A false, fixed belief that is inconsistent, cannot be logically reasoned

The criteria for a mentally disordered person does not include:

The person has taken drugs or alcohol

Bipolar disorder type l is:

Lifetime episodes of mania and episodes of depression

All of the following statements are true for Hypomania except:

Delusions and/or hallucinations are present

Which of the following is correct regarding the 'characteristic symptoms' pertaining to the diagnosis of schizophrenia?

2 or more symptoms of psychosis for a significant period of time for 1month

What is not considered a goal of treatment?

Maintenance of lowest possible level of function in all phases of disorder

Which of the following statements is false about the epidemiology of Schizophrenia?

Age of onset for men is 15-25 while the age onset for women is 25-35

All of the following statements are true for the goals of treatment except:

Not including the consumer to protect their wellbeing

All of the following statements meet the criteria for compulsory treatment except:

Suffering from a single psychotic episode

Which of the following statements is true about Hypomania?

Abnormally & persistently elevates, expansive irritable mood lasting <4days

When using complementary and alternative medicines in mental health, we should priorities:

Be aware of potential interactions with the patient's current medications

All of the following statements meet the criteria for involuntary admission/formal patient except:

Admission is initiated by the patient

Strategies for delusional beliefs include all of the following except:

Reinforcing the client's delusional beliefs

If a nurse does not purse a clients verbal claim to kill his ex-wife and he succeeds, which criteria of malpractice isit

