Mental Health Nursing Test III - Set A

25 Questions | Total Attempts: 2161

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Mental Health Nursing Test III - Set A

This test contains 25 items Questions about Mental Health NursingFor Answer Key visit:Menta Health Nursing Test III - Set A: Questions with AnswersFor more Nursing Review Tests visit: www. NURSETOPIC. Com. Adslot-overlay{position:absolute;font-family:arial,sans-serif;backgrou nd-color:rgba(0,0,0,0. 65);border:2px solid rgba(0,0,0,0. 65);color:white!important;margin:0;z-index:2147483647;text -decoration:none;box-sizing:border-box;text-align:left;}. Adslot-overlay -iframed{top:0;left:0;right:0;bottom:0;}. Slotname{position:absolute;top :0;left:0;right:0;font-size:13px;font-weight:bold;padding:3px 0 3px 6px;vertical-align:middle;background-color:rgba(0,0,0,0. 45);text-overfl ow:ellipsis;white-space:nowrap;overflow:hidden;}. Slotname span{text-align:left;text-decorati


Questions and Answers
  • 1. 
    1. Despite the repeated nursing interventions to improve reality orientation, a client insists that he is the savior of the world. What is this adaptation known as?
    • A. 

      Confabulation

    • B. 

      Hallucination

    • C. 

      Delusion

    • D. 

      Illusion

  • 2. 
    A newly admitted client is apathetic and exhibits an inappropriate affect. A diagnosis of acute schizophrenic reaction is made. Considering the diagnosis, a symptom the nurse would expect to observe in the client’s communication or behavior is:
    • A. 

      Autistic magical thinking

    • B. 

      Absence of self-criticism

    • C. 

      Suicidal preoccupation

    • D. 

      Logical deductions

  • 3. 
    Princess is brought to the psychiatric hospital by her roommate after noticing that she has become increasingly withdrawn and neglectful of her studies and personal hygiene. Detailed assessment reveals a diagnosis of schizophrenia. It is unlikely that Princess will demonstrate:
    • A. 

      Effective self-boundaries

    • B. 

      A low self-esteem

    • C. 

      Concrete thinking

    • D. 

      A weak ego

  • 4. 
    A client diagnosed with schizophrenia says to the nurse, “Yes, it’s march. March is Little women. That’s literal you know.” This statement illustrates:
    • A. 

      Loosening of associations

    • B. 

      Flight of ideas

    • C. 

      Neologisms

    • D. 

      Echolalia

  • 5. 
    The nurse recognizes that client with the diagnosis of an acute schizophrenia reaction has better potential for recovery when history reveals:
    • A. 

      Appearance of many poorly defined prepsychotic symptoms

    • B. 

      Presence of a family history of schizophrenia

    • C. 

      Occurrence of a precipitating event

    • D. 

      Insidious onset of illness

  • 6. 
    Lito is admitted to a mental health facility because of inappropriate behavior. He has been hearing voices, responding to imaginary companions, and withdrawing to his room for several days at a time. The nurse is aware that withdrawal is a defense against the client’s fear of:
    • A. 

      The lack of power

    • B. 

      The unknown

    • C. 

      Punishment

    • D. 

      Rejection

  • 7. 
    The nurse asked the family of a young client with the diagnosis of schizophrenia about the onset of the problem. The nurse should expect that they would state that the client’s difficulties began during:
    • A. 

      Early childhood

    • B. 

      Late childhood

    • C. 

      Adolescence

    • D. 

      Puberty

  • 8. 
    A client with schizophrenia sees a group of visitors sitting together talking. The client tells the nurse, “I know they are talking about me.” Which altered thought process should the nurse identify?
    • A. 

      Thought broadcasting

    • B. 

      Ideas of reference

    • C. 

      Grandiose delusion

    • D. 

      Flight of ideas

  • 9. 
    When planning care of a young woman admitted with a diagnosis of schizophrenia who is actively hallucinating and delusional, the nurse should be aware that hallucinations are:
    • A. 

      Generally related to the client’s thought process

    • B. 

      Misinterpretations of environmental stimuli

    • C. 

      Usually triggered by unknown factors

    • D. 

      Upsetting to the client

  • 10. 
    The nurse understands that a client with schizophrenia who repeatedly says to the nurse, “No moley, jandu!” is exhibiting:
    • A. 

      Perseveration

    • B. 

      Concretism

    • C. 

      Neologisms

    • D. 

      Echolalia

  • 11. 
    Which factor might place young person in a high risk category for substance abuse?
    • A. 

      Typical stresses associated with adolescence

    • B. 

      Loss of a parent through death or separation

    • C. 

      Occasional periods of depression

    • D. 

