Mental health review Exam 1 with
correct answers 100% 2024
A 43-year-old female patient is brought to the emergency department with complaints of bizarre
speech, visual hallucinations, and changes in behavior. She has no psychiatric history. Before ordering a
psychiatric consultation, the emergency room physician orders a battery of blood tests as well as an MRI
of the brain. The rationale for this is:
a. To avoid a lawsuit.
b. Medical conditions and physical illnesses may mimic psychiatric illnesses; therefore, physical causes of
symptoms must be ruled out
c. Emergency room physicians are required to order a certain number of tests for the emergency room
visit to be reimbursed.
d. To comply with hospital standards of care. - Correct Answer B
A family who is worried that an adult female might hurt herself asks for her to be admitted to the
hospital. An assessment indicates moderate depression with no risk factors for suicide other than a
depressed mood. The patient denies any intent or thoughts about self-harm. The family agrees that the
patient has not done or said anything to suggest that she might be a danger to herself. Which of the
following responses is consistent with the concept of "least restrictive alternative" doctrine?
a. Admit the patient as a temporary inpatient admission.
b. Persuade the patient to agree to a voluntary inpatient admission.
c. Admit the patient involuntarily to an inpatient mental health treatment unit.
d. Arrange for an outpatient counseling appointment the next day. - Correct Answer D
, A friend recognizes that his depression has returned and tells you he is suicidal and afraid he will harm
himself. He wishes to be hospitalized but does not have health insurance. Which of the following
responses best meets his immediate care needs and reflects the options for care a person in his position
typically has?
a. Provide emotional support and encourage him to contact his family to see if they can help him
arrange and pay for inpatient care.
b. Advise him that hospitals serve all persons regardless of their ability to pay, and immediately contact
a Mobile Crisis team or accompany him to the nearest hospital emergency department.
c. Help him apply for Medicaid coverage, arrange for him to be monitored by family and friends, and
once Medicaid coverage is in place, take him to an emergency room for evaluation.
d. Assist him in obtaining an outpatient counseling appointment at an area community mental healt -
Correct Answer d
A male patient frequently inquires about the female student nurse's boyfriend, social activities, and
school experiences. Which of the following initial responses by the student best addresses the issue
raised by this behavior?
a. The student requests assignment to a patient of the same gender as the student.
b. She limits sharing personal information and stresses the patient-centered focus of the conversation.
c. She tells him that she will not talk about her personal life.
d. She explains that if he persists in focusing on her, she cannot work with him. - Correct Answer B
A nurse administering a benzodiazepine should understand that the therapeutic effect of
benzodiazepines results from potentiating the neurotransmitter:
correct answers 100% 2024
A 43-year-old female patient is brought to the emergency department with complaints of bizarre
speech, visual hallucinations, and changes in behavior. She has no psychiatric history. Before ordering a
psychiatric consultation, the emergency room physician orders a battery of blood tests as well as an MRI
of the brain. The rationale for this is:
a. To avoid a lawsuit.
b. Medical conditions and physical illnesses may mimic psychiatric illnesses; therefore, physical causes of
symptoms must be ruled out
c. Emergency room physicians are required to order a certain number of tests for the emergency room
visit to be reimbursed.
d. To comply with hospital standards of care. - Correct Answer B
A family who is worried that an adult female might hurt herself asks for her to be admitted to the
hospital. An assessment indicates moderate depression with no risk factors for suicide other than a
depressed mood. The patient denies any intent or thoughts about self-harm. The family agrees that the
patient has not done or said anything to suggest that she might be a danger to herself. Which of the
following responses is consistent with the concept of "least restrictive alternative" doctrine?
a. Admit the patient as a temporary inpatient admission.
b. Persuade the patient to agree to a voluntary inpatient admission.
c. Admit the patient involuntarily to an inpatient mental health treatment unit.
d. Arrange for an outpatient counseling appointment the next day. - Correct Answer D
, A friend recognizes that his depression has returned and tells you he is suicidal and afraid he will harm
himself. He wishes to be hospitalized but does not have health insurance. Which of the following
responses best meets his immediate care needs and reflects the options for care a person in his position
typically has?
a. Provide emotional support and encourage him to contact his family to see if they can help him
arrange and pay for inpatient care.
b. Advise him that hospitals serve all persons regardless of their ability to pay, and immediately contact
a Mobile Crisis team or accompany him to the nearest hospital emergency department.
c. Help him apply for Medicaid coverage, arrange for him to be monitored by family and friends, and
once Medicaid coverage is in place, take him to an emergency room for evaluation.
d. Assist him in obtaining an outpatient counseling appointment at an area community mental healt -
Correct Answer d
A male patient frequently inquires about the female student nurse's boyfriend, social activities, and
school experiences. Which of the following initial responses by the student best addresses the issue
raised by this behavior?
a. The student requests assignment to a patient of the same gender as the student.
b. She limits sharing personal information and stresses the patient-centered focus of the conversation.
c. She tells him that she will not talk about her personal life.
d. She explains that if he persists in focusing on her, she cannot work with him. - Correct Answer B
A nurse administering a benzodiazepine should understand that the therapeutic effect of
benzodiazepines results from potentiating the neurotransmitter:
