Mental Health Final Exam Questions and 100% Verified Correct Answers Using Marking Scheme Scored 100% A 22 year old patient complains of nightmares, flashbacks, and poor concentration.These symptoms are most consistent with which anxiety disorder?
- Panic Attack
- Phobic reaction
C. OCD
- PTSD - Ans D. PTSD
A 32 year old male client is experiencing severe anxiety over a recent failed relationship. What nursing intervention should be given highest priority?
- Give the client an anti anxiety agent immediately
- Offer him psychotherapy to calm him down
- Take the client to a quiet environment
- Place him in supervised seclusion immediately - Ans C. Take the client to a quiet
environment
A 70 year old client with alzheimer's disease becomes verbally abusive toward the nursing staff. What is the most appropriate action for the nurse to take?
- Administer lorazepam to calm the client
- Apply four point retardants to physically control the client
- Speak in a calm, caring tone of voice and attempt to divert the client's attention
- Advise the client that unit privileges will be withheld if the behavior continues - Ans C.
Speak in a calm, caring tone of voice and attempt to divert the client's attention
A assesses severe anxiety in a client. Which symptom would the nurse expect to see as a response of the sympathetic nervous system to anxiety?
- Tachycardia
- Bradycardia
- Constricted pupils
- Increased peristalsis - Ans A. Tachycardia
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A child diagnosed with ADHD had this nursing diagnosis: Impaired social interaction related to excessive neuronal activity as evidence by aggression and demanding behavior with peers. Which finding indicates the plan for care was effective?
- The child has improved ability to identity anxiety inducing situations
- The child has increases expressiveness in communication with others.
- The child shows increased responsiveness to authority figures.
- The child engages in cooperative play with other children - Ans D. The child engages
in cooperative play with other children
A client diagnosed with disorganized schizophrenia would have greatest difficulty with
the nurse:
- Interacting with a neutral attitude
- Using concrete language.
- Giving multistep directions.
- Providing nutritional supplements - Ans C. Giving multistep directions.
A client explains that he is not homosexual but that he prefers to dress in feminine clothing. This is a characters of
- Fetishism
- Exhibitionism
- Voyeurism
- Transvestism - Ans D. Transvestism
A client has been hospitalized for a manic episode. Which behavior would suggest that the treatment has been effective?
- The client is no longer loud hostile to others.
- The client directs anger verbally to the person who annoys her.
- The client presents a list of grievances to the nurse manger.
- The client attempt to involve other clients in her situation - Ans A. The client is no
longer loud and hospital to others.
A client is admired for the third time to a psychiatric hospital with a diagnosis of schizophrenia. During the admission procedure, the nurse notices that the client is limping, quite dirty and unkempt, and seem to be actively hallucinating. Which of the following should the nurse's priority nursing assessment be?
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- Perception of reality
- Support system/ Emergency contacts
- Physical Needs
- Mental Status - Ans C. Physical Needs
A client is admitted to the detoxification center for alcohol addiction. Not eh day after mission, the client develops hand tremors and asks the nurse about them. Which of the following is an appropriate nursing response?
- They are permanent change because the alcohol has destroyed your nerves
- They will persist for a few days now that you are not drinking
- This is unusual. We will have to notify your provider immediately.
- These are very typical of the seizures that are associated with alcohol withdrawal -
Ans B. They will persist for a few days now that you are not drinking
A client is experiencing sudden, moderate level anxiety. The nurse would anticipate that the psychiatrist would most likely prescribed which medication?
- Citalopram
- Alprazolam
- Fluoxetine.
- chlordiazepoxide - Ans B. Alprazolam
A client presents in the ER after being sexually assaulted. She is physiologically table, but emotionally distraught. Which nursing action should receive priority?
- Assist with medical treatment
- Collect and prepare evidence for the police
- Attempt to reduce the client's anxiety level.
- Provide anticipatory guidance about normal responses to sexual assault. - Ans C.
Attempt to reduce the client'a anxiety level
A client states to a nurse, "I feel as though I am the only one in the world feeling so depressed." The nurse responds, "I know what you mean." The nurse is obstructing communication in which of the following ways?
- Making value judgements
- Falsely reassuring the client
- Minimizing feelings
- Disapproving/Disagreeing - Ans C. Minimizing Feelings
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