WELL DETAILED ANSWERS|LATEST
PASS
Lithium Early signs of toxicity? - ANSWER Vomiting and Lethargy
What active listening skills to a patient? - ANSWER S - sit square to pt
O - open posture
L - lean forward to pt.
E - eye contact
R - relax
Which of the following is true regarding cholinergic neurotransmitters? Select all that apply
A. They exert their effects at the neuromuscular junction, B. They are associated with the
immune response, C. They are inhibitory, so low levels are associated with anxiety D.
Acetylcholine is associated with memory acquisition & retention, E. They are associated with
motor function & coordination - ANSWER They exert their effects at the
neuromuscular junction
Acetylcholine is associated with memory acquisition & retention
They are associated with motor function & coordination
What are anxiolytics and what do clients usually say? - ANSWER anti-anxiety
medications; "They feel calmer" and "can sit still better".
1
,Establishing rapport and trust with your patient is an important step in which phase of the
relationship?
A.Pre-interaction Phase
B.Introductory/Orientation Phase
C.Working Phase
D.Termination Phase - ANSWER B.Introductory/Orientation Phase
Settings in which mental health nurses may practice: - ANSWER inpatient, outpatient,
jails/prisons (correctionals)
What do you need to be cautious about when giving a patient a sedative hypnotic (sleeping
pill)? - ANSWER O2 Saturations, cardiac insufficiency, liver function
If a patient is taking SSRI and St. Johns Wort and end up with serotonin syndrome what are
some symptoms? - ANSWER Muscle Rigidity, confusion, and hypertension
How many med math questions? - ANSWER 5 med math
What is at the bottom of the pyramid of Maslow's Hierarchy of needs? -
ANSWER Physiological needs (bottom of pyramid): air, sleep, water, etc.
Which neurotransmitter is responsible for the fight-or-flight response?
A. Norepinephrine
B. Dopamine
C. Serotonin
D. Melatonin - ANSWER Norepinephrine
A patient has Alzheimer's what neurotransmitter is most likely to be a developing drug with
this disease? - ANSWER Acetylcholine (Cholinergic)
2
,Secluding patients when it is not absolutely necessary to ensure safety violates which
patient right?
A.Autonomy
B.Civil rights
C.Battery
D.Informed consent - ANSWER Civil Rights
When you are assessing a clients speech what do you not assess them that is inappropriate?
- ANSWER Their accent
What is restating? - ANSWER Repeating the same key words the patient just stated
What is reaction formation? - ANSWER When someone acts or expresses the opposite
of what they feel. Ex: When you have a crush on someone but you're mean to them instead
of nice.
When documenting behavior of clients in the mental health setting, your documentation
should be...
A.Objective
B.Subjective
C.Paraphrased
D.Empathetic - ANSWER Objective
Which of the following patients would be appropriate for group therapy?
A.A patient experiencing psychotic symptoms
B.A patient in acute substance withdrawal
C.A patient who was just admitted for acute mania
3
, D.A stable patient with no recent medication changes - ANSWER A stable patient with
no recent medication changes
A client states: "I refuse to shower in this room. I must be very cautious. The FBI has placed a
camera in here to monitor my every move." Which of the following is the therapeutic
response? - ANSWER "This must be an unsettling thought for you".
If you were interviewing a newly admitted client what would be an example of a general
lead? - ANSWER Short statements to encourage patient to continue talking (e.g., "I
see" or "go on")
What is Confidentiality/HIPAA - ANSWER cannot give patient's medical information
out without their consent
Which of the following responses is most therapeutic for a paranoid patient who believes
that staff is poisoning him?
A.Tell the patient, "don't worry, no one here is trying to harm you"
B.Assume the patient is joking and laugh
C.Scold the patient for accusing staff members
D.Restate the patient's feeling of fear while remaining neutral - ANSWER Restate the
patient's feeling of fear while remaining neutral
If patient is noncompliant with regimen what would be a priority intervention? -
ANSWER address reasons in nonjudgmental & nonpunitive manner(Assess); Asking
why; USE YOUR THERAPEUTIC COMMUNICATION!!
