2024 Mental Health Exam QUESTIONS AND ANSWERS EXAM ACTUAL
EXAM WITH A STUDY GUIDE AND PRACTICE EXAM | ACCURATE REAL
EXAM QUESTIONS AND ANSWERS | GUARANTEED PASS | LATEST
UPDATE
Nurse calls out "Mary, come get your medication! and The patient echos
back "Come get your medication". This is an example of what symptom
of schizophrenia?
A. Neologisms
B. Mocking
C. Echolalia
D. Clang associations - CORRECT ANSWER C. Echolalia
Echolalia is the pathological repeating of another's words and is often
seen in catatonia.
Multiple doses of first-generation antipsychotics such as Haldol are
discouraged because they often can cause which of the following side
effects(Select all that apply)
A. Akathisia
B. Metabolic syndrome
C. Acute dystonia
D. Tardive dyskinesia - CORRECT ANSWER A, C, D
Which of the following is true regarding first-generation and second-
generation antipsychotics?
A. 1st generation antipsychotics are more expensive than 2nd
generation antipsychotics
,B. 1st generation antipsychotics are used for positive symptoms. 2nd
generation antipsychotics are used for positive and negative symptoms
C. They both alter Serotonin and Dopamine levels in the body
D. 1st generation antipsychotics are used for negative symptoms. 2nd
generation antipsychotics are used for positive symptoms - CORRECT
ANSWER B.
1st generation antipsychotics are traditional dopamine antagonists and
cause extrapyramidal side effects. These are used less in schizophrenia
because they minimally impact negative symptoms.
A client with schizophrenia sees a group of visitors sitting and talking
together. The client tells the nurse, "I know they're talking about me."
Which altered thought process does the nurse identify?
A. Mania
B. Hallucinations
C. Grandiosity
D. Ideas of reference - CORRECT ANSWER D.
When talking to a schizophrenic patient who is hearing voices, what is
the first priority nursing intervention for safety?
A. Explain that you don't hear voices so they must not be real
B. Ask the patient directly if they are hearing voices and what the voices
are saying.
C. comfort the patient by acknowledging the voices as real
D. Explain that the voices they are hearing are all in their heads -
CORRECT ANSWER B.
You should ask the patient if they are hearing any voices directly. Do not
avoid to hallucinations as if they are real and do not negate the patient's
experience.
,In an outpatient clinic, a family expresses helplessness related to dealing
with a mentally ill member's odd behaviors, mood swings, and
argumentativeness. An effective nursing teaching strategy for setting
limits and communication forthis family would be to
A. Explain symptoms of relapse
B. Involve local social service agencies
C. Role-play difficult situations
D. Express sympathy for their situation - CORRECT ANSWER C. Role-
play difficult situations
Helping a family learn to set limits and deal with difficult behaviors can
often be accomplished by using role-playing situations, which give family
members the opportunity to try new, more effective approaches. The
other options would not provide learning opportunities.
The term dual diagnosis refers to having a severe mental illness and
what other dysfunctional behavior?
A. HIV Infection
B. Medication noncompliance
C. A substance abuse problem
D. A personality disorder - CORRECT ANSWER C. A substance abuse
problem
Dual diagnosis is the term used to identify a client with severe mental
illness and a substance abuse problem. Both problems must be treated
if the client is to be successfully rehabilitated. None of the other options
reflect an accurate description of the term dual diagnosis.
, Severely mentally ill (SMI) clients often express a strong desire to be
employed. According to the evidence-based research, what is the most
effective model of employment for these clients?
A. Supported employment on job with integration of mental health
B. Vocational rehabilitation
C. A placement program of rehabilitation
D. Productive employment - CORRECT ANSWER A. Supported
employment on job with integration of mental health
In the past, vocational rehabilitation programs required extensive
evaluation procedures and training before attempting job placement.
However, these programs were unsuccessful at helping severely
mentally ill clients to maintain jobs. Research efforts have identified a
more productive model called supported employment. pg 594 varcarolis
You are evaluating the effectiveness of clozaril. What symptoms would
decrease if the drug was working? (Select all that apply).
A. Itching
B. Disorganized thoughts and auditory hallucinations
C. Drooling
D. Constipation - CORRECT ANSWER B. Disorganized thoughts and
auditory hallucinations
P. 204
When tom is placed on Clozaril he develops a high fever of 101 and soar
throat and his
His laboratory report shows a white blood cell count of 3000 mm3.
Select the nurse's best action.
