Psych/Mental Health Nursing Final Exam Review
,The nurse being aware that certain mental D. "I've been depressed most of my adult life."
illnesses have a prevalence among a E. "I've been arrested 6 times in the last 15 years."
specific gender, will suspect which
statement was made by a female client? Antisocial personality disorder, characterized by repeated
(Select all that apply.) illegal behavior, is more commonly diagnosed in men while
major depressive disorder, characterized by chronic feelings
A. "I'm so anxious, about everything." of sadness negatively impacts life, is more common among
B. "There is no way I could make women.
a presentation to a group of
people."
C. "I freeze in panic when I see a spider."
D."I've been depressed most of my
adult life."
E. "I've been arrested 6 times in the last 15
years."
A nurse is providing care to a 28-year-old C. Lack of sleep
client diagnosed with bipolar disorder who
was admitted in a manic state. According to Based on Maslow's theory, physiological needs such as food,
Maslow's Hierarchy of Needs theory, the water, air, sleep, etc., are the priority and must be taken care
nurse should identify which client symptom of first. The other options are symptoms of mania but not as
as having priority? critical as lack of sleep.
A. Rapid, pressured speech
B. Grandiose thoughts
C. Lack of sleep
D. Hyperactive behavior
A client states, "I will always be alone C. Schema
because nobody could ever love me." The
nurse recognizes that the client is Schemas are unique assumptions about ourselves, according
expressing what cognitive-behavioral to Beck's theory. This statement is an example of a negative
concept? schema. Emotional consequence is the end result of
negative thinking process, as described by Ellis. Actualization
A. Actualization is a level of Maslow's Hierarchy of Needs. Aversion is a
B. Aversion therapy
C. Schema characterized by punishment.
D. Emotional consequence
,A 38-year-old patient diagnosed with major A. "Neurotransmitters are chemical messengers in the brain
depression states, "my provider said that help regulate specific functions such as depression."
something about the medicine I've been
prescribed will affect my neurotransmitters. Neurotransmitters are chemicals released from neurons that
What exactly are neurotransmitters?" What is function as a neuromessenger and influence brain functions.
the nurse's best response to the patient's Telling the patient that the answer is too complicated
question? belittles the patient by implying she cannot understand, while
stating that neurotransmitters are the reason she is
A. "Neurotransmitters are chemical depressed is too
messengers in the brain that help regulate simplistic. Asking the provider to give the education
specific functions such as depression." abdicates your responsibility to provide patient education.
B. "Neurotransmitters are too
complicated to explain easily. Just know
that the
medication will help your mood and make
you less depressed."
C. "Neurotransmitters are chemicals in the
brain that are the reason you are
depressed."
D. "I will ask your provider to give you
a more in-depth explanation about why
this medication will help your
depression."
A prescription for which medication would C. Lithium
require the nurse to monitor the client for
potential development of the side effect of Long-term use of lithium may cause hypothyroidism. The
hypothyroidism? other options refer to drugs whose long-term use does not
cause
A. Fluoxetine hypothyroidism.
B. Bupropion
C. Lithium
D. Imipramine
A 49-year-old client diagnosed with B. Monitoring for abnormal involuntary movements
schizophrenia at 22 years old is prescribed
risperidone. Which nursing assessment is the Risperidone has the highest rate of extrapyramidal side
priority for this client? effects (EPSs) of the second-generation antipsychotic
medications, thus making it imperative to monitor for EPSs.
A. Monitoring blood levels to avoid toxicity Risperidone is not monitored with blood levels and does not
B. Monitoring for abnormal involuntary cause mania or memory changes.
movements
C. Observing for secondary mania
D. Observing for memory changes
, The nurse is caring for an admitted client B. Request that the client accompany the nurse to the
with a history of becoming aggressive when client's room
angry and has caused physical injury to
another client and two staff members. When Least restrictive alternative doctrine requires using the least
this client begins to demonstrate signs of drastic means of achieving a specific goal. By first attempting
anger while in the day room what to remove the client to a safer location, the nurse is respecting
intervention should the nurse implement the client's right to treatment that is less restrictive than the
to address the safety of the milieu? other options.
A. Alert security to come to the unit for a
show of strength
B. Request that the client accompany the
nurse to the client's room
C. Inform the client that restraints will be
used if the behavior continues
D. Prepare to administer a prn chemical
restraint to the client
When considering client rights, which client B. The client may cause imminent harm to self or others.
can be legally medicated against his or her
wishes? A patient may be medicated against their will without a
court hearing in an emergency if the patient poses a
A. The client has accepted the medication in danger to
the past. himself or herself or to others. The other options are not
B. The client may cause imminent harm to legally valid reasons to give medication against a patient's will.
self or others.
C. The client's primary provider orders the
medication.
D. The client's mental illness may relate to
cognitive impairment.
When considering the duty to warn and A. "That judge is going to really regret putting me in here."
protect third parties, which client statement
should the nurse report to the treatment The duty to protect is an ethical and legal obligation of health
team members? care workers to protect patients from physically harming
themselves or others. This duty arises when the patient
A. "That judge is going to really regret presents a serious danger to another. While all that statements
putting me in here." infer the client's intention to harm, only the correct option is
B. "All politicians need to be shot." credible since it actually identifies the possible victim.
C. "When I'm elected president, I'll make
them all pay for doubting me."
