CMS Mental Health Exam prep |467 questions with
verified answers
A 12 step program like AA with teach what to clients? Ans✓✓✓ Abstinence is
necessary for recover
Higher power is needed to assist in recovery
Other people cannot be blamed
A client taking Amitriptyline should over what OTC medication to prevent cardiac
dysrhythmias? Ans✓✓✓ Acetaminophen
- products containing ephedrine along with Amitriptyline can cause cardiac
dysthymias
A client with Alzheimer's will maintain the ability to identify the names of family
members until what stage Ans✓✓✓ Stage 6
Abnormal posturing of the client who is comatose Ans✓✓✓ - Decorticate rigidity-
flexion and internal rotation of upper extremity joints and legs
- Decerebrate rigidity- neck and elbow extension, wrist and finger flexion
Acute anxiety Ans✓✓✓ precipitated by an imminent loss or change that
threatens an individual's sense of security
- sudden death of a loved ones precipitates an acute state of anxiety
,Acute care setting for mental health care Ans✓✓✓ provides intensive treatment
and supervision in locked units for clients with severe mental illness; helps
stabilize illness so they can return to the community
Acute dystonia Ans✓✓✓ ✤︎severe spasm of tongue, neck, face and back
> requires rapid treatment
> Monitor for it between 1 to 5 days after admission of first dose
> treat with antiparkinsonian agents such as benztropine
> Stay with client and monitor and wait until spasms subside
Acute stress disorder (ASD) Ans✓✓✓ exposure to a traumatic event causes
anxiety, detachment and other manifestations about the event for at least 3 days
but for no longer than 1 month after event
Acute Stress Disorder (sexual assault) Ans✓✓✓ Occurs after a Trumatic event
(sexual assault) and manifestations or similar to PTSD
> manifestations appear and persist at least 3 days and can extend to 1 month
Adaptive use of defense mechanisms helps... Ans✓✓✓ helps people to achieve
their goals in acceptable ways and reduce anxiety
ADHD Ans✓✓✓ Inability of a person to control behaviors requiring sustained
attention
> inattention, impulsivity, and hyperactivity
Adjustment disorder Ans✓✓✓ A stressor triggers a reaction causing changes in
mood and/or dysfunction in performing usual activities
,- The stressor and effects are less severe than with ASD or PTSD
Adverse effects of Clomipramine (TCA) Ans✓✓✓ Sedation, orthostatic
hypotension, anti-cholinergic effects such as dry mouth, blurred vision, urinary
retention, constipation, and tachycardia
Adverse effects of Desipramine (TCA) Ans✓✓✓ Sedation
anti-cholinergic affects - dry mouth, blurred vision, urinary retention
Adverse effects of nicotine gum Ans✓✓✓ Throat irritation, mouth irritation,
aching jaw muscles, dyspepsia
Age specific assessment for violence Ans✓✓✓ Infants
- shaken baby syndrome
- any bruising on infant before 6 months
Preschoolers to adolescents
- any unusual bleeding (on abdomen, back or buttocks)
> bruising on hands and legs is expected from physical activities
- assess mechanism of injury ( numerous bruising at different stages of healing
can indicate ongoing abuse)
- assess for burns or human bite makes
- assess for fractures with unusual features
- assess for head injuries
Older and other vulnerable adults
, - assess for any bruises, lacerations, abrasions, or fractures where physical
appearance does not match history or mechanism of injury
Agoraphobia Ans✓✓✓ Extreme fear of certain places (outdoors or on a bridge)
where client feels vulnerable or unsafe
- client avoids certain places or situations
- fear and anxiety is out of proportion to actual danger
Akathisia Ans✓✓✓ Inability to sit or stand still, continual pacing and agitation
> manage with anti-Parkinsonian agents, beta blockers, or lorazepam/diazepam
> Monitor for SI
alcohol abstinence maintenance meds Ans✓✓✓ Disulfiram
- if taken with alcohol it will cause N/V, weakness, sweating, palpitations, and
hypotension, headache, and extreme thirst (Acetaldehyde syndrome)
> Monitor liver function
> avoid products that contain alcohol including cough syrup, aftershave lotion,
mouthwash, hand sanitizer)
> where medical alert bracelet
Naltrexone
- suppresses craving and pleasurable effects of alcohol
- concurrent use of opioids increased risk for opioid toxicity
- take with meals to decrease G.I. distress
- monthly IM depot injections for those having trouble with drug adherence