Working as a nurse and a patient really likes you and gives a thank you card with football
team tickets what are things you must consider as a nurse or may compromise? -
ANSWER Professional Boundaries
4
PASS
Lithium Early signs of toxicity? - ANSWER Vomiting and Lethargy
What active listening skills to a patient? - ANSWER S - sit square to pt
O - open posture
L - lean forward to pt.
E - eye contact
R - relax
Which of the following is true regarding cholinergic neurotransmitters? Select all that apply
A. They exert their effects at the neuromuscular junction, B. They are associated with the
immune response, C. They are inhibitory, so low levels are associated with anxiety D.
Acetylcholine is associated with memory acquisition & retention, E. They are associated with
motor function & coordination - ANSWER They exert their effects at the
neuromuscular junction
Acetylcholine is associated with memory acquisition & retention
They are associated with motor function & coordination
What are anxiolytics and what do clients usually say? - ANSWER anti-anxiety
medications; "They feel calmer" and "can sit still better".
1
,Establishing rapport and trust with your patient is an important step in which phase of the
relationship?
A.Pre-interaction Phase
B.Introductory/Orientation Phase
C.Working Phase
D.Termination Phase - ANSWER B.Introductory/Orientation Phase
Settings in which mental health nurses may practice: - ANSWER inpatient, outpatient,
jails/prisons (correctionals)
What do you need to be cautious about when giving a patient a sedative hypnotic (sleeping
pill)? - ANSWER O2 Saturations, cardiac insufficiency, liver function
If a patient is taking SSRI and St. Johns Wort and end up with serotonin syndrome what are
some symptoms? - ANSWER Muscle Rigidity, confusion, and hypertension
How many med math questions? - ANSWER 5 med math
What is at the bottom of the pyramid of Maslow's Hierarchy of needs? -
ANSWER Physiological needs (bottom of pyramid): air, sleep, water, etc.
Which neurotransmitter is responsible for the fight-or-flight response?
A. Norepinephrine
B. Dopamine
C. Serotonin
D. Melatonin - ANSWER Norepinephrine
A patient has Alzheimer's what neurotransmitter is most likely to be a developing drug with
this disease? - ANSWER Acetylcholine (Cholinergic)
2
,Secluding patients when it is not absolutely necessary to ensure safety violates which
patient right?
A.Autonomy
B.Civil rights
C.Battery
D.Informed consent - ANSWER Civil Rights
When you are assessing a clients speech what do you not assess them that is inappropriate?
- ANSWER Their accent
What is restating? - ANSWER Repeating the same key words the patient just stated
What is reaction formation? - ANSWER When someone acts or expresses the opposite
of what they feel. Ex: When you have a crush on someone but you're mean to them instead
of nice.
When documenting behavior of clients in the mental health setting, your documentation
should be...
A.Objective
B.Subjective
C.Paraphrased
D.Empathetic - ANSWER Objective
Which of the following patients would be appropriate for group therapy?
A.A patient experiencing psychotic symptoms
B.A patient in acute substance withdrawal
C.A patient who was just admitted for acute mania
3
, D.A stable patient with no recent medication changes - ANSWER A stable patient with
no recent medication changes
A client states: "I refuse to shower in this room. I must be very cautious. The FBI has placed a
camera in here to monitor my every move." Which of the following is the therapeutic
response? - ANSWER "This must be an unsettling thought for you".
If you were interviewing a newly admitted client what would be an example of a general
lead? - ANSWER Short statements to encourage patient to continue talking (e.g., "I
see" or "go on")
What is Confidentiality/HIPAA - ANSWER cannot give patient's medical information
out without their consent
Which of the following responses is most therapeutic for a paranoid patient who believes
that staff is poisoning him?
A.Tell the patient, "don't worry, no one here is trying to harm you"
B.Assume the patient is joking and laugh
C.Scold the patient for accusing staff members
D.Restate the patient's feeling of fear while remaining neutral - ANSWER Restate the
patient's feeling of fear while remaining neutral
If patient is noncompliant with regimen what would be a priority intervention? -
ANSWER address reasons in nonjudgmental & nonpunitive manner(Assess); Asking
why; USE YOUR THERAPEUTIC COMMUNICATION!!
Working as a nurse and a patient really likes you and gives a thank you card with football
team tickets what are things you must consider as a nurse or may compromise? -
ANSWER Professional Boundaries
4
