NUR 1520- (psych) NCLEX Mental Health 1 Questions With
Complete Solutions
________is the repeated and persistent attempts to impose
unwanted communication or contact with another person
Correct Answers Stalking
_______is the malicious or ignorant withholding of physical,
emotional, or educational necessities to a dependents well-being
Correct Answers Neglect
"After months of coaxing by her husband, a client comes to the
mental health clinic. She reports that she suffers from an
overwhelming fear of leaving her house. This overwhelming
fear has caused the client to lose her job and is beginning to take
a toll on her marriage. The physician diagnoses the client with
agoraphobia. Which treatment options are effective in treating
this disorder? Correct Answers 2. Desensitization 3.
Alprazolam (Xanax) therapy 4. Paroxetine (Paxil) therapy
"Deviant behavior" itself does not define mental disorders,
unless the deviance or conflict is symptomatic of the individual's
dysfunction. "Deviant" behavior is defined by which of the
following? Select all that apply.
1. historical and social norms
2. Situational context
3. Peer relationships
4. Understanding of human behavior
5. Political norms Correct Answers 1. Rationale: Today, the
"ship of fools" would be described as mass murder
,2. Rationale: The man on the street corner who calls himself
Napoleon is deviant, yet the man at the masquerade who calls
himself Napoleon is ordinary.
4. Rationale: Homosexuality was voted out of the DSM-III in
1973
5. Rationale: Soviet dissidents were diagnosed and
institutionalized for deviant behavior labeled as mental illness
("Delusions of Societal Reform")
(SELECT AL THAT APPLY) A 54-year-old client diagnosed
with generalized anxiety disorder is admitted to the facility.
Which therapeutic modalities are typically used to treat this
disorder? Correct Answers 1. Biofeedback 2. Buspirone 3.
Relaxtion technique
(SELECT ALL THAT APPLY) A client is prescribed bupropion
(Wellbutrin) to treat depression. The nurse should monitor the
client for which adverse reactions associated with bupropion
therapy? Correct Answers (1) Seizures, (2), Anxiety, (3)
Insomnia
(SELECT ALL THAT APPLY) A physician prescribes
clomipramine (Anafranil) for a client diagnosed with obsessive-
compulsive disorder (OCD). What instructions should the nurse
include when teaching the client about this medication? Correct
Answers "1. Avoid hazardous activities that require alertness or
good coordination until adverse central nervous system (CNS)
effects are known. 2. Avoid alcohol and other depressants. 3.
Use saliva substitutes or sugarless candy or gum to relieve dry
mouth. "
,(SELECT ALL THAT APPLY) A registered nurse caring for a
client with generalized anxiety disorder identifies a nursing
diagnosis of Anxiety. The short-term goal identified is: The
client will identify his physical, emotional, and behavioral
responses to anxiety. Which nursing interventions will help the
client achieve this goal? Correct Answers 4. Observe the client
for overt signs of anxiety. 5. Help the client connect anxiety
with uncomfortable physical, emotional, or behavioral
responses. 6. Introduce the client to new strategies for coping
with anxiety, such as relaxation techniques and exercise.
(SELECT ALL THAT APPLY) After being examined by the
forensic nurse in the emergency department, a rape victim is
prepared for discharge. Due to the nature of the attack, this
client is at risk for posttraumatic stress disorder (PTSD). Which
symptoms are associated with PTSD? Correct Answers " 1.
Recurrent, intrusive recollections or nightmares 3. Sleep
disturbances 6. Difficulty concentrating "
(SELECT ALL THAT APPLY) After receiving a referral from
the occupational health nurse, a client comes to the mental
health clinic with a suspected diagnosis of obsessive-compulsive
disorder. The client explains that his compulsion to wash his
hands is interfering with his job. Which interventions are
appropriate when caring for a client with this disorder? Correct
Answers 2. Support the use of appropriate defense mechanisms.
4. Explore the patterns leading to the compulsive behavior. 6.
Encourage activities, such as listening to music."
(SELECT ALL THAT APPLY) In the emergency department, a
client reveals to the nurse a lethal plan for committing suicide
, and agrees to a voluntary admission to the psychiatric unit.
Which information will the nurse discuss with the client to
answer the question, ""How long do I have to stay here?""
Correct Answers (1) "You may leave the hospital at any time
unless you are suicidal.", (2) "Let's talk more after the health
team has assessed you.", (4) "Because you could hurt yourself,
you must be safe before being discharged."
(SELECT ALL THAT APPLY) The nurse has developed a
relationship with a client who has an addiction problem. Which
information would indicate that the therapeutic interaction is in
the working stage? Correct Answers (1) The client addresses
how the addiction has contributed to family distress., (4) The
client discusses the financial problems related to the addiction.,
(6) The client acknowledges the addiction's effects on the
children.
(SELECT ALL THAT APPLY) The nurse is explaining the Bill
of Rights for psychiatric patients to a client who has voluntarily
sought admission to an inpatient psychiatric facility. Which of
the following rights should the nurse include in the discussion?
Correct Answers (2) Right to refuse treatment, (4) Right to
confidentiality, (5) Right to personal mail
(SELECT ALL THAT APPLY) The nurse is teaching a client
about the antidepressant amitriptyline (Elavil). Which points
should she include in her teaching plan? Correct Answers (1)
Smoking may lower the drug level., (2) Avoid prolonged
exposure to the sun., (5) Increase fluid and fiber intake to
prevent constipation.
