Mental Health Nursing Test IV - Set A

25 Questions | Total Attempts: 1323

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Mental Health Nursing Quizzes & Trivia

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Questions and Answers
  • 1. 
    1. The nurse was asked by a young adult being treated for substance abuse about methadone. The nurse replied that methadone is useful in the treatment of narcotic addiction because it:
    • A. 

      Carries little risk of psychologic dependence

    • B. 

      Has no cumulative effect in the body

    • C. 

      Has an effect of longer duration

    • D. 

      Is a nonaddictive drug

  • 2. 
    Which important consideration the nurse should be aware of to prevent life threatening complications from the administration of the neuroleptic drug chlorpromazine (Thorazine) to a disturbed acting-out client?
    • A. 

      Watch the client for extrapyramidal side effects

    • B. 

      Protect against exposure to direct sunlight

    • C. 

      Monitor the client’s vital signs

    • D. 

      Provide adequate restraint

  • 3. 
    The client in the psychiatric unit after receiving high doses of haloperidol (Haldol) for 2 weeks states, “I just can’t sit still and I feel jittery.” Which side effects the nurse suspects the client maybe experiencing?
    • A. 

      Parkinsonian syndrome

    • B. 

      Tardive dyskinesia

    • C. 

      Akathisia

    • D. 

      Torticollis

  • 4. 
    During delirium tremens, the physician prescribes parenteral administration of lorazepam (Ativan) in addition to hydration for the client. The nurse understands that this drug is given during detoxification primarily to:
    • A. 

      Reduce the anxiety-tremor state and prevent more serious withdrawal symptoms

    • B. 

      Quiet the client and encourage cooperation and acceptance of treatment

    • C. 

      Enable the client to sleep better during periods of agitation

    • D. 

      Prevent physical injury to the client when seizures occur

  • 5. 
    The physician orders routine lithium levels. How many hours after the last does of lithium should the nurse obtain the blood specimen?
    • A. 

      8 to 12

    • B. 

      6 to 8

    • C. 

      4 to 6

    • D. 

      2 to 4

  • 6. 
    A client has recently been prescribed a new neuroleptic drug. The nurse observes extrapyramidal symptoms and anticipates that the physician will limit these side effects by prescribing:
    • A. 

      Benztropine mesylate (Cogentin)

    • B. 

      Dantroline (Dantrium)

    • C. 

      Hydroxyzine (Atarax)

    • D. 

      Zolpidem (Ambien

  • 7. 
    Which behavior exhibited by the client is haloperidol (Haldol) most effective?
    • A. 

      Depressed

    • B. 

      Withdrawn

    • C. 

      Overactive

    • D. 

      Manic

  • 8. 
    Dina who is taking lithium arrives at the mental health center for a routine visit. She complains of nausea, has slurred speech, and has an ataxic gait. The nurse recognizes that these adaptations are:
    • A. 

      Probably associated with toxic levels of lithium

    • B. 

      Often related to therapeutic lithium levels

    • C. 

      Associated with cyclic mood disorders

    • D. 

      Related to low lithium levels

  • 9. 
    Which immediate treatment should include for a client who has ingested tricyclic antidepressant in an amount that is 20 to 30 times from the daily recommended dose?
    • A. 

      Closer monitoring to prevent further suicidal attempts.

    • B. 

      IM or IV administration of an anticholinergic

    • C. 

      Administration of physostigmine

    • D. 

      Dialysis or forced diuresis

  • 10. 
    Joselito, a noncompliant, suspicious client with schizophrenia is to be discharged. He will live with an aging mother and attend an outreach group. Which medication is most appropriate for him?
    • A. 

      Fluphenazine decanoate (Prolixin decanoate)

    • B. 

      Fluphenazine hydrochloride (Prolixin)

    • C. 

      Tranylcypromine (Parnate)

    • D. 

      Amitriptyline (Elavil)

  • 11. 
    Which teaching the nurse should emphasize on client who is started on Fluphenazine decanoate (Prolixin decanoate)?
    • A. 

      The client’s essential hypertension indirectly will be controlled by this drug.

    • B. 

      Sunscreen must be used for all outdoor activities on a year-round basis

    • C. 

      There will be a feeling of increased energy while on this medication

    • D. 