failure to warn potential victims

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MH2 WSU

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Questions 79

Answers

1
A delusion is:
A false belief that can be logically reasoned with
A false, fixed belief that is inconsistent, cannot be logically reasoned
A true, fixed belief that is inconsistent and can be logically reasoned
A true belief that cannot be logically reasoned with
2
The criteria for a mentally disordered person does not include:
No other care of a less restrictive kind is available
Displaying irrational behaviour
The person has taken drugs or alcohol
Admission is initiated by the patient
3
Bipolar disorder type l is:
Chronic instability if mood, with mild depression and mild manic symptoms
Recurrent major depressive episodes with at least one hypomanic episode
Lifetime episodes of mania and episodes of depression
4
All of the following statements are true for Hypomania except:
Elevated form of mood less severe than mania
Delusions and/or hallucinations are present
Increased activity
Decreased need for sleep
5
Which of the following is correct regarding the 'characteristic symptoms' pertaining to the diagnosis of schizophrenia?
One or more symptoms for at least 1 day but less than 1 month
Two or more symptoms of psychosis for a period of 2 weeks
2 or more symptoms of psychosis for a significant period of time for 1month
Two or more symptoms of psychosis for a period of a week only
6
Alternative therapies refers to therapies that are not generally accepted by mainstream western medicine
True
False
7
The ten components of recovery include all of the following except:
Holistic
Facilitating self-direction for clients
Responsibility
Linear journey of growth
8
Your client is exhibiting symptoms of hyperthermia, severe motor rigidity and disturbances in LOC. This can indicate:
Acute dystonic reaction
Parkinsonian effects
Neuroleptic malignant syndrome
Tardive dyskinesia
9
All of the following do not demonstrate a relationship between stress and vulnerability of mental illness
Life stressors
None of the above
Ambient Stressors
Protective Factors
10
What percentage of those diagnosed schizophrenia will attempt suicide?
25-50%
10%
10-25%
50%+
11
What is not considered a goal of treatment?
Suppression of acts episodes
Development of a therapeutic relationship
Early intervention
Maintenance of lowest possible level of function in all phases of disorder
12
Which of the following best describes 'What acute event happened and how did it affect them"?
Protective
Precipitating
Predisposing
Perpetuating
13
Mania includes all of the following except:
Grandiose notions
Inappropriate elation
Severe insomnia
Comprehensive judgement
14
Target consumers of identified as having, or being at risk of metabolic syndrome include:
Those with personal physical risk factors
Those with familial physical risk factors
Those on antipsychotic medications
All of the above
15
Which of the following herbal medicines has a possibility of exacerbating mania and precipitate anxiety and insomnia?
Chaste tree
Evening primrose
Ephedra
Ginseng
16
Perceptual disturbance include:
Auditory hallucinations
All of the above
Kinaesthetic hallucinations
Gustatory hallucinations
17
Which pathway do antipsychotics affect in increasing prolactin and associated with galactorrhea, amenorrhea and sex dysf
Nigrostatal pathway
Tuberinfunibular pathway
Mesolymbic pathway
Mesocortical pathway
18
Clinical interventions in the acute phase of psychosis include all of the following except:
Establishing therapeutic alliance with the individual and family
Identifying signs of relapse
Safety of self and others -assessing the risks
Symptom stabilisation
19
Which of the following statements is false about the epidemiology of Schizophrenia?
Age of onset for men is 15-25 while the age onset for women is 25-35
Symptoms of schizophrenia become apparent during adolescence/early adult
Schizophrenia costs the community at least $2.5B/year in direct costs
Age if onset for men is 25-35 while the age onset for women is 15-25
20
Which part of the brain doesn't the atypical antipsychotics particularly act in Dopamine?
Nigrostatal pathway
Mesocortical pathway
Tuberinfunibular pathway
Mesolymbic pathway
21
Atypical antipsychotics include all of the following except:
Amisulpride
Clozapine
Chlorpromazine
Risperidone
22
Neurodegenerative hypothesis of schizophrenia; which of the following is 'exacerbation, relapse, subacute/convalescence
Acute
Chronic
Responsiveness
Prodromal
23
The gold standard for the medial treatment for acute mania:
Anti anxiety agents
Anticonvulsant
Lithium
Amphetamine
24
Which are of the brain has been shown to have reduced blood slow during mania?
Cerebral cortex
Cerebellum
Mid-stem
Frontal & temporal regions
25
WHich of the following is not a component to the aetiological models of Mental Illness?
Cognitive Behavioural Model
Psychologival Model
Sociological Model
Biomedical Model
26
Hypomanic episodes are more frequent in men than women
True
False
27
Which stage of the recovery describes 'realisation that all is not lost and that fulfilling life is possible"?
Awareness
Growth
Moratorium
Rebuilding
28
Your client's external response would be decided in what part of the MSE?
Affect
Appearance
Mood
Thought form
29
Who would be involved in an interdisciplinary/multidisciplinary team?
All of the above
Mental health nurse
Social worker
Occupational therapist
30
All of the following statements are true for the goals of treatment except:
Not including the consumer to protect their wellbeing
Prompt identification of psychosis
Tailored therapy
Involving the multidisciplinary team
31
Atypical antipsychotic medications can be described as all of the following except:
Targets positive symptoms only
Target positive and negative symptoms
Blocks post synaptic dopamine and serotonin receptors
Novel
32
All of the following statements meet the criteria for compulsory treatment except:
Immediate treatment is required
Is a danger to self or others
Suffering from a single psychotic episode
Appropriate treatment is an approved mental health setting
33
Which Act governs the care, treatment and control of people in NSW who experience a mental illness or disorder?
NSW Mental Health Act 2007
Mental Health Act 2009
Mental Health Act 1996
Australian Mental Health Act 2007
34
In the causative theories of schizophrenia, which model/theory does the Dopamine hypothesis fall under?
Biomedical theory
Genetic predisposition
The disthesis-stress model
Biological theory
35
'Inflated self esteem, loosening is association, racing thoughts or flight of ideas' is what component of the MSE?
Affect & mood
Thought form & content
Perception
Judgement
36
The full therapeutic effect of antipsychotics is within:
Within 3-4 weeks
Within 1 week
1-3 days
Within 2-3 weeks
37
Which of the following statements is true about Hypomania?
More severe mood elevation than mania
Abnormally & persistently elevates, expansive irritable mood lasting <4days
A pervasive and sustained emotion that colours the perception of the world
Abnormally & persistently elevated, expansive irritable mood only 1week
38
The most common type of delusion experienced during mania:
Thought insertion/ thought broadcasting
Somatic delusions
Delusions of grandiose
