Mega Assessment Test-5
MENTAL HEALTH NURSING
1. A nurse is conducting a psycho educational session for family members of
patients admitted with depression. Which family member’s statement indicates
a need for additional teaching?
a. My husband will slowly feel better as his medicine takes effect over the next 2 to 4
weeks.”
b. My wife will need to take her antidepressant medicine and go to group to stay well.”
c. My son will only need to attend outpatient appointments when he starts to feel
depressed again
d. My mother might need help in cooking, and cleaning for a while
Ans. c. My son will only need to attend outpatient appointments when he starts to feel depressed
again
Rationale:
Additional teaching is needed for the family member who states her son will only need
to attend outpatient appointments when he starts to feel depressed again. Compliance
with medication and outpatient follow-up are key in preventing relapse. The statements
expressing expectations of feeling better as medication takes effect, need to take medicine
and group therapy to stay well and need of help in cooking, and cleaning for a while indicate
the families understanding of depression, medication and follow-up care.
2. The nurse is caring for a patient with bipolar disorder who was recently
admitted to an inpatient unit and is experiencing a manic episode. What is a
priority nursing intervention for this patient?
a. Order and administer all medications in a liquid form
b. Patient attendance at therapy groups
c. Closely monitor the patient’s eating and sleeping habits
d. Encourage the patient to keep a journal about feelings and emotions
Ans. c. Closely monitor the patient’s eating and sleeping habits
,2 Mega Assessment Test-5
Rationale:
Distraction and disorganization in manic patients may prevent them from eating or sleeping.
Close monitoring is needed to prevent exhaustion and malnutrition. Liquid medications are
indicated only if the patient cannot or will not swallow tablets. Manic patient tend to disrupt
group therapy, so this treatment usually is not for them. The manic patient is unable to
concentrate and complete a journal at this time.
3. A patient states that he hears God’s voice telling him that he has sinned and
needs to punish himself? Which response by the nurse is most important?
a. How do you think you will be punished?
b. Please tell staff when you think you need to punish yourself.
c. What exactly do you think you have done to be punished?
d. Let’s talk about your strengths.
Ans. b. Please tell staff when you think you need to punish yourself
Rationale:
The patient is at risk for harming himself as patient is having command auditory
hallucinations. It is most important for the staff to know if he currently thinks he needs to
punish himself. Then it is important to know how he thinks he might punish himself.
4. A patient is admitted to the drug detoxification unit for cocaine withdrawal.
What is the nurse’s primary concern while working with patients withdrawing
from cocaine?
a. Risk for self-injury
b. Potential for seizure
c. Danger of dehydration
d. Probability of injuring other
Ans. a. Risk for self-injury
Rationale:
The greatest risk in cocaine withdrawal is risk for self-injury. The risk for seizure is increased
while under the influence of cocaine, not during withdrawal. Although dehydration can
occur during cocaine use and withdrawal, it is not the priority concern. People in cocaine
withdrawal are at more of hurting themselves than others.
5. What should a nurse conclude when a patient is making up stories to fill in
blank spaces of memory?
a. Lying
b. Denying
c. Rationalizing
d. Confabulating
, Mega Assessment Test-5 3
Ans. d. Confabulating
Rationale:
Confabulation is a type of memory error in which gaps in a person’s memory are
unconsciously filled with fabricated, misinterpreted, or distorted information. Lying is a
deliberate attempt. Denying is blocking out of conscious. Rationalizing is used to explain
and justifying the behavior.
6. A 35-year-old adult is diagnosed with schizotypal personality disorder. How
should a nurse describe the patient’s behavior?
a. Rigid and controlling
b. Submissive and immature
c. Arrogant and attention seeking
d. Introverted and emotionally withdrawn
Ans. d. Introverted and emotionally withdrawn
Rationale:
Patients with schizotypal personality disorder usually display social inadequacy and lack of
emotional contact with others. Other options are just distractors.
7. A recovering alcoholic person joins Alcoholics Anonymous group to help
maintain sobriety. Alcohol Anonymous group type is which type of group?
a. Social group b. Self-help group
c. Psycho-educative group d. Psychotherapeutic group
Ans. b. Self-help group
Rationale:
Alcoholics Anonymous is a self-help group of individuals who meet together to attain and
maintain sobriety.