A. Adminster the next dose as prescribed
EXAM WITH A STUDY GUIDE AND PRACTICE EXAM | ACCURATE REAL
EXAM QUESTIONS AND ANSWERS | GUARANTEED PASS | LATEST
UPDATE
Nurse calls out "Mary, come get your medication! and The patient echos
back "Come get your medication". This is an example of what symptom
of schizophrenia?
A. Neologisms
B. Mocking
C. Echolalia
D. Clang associations - CORRECT ANSWER C. Echolalia
Echolalia is the pathological repeating of another's words and is often
seen in catatonia.
Multiple doses of first-generation antipsychotics such as Haldol are
discouraged because they often can cause which of the following side
effects(Select all that apply)
A. Akathisia
B. Metabolic syndrome
C. Acute dystonia
D. Tardive dyskinesia - CORRECT ANSWER A, C, D
Which of the following is true regarding first-generation and second-
generation antipsychotics?
A. 1st generation antipsychotics are more expensive than 2nd
generation antipsychotics
,B. 1st generation antipsychotics are used for positive symptoms. 2nd
generation antipsychotics are used for positive and negative symptoms
C. They both alter Serotonin and Dopamine levels in the body
D. 1st generation antipsychotics are used for negative symptoms. 2nd
generation antipsychotics are used for positive symptoms - CORRECT
ANSWER B.
1st generation antipsychotics are traditional dopamine antagonists and
cause extrapyramidal side effects. These are used less in schizophrenia
because they minimally impact negative symptoms.
A client with schizophrenia sees a group of visitors sitting and talking
together. The client tells the nurse, "I know they're talking about me."
Which altered thought process does the nurse identify?
A. Mania
B. Hallucinations
C. Grandiosity
D. Ideas of reference - CORRECT ANSWER D.
When talking to a schizophrenic patient who is hearing voices, what is
the first priority nursing intervention for safety?
A. Explain that you don't hear voices so they must not be real
B. Ask the patient directly if they are hearing voices and what the voices
are saying.
C. comfort the patient by acknowledging the voices as real
D. Explain that the voices they are hearing are all in their heads -
CORRECT ANSWER B.
You should ask the patient if they are hearing any voices directly. Do not
avoid to hallucinations as if they are real and do not negate the patient's
experience.
,In an outpatient clinic, a family expresses helplessness related to dealing
with a mentally ill member's odd behaviors, mood swings, and
argumentativeness. An effective nursing teaching strategy for setting
limits and communication forthis family would be to
A. Explain symptoms of relapse
B. Involve local social service agencies
C. Role-play difficult situations
D. Express sympathy for their situation - CORRECT ANSWER C. Role-
play difficult situations
Helping a family learn to set limits and deal with difficult behaviors can
often be accomplished by using role-playing situations, which give family
members the opportunity to try new, more effective approaches. The
other options would not provide learning opportunities.
The term dual diagnosis refers to having a severe mental illness and
what other dysfunctional behavior?
A. HIV Infection
B. Medication noncompliance
C. A substance abuse problem
D. A personality disorder - CORRECT ANSWER C. A substance abuse
problem
Dual diagnosis is the term used to identify a client with severe mental
illness and a substance abuse problem. Both problems must be treated
if the client is to be successfully rehabilitated. None of the other options
reflect an accurate description of the term dual diagnosis.
, Severely mentally ill (SMI) clients often express a strong desire to be
employed. According to the evidence-based research, what is the most
effective model of employment for these clients?
A. Supported employment on job with integration of mental health
B. Vocational rehabilitation
C. A placement program of rehabilitation
D. Productive employment - CORRECT ANSWER A. Supported
employment on job with integration of mental health
In the past, vocational rehabilitation programs required extensive
evaluation procedures and training before attempting job placement.
However, these programs were unsuccessful at helping severely
mentally ill clients to maintain jobs. Research efforts have identified a
more productive model called supported employment. pg 594 varcarolis
You are evaluating the effectiveness of clozaril. What symptoms would
decrease if the drug was working? (Select all that apply).
A. Itching
B. Disorganized thoughts and auditory hallucinations
C. Drooling
D. Constipation - CORRECT ANSWER B. Disorganized thoughts and
auditory hallucinations
P. 204
When tom is placed on Clozaril he develops a high fever of 101 and soar
throat and his
His laboratory report shows a white blood cell count of 3000 mm3.
Select the nurse's best action.
A. Adminster the next dose as prescribed
