Mental Health

Question 1

Has episodes of major depression with at least 1 episode of manic or hypomanic disorder

Accepted Answer

Bipolar disorder

Question 2

What is the priority assessment for a patient with bipolar disorder?

Accepted Answer

Risk for Suicide

Question 3

Traits of a patient with documented obsessive compulsive personality disorder are?

Accepted Answer

perfectionist, inflexible.

Question 4

Cluster B personality disorders are characterized by which behaviors?

Accepted Answer

dramatic, emotional, erratic

Question 5

A patient experiencing moderate anxiety says, “I feel undone.” An appropriate response for the nurse would be:

Accepted Answer

“I’m not sure I understand. Give me an example.”

Question 6

“Before taking a test, I feel very alert and a little restless.” The RN can correctly assess the student experience as

Accepted Answer

mild anxiety., culturally influenced.

Question 7

RN assesses a patient with a tentative diagnosis of generalized anxiety disorder. Which would be most appropriate?

Accepted Answer

“Do you find it difficult to control your worrying?”

Question 8

Antisocial personality disorder is characterized by which of the following?

Accepted Answer

all of the above

Question 9

Select the most therapeutic manner for a nurse working with a patient beginning treatment for alcohol addiction.

Accepted Answer

Empathetic, supportive

Question 10

A nurse cares for a patient experiencing an opioid overdose. Which focused assessment has the highest priority?

Accepted Answer

Respiratory

Question 11

Which documentation indicates that the treatment plan for a patient diagnosed with acute mania has been effective?

Accepted Answer

Converses with few interruptions; clothing matches; participates in group

Question 12

RN assesses an adult who is socially withdrawn and hoards. Which nursing diagnoses most likely apply to this individual

Accepted Answer

All of the above

Question 13

A client is giving away their possessions. The most appropriate response would be to

Accepted Answer

Ask about suicidal ideation

Question 14

Select the best outcome for a patient diagnosed with schizotypal personality disorder

Accepted Answer

demonstrate ability to introduce self to a stranger in a social situation.

Question 15

RN caring for a pt demonstrating symptoms of schizotypal personality disorder would expect which assessment findings

Accepted Answer

socially anxious, rambling stories, peculiar ideas.

Question 16

Pt says, “I get in trouble because I make quick decisions & act on them.” Select the nurse’s most therapeutic response

Accepted Answer

“Let’s consider the advantages of being able to stop & think before acting

Question 17

Which features should be present in a therapeutic milieu for a patient experiencing a hallucinogen overdose?

Accepted Answer

Simple and safe

Question 18

When preparing to interview a patient diagnosed with narcissistic personality disorder, RN can anticipate which finding

Accepted Answer

grandiosity, self-importance, and a sense of entitlement.

Question 19

Controlling the environment to bring positive behavior change

Accepted Answer

Milieu

Question 20

Which statement made by a pt diagnosed with borderline personality disorder indicates the treatment plan is effective?

Accepted Answer

“I felt empty and wanted to hurt myself, so I called you.”

Question 21

For a patient experiencing panic, which nursing intervention should be implemented first?

Accepted Answer

Provide calm, brief, directive communication.

Question 22

A patient experiences an episode of severe anxiety. Which is appropriate to give as a prn anxiolytic?

Accepted Answer

lorazepam

Question 23

Which intervention should a RN do when observing a patient pacing with clenched fists & darting eyes?

Accepted Answer

stay with the client is a quiet setting

Question 24

A patient is experiencing a panic attack. What is an appropriate intervention?

Accepted Answer

stay with the client and remain quiet

Question 25

The nurse care for a victim of sexual assault. What is the most therapeutic intervention?

Accepted Answer

Use accepting, nurturing, and empatheticommunication

Question 26

Pt preparing for surgery has moderate anxiety & is unable to understand preop information. Which intervention is best?

Accepted Answer

Present the information again in a calm manner using simple language.

Question 27

A health teaching plan for a patient taking lithium should include instructions to

Accepted Answer

maintain normal salt and fluids in the diet.

Question 28

When a hyperactive patient diagnosed with acute mania is hospitalized, what is the initial nursing intervention?

Accepted Answer

Set limits on patient behavior as necessary.

Question 29

A schizophrenic patient is paranoid & experiencing disturbed thoughts. The nurse should

Accepted Answer

Avoid laughing near the patient's room

Question 30

A patient tells the RN, “I know I should reduce the stress in my life, but I have no idea where to start.”Best response

Accepted Answer

“Let’s talk about what is going on in your life & look at possible options

Question 31

Priority intervention for a nurse beginning to work with a patient diagnosed with a schizotypal personality disorder

Accepted Answer

Respect the patient’s need for periods of social isolation.

Question 32

Which goal for treatment of alcohol use disorder should the nurse address first?

Accepted Answer

Achieve physiological stability.

Question 33

A patient experiencing significant stress associated with a disturbing new medical diagnosis asks the nurse, “Do you thi

Accepted Answer

“You may find prayer gives comfort and lowers your stress.”

Question 34

After the sudden death of his wife, a man says, “I can’t live without her she was my whole life.” RN best response?

Accepted Answer

“Her death is a terrible loss for you.”

Question 35

Symptoms of withdrawal from opioids for which the nurse should assess include

Accepted Answer

nausea, vomiting, diaphoresis, anxiety, and hyperreflexia.

Question 36

A patient reports, “I am overwhelmed by stress.” Which question would be most important to use in the initial assessment

Accepted Answer

“Tell me about the kinds of things you do to cope with your stress"

Question 37

What is the most challenging nursing intervention with patients who use manipulation?

Accepted Answer

Maintaining consistent limits

Question 38

RN wants to teach alternative coping strategies to a patient with severe anxiety.Which action should the RN perform 1st

Accepted Answer

Lower the patient’s current anxiety.

Question 39

The patient asks, “Do I have to keep taking this lithium even though my mood is stable now?” Select the best response

Accepted Answer

“Taking the medication every day helps reduce the risk of a relapse.”

Question 40

Outcome identification for the treatment of a patient with grandiose thinking associated with acute mania will focus on

Accepted Answer

distorted thought self-control.

Mental Health

Questions 40

Mental Health

Questions 40