Mental Health Nursing Questions

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1. Which of the following medications would the nurse in-charge expect the doctor to order to reverse a dystonic reaction? a. Procholorperazine (Compazine)
b. Diphenhydramine (Benadryl)
c. Haloperidol (Haldol)
d. Midazolam (Versed)
2. After completing chemical detoxification and a 12-step program to treat crack addiction, a male patient is being prepared for discharge. Which remark by the patient indicates a realistic view of the future? a. “I’m never going to use crack again.”

b. “I know what I have to do. I have to limit my crack use.” c. “I’m going to take 1 day at a time. I’m not making any promises.” d. “I can’t touch crack again, but I sure could use a drink. I’ve earned it.” 3. The nurse formulates a nursing diagnosis of “impaired verbal communication” for a male patient with schizotypal personality disorder. Based on this nursing diagnosis, which nursing intervention is most appropriate? a. Helping the patient to participate in social interactions b. Establishing a one-on-one relationship with the patient

c. Establishing alternative forms of communication
d. Allowing the patient to decide when he wants to participate in verbal communication with you 4. A female patient with obsessive-compulsive disorder tells the nurse that he must check the lock on his apartment door 25 times before leaving for an appointment. The nurse knows that this behavior represents the patient’s attempt to: a. Call attention to himself

b. Control his thoughts
c. Maintain the safety of his home
d. Reduce anxiety
5. A patient, age 42, is admitted for surgical biopsy of a suspicious lump in her left breast. When the nurse comes to her surgery, she is tearfully finishing a letter to her children. She tells the nurse, “I want to leave this for my children in case anything goes wrong today. “Which response by the nurse would be most therapeutic? a. “In case anything goes wrong? What are your thoughts and feelings right now?” b. “I can’t understand that you’re nervous, but this is really a minor procedure. You’ll be back in your room before you know it.” c. “Try to take a few deep breaths and relax. I have some medication that will help.” d. “I’m sure your children know how much you love them. You’ll be able to talk to them on the phone in a few hours.” 6. How soon after chlorpromazine administration should the nurse in charge expect to see a patient’s delusion thoughts and hallucinations eliminated? a. Several minutes

b. Several hours
c. Several days
d. Several weeks
7. Mental health laws in each state specify when restraints can be used and which type of restraints are allowed. Most laws stipulate that restraints can be used: a. For a maximum of 2 hours
b. As necessary to control the patient
c. If the patient poses a present danger to self or others
d. Only with the patient’s consent
8. A female patient has been severely depressed since her husband died 6 months ago. Her doctor prescribes amitriptyline hydrochloride (Elavil), 50 mg P.O. daily. Before administering amitriptyline, the nurse reviews the patient’s medical history. Which preexisting condition would require cautions use of this drug? a. Hiatal hernia

b. Hypernatremia
c. Hepatic disease
d. Hypokalemia
9. The physician orders a new medication for a male client with generalized anxiety disorder. During medication teaching, which statement or question by the nurse would be most appropriate? a. “Take this medication. It will reduce your anxiety.” b. “Do you have any concern about taking the medication?” c. “Trust us. This medication has helped many people. We wouldn’t have you take it if it were dangerous.” d. “How can we help you if you won’t cooperate?”

10. The nurse is aware that the Hormonal effects of the antipsychotic medications include which of the following? a. Retrograde ejaculation and gynecomastia
b. Dysmenorrhea and increased vaginal bleeding
c. Polydipsia and dysmenorrheal
d. Akinesia and dysphasia...
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