      Driving is forbidden while taking this drug

  • 12. 
    Which drug the nurse should expect the physician to prescribe for a client suspected of an demonstrating the symptoms associated with opiate overdose?
    • A. 

      Amphetamine

    • B. 

      Epinephrine

    • C. 

      Methadone

    • D. 

      Naloxone

  • 13. 
    Which possible effect the nurse should teach the client receiving tranylcypromine (Parnate) who fails to adhere to the dietary restrictions?
    • A. 

      Hyperglycemic episodes

    • B. 

      Hypertensive crisis

    • C. 

      Bradycardia

    • D. 

      Syncope

  • 14. 
    Which statement shows that the medication has been effective to a client who has been receiving disulfiram (Antabuse) and will be discharged tomorrow?
    • A. 

      “It’s important to wait at least 8 hours after taking this pill before drinking any alcohol.”

    • B. 

      “I will not be able to eat cheese or aged products with this medication.”

    • C. 

      “I must be careful to check over-the-counter medications.”

    • D. 

      “Ill never take this medication while taking an antibiotic.”

  • 15. 
    Which information the nurse should give to a client who is going home on a weekend pass and has been receiving risperidone (Risperdal) 3 mg three times a day?
    • A. 

      Alcoholic beverages should not be consumed while taking this medication

    • B. 

      The medication does not need to be taken during the time spent at home

    • C. 

      The dosage can be reduced if the client feels better at home.

  • 16. 
    A person who habitually express anxiety through physical symptoms is using:
    • A. 

      Hypochondriasis

    • B. 

      Regression

    • C. 

      Conversion

    • D. 

      Projection

  • 17. 
    Which statement applies to a client with an antisocial personality disorder?
    • A. 

      He has a great sense of responsibility toward others

    • B. 

      He rapidly learns by experience and punishment.

    • C. 

      He is generally unable to postpone gratification

    • D. 

      He suffers from a great deal or anxiety

  • 18. 
    Which reason why person with an antisocial personality disorder has difficulty relating to others? They have never learned to:
    • A. 

      Communicate with others socially

    • B. 

      Be dependent on others

    • C. 

      Emphathize with others

    • D. 

      Count on others

  • 19. 
    Tom Cruise who is diagnosed with antisocial personality disorder will be discharged from the hospital the following week. He asks the nurse for her phone number so that he can call her for a date. Which response is best for the nurse to make?
    • A. 

      “No, you are a client and I am a nurse but sure if you want, I am waiting for it”

    • B. 

      “It is against my professional ethics to date clients”

    • C. 

      “I like you, but our relationship is professional”

    • D. 

      “We are not permitted to date clients”

  • 20. 
    A person who deliberately pretends an illness is usually thought to be:
    • A. 

      Using conversion defenses

    • B. 

      Out of contact with reality

    • C. 

      Malingering

    • D. 

      Psychotic

  • 21. 
    The basic difference between psychophysiologic disorder and somatoform disorders is that in psychophysiologic disorder there is:
    • A. 

      A restriction of activities

    • B. 

      An actual tissue change

    • C. 

      An emotional cause

    • D. 

      A feeling of illness

  • 22. 
    Which is a frequent finding in clients with paraphiliac sexual disorder?
    • A. 

      An inadequate physical development of the sexual organs

    • B. 

      Gonadal and pituitary hormone deficiencies

    • C. 

      Other covert or overt emotional problems

  • 23. 
    Which consideration a nurse should include when caring for a client with the diagnosis of schizotypal personality disorder?
    • A. 

      Understand that seductive behavior is expected

    • B. 

      Respect the client’s need for social isolation

    • C. 

      Encourage participation in group therapy

    • D. 

      Set limits on manipulative behavior

  • 24. 
    Which important consideration a nurse should do when working with a client with the diagnosis of antisocial personality disorder?
    • A. 

      Present an empathetic and democratic approach

    • B. 

      Provide clear boundaries and consequences

    • C. 

      Use a gentle and reassuring approach

    • D. 

      Teach and role model assertiveness

  • 25. 
    While the nurse is anxious as the client with an obsessive-compulsive personality disorder carries out a ritual, it should be recognized that a compulsive act is one which:
    • A. 

      Seems absurb but is necessary to the person

    • B. 

      Is performed after long urging

    • C. 

      A person performs willingly

    • D. 

      Is purposeful but useless