mental health exam 2 Questions with 100% Correct Answers | Verified | Updated 2024

mental
health
exam
2
A
person
has
had
difficulty
keeping
a
job
because
of
arguing
with
co-workers
and
accusing
them
of
conspiracy.
Today
the
person
shouts,
"They're
all
plotting
to
destroy
me.
Isn't
that
true?"
Select
the
nurse's
most
therapeutic
response.
a.
"Everyone
here
is
trying
to
help
you.
No
one
wants
to
harm
you."
b.
"Feeling
that
people
want
to
destroy
you
must
be
very
frightening."
c.
"That
is
not
true.
People
here
are
trying
to
help
you
if
you
will
let
them."
d.
"Staff
members
are
health
care
professionals
who
are
qualified
to
help
you."
-
ANSWER-b.
"feeling
that
people
want
to
destroy
you
must
be
very
frightening."
A
newly
admitted
patient
diagnosed
with
schizophrenia
is
hypervigilant
and
constantly
scans
the
environment.
The
patient
states,
"I
saw
two
doctors
talking
in
the
hall.
They
were
plotting
to
kill
me."
The
nurse
may
correctly
assess
this
behavior
as:
a.
echolalia.
b.
an
idea
of
reference.
c.
a
delusion
of
infidelity.
d.
an
auditory
hallucination.
-
ANSWER-b.
an
idea
of
reference.
A
patient
diagnosed
with
schizophrenia
says,
"My
co-workers
are
out
to
get
me.
I
also
saw
two
doctors
plotting
to
kill
me."
How
does
this
patient
perceive
the
environment?
a.
Disorganized
b.
Dangerous
c.
Supportive
d.
Bizarre
-
ANSWER-b.
dangerous
When
a
patient
diagnosed
with
schizophrenia
was
discharged
6
months
ago,
haloperidol
(Haldol)
was
prescribed.
The
patient
now
says,
"I
stopped
taking those
pills.
They
made
me
feel
like
a
robot."
What
are
common
side
effects
the
nurse
should
validate
with
the
patient?
a.
Sedation
and
muscle
stiffness
b.
Sweating,
nausea,
and
diarrhea
c.
Mild
fever,
sore
throat,
and
skin
rash
d.
Headache,
watery
eyes,
and
runny
nose
-
ANSWER-a.
Sedation
and
muscle
stiffness
Which
hallucination
necessitates
the
nurse
to
implement
safety
measures?
The
patient
says,
a.
"I
hear
angels
playing
harps."
b.
"The
voices
say
everyone
is
trying
to
kill
me."
c.
"My
dead
father
tells
me
I
am
a
good
person."
d."The
voices
talk
only
at
night
when
I'm
trying
to
sleep."
-
ANSWER-b.
"The
voices
say
everyone
is
trying
to
kill
me."
A
patient's
care
plan
includes
monitoring
for
auditory
hallucinations.
Which
assessment
findings
suggest
the
patient
may
be
hallucinating?
a.
Detachment
and
overconfidence
b.
Darting
eyes,
tilted
head,
mumbling
to
self
c.
Euphoric
mood,
hyperactivity,
distractibility
d.
Foot
tapping
and
repeatedly
writing
the
same
phrase
-
ANSWER-b.
Darting
eyes,
tilted
head,
mumbling
to
self
A
health
care
provider
considers
which
antipsychotic
medication
to
prescribe
for
a
patient
diagnosed
with
schizophrenia
who
has
auditory
hallucinations
and
poor
social
function.
The
patient
is
also
overweight
and
hypertensive.
Which
drug
should
the
nurse
advocate?
a.
Clozapine
(Clozaril)
b.
Ziprasidone
(Geodon)
c.
Olanzapine
(Zyprexa)
d.
Aripiprazole
(Abilify)
-
ANSWER-d.
Aripiprazole
(Abilify) A
patient
diagnosed
with
schizophrenia
tells
the
nurse,
"I
eat
skiller.
Tend
to
end.
Easter.
It
blows
away.
Get
it?"
Select
the
nurse's
best
response.
a.
"Nothing
you
are
saying
is
clear."
b.
"Your
thoughts
are
very
disconnected."
c.
"Try
to
organize
your
thoughts
and
then
tell
me
again."
d.
"I
am
having
difficulty
understanding
what
you
are
saying."
-
ANSWER-d.
"I
am
having
difficulty
understanding
what
you
are
saying."
A
patient
diagnosed
with
schizophrenia
demonstrates
little
spontaneous
movement
and
has
waxy
flexibility.
The
patient's
activities
of
daily
living
are
severely
compromised.
An
appropriate
outcome
would
be
that
the
patient
will:
a.
demonstrate
increased
interest
in
the
environment
by
the
end
of
week
1.
b.
perform
self-care
activities
with
coaching
by
the
end
of
day
3.
c.
gradually
take
the
initiative
for
self-care
by
the
end
of
week
2.
d.
accept
tube
feeding
without
objection
by
day
2.
-
ANSWER-b.
perform
self-care
activities
with
coaching
by
the
end
of
day
3.
A
nurse
observes
a
catatonic
patient
standing
immobile,
facing
the
wall
with
one
arm
extended
in
a
salute.
The
patient
remains
immobile
in
this
position
for
15
minutes,
moving
only
when
the
nurse
gently
lowers
the
arm.
What
is
the
name
of
this
phenomenon?
a.
Echolalia
b.
Waxy
flexibility
c.
Depersonalization
d.
Thought
withdrawal
-
ANSWER-b.
Waxy
flexibility
A
patient
is
experiencing
delusions
of
persecution
about
being
poisoned.
The
patient
has
refused
all
hospital
meals
for
3
days.
Which
intervention
is
most
likely
to
be
acceptable
to
the
patient?
a.
Allowing
the
patient
supervised
access
to
food
vending
machines
b.
Allowing
the
patient
to
phone
a
local
restaurant
to
deliver
meals
c.
Offering
to
taste
each
portion
on
the
tray
for
the
patient