      Curiosity with a daring attitude

  • 12. 
    A 22-year old TV stunt man falls from a roof and incurs fractures in the right femur and left tibia after a TV series shooting. The client reveals a history of substance abuse. A primary consideration for the nurse who is caring for this client would be to:
    • A. 

      Realize that this client will need more pain medication than a non-abuse

    • B. 

      Avoid upsetting the client by calling attention to the drug abuse

    • C. 

      Communicate in the same speech pattern that the client uses

    • D. 

      Confront the client about substance abuse

  • 13. 
    The nurse is aware that the defense mechanism commonly used by clients who are alcoholics is:
    • A. 

      Compensation

    • B. 

      Displacement

    • C. 

      Projection

    • D. 

      Denial

  • 14. 
    Arturo is diagnosed with alcoholism. He explains to the nurse that alcohol has a calming saying, “I function better when I’m drinking than when I’m sober.” The nurse recognizes that the client is using the defense mechanism of:
    • A. 

      Compensation

    • B. 

      Rationalization

    • C. 

      Suppression

    • D. 

      Sublimation

  • 15. 
    The nurse should assess a client within a few hours of alcohol withdrawal for the presence of:
    • A. 

      Fever and profuse diaphoresis

    • B. 

      Disorientation and paranoia

    • C. 

      Yawning and convulsions

    • D. 

      Irritability and tremors

  • 16. 
    On the fourth day of admission of a client in an alcohol rehabilitation center, the nurse noticed a strong odor of alcohol on the client’s breath. Which is the nurse first action?
    • A. 

      Notify the physician that the client has been drinking

    • B. 

      Convey the staff’s disappointment in this behavior

    • C. 

      Ask directly where the client got the alcohol

    • D. 

      Locate and remove the alcoholic substance

  • 17. 
    Tonyo who has a long history of alcohol abuse seeks help with the problem in one of the local hospitals The nurse understands that the major underlying factor for success in an alcohol treatment program will be the client’s:
    • A. 

      Self-esteem

    • B. 

      Psychiatrist

    • C. 

      Motivation

    • D. 

      Family

  • 18. 
    Mang Pandoy is admitted to a mental health facility and is diagnosed with substance induce persisting dementia resulting from chronic alcoholism. During admitting interview, the nurse finds out that the client is using confabulation. The nurse recognizes that this is caused by the client’s:
    • A. 

      Difficulty in accepting the diagnosis

    • B. 

      Need to get attention from others

    • C. 

      Marked memory loss

    • D. 

      Ideas of grandeur

  • 19. 
    In planning care for a client with substance- induced persisting dementia resulting from chronic alcohol ingestion, the nurse considers that the disorder is thought to be caused by:
    • A. 

      The deficiency of thiamine in the diet

    • B. 

      The malabsorption of riboflavin

    • C. 

      A reduction in iron intake

    • D. 

      An increase in serotonin

  • 20. 
    The nurse understands that for individuals who are alcoholics, alcohol is a substance that is used to:
    • A. 

      Stimulate the central nervous system

    • B. 

      Promote social interaction

    • C. 

      Precipitate euphoria

    • D. 

      Blunt reality

  • 21. 
    A client with the diagnosis of major depressive disorder has been taking herbal medications. The physician orders venlafaxine (Effexor). When discussing this medication with the client, the nurse should determine if the client has been taking:
    • A. 

      St. John’s wort

    • B. 

      Kava-kava

    • C. 

      Valerian

    • D. 

      Ginseng

  • 22. 
    Methylphenidate (Ritalin) is used in the treatment of Attention-deficit-hyperactivity disorder (ADHD) in children for it’s:
    • A. 

      Hypotensive effect

    • B. 

      Synergistic effect

    • C. 

      Paradoxical effect

    • D. 

      Diuretic effect

  • 23. 
    Which common side effect the nurse should assess for clients with anxiety and physical symptoms related to work pressures receiving alprazolam (Xanax) 0.25 mg PO three times a day?
    • A. 

      Tardive dyskinesia

    • B. 

      Agranulocytosis

    • C. 

      Drowsiness

    • D. 

      Bradycardia

  • 24. 
    The nurse understands that after administering alpraxolam (Xanax) it is important to assess the client for side effects. Initially the nurse should:
    • A. 

      Check the size of the pupils frequently

    • B. 

      Monitor the blood pressure

    • C. 

      Assess for blood pressure

    • D. 

      Measure urinary output

  • 25. 
    When asked by a client’s family about the treatment of schizophrenia, the nurse recalls that:
    • A. 

      Drug therapy, although not eliminating the underlying problem, reduces the symptoms of acute aschzophrenia

    • B. 

      Insight therapy has proven to be highly successful in the treatment of client’s with schizophrenia

    • C. 

      Family therapy has not proven to be effective in the treatment of clients with schizophrenia

    • D. 

      Electroconvulsive therapy is more effective in treating schizophrenia than mood disorders