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Mental Health Final

Final Exam pt 2. mock questions

QuestionAnswer
A nurse is caring for a client with hypochondriasis. Which behavior would the nurse expect? Preoccupation with illness
Which statements describes conversion disorder? Neurologic symptoms without cause
What is the primary goal of care for a client experiencing a panic attack? Ensure safety & reduce anxiety
A client with mania is unable to sit still during meals. What is the priority nursing action? Provide finger foods
Which is a common side effect of antipsychotic medication? Sedation
Which lithium level indicates toxicity? 1.6 mEq/L
A nurse is assessing a client taking lithium. Which finding is most concerning? Confusion
Which intervention is priority for a suicidal client? One-to-one observation
Which is an example of denial? "This isn't happening"
A client taking MAOIs should avoid which food? Aged cheese
Which are manifestations of lithium toxicity? Diarrhea, Tremors, Confusion, Ataxia (Lithium toxicity = GI and neuro)
Which are extrapyramidal symptoms (EPS)? Dystonia, Akathisia, Tremors, Tardive dyskinesia
Which are symptoms of neuroleptic malignant syndrome (NMS)? Fever, Rigidity, Altered LOC, Tachycardia (Fever and Rigidity = NMS)
Which are therapeutic communication techniques? Open-ended, Active listening, Silence
Which are manifestations of alcohol withdrawal? Tremors, Seizures, Hallucinations, Anxiety
A client with paranoid delusions refuses meals. What should the nurse do? Offer packaged food
Which electrolyte must be monitored with lithium therapy? Sodium
Which is a sign of major depressive disorder? Anhedonia (Hallmark of depression)
What is passive suicide? Indirect wish to die
Which drug reduces alcohol cravings? Disulfiram (Causes aversion to alcohol)
Which are manifestations of depression? Fatigue, Insomnia, Hopelessness, Poor concentration
Which foods should be avoided with MAOIs? Wine, Aged cheese, Processed meats
Which symptoms of sertonin syndrome? Agitation, Sweating, Hyperreflexia, Confusion
A client taking risperidone is at risk for: Weight gain
What is the onset time for antidepressants? 1-4 weeks
Which is characteristic of narcissistic personality disorder? Grandiosity
Which disorder involves violation of others' rights? Conduct disorder
Which stage of assault includes violent behavior? Crisis
Which nursing interventions for mania? Reduce stimuli, Set limits, Encourage rest, Finger foods
Which are benzodiazepine uses? Anxiety, Seizures, Sedation, Panic
Which behavior is seen in factitious disorder? Intentional symptoms
Which is secondary enuresis? Regression after dryness
Which personality disorder is attention-seeking? Histrionic
Which is an example of exploitation? Using a child for gain
Which is the best response to aggression? Stay calm
Which are signs of neglect? Poor hygiene, Malnutrition, Lack of supervision, Dirty clothing
Which are Cluster B disorders? Antisocial, Borderline, Narcissistic, Histrionic
Which is rationalization? Excusing behavior
Which is dissociation? Blocking memory
Which is a priority during escalation phase? Limit setting
Which disorder shows defiant behavior without aggression? ODD
Which medication class is contraindicated with alcohol use? Benzodiazepines
Which is the best initial response to a panic attack? Stay with client
Which is the main goal of therapeutic communication? Promote positive change
Which indicates improvement in depression? More energy
Which is the first priority in suicide care? Safety
Which is NOT therapeutic? Advice
Which is a symptom of mania? Flight of ideas
Which indicates alcohol withdrawal complication? Seizures
Which is most concerning with antipsychotics? NMS
A client with panic disorder reports shortness of breath and chest pain. What is the nurse's priority action? Stay with the client and speak calmly
Which finding indicates improvement in a manic client? Improved sleep
Which medication is used as a mood stabilizer? Lithium
A client taking antipsychotics develops lip smacking. What does this indicate? Tardive syndrome
Which is a priority teaching for lithium? Maintain consistent sodium intake
Which symptom is most concerning for NMS? Fever
A client with depression suddenly appears more energetic. What is the nurse's priority? Assess suicide risk
Which disorder involves persistent lying and lack of remorse? Antisocial
A client is experiencing alcohol withdrawal. Which medication is expected? Benzodiazepines
Which is the best response to a delusional client? "I understand you feel that way" (Acknowledge feelings)
Which are signs of mania? Decreased need for sleep, Grandiosity, Flight of ideas, Impulsivity
Which are symptoms of depression? Hopelessness, Anhedonia, Poor appetite, Fatigue
Which are EPS symptoms? Rigidity, Restlessness, Tremors, Lip smacking
A client refuses medication stating "I don't need it." This is an example of: Denial
Which client is at highest risk for suicide? Elderly male
Which is a goal of therapeutic communication? Promote expression
Which phase of assault includes pacing and axniety? Escalation
Which is an example of dissociation? Forgetting trauma
Which is a sign of serotonin syndrome? Agitation
Which disorder involves neurologic symptoms without cause? Conversion disorder
Which are nursing interventions for panic disorder? Stay with client, Reduce stimuli, Simple language, PRN meds
Which are signs of alcohol withdrawal complications? Seizures, Hallucinations, Tremors, Anxiety
Which is priority for a violent client? Safety
Which personality disorder is manipulative and lacks empathy? Antisocial
Which is a sign of lithium toxicity? Tremor
Which intervention is best for escalating behavior? Limit setting
Which is a therapeutic response? "Tell me more about that"
Which is the most dangerous symptom of alcohol withdrawal? Seizures
Which client requires priority intervention? Panic anxiety
Which is the best indicator of treatment success in depression? Improved mood
Which are characteristics of narcissistic personality disorder? Grandiosity, Lack of empathy, Entitlement
Which are characteristics of conduct disorder? Aggression, Property destruction, Rule violation
Which is the priority when caring for a suicidal client? Safety
Which is a non-therapeutic response? Advice
Which medication interaction can cause serotonin syndrome? SSRI + MAOI
Which is a key feature of factitious disorder? Intentional symptoms
Which stage of assault includes remorse? Depression phase
Which is the best intervention for paranoia? Provide choices
Which is the primary purpose of PRN benzodiazepines? Acute anxiety relief
Which is the best action for a manic client with poor nutrition? Finger foods
Which are signs of NMS? Fever, Rigidity, Confusion, Tachycardia
Which are therapeutic communication techniques? Active listening, Open-ended, silence, Reflection
Which is the main feature of ODD? Defiance
Which client is highest priority? Client with Suicidal ideation
Which is the best intervention for mania? Set limits
Which is a side effect of risperidone? Weight gain
Which is the best indicator of lithium effectiveness? Stable mood
Which is a sign of escalating aggression? Pacing
Which priority intervention of EPS? Give benztropine
Which is the BEST overall nursing priority in mental health care? Safety
Created by: efilchner
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