8. An adult is admitted for psychiatric evaluation as he is charged with molesting
a child. When a nurse invites the patient to come for lunch, the patient refuses
and states, “I don’t want anyone to see me. Leave me alone.” What is the nurse’s
best response?
a. Certainly. I respect your wishes.
b. You sound upset. Let’s talk about it.
c. It will be easier to face other people right away.
d. Only the staff members know why you are here.
Ans. b. You sound upset. Let’s talk about it.
Rationale:
Statement in option B identifies feelings and provides opportunity to patient to talk. Other
options are inappropriate.
, 4 Mega Assessment Test-5
9. Disorientation is commonly seen in which of following disorder?
a. Organic Brain Damage b. Schizophrenia
c. Mania d. None of above
Ans. a. Organic Brain Damage
Rationale:
Disorientation is an altered mental state. Two common causes of disorientation are delirium
and dementia (Organic Brain disorders). Other options are distractors.
10. The practice of obtaining sexual gratification by looking at the sexual acts,
especially secretively is known as…………
a. Voyeurism b. Fetishism
c. Exhibitionism d. Frotteurism
Ans. a. Voyeurism
Rationale:
• Voyeurism is defined as an interest in observing unsuspecting people while they
undress, are naked, or engage in sexual activities.
• Fetishism is defined as the obligate need for inanimate or part objects for sexual arousal.
• Exhibitionism refers to sexual arousal achieved from showing others one’s own genitals,
or from sex acts (e.g. masturbation, oral sex, vaginal sex, and anal sex) committed in
front of an audience, often in public.
• Frotteurism involves the act of touching or rubbing one’s genitals against another non-
consenting individual in a sexual manner, to attain sexual gratification.
11. Squeeze technique is used for which of following condition?
a. Impotence
b. Premature ejaculation
c. Infertility
d. Priapism
Ans. b. Premature ejaculation
Rationale:
The ‘squeeze technique’ can be used to prevent ejaculation by squeezing the tip of the penis
to help control the ejaculatory urge. The penis becomes unresponsive and subsequent
vigorous stimulation does not cause ejaculation. So the correct option is B. Other options
are just distractors.
12. The parrot like repetition or words spoken by others is known as:
a. Echopraxia b. Echolalia
c. Aphonia d. Neologism
Ans. b. Echolalia
MENTAL HEALTH NURSING
1. A nurse is conducting a psycho educational session for family members of
patients admitted with depression. Which family member’s statement indicates
a need for additional teaching?
a. My husband will slowly feel better as his medicine takes effect over the next 2 to 4
weeks.”
b. My wife will need to take her antidepressant medicine and go to group to stay well.”
c. My son will only need to attend outpatient appointments when he starts to feel
depressed again
d. My mother might need help in cooking, and cleaning for a while
Ans. c. My son will only need to attend outpatient appointments when he starts to feel depressed
again
Rationale:
Additional teaching is needed for the family member who states her son will only need
to attend outpatient appointments when he starts to feel depressed again. Compliance
with medication and outpatient follow-up are key in preventing relapse. The statements
expressing expectations of feeling better as medication takes effect, need to take medicine
and group therapy to stay well and need of help in cooking, and cleaning for a while indicate
the families understanding of depression, medication and follow-up care.
2. The nurse is caring for a patient with bipolar disorder who was recently
admitted to an inpatient unit and is experiencing a manic episode. What is a
priority nursing intervention for this patient?
a. Order and administer all medications in a liquid form
b. Patient attendance at therapy groups
c. Closely monitor the patient’s eating and sleeping habits
d. Encourage the patient to keep a journal about feelings and emotions
Ans. c. Closely monitor the patient’s eating and sleeping habits
,2 Mega Assessment Test-5
Rationale:
Distraction and disorganization in manic patients may prevent them from eating or sleeping.
Close monitoring is needed to prevent exhaustion and malnutrition. Liquid medications are
indicated only if the patient cannot or will not swallow tablets. Manic patient tend to disrupt
group therapy, so this treatment usually is not for them. The manic patient is unable to
concentrate and complete a journal at this time.
3. A patient states that he hears God’s voice telling him that he has sinned and
needs to punish himself? Which response by the nurse is most important?
a. How do you think you will be punished?
b. Please tell staff when you think you need to punish yourself.
c. What exactly do you think you have done to be punished?
d. Let’s talk about your strengths.