D. "The man out there who is laughing at me
is going to die."
,The nurse being aware that certain mental D. "I've been depressed most of my adult life."
illnesses have a prevalence among a E. "I've been arrested 6 times in the last 15 years."
specific gender, will suspect which
statement was made by a female client? Antisocial personality disorder, characterized by repeated
(Select all that apply.) illegal behavior, is more commonly diagnosed in men while
major depressive disorder, characterized by chronic feelings
A. "I'm so anxious, about everything." of sadness negatively impacts life, is more common among
B. "There is no way I could make women.
a presentation to a group of
people."
C. "I freeze in panic when I see a spider."
D."I've been depressed most of my
adult life."
E. "I've been arrested 6 times in the last 15
years."
A nurse is providing care to a 28-year-old C. Lack of sleep
client diagnosed with bipolar disorder who
was admitted in a manic state. According to Based on Maslow's theory, physiological needs such as food,
Maslow's Hierarchy of Needs theory, the water, air, sleep, etc., are the priority and must be taken care
nurse should identify which client symptom of first. The other options are symptoms of mania but not as
as having priority? critical as lack of sleep.
A. Rapid, pressured speech
B. Grandiose thoughts
C. Lack of sleep
D. Hyperactive behavior
A client states, "I will always be alone C. Schema
because nobody could ever love me." The
nurse recognizes that the client is Schemas are unique assumptions about ourselves, according
expressing what cognitive-behavioral to Beck's theory. This statement is an example of a negative
concept? schema. Emotional consequence is the end result of
negative thinking process, as described by Ellis. Actualization
A. Actualization is a level of Maslow's Hierarchy of Needs. Aversion is a
B. Aversion therapy
C. Schema characterized by punishment.
D. Emotional consequence
,A 38-year-old patient diagnosed with major A. "Neurotransmitters are chemical messengers in the brain
depression states, "my provider said that help regulate specific functions such as depression."
something about the medicine I've been
prescribed will affect my neurotransmitters. Neurotransmitters are chemicals released from neurons that
What exactly are neurotransmitters?" What is function as a neuromessenger and influence brain functions.
the nurse's best response to the patient's Telling the patient that the answer is too complicated
question? belittles the patient by implying she cannot understand, while
stating that neurotransmitters are the reason she is
A. "Neurotransmitters are chemical depressed is too
messengers in the brain that help regulate simplistic. Asking the provider to give the education
specific functions such as depression." abdicates your responsibility to provide patient education.
B. "Neurotransmitters are too
complicated to explain easily. Just know
that the
medication will help your mood and make
you less depressed."
C. "Neurotransmitters are chemicals in the
brain that are the reason you are
depressed."
D. "I will ask your provider to give you
a more in-depth explanation about why
this medication will help your
depression."
A prescription for which medication would C. Lithium
require the nurse to monitor the client for
potential development of the side effect of Long-term use of lithium may cause hypothyroidism. The
hypothyroidism? other options refer to drugs whose long-term use does not
cause
A. Fluoxetine hypothyroidism.
B. Bupropion
C. Lithium
D. Imipramine
A 49-year-old client diagnosed with B. Monitoring for abnormal involuntary movements
schizophrenia at 22 years old is prescribed
risperidone. Which nursing assessment is the Risperidone has the highest rate of extrapyramidal side
priority for this client? effects (EPSs) of the second-generation antipsychotic
medications, thus making it imperative to monitor for EPSs.
A. Monitoring blood levels to avoid toxicity Risperidone is not monitored with blood levels and does not
B. Monitoring for abnormal involuntary cause mania or memory changes.
movements
C. Observing for secondary mania
D. Observing for memory changes
, The nurse is caring for an admitted client B. Request that the client accompany the nurse to the
with a history of becoming aggressive when client's room
angry and has caused physical injury to
another client and two staff members. When Least restrictive alternative doctrine requires using the least
this client begins to demonstrate signs of drastic means of achieving a specific goal. By first attempting
anger while in the day room what to remove the client to a safer location, the nurse is respecting
intervention should the nurse implement the client's right to treatment that is less restrictive than the
to address the safety of the milieu? other options.
A. Alert security to come to the unit for a
show of strength
B. Request that the client accompany the
nurse to the client's room
C. Inform the client that restraints will be
used if the behavior continues
D. Prepare to administer a prn chemical
restraint to the client
When considering client rights, which client B. The client may cause imminent harm to self or others.
can be legally medicated against his or her
wishes? A patient may be medicated against their will without a
court hearing in an emergency if the patient poses a
A. The client has accepted the medication in danger to
the past. himself or herself or to others. The other options are not
B. The client may cause imminent harm to legally valid reasons to give medication against a patient's will.
self or others.
C. The client's primary provider orders the
medication.
D. The client's mental illness may relate to
cognitive impairment.
When considering the duty to warn and A. "That judge is going to really regret putting me in here."
protect third parties, which client statement
should the nurse report to the treatment The duty to protect is an ethical and legal obligation of health
team members? care workers to protect patients from physically harming
themselves or others. This duty arises when the patient
A. "That judge is going to really regret presents a serious danger to another. While all that statements
putting me in here." infer the client's intention to harm, only the correct option is
B. "All politicians need to be shot." credible since it actually identifies the possible victim.
C. "When I'm elected president, I'll make
them all pay for doubting me."
D. "The man out there who is laughing at me
is going to die."
