Mental Health Review

Which of the following is a diagnostic criterion for Major Depressive Disorder (MDD)?

A client is prescribed an antidepressant. What potentially toxic effect should the nurse monitor for?

What distinguishes Bipolar I disorder from Bipolar II disorder?

A nurse is assessing a client with bipolar disorder who is exhibiting rapid speech, flight of ideas, and inflated self-esteem. Which phase of the illness is the client most likely experiencing?

Which nursing intervention is most important when caring for a client experiencing a manic episode?

Which alteration in behaviour is most closely associated with schizophrenia?

A client with schizophrenia says, "The government is tracking my thoughts using satellites." Which type of alteration in thinking is this?

Which intervention is most appropriate for a client experiencing auditory hallucinations?

Which of the following is a potential nursing diagnosis for a client with schizophrenia experiencing positive symptoms?

Which medication is considered a mood stabilizer?

A client taking a first-generation antipsychotic reports muscle stiffness, tremors, and a shuffling gait. The nurse recognizes these as signs of:

Which of the following is a potentially fatal side effect associated with first-generation antipsychotics, characterized by sympathetic nervous system hyperactivity?

A client with a personality disorder consistently displays dramatic, erratic, and impulsive behaviors. Which cluster does personality belong in?

Which therapeutic approach is most commonly associated with treating borderline personality disorder?

A client is experiencing both a substance use disorder and a mental health condition. What term describes this?

Which neurotransmitter is most directly involved in the brain's reward system and is significantly affected by addictive drugs?

What is the priority nursing intervention when caring for someone experiencing acute alcohol withdrawal?

Which best describes the Alcoholics Anonymous (AA) approach to managing alcohol dependence?

According to Hans Selye's General Adaptation Syndrome (GAS), what occurs during the alarm stage?

What is the primary focus of safety planning with a patient experiencing suicidal thoughts?

How do warning signs for suicide differ from protective factors?

A client treated with a first-generation antipsychotic for several years begins exhibiting involuntary movements of the tongue and repetitive lip smacking. Which condition is the client most likely experiencing?

During an assessment, an individual with schizophrenia states, "The flumtree sings to the moon, but the moon has no cheese, green is purple, no it is not!" Which of the following alterations in speech is the individual expressing?

In the context of mania, an individual firmly believes they possess the ability to control the weather and is observed attempting to “summon rain” through dance and incantations. Which subtype of delusion is most consistent with these actions?

Which group is least likely to be susceptible to depressive episodes?

What is the minimum duration of persistently depressed mood required for a diagnosis of Major Depressive Disorder (MDD)?

The diagnosis for MDD may include specifiers to describe features of depression. Which of the following is NOT a specifier?

Which of the following statements about the epidemiology of depression is accurate?

According to Box 13.1, which of the following is a risk factor for depression?

Which of the following is considered a biological factor in the etiology of depression?

What is the term SIGECAPS used for in the nursing assessment of depression?

Which of the following is a 'vegetative sign' of depression that a nurse might assess?

The nurse is planning care for a client in the acute phase of depression. Which intervention is the priority?

What is the primary focus of interventions during the continuation phase of depression treatment?

A patient taking an antidepressant begins showing signs of hyperthermia, cardiovascular shock, and altered mental states. Which condition is most likely indicated, and what is the immediate intervention?

Which of the following is a potential treatment for Serotonin Syndrome?

How does the understanding of estrogen levels potentially influence the treatment of postpartum psychosis?

A woman with a history of bipolar disorder gives birth and within two weeks develops severe postpartum psychosis. Statistically, what is her increased risk?

Which intervention would be LEAST appropriate to include in a care plan for a patient experiencing depressive symptoms during the maintenance phase of treatment?

Which statement best describes the historical understanding of bipolar disorder?

Which factor contributes to bipolar disorders frequently being unrecognized or misdiagnosed?

What is the critical distinction between a manic episode in Bipolar I disorder and hypomania in Bipolar II disorder?

What is the primary characteristic that differentiates cyclothymic disorder from bipolar I and bipolar II disorders?

A client is admitted with a diagnosis of 'Bipolar and related disorder due to another medical condition'. Which of the following best explains this diagnosis?