Ans. b. Please tell staff when you think you need to punish yourself
Rationale:
The patient is at risk for harming himself as patient is having command auditory
hallucinations. It is most important for the staff to know if he currently thinks he needs to
punish himself. Then it is important to know how he thinks he might punish himself.
4. A patient is admitted to the drug detoxification unit for cocaine withdrawal.
What is the nurse’s primary concern while working with patients withdrawing
from cocaine?
a. Risk for self-injury
b. Potential for seizure
c. Danger of dehydration
d. Probability of injuring other
Ans. a. Risk for self-injury
Rationale:
The greatest risk in cocaine withdrawal is risk for self-injury. The risk for seizure is increased
while under the influence of cocaine, not during withdrawal. Although dehydration can
occur during cocaine use and withdrawal, it is not the priority concern. People in cocaine
withdrawal are at more of hurting themselves than others.
5. What should a nurse conclude when a patient is making up stories to fill in
blank spaces of memory?
a. Lying
b. Denying
c. Rationalizing
d. Confabulating
, Mega Assessment Test-5 3
Ans. d. Confabulating
Rationale:
Confabulation is a type of memory error in which gaps in a person’s memory are
unconsciously filled with fabricated, misinterpreted, or distorted information. Lying is a
deliberate attempt. Denying is blocking out of conscious. Rationalizing is used to explain
and justifying the behavior.
6. A 35-year-old adult is diagnosed with schizotypal personality disorder. How
should a nurse describe the patient’s behavior?
a. Rigid and controlling
b. Submissive and immature
c. Arrogant and attention seeking
d. Introverted and emotionally withdrawn
Ans. d. Introverted and emotionally withdrawn
Rationale:
Patients with schizotypal personality disorder usually display social inadequacy and lack of
emotional contact with others. Other options are just distractors.
7. A recovering alcoholic person joins Alcoholics Anonymous group to help
maintain sobriety. Alcohol Anonymous group type is which type of group?
a. Social group b. Self-help group
c. Psycho-educative group d. Psychotherapeutic group
Ans. b. Self-help group
Rationale:
Alcoholics Anonymous is a self-help group of individuals who meet together to attain and
maintain sobriety.
8. An adult is admitted for psychiatric evaluation as he is charged with molesting
a child. When a nurse invites the patient to come for lunch, the patient refuses
and states, “I don’t want anyone to see me. Leave me alone.” What is the nurse’s
best response?
a. Certainly. I respect your wishes.
b. You sound upset. Let’s talk about it.
c. It will be easier to face other people right away.
d. Only the staff members know why you are here.
Ans. b. You sound upset. Let’s talk about it.
Rationale:
Statement in option B identifies feelings and provides opportunity to patient to talk. Other
options are inappropriate.
, 4 Mega Assessment Test-5
9. Disorientation is commonly seen in which of following disorder?
a. Organic Brain Damage b. Schizophrenia
c. Mania d. None of above
Ans. a. Organic Brain Damage
Rationale:
Disorientation is an altered mental state. Two common causes of disorientation are delirium
and dementia (Organic Brain disorders). Other options are distractors.
10. The practice of obtaining sexual gratification by looking at the sexual acts,
especially secretively is known as…………
a. Voyeurism b. Fetishism
c. Exhibitionism d. Frotteurism
Ans. a. Voyeurism
Rationale:
• Voyeurism is defined as an interest in observing unsuspecting people while they
undress, are naked, or engage in sexual activities.
• Fetishism is defined as the obligate need for inanimate or part objects for sexual arousal.
• Exhibitionism refers to sexual arousal achieved from showing others one’s own genitals,
or from sex acts (e.g. masturbation, oral sex, vaginal sex, and anal sex) committed in
front of an audience, often in public.
• Frotteurism involves the act of touching or rubbing one’s genitals against another non-
consenting individual in a sexual manner, to attain sexual gratification.
11. Squeeze technique is used for which of following condition?
a. Impotence
b. Premature ejaculation
c. Infertility
d. Priapism
Ans. b. Premature ejaculation
Rationale:
The ‘squeeze technique’ can be used to prevent ejaculation by squeezing the tip of the penis
to help control the ejaculatory urge. The penis becomes unresponsive and subsequent
vigorous stimulation does not cause ejaculation. So the correct option is B. Other options
are just distractors.
12. The parrot like repetition or words spoken by others is known as:
a. Echopraxia b. Echolalia
c. Aphonia d. Neologism
Ans. b. Echolalia
