Mental Health Exam One

20 Questions | Total Attempts: 45

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Mental Health Quizzes & Trivia

How much do you know about general mental health? Mental Health exam one is a set of twenty questions to help you master the basics on the subject. Take it up and see how it goes. All the best.


Questions and Answers
  • 1. 
    Family dynamics are thought to be a major influence in the development of anorexia nervosa. Which information related to a client's home environment should a nurse associate with the development of this disorder?
    • A. 

      The home environment maintains loose personal boundaries.

    • B. 

      The home environment places an overemphasis on food.

    • C. 

      The home environment is overprotective and demands perfection.

    • D. 

      The home environment condones corporal punishment.

  • 2. 
    Antabuse/Disulfiram is given to a client motivated to fight their alcohol addiction.  Which statement by the client indicates they need more teaching?
    • A. 

      5 to 10 minutes after I drink, I will experience facial flushing, severe headache, dry mouth, and weakness.

    • B. 

      I may use Listerine Mouthwash.

    • C. 

      Chest pain, severe hypertension and death are possible side effects of alcohol consumption.

    • D. 

      Antabuse inhibits the enzyme to digest ETOH.

  • 3. 
    Quetiapine (Seroquel) is an atypical antipsychotic chosen as a first line drug therapy for the following reasons: Select all that apply
    • A. 

      Mild EPS symptoms

    • B. 

      No risk of change in BP

    • C. 

      Low Anticholenergic effects

    • D. 

      Very low risk of Tardif Dyskinesia and Neuroleptic malignant syndrome.

    • E. 

      Low of Sedation

  • 4. 
    A 36 year old male patient  has been on high dose Haldol for 4 days for an acute manic dystonia episode.  The nurse rounding on her patient in bed with his head stuck twisted to the side and his eyes rolled back into his head.  The patient is awake, in pain, and scared.  What PRN medication should the nurse give?
    • A. 

      Diazapam (valium), and Propanolol (inderal)

    • B. 

      Nothing, He's fucked. Call the doctor, morgue and family (not in that order)

    • C. 

      Lorazepam (Ativan) and Benztropine (Cogentin)

    • D. 

      Benztropine (Cogentin) and dihyphenhydramine (Benadryl)

  • 5. 
    Symptoms of Metabolic syndrome are
    • A. 

      Hyperglycemia and Diabetes. Weight gain an obesity. Heart disease and stroke

    • B. 

      Fever, Malaise, Ulcerative sore throat. And leukopenia

    • C. 

      Agitation, HTN, Hyperpyrexia, sweating and ataxia

    • D. 

      Hyperpyrexia, altered consciousness, increased muscle tone, joint paint and ANS symptoms (tachycardia, tachypnea, HTN and Diaphoresis.

  • 6. 
    A client has been prescribed Lithium as a first line mood stabilizer for her Bipolar disease.  The nurse knows her teaching has been effective when the patient states:
    • A. 

      After a therapeutic dose is found, I never have to have my blood checked again.

    • B. 

      Once I am feeling normal I can discontinue this medication.

    • C. 

      I need 2-3 liters of water a day with proper sodium intake.

    • D. 

      I can take any over the counter medications while on Lithium.

  • 7. 
    The client taking an MAOI is very upset about all the food restrictions and states, I can barely stand that I have to give up chocolate and cheese, but at least I can keep my wine!  The nurse responds with.
    • A. 

      A glass of wine a day, keeps the doctor away! It's good for your heart!

    • B. 

      I'm sorry, but wine also contains Tyramine, and although you can have 4 ounces or so, its best not to have any.

    • C. 

      Can't have wine with out cheese!

    • D. 

      Drink as much wine as you want, but avoid tap beers.

  • 8. 
    A client is sitting in nursing class while the class disagrees over a course of study.  The room is serious and somber.  When the client is asked how she feels about the seriousness of the conversation, she giggles wildly while expressing her distaste.  This is an example of
    • A. 

      Flat Affect

    • B. 

      Inappropriate affect

    • C. 

      Broad Affect

    • D. 

      Congruent Affect

  • 9. 
    An 8 year old child is admitted to the psych unit and is on strict I and O precautions.  She is not a fall risk, so to ensure she inform the nurse every times she needs to use the bathroom, the nurse lets her pick out a sticker for her collection.  This is called:
    • A. 