Complete Solutions
________is the repeated and persistent attempts to impose
unwanted communication or contact with another person
Correct Answers Stalking
_______is the malicious or ignorant withholding of physical,
emotional, or educational necessities to a dependents well-being
Correct Answers Neglect
"After months of coaxing by her husband, a client comes to the
mental health clinic. She reports that she suffers from an
overwhelming fear of leaving her house. This overwhelming
fear has caused the client to lose her job and is beginning to take
a toll on her marriage. The physician diagnoses the client with
agoraphobia. Which treatment options are effective in treating
this disorder? Correct Answers 2. Desensitization 3.
Alprazolam (Xanax) therapy 4. Paroxetine (Paxil) therapy
"Deviant behavior" itself does not define mental disorders,
unless the deviance or conflict is symptomatic of the individual's
dysfunction. "Deviant" behavior is defined by which of the
following? Select all that apply.
1. historical and social norms
2. Situational context
3. Peer relationships
4. Understanding of human behavior
5. Political norms Correct Answers 1. Rationale: Today, the
"ship of fools" would be described as mass murder
,2. Rationale: The man on the street corner who calls himself
Napoleon is deviant, yet the man at the masquerade who calls
himself Napoleon is ordinary.
4. Rationale: Homosexuality was voted out of the DSM-III in
1973
5. Rationale: Soviet dissidents were diagnosed and
institutionalized for deviant behavior labeled as mental illness
("Delusions of Societal Reform")
(SELECT AL THAT APPLY) A 54-year-old client diagnosed
with generalized anxiety disorder is admitted to the facility.
Which therapeutic modalities are typically used to treat this
disorder? Correct Answers 1. Biofeedback 2. Buspirone 3.
Relaxtion technique
(SELECT ALL THAT APPLY) A client is prescribed bupropion
(Wellbutrin) to treat depression. The nurse should monitor the
client for which adverse reactions associated with bupropion
therapy? Correct Answers (1) Seizures, (2), Anxiety, (3)
Insomnia
(SELECT ALL THAT APPLY) A physician prescribes
clomipramine (Anafranil) for a client diagnosed with obsessive-
compulsive disorder (OCD). What instructions should the nurse
include when teaching the client about this medication? Correct
Answers "1. Avoid hazardous activities that require alertness or
good coordination until adverse central nervous system (CNS)
effects are known. 2. Avoid alcohol and other depressants. 3.
Use saliva substitutes or sugarless candy or gum to relieve dry
mouth. "
,(SELECT ALL THAT APPLY) A registered nurse caring for a
client with generalized anxiety disorder identifies a nursing
diagnosis of Anxiety. The short-term goal identified is: The
client will identify his physical, emotional, and behavioral
responses to anxiety. Which nursing interventions will help the
client achieve this goal? Correct Answers 4. Observe the client
for overt signs of anxiety. 5. Help the client connect anxiety
with uncomfortable physical, emotional, or behavioral
responses. 6. Introduce the client to new strategies for coping
with anxiety, such as relaxation techniques and exercise.
(SELECT ALL THAT APPLY) After being examined by the
forensic nurse in the emergency department, a rape victim is
prepared for discharge. Due to the nature of the attack, this
client is at risk for posttraumatic stress disorder (PTSD). Which
symptoms are associated with PTSD? Correct Answers " 1.
Recurrent, intrusive recollections or nightmares 3. Sleep
disturbances 6. Difficulty concentrating "
(SELECT ALL THAT APPLY) After receiving a referral from
the occupational health nurse, a client comes to the mental
health clinic with a suspected diagnosis of obsessive-compulsive
disorder. The client explains that his compulsion to wash his
hands is interfering with his job. Which interventions are
appropriate when caring for a client with this disorder? Correct
Answers 2. Support the use of appropriate defense mechanisms.
4. Explore the patterns leading to the compulsive behavior. 6.
Encourage activities, such as listening to music."
(SELECT ALL THAT APPLY) In the emergency department, a
client reveals to the nurse a lethal plan for committing suicide
, and agrees to a voluntary admission to the psychiatric unit.
Which information will the nurse discuss with the client to
answer the question, ""How long do I have to stay here?""
Correct Answers (1) "You may leave the hospital at any time
unless you are suicidal.", (2) "Let's talk more after the health
team has assessed you.", (4) "Because you could hurt yourself,
you must be safe before being discharged."
(SELECT ALL THAT APPLY) The nurse has developed a
relationship with a client who has an addiction problem. Which
information would indicate that the therapeutic interaction is in
the working stage? Correct Answers (1) The client addresses
how the addiction has contributed to family distress., (4) The
client discusses the financial problems related to the addiction.,
(6) The client acknowledges the addiction's effects on the
children.
(SELECT ALL THAT APPLY) The nurse is explaining the Bill
of Rights for psychiatric patients to a client who has voluntarily
sought admission to an inpatient psychiatric facility. Which of
the following rights should the nurse include in the discussion?
Correct Answers (2) Right to refuse treatment, (4) Right to
confidentiality, (5) Right to personal mail
(SELECT ALL THAT APPLY) The nurse is teaching a client
about the antidepressant amitriptyline (Elavil). Which points
should she include in her teaching plan? Correct Answers (1)
Smoking may lower the drug level., (2) Avoid prolonged
exposure to the sun., (5) Increase fluid and fiber intake to
prevent constipation.