verified answers
A 12 step program like AA with teach what to clients? Ans✓✓✓ Abstinence is
necessary for recover
Higher power is needed to assist in recovery
Other people cannot be blamed
A client taking Amitriptyline should over what OTC medication to prevent cardiac
dysrhythmias? Ans✓✓✓ Acetaminophen
- products containing ephedrine along with Amitriptyline can cause cardiac
dysthymias
A client with Alzheimer's will maintain the ability to identify the names of family
members until what stage Ans✓✓✓ Stage 6
Abnormal posturing of the client who is comatose Ans✓✓✓ - Decorticate rigidity-
flexion and internal rotation of upper extremity joints and legs
- Decerebrate rigidity- neck and elbow extension, wrist and finger flexion
Acute anxiety Ans✓✓✓ precipitated by an imminent loss or change that
threatens an individual's sense of security
- sudden death of a loved ones precipitates an acute state of anxiety
,Acute care setting for mental health care Ans✓✓✓ provides intensive treatment
and supervision in locked units for clients with severe mental illness; helps
stabilize illness so they can return to the community
Acute dystonia Ans✓✓✓ ✤︎severe spasm of tongue, neck, face and back
> requires rapid treatment
> Monitor for it between 1 to 5 days after admission of first dose
> treat with antiparkinsonian agents such as benztropine
> Stay with client and monitor and wait until spasms subside
Acute stress disorder (ASD) Ans✓✓✓ exposure to a traumatic event causes
anxiety, detachment and other manifestations about the event for at least 3 days
but for no longer than 1 month after event
Acute Stress Disorder (sexual assault) Ans✓✓✓ Occurs after a Trumatic event
(sexual assault) and manifestations or similar to PTSD
> manifestations appear and persist at least 3 days and can extend to 1 month
Adaptive use of defense mechanisms helps... Ans✓✓✓ helps people to achieve
their goals in acceptable ways and reduce anxiety
ADHD Ans✓✓✓ Inability of a person to control behaviors requiring sustained
attention
> inattention, impulsivity, and hyperactivity
Adjustment disorder Ans✓✓✓ A stressor triggers a reaction causing changes in
mood and/or dysfunction in performing usual activities
,- The stressor and effects are less severe than with ASD or PTSD
Adverse effects of Clomipramine (TCA) Ans✓✓✓ Sedation, orthostatic
hypotension, anti-cholinergic effects such as dry mouth, blurred vision, urinary
retention, constipation, and tachycardia
Adverse effects of Desipramine (TCA) Ans✓✓✓ Sedation
anti-cholinergic affects - dry mouth, blurred vision, urinary retention
Adverse effects of nicotine gum Ans✓✓✓ Throat irritation, mouth irritation,
aching jaw muscles, dyspepsia
Age specific assessment for violence Ans✓✓✓ Infants
- shaken baby syndrome
- any bruising on infant before 6 months
Preschoolers to adolescents
- any unusual bleeding (on abdomen, back or buttocks)
> bruising on hands and legs is expected from physical activities
- assess mechanism of injury ( numerous bruising at different stages of healing
can indicate ongoing abuse)
- assess for burns or human bite makes
- assess for fractures with unusual features
- assess for head injuries
Older and other vulnerable adults
, - assess for any bruises, lacerations, abrasions, or fractures where physical
appearance does not match history or mechanism of injury
Agoraphobia Ans✓✓✓ Extreme fear of certain places (outdoors or on a bridge)
where client feels vulnerable or unsafe
- client avoids certain places or situations
- fear and anxiety is out of proportion to actual danger
Akathisia Ans✓✓✓ Inability to sit or stand still, continual pacing and agitation
> manage with anti-Parkinsonian agents, beta blockers, or lorazepam/diazepam
> Monitor for SI
alcohol abstinence maintenance meds Ans✓✓✓ Disulfiram
- if taken with alcohol it will cause N/V, weakness, sweating, palpitations, and
hypotension, headache, and extreme thirst (Acetaldehyde syndrome)
> Monitor liver function
> avoid products that contain alcohol including cough syrup, aftershave lotion,
mouthwash, hand sanitizer)
> where medical alert bracelet
Naltrexone
- suppresses craving and pleasurable effects of alcohol
- concurrent use of opioids increased risk for opioid toxicity
- take with meals to decrease G.I. distress
- monthly IM depot injections for those having trouble with drug adherence
