Mental Health Nursing Questions 5

Mental Health Nursing Questions 5

1. A student is learning about “prodromal syndrome.” Which student statement indicates that learning has occurred?
(a) “Behaviors associated with prodromal syndrome necessitate immediate action by the nurse.”
(b) “Prodromal syndrome occurs after a client’s outburst.”
(c) “Staff cannot assist clients who are experiencing a prodromal syndrome to gain control.”
(d) “Very few symptoms are associated with a prodromal syndrome.”

2. Which best exemplifies a client’s use of the defense mechanism of reaction formation?
(a) A client feels rage at being raped at a young age, which later is expressed by joining law enforcement
(b) A client is unhappy about being a father, although others know him to dote on his son
(c) A client is drinking 6 to 8 beers a day while still going to AA as a group leader
(d) A client is angry that the call bell is not answered and decides to call the nurse when it is unnecessary

3. Which immediate biological responses are associated with fight-or-flight syndrome?
(a) Bronchioles in the lungs dilate, and respiration rate increases
(b) Vasopressin increases fluid retention and increases blood pressure
(c) Thyrotropic hormone stimulates the thyroid gland to increase metabolic rate
(d) Gonadotropins cause a decrease in secretion of sex hormone and produce impotence

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4. The nursing student is reviewing information about crisis. Which of the following student statement indicate that the student require additional educational class on crisis intervention?
(a) A crisis is associated with psychopathology
(b) A crisis is precipitated by a specific identifiable event
(c) A crisis is specific to an individual, and the cause may vary
(d) A crisis contains the potential for psychological growth or deterioration

5. Which of the following tool is used to assess for tardive dyskinesia?
(a) The CAGE assessment tool
(b) Global Assessment of Functioning (GAF) scale
(c) The Abnormal Involuntary Movement Scale (AIMS)
(d) Clock face assessment

6. A Public Health Nurse delivers a lecture on “Suicide Prevention” to the group of Students who failed in the examination. This type of activity refers to ______
(a) Primary prevention
(b) Secondary prevention
(c) Crisis intervention
(d) Stress management

7. An anxious and highly upset , 13 year old boy visited Psychiatric OPD to discuss his sudden “painful erection of penis and Nocturnal ejaculation”. The boy is suffering from ____
(a) Avoidance conflict
(b) Maturational crisis
(c) Dispositional crisis
(d) Situational crisis

8. A 4-year-old child is unable to consider another child’s ideas about playing house. This situation is an example of which concept contained in Piaget’s theory of cognitive development?
(a) Intrinsic curiosity
(b) Secondary circular reactions
(c) Inability egocentrism
(d) Concrete operations

9. The statement, “Growth involves resolution of critical tasks through the eight stages of the life cycle,” is a concept of which therapeutic model?
(a) Interpersonal
(b) Cognitive-behavioral
(c) Intrapersonal
(d) Psychoanalytic

10. A 25-year-old client diagnosed with major depressive disorder is admitted to an inpatient psychiatric unit. Since being fired 2 months ago, the client stays inside and avoids others. Which outcome reflects this client’s developmental task assessment as described by Erikson?
(a) Stagnation
(b) Despair
(c) Isolation
(d) Role confusion

11. A mother brings her 2-year-old child to a well-baby clinic for a physical. The child does not attempt to do things independently and continually looks to the mother for meeting all needs. Which outcome reflects this child’s developmental task assessment as described by Erikson?
(a) Mistrust
(b) Guilt
(c) Inferiority
(d) Shame and doubt

12. Which initial information gathered by the nurse is most important when assessing Erikson’s stages of development?
(a) The chronological age of the individual
(b) The developmental age exhibited through behaviors
(c) The time-frame needed to complete a successful outcome at a previous stage
(d) The implementation of interventions based on developmental age

13. According to Maslow’s hierarchy of needs, which client action would be considered most basic?
(a) A client discusses the need for order in his or her life and freedom from fear.
(b) A client states that he or she feels lonely and is looking for someone to share experiences in his or her life.
(c) A client begins to realize his or her full potential.
(d) A client is role-playing a situation with a nurse to practice assertiveness skills.

14. According to Maslow’s hierarchy of needs, which client action would be an example of a highly evolved, mature client?
(a) A client discusses the need for avoiding harm and maintaining comfort
(b) A client states the need for giving and receiving support from others
(c) A client begins to discuss feelings of self-fulfillment
(d) A client discusses the need to achieve success and recognition in work

15. Based on the nurse’s knowledge of the DSM-IV-TR, Schizophrenia is grouped in ___:
(a) Axis I
(b) Axis III
(c) Axis IV
(d) Axis V

16. After studying nursing interventions in the context of nursing theory, the nursing student understands that Roy model is to ____
(a) Activities needed to meet self-care demands and solve self-care deficits
(b) Assisting the client to examine and understand the meaning of life experiences
(c) Interventions that seek to alter or manage stimuli so that adaptive responses can occur
(d) Interactions with versus for the client to achieve maximum potential

17. Among the following, which groups of individual highly vulnerable to mental illness?
(a) Orphans
(b) Substance abuse
(c) Insufficient Family support
(d) Sports persons who lost in recent games

18. A nurse is giving a health education to inmates in deaddiction centre. Which component is very essential that nurse should include in Health education in order to promote physical health of the clients?
(a) Managing withdrawl symptoms
(b) Engaging in constructive activity
(c) Adequate intake of diet rich in vitamins
(d) Identification of symptoms of dependence

19. A Nurse is designing an education program for the family that cares a child with Cerebral palsy. The components of health education should include all EXCEPT___
(a) Stress management
(b) Developmental needs
(c) Family coping
(d) Crisis management

20. Crisis intervention and counseling are concerned with ______
(a) Primary prevention
(b) Secondary prevention
(c) Tertiary prevention
(d) Health promotion and protection