A nursing assessment reveals a client with bipolar I disorder experiencing a manic episode. Which of the following findings would be the MOST concerning?

Considering the epidemiological data on bipolar disorders, which statement is most consistent with gender-related risk patterns?

A patient with Bipolar I Disorder also experiences a comorbid anxiety disorder. Statistically, how common is this comorbidity?

During team rounds, a patient experiencing symptoms of mania is prescribed lithium. Which information is most critical to include during health teaching with this patient?

An experienced psychiatric nurse is reflecting on the complex interplay of factors contributing to a patient's bipolar I disorder and comorbid substance use disorder. Which of the following statements reflects the most nuanced understanding of this relationship?

Which statement best captures the relationship between psychosis and schizophrenia?

What is the approximate worldwide lifetime prevalence of schizophrenia?

Beyond genetics and neurobiological factors, which of the following is considered a contributing factor to the etiology of schizophrenia?

A client experiencing associative looseness might exhibit which of the following speech patterns?

In the context of schizophrenia, what are 'affective symptoms' primarily related to?

A patient with schizophrenia is in the stabilization phase of treatment. What is a primary goal for this patient?

What is a key characteristic of first-generation antipsychotics (FGAs) compared to second-generation antipsychotics (SGAs)?

What is the MOST critical nursing action related to medication for a patient with schizophrenia?

A patient on a first-generation antipsychotic presents with a sudden high fever, muscle rigidity, and altered mental status. What condition is MOST likely occurring?

What is the MOST appropriate interpretation of ‘E’ in the mnemonic FEVER when assessing for Neuroleptic Malignant Syndrome (NMS)?

What is the primary characteristic of individuals with personality disorders?

Which cluster of personality disorders is characterized by odd or eccentric behaviors?

Which of the following personality disorders is characterized by a pattern of disregard for and violation of the rights of others?

Which statement is most accurate regarding the prevalence of personality disorders in the general population?

A patient with Borderline Personality Disorder is admitted after a suicide attempt. Which of the following comorbidities would the nurse anticipate?

What term describes the experience of rapidly changing and poorly modulated moods, commonly seen in personality disorders?

From a nursing perspective on etiology, what model best explains the development of personality disorders, incorporating both genetic vulnerabilities and environmental stressors?

Which of the following best describes the primary characteristic of individuals with Cluster A personality disorders?

A client displays extreme suspicion of others, interpreting their motives as malevolent. Which personality disorder is most likely present?

Which of the following behaviors might a nurse expect to observe in a client diagnosed with schizoid personality disorder?

A client responds to life's demands with dramatic, erratic, and sometimes chaotic traits. Which personality disorder cluster is most consistent with these behaviors?

Which of the following defense mechanisms is most commonly associated with Borderline Personality Disorder (BPD)?

A patient consistently seeks excessive admiration, has a grandiose sense of self-importance, and lacks empathy. Which personality disorder is most aligned with these traits?

Which of the following is the most accurate statement regarding the difference between Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT)?

A newly admitted patient with Borderline Personality Disorder (BPD) approaches the nursing station, visibly upset. They report that another patient "stole" their spot in the day room and declares that the nurses clearly favor other patients. Applying principles of emotional regulation and considering the challenges inherent in personality disorders, what is the most therapeutically sound initial response from the nurse?

Which of the following is a key characteristic that distinguishes addiction from compulsive behavior?

According to the holistic view of addiction, which domain is affected?

What is the first stage in the development of addiction, according to the information provided?

What percentage of Canadians over the age of 15, report alcohol use?

In Canada, which category of illicit drug showed the largest increase in use, despite media attention on opioids?

What term is used to describe the co-occurrence of a substance use disorder and a mental health condition?

Which of the following is a potential medical comorbidity associated with intravenous drug use?

Which of the following is a component that characterizes substance use disorders?

What is the role of dopamine in the context of addiction?

In the addiction cycle, what typically follows an emotional trigger?

What is the primary focus of treatment interventions for addiction?

What is the purpose of the CAGE assessment?

During an assessment for acute chemical impairment, what is the first priority?

