has been identified as an etiological
factor in mood disorders. D. All patients with arthritis develop depression.
Answer:
C. Inflammation has been identified as an etiological factor in mood disorders. Rationale Research shows that
chronic inflammation, such as in rheumatoid arthritis, contributes to depression by affecting brain
neurotransmitters and mood regulation. • A: Incorrect-depression occurs in many illnesses, not just terminal
ones. • B: Incorrect-chronic pain increases the risk but does not always cause depression. • D: Incorrect-not
every patient with arthritis develops depression.
Question: What is not an example of harm reduction? A. Nonsmoking bylaws B. Naloxone kit distribution C.
Laws against drinking and driving D. Giving substance users "clean drugs"
Answer:
D. Giving substance users "clean drugs" Rationale Harm reduction reduces the harmful consequences of risky
behaviours. Examples include: * naloxone distribution * smoking bylaws * impaired driving laws The wording
in D is incorrect. Harm reduction programs may provide sterile equipment or prescribed safer-supply
programs—not simply "clean drugs."
Question: A patient in a manic episode is pacing rapidly and has not eaten lunch. What is the priority nursing
intervention? A. Insist the patient sit down for a full meal. B. Restrict the patient to their room until they eat. C.
Document the refusal and wait until dinner. D. Offer high-calorie finger foods the patient can eat while moving.
Answer:
D. Offer high-calorie finger foods the patient can eat while moving. Rationale Patients experiencing mania
often cannot remain seated because of hyperactivity. High-calorie finger foods: • maintain nutrition • are easy
to eat while pacing • decrease conflict with the patient
Question: A patient newly diagnosed with depression asks when they should take their SSRI. What is the
nurse's best response? A. "Take it for one month, then stop." B. "Take it daily as prescribed, even when you
start feeling better." C. "Take it only at bedtime." D. "Take it only when you feel sad."
Answer:
B. "Take it daily as prescribed, even when you start feeling better." Rationale SSRIs must be taken every day as
prescribed. Patients should not stop medication simply because they feel better, and SRIs are not PRN
medications.