Delusions of reference
39
When using complementary and alternative medicines in mental health, we should priorities:
Be aware of potential interactions with the patient's current medications
Advise client that they should only do yoga when they are in recovery stage
Give client handouts on benefits of complementary & alternative medicine
Advise client that certain complementary therapies are better than others
40
Which of the following delusions would beat describe someone who has a fixed belief that their thoughts are being read?
Though broadcasting
Thought withdrawal
Referential delusion
Thought insertion
41
All of the following statements meet the criteria for involuntary admission/formal patient except:
Discharge is initiated by hospital or court, not by the patient
Admission is not initiated by the patient
Admission is initiated by the patient
Patient may retain nine or some of their civil rights
42
Strategies for delusional beliefs include all of the following except:
Educate compliance of medications
Reinforcing the client's delusional beliefs
Do not argue with the delusion, allow client time to verbalise
Perform a MSE/ risk assessment
43
Which part of the brain is responsible for emotion and behaviour as according to the biomedical model?
Brainstem
Cerebrum
Cerebellum/Basal Ganglia
Limbus
44
The WHO 2001 considered Bipolar Disorder the ___ leading cause of disability:
1st
10th
6th
3rd
45
Your client states "I feel unhappy". This would be recorded in what part of the MSE?
Thought form
Mood
Insight & judgement
Appearance
46
If a nurse does not purse a clients verbal claim to kill his ex-wife and he succeeds, which criteria of malpractice isit
Failure to report abuse
Failure to diagnosis
failure to warn potential victims
Breach of confidentiality
47
Common side effects to lithium include all of the following except:
Muscle wasting
Metallic taste
Poor concentration
Muscle twitching
48
Which of the following is not considered an anticonvulsant?
Sodium valproate
Carbamazepine
Lamotrigine
Ziprasidone
49
Which of the following is not considered a possible side effect for antipsychotics?
Weight gain
Changes in sexual desire
Dizziness
Diarrhoea
50
All of the following are negative symptoms of schizophrenia except:
Reality distortion
Motivation loss
Self care inattention
Poverty of speech
51
Which of the following is not identified by the pt as the Highest importance when returning to the community after care?
Finances
Social isolation
Unemployment
Medication adherence
52
You notice the client's hair is dishevelled. This is recorded in which part of the MSE?
Mood
Thought form
Affect
Appearance
53
How many Cognitive Behavioural Therapy (CBT) sessions are generally performed?
It is not time limited/as many as required
1-4
5-15
16-20
54
Which of the following drugs has been indicated as having a lower risk of causing Tardive Dyskinesia?
Risperidone
Paliperidine
Clozapine
Olanzapine
55
A delusion is:
A disorder of thought withdrawal
A disorder of thought reference
A disorder of thought content
A disorder of thought insertion
56
How long have antipsychotics been available for?
First introduced in the 1950s
First introduced in the 1990s
First introduced in the 2000s
First introduced in the 1960s
57
Which of the following is an advantage of expressive art therapy?
Isolation of the client wants to work alone
Misinterpretation of art connect may make a person feel more vulnerable
Paints and water can make the activity messy by spillage
Pictured can be kept and viewed at a later date with new insights
58
Which of the following is not something experienced during psychosis?
Disorganised speech
Formulated behaviour
Delusions
Reality testing
59
Common issues for people with symptoms of schizophrenia include:
Alterations in nutrition and hydration
Defensive coping
Potential for altered family relationships
All of the above
60
Which of the following theories assert that behabiour is a driven factor that are external to the individual (learned)?
Cognitive Psychology
Behavioural Psychology
Psychoanalytic Theory
Humanistic Psychology
61
Which of the following is highly considered as a trigger for manic episodes?
Cushing's syndrome
Drug and alcohol abuse
Sleep deprivation
Birth trauma
62
All of the following are issues with the use of complimentary or alternative medicines in the approach to MH except:
Nearly 70% of each nations budget is pent on persons with chronic illness
Many psychological and physiological effects
None of the above
Some may prefer to avoid medications/ Drs. Pursue different means
63
All of the following are types of life stressors except:
Unemployment
Death of a family member
Unpaid bills
End of a relationship
64
What percentage of the population experience schizophrenia?
25%
1%
10%
3%
65
What is the average % of people experiencing psychosis in their lifetime?
3%
10%
5%
1%
66
Which stage of the recovery describes ' a time of withdrawal characterised by a profound sense of loss and hopelessness?
Growth
Awareness
Moratorium
Preparation
67
What percentage of individuals may not respond to antipsychotic medications?
2%
5%
10%
20%
68
Which of the following would beat describe the Clinical Formation of a case?
Observing for behaviours to fit the diagnosis
Collaborative approach and working with patients
Selection of treatments for a diagnosis
Involves clinical personnel only
69
Which of the following drugs has been indicated as having a lower risk of causing Tardive dyskinesia?
Olanzapine
Paliperidone
Risperidone
Clozapine
70
Which of the following delusions would beat describe someone who has a fixed belief that they're heir to the throne?
Referential delusion
Persecutory delusion
Thought insertion
Grandiose delusion
71
Which of the following conditions can mimic mania in some cases?
Hyperthyroidism
Multiple Sclerosis
Genital warts
Hyperglycaemia
72
Better mind/body approaches interventions include all of the following except:
Kypnosis
Yoga, meditation or exercise
Kava-kava
Aromatherapy
73
Typical antipsychotics include all of the following except:
Zuclopenthixol
Aripiprazole
Haloperidol
Trifluoperazine
74
Symptoms such as rolling of tongue, exhibiting spasm movements; smacking their lips and tremors.What is appropriate?
Provide airway support and oxygen therapy in cause of laryngeal spam
Access for involuntary movements and notify Dr to reduce antipsychotics
Stress the importance of activity and exercise and monitor dietary intake
Cease antipsychotics and endure effective level of hydration & monitor temp
75
Is it safe to stop taking antipsychotics at any point in time?
True
False
76
Which part of the brain does atypical antipsychotics particularly act on serotonin?
Mesolimbic pathway
Tuberinfundibular pathway
Nigrostiatal pathway
Mesocortical pathway
77
Which of the following atypical antipsychotics can be administered either orally or IM?
Ziprasidone
Olanzapine
Amisulpride
Clozapine
78
What is the therapeutic dose range for lithium?
0.8-1.5mEq/litre
0.1-0.3mEq/litre
0.4-0.8mEq/litre
2mmol+
79
Which of the following is not true about CBT?
Serves to educate the individual
Based on the idea that thoughts are drivers of feelings and behaviours
Structured and directive
That actions take precedence in behaviour before thought and feelings

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