Which aspect of patient care relies heavily on the nurse’s discretion in creating a supportive environment?

A researcher is investigating the combined effects of genetic predisposition, early childhood trauma, and socioeconomic status on the likelihood of developing a substance use disorder. Which perspective are they examining?

Which of the following best describes 'eustress'?

According to Hans Selye's General Adaptation Syndrome (GAS), which stage involves the body attempting to adapt to the stressor?

Which of the following neurotransmitter responses is associated with stress?

In the context of immune stress responses, what is the focus of psychoneuroimmunology?

Which of the following is an example of a psychological stressor?

What statement best describes the relationship between the nervous system and immune system during the alarm phase of GAS?

What is the purpose of 'cognitive reframing' as a stress management technique?

Which statement accurately differentiates fear from anxiety?

What is the primary characteristic of anxiety.

In the context of anxiety disorders, what is the key characteristic of agoraphobia?

A patient reports neurological symptoms, such as paralysis, without any identifiable neurological cause. They display la belle indifférence. Which condition is most likely?

How has the diagnostic process for somatic symptom disorders changed in the DSM-5?

Which of the following is the best definition of "obsession" in the context of Obsessive-Compulsive Disorder (OCD)?

What is the primary difference between depersonalization and derealization?

A combat veteran consistently misinterprets innocuous environmental stimuli – such as the slam of a car door or a child’s sudden movement – as immediate, life-threatening dangers, triggering disproportionate physiological and psychological responses. Applying existing knowledge of psychological defense mechanisms and neural processing, which of the following best accounts for these reactions?

During a psychiatric assessment for suicide risk, which aspect of the patient's history would be most relevant for determining immediate risk?

When assessing a patient for suicidal ideation, which question directly addresses 'intent'?

Which of the following best describes the rationale for obtaining collateral information when assessing suicide risk?

Which element of a mental status examination is most useful in assessing suicide risk?

According to data, which demographic group in Canada is identified as having a higher risk of suicide?

What is the most accurate description of the term 'suicidal expressions'?

Why is it important to avoid using terms like 'committed suicide'?

Which intervention demonstrates a nurse taking a patient's expressions of suicidal ideation 'seriously'?

What does the mnemonic 'IS PATH WARM' help identify?

What is the purpose of creating a 'safety plan' with a patient who is experiencing suicidal ideation?

A patient is assessed to be at 'Level III' observation. What level of monitoring should the nurse implement?

According to the safety planning guide, what is the first step in creating a suicide safety plan?

Which intervention is the least appropriate when treating a suicidal patient?

Which question exemplifies a guiding question aimed at discovering a patient's 'Step 7' in creating a suicide safety plan:

A patient who presents with high suicide risk and a detailed plan must be monitored according to protocol to ensure safety. Which of the following actions is MOST crucial for the nurse to perform to comply with hospital protocol and simultaneously respect the patient?

Which statement best describes a crisis?

What is the primary focus of nursing interventions in crisis intervention?

What did Lindemann's study of bereavement contribute to crisis intervention theory?

What was a key contribution of Caplan's work to the field of crisis intervention?

What is the ultimate goal of crisis intervention?

During the initial assessment phase of crisis intervention, what is the priority?

When establishing rapport with a client in crisis, what approach is most appropriate?

In what way should nurses alter their communication with clients in crisis?

During the 'Identifying Major Problems' stage, what is the most important aspect to identify?

What is a nursing intervention that can assist clients in identifying their feelings during a crisis?

When 'planning' during crisis intervention, what is the implication of breaking tasks down into small, achievable parts?

In crisis intervention, what is the primary reason for nurses to encourage patients to recall successful coping strategies from the past?

Which intervention is the MOST important component of 'Step 6 (Implementation): Developing an Action Plan'?

During the evaluation phase of crisis intervention, which of the following is MOST important to include in a termination and follow-up protocol?

A client presents to the emergency department in severe distress, following a sudden job loss and eviction notice. The client is pacing, exhibits disorganized thought processes, and expresses hopelessness about the future. Considering the principles of crisis intervention, what approach is MOST likely to be effective during the initial interaction?