      Operative conditioning

    • B. 

      Industry vs. Inferiority

    • C. 

      Classical Conditioning

    • D. 

      Autonomy vs. Shame and doubt

  • 10. 
    A woman gets very angry at the way her boss speaks to her, and she goes home and yells at the maid.  This is an example of
    • A. 

      Denial

    • B. 

      Identification

    • C. 

      Reaction formation.

    • D. 

      Displacement

  • 11. 
    A nursing student who is shamed into quit smoking instead sucks on lollipops all day.  This is an example of.
    • A. 

      Resistance

    • B. 

      Sublimation

    • C. 

      Substitution

    • D. 

      Undoing

  • 12. 
    A nurse who has 2 teenage daughters is taking care of a 15 year old admitted patient.  The patient is highly uncooperative and the nurses tells her in a maternal tone, "Enough is enough!"  This is an example of:
    • A. 

      Transference

    • B. 

      Conversion

    • C. 

      Countertransference

    • D. 

      Projection

  • 13. 
    A patient in a manic state yells, "I'm going to kill my wife  I know she let the voices in." The nurse must,
    • A. 

      Explore his feelings about his distaste for his neighbor.

    • B. 

      Warn the wife.

    • C. 

      I've met the wife, she's a bitch.

    • D. 

      Make a note in his file, but keep it confidential.

  • 14. 
    Which statement should a nurse identify as correct regarding a client's right to refuse treatment?
    • A. 

      Clients can refuse pharmacological but not psychological treatment.

    • B. 

      Clients can refuse any treatment at any time.

    • C. 

      Clients can refuse only electroconvulsive therapy (ECT).

    • D. 

      Professionals can override treatment refusal if the client is actively suicidal or homicidal.

  • 15. 
    An Adult has been sent to seclusion by the nurse:  Her reasons could include all of the following, EXCEPT: Select all that apply
    • A. 

      The patient keeps yelling in the common room and it is upsetting other residents.

    • B. 

      The client is very agitated and starting to hit people.

    • C. 

      The client refuses to stop taking off their clothes.

    • D. 

      The client insists on knocking on surfaces to hear the density of the wood and is very loud.

    • E. 

      The client screams, "everything is too bright, everyone is too loud, I can feel everything!" and tears at his skin.

  • 16. 
    A client states that they saw Hilary Clinton give a speech as she is sure that Hilary told the client that she needed to kill the communists.  This is an example of
    • A. 

      Word salad

    • B. 

      Circumstantial thinking

    • C. 

      Thought insertion

    • D. 

      Ideas of Reference

  • 17. 
    In the working phase of group therapy the nurse would expect to see: Select all that apply
    • A. 

      Members are familiar with each other

    • B. 

      Members are familiar with group roles

    • C. 

      Members feelings are explored regarding their accomplishments

    • D. 

      Responsibilities are established

    • E. 

      Members are free to address and attempt to solve their problem(s)

  • 18. 
    The nurse is teaching the mother of a 10 year old boy who has just been prescribed Methylphenidate (Ritalin) for ADHD.  The nurse knows the mother needs further education when she states
    • A. 

      I need to watch for loss of appetite and weight loss.

    • B. 

      I should give this to him before substantial meals to help reduce anorexia and weight loss.

    • C. 

      He can take his missed afternoon dose 3 hours late if he forgets

    • D. 

      If I choose a sustained release form of the drug, he wont have to see his school nurse during class.

  • 19. 
    Benzodiazepines are used for anxiety and have a high potential for abuse.  They are inhibitory GABA regulators.  All of the following are side effects, except: 
    • A. 

      Tachycardia, Tachypnea, and diaphoresis

    • B. 

      Has a next day hangover effect that will subside

    • C. 

      CNS depression which can lead to safety risks

    • D. 

      Can make 1 drink feel like 3 and should not be mixed with ETOH

  • 20. 
    Tricyclic antidepressants, such as Amitriptyline, block the reuptake of Norepinephrine.  Which of the following is not true of Tricyclic antidepressants?
    • A. 

      They are most often used for sedation

    • B. 

      Overdose is NOT life threatening.

    • C. 

      Anticholinergic side effects.

    • D. 

      Can cause cardiac toxicity, tachycardia and dysrhythmias.