Mental

Question 1

A psych patient believes someone is trying to poison them. How can you best communicate with them?

Answer 1

Use silence or open-ended questions.

Question 2

A patient admitted to the psych ward is upset because they did not agree to being admitted. What should you be watching for?

Answer 2

Possible harm to self or others.

Question 3

What is the 1st step in the 12 step process?

Answer 3

Admitting the problem.

Question 4

How do you deal with a manic client that has taken over a group session?

Answer 4

Thank them for their input and advise that others need to speak.

Question 5

What sort of therapy involves viewing all members of a group equally?

Answer 5

Milieu therapy.

Question 6

What is the best nursing action initially for a client experiencing delirium at night?

Answer 6

Use indirec light with care and turn off electronic devices.

Question 7

What is the most appropriate goal for a patient with chronic anxiety?

Answer 7

Identifying what causes them anxiety.

Question 8

The doctor cannot find any reason why a patient states they cannot see. What is the psych diagnosis?

Answer 8

Conversion disorder.

Question 9

A manic patient is behaving inappropriately in the general area. What is the best nursing intervention?

Answer 9

Escort to room with help.

Question 10

A patient diagnosed with catatonic stupor is lying in bed. How can you determine what is going on with them?

Answer 10

Use silence and open-ended questions.

Question 11

What is the worst thing you can do around a patient diagnosed with paranoid personality disorder?

Answer 11

Whispering.

Question 12

A bulimic patient will show which signs or symptoms?

Answer 12

Tooth decay, loss of tooth enamel, electrolyte imbalance.

Question 13

What are signs and symptoms of delirium tremens?

Answer 13

Hypertension, hallucinations, change in consciousness.

Question 14

What is the meaning of a crisis state?

Answer 14

Individual crisis experience.

Question 15

What is the best type of environment for a patient who is aggressive?

Answer 15

Quiet environment.

Question 16

What may indicate someone is contemplating suicide?

Answer 16

Giving away prized possessions.

Question 17

A moderately depressed patient begins smiling after being hospitalized for two days. What is the best nursing intervention?

Answer 17

Monitor for suicide.

Question 18

What is the best nursing intervention for a patient admitted for attempting suicide?

Answer 18

1:1 sitter.

Question 19

What is the priority intervention for a patient admitted after physical abuse?

Answer 19

Removing them from immediate danger.

Question 20

What manifestation is associated with dementia?

Answer 20

Confabulation.

Question 21

What is the best intervention for a patient with low self-esteem?

Answer 21

Encourage them to talk about accomplishments.

Question 22

The diabetic patient is advised they will have to lose their leg due to complications of their disease and become very upset. What type of behavior is noted here?

Answer 22

Expected coping behavior.

Question 23

A patient who was just assaulted is extremely upset. What is the best nursing action?

Answer 23

Sit with them until anxiety lessens.

Question 24

How do you deal with a manic patient that frequently interrupts others during a group session?

Answer 24

Set firm limits.

Question 25

What are appropriate nursing interventions for a patient with delirium tremens?

Answer 25

VS, reorient, address hallucinations, keep them safe.

Question 26

What should you do when a patient diagnosed with alcohol abuse is threatening to leave AMA and you have attempted to reason with them?

Answer 26

Call the nursing supervisor.

Question 27

What sort of discharge instructions are appropriate for someone diagnosed with physical abuse?

Answer 27

List of shelters.

Question 28

What is a characteristic sign of a patient with anorexia nervosa regarding management of their anxiety?

Answer 28

Need for rules.

Question 29

What must be completed before electroconvulsive therapy?

Answer 29

EKG within 24 hours.

Question 30

Behavior modification approach uses which type of enforcement?

Answer 30

Positive reinforcement.

Question 31

What is a psych diagnosis for someone with multiple physical complaints lacking diagnostic supportive evidence?

Answer 31

Somatization disorder.

Question 32

A patient with a personality disorder compliments you. What is the best intervention?

Answer 32

Refocus their attention.

Question 33

How can you help a depressed patient that is not eating well?

Answer 33

Help them select foods they like, encourage them to drink fluids and protein snacks throughout the day.

Question 34

List preop care of the patient scheduled to undergo electroconvulsive therapy.

Answer 34

NPO 6 hours, obtain consent, remove dentures and contacts, and have them void.

Question 35

What is an adverse reaction due to clozapine?

Answer 35

Alteration in WBC.

Question 36

What is donepezil hydrochloride used for?

Answer 36

Dementia.

Question 37

What does the term agoraphobia mean?

Answer 37

Fear of leaving home.

Question 38

What is the most challenging part of outpatient treatment for patients with schizophrenia?

Answer 38

Taking their medications.

Question 39

What are classic signs of bulimic patients?

Answer 39

Eating a lot and using laxatives.

Question 40

What type of patient experiences flashbacks?

Answer 40

PTSD.

Question 41

What do you do for the patient with PTSD experiencing confusion?

Answer 41

Keeping them safe.

Question 42

How long before a patient who underwent electroconvulsive therapy feels well?

Answer 42

One week after 3rd session.

Question 43

What medication is prescribed to alcoholics for sobriety?

Answer 43

Disulfiram.

Question 44

When is it best to remove restraints from an aggressive patient?

Answer 44

No aggressive behavior for at least 1 hour following release of at least 2 restraints.

Question 45

A patient who is cyclothymic will exhibit signs and symptoms of?

Answer 45

Hypomania, depression, irritability, insomnia.

Question 46

What is the 1st line treatment for a patient with bipolar disorder?

Answer 46

Lithium with antipsychotic or benzodiazepines.

Question 47

What is the best type of diet for a patient who is bipolar?

Answer 47

High calorie finger foods.

Question 48

What is the primary concern when administering medications to a patient who is suicidal?

Answer 48

Assess mouth and cheek.

Question 49

How long before antidepressant medications take effect?

Answer 49

1-3 weeks.

Question 50

What is the main concern for a patient who is hallucinating?

Answer 50

Safety.