Mental Health Nursing Quiz
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Questions and Answers

What is a key aspect of active listening?

  • Maintaining eye contact throughout the conversation.
  • Focusing on the patient and acknowledging their concerns. (correct)
  • Sharing personal anecdotes to relate to the patient's experience.
  • Interrupting the patient to clarify their concerns.
  • Which ethical principle justifies the involuntary commitment of a client with a detailed plan to harm themselves, even without an immediate plan to act on it?

  • Veracity
  • Beneficence
  • Non-maleficence (correct)
  • Autonomy
  • What is NOT a stage of the body's reaction to stress?

  • Resistance
  • Alarm reaction
  • Recovery (correct)
  • Exhaustion
  • What does the term 'holistic care' encompass?

    <p>Addressing all aspects of the individual, including their physical, emotional, and social needs. (D)</p> Signup and view all the answers

    What is the primary focus of a strengths-based approach in patient care?

    <p>Utilizing the patient's existing strengths and resources to promote positive change. (D)</p> Signup and view all the answers

    Which of the following demonstrates an understanding of the concept of empathy in therapeutic communication?

    <p>Validating and acknowledging the patient's feelings without judgment. (A)</p> Signup and view all the answers

    Which of these is NOT an example of a therapeutic communication technique?

    <p>Providing unsolicited advice (D)</p> Signup and view all the answers

    When assessing a client's potential for self-harm, what should clinicians consider beyond an immediate plan to act?

    <p>The client's history of past self-harm attempts. (B)</p> Signup and view all the answers

    What is a common side effect of lorazepam?

    <p>Sedation (C)</p> Signup and view all the answers

    Which of the following medications is NOT an anxiolytic?

    <p>Diphenhydramine (A)</p> Signup and view all the answers

    Which medication is known for its delayed onset of action, typically taking 1-2 weeks to show effects?

    <p>Buspirone (B)</p> Signup and view all the answers

    Which of the following medications is NOT an antihistamine?

    <p>Buspirone (D)</p> Signup and view all the answers

    What nursing intervention is considered essential when administering clonidine?

    <p>Monitoring blood pressure (C)</p> Signup and view all the answers

    Which medication has a high potential for dependence due to its sedative properties?

    <p>Diazepam (C)</p> Signup and view all the answers

    What is a significant nursing consideration when administering propranolol?

    <p>Monitoring for signs of bronchospasm (A)</p> Signup and view all the answers

    What education is crucial for patients taking hydroxyzine?

    <p>Avoidance of alcohol (D)</p> Signup and view all the answers

    A patient diagnosed with schizophrenia begins to experience uncontrollable muscle spasms and rigidity. Which of these side effects of antipsychotic medication is the patient most likely experiencing?

    <p>Dystonia (D)</p> Signup and view all the answers

    Which of these is NOT a common psychological treatment strategy used for individuals diagnosed with schizophrenia?

    <p>Dialectical behavior therapy (DBT) (C)</p> Signup and view all the answers

    A patient taking an antipsychotic medication complains of feeling increasingly thirsty and experiencing frequent urination. This is most likely due to which side effect?

    <p>Anticholinergic effects (D)</p> Signup and view all the answers

    What is the primary mechanism by which most antipsychotic medications work to reduce symptoms of schizophrenia?

    <p>Blocking dopamine receptors, particularly D2 receptors (B)</p> Signup and view all the answers

    Which of these is considered a positive symptom of schizophrenia?

    <p>Hallucinations (B)</p> Signup and view all the answers

    Which antipsychotic medication requires weekly monitoring of white blood cell count?

    <p>Clozapine (Clozaril) (C)</p> Signup and view all the answers

    What is the most common type of extrapyramidal symptom (EPS) seen with antipsychotic medications?

    <p>Acute dystonia (D)</p> Signup and view all the answers

    Which medication is associated with an increased risk of weight gain?

    <p>Chlorpromazine (Thorazine) (C)</p> Signup and view all the answers

    Which of these conditions is generally irreversible?

    <p>Tardive dyskinesia (D)</p> Signup and view all the answers

    Which antipsychotic medication should be taken with caution in patients with a history of seizures?

    <p>Clozapine (Clozaril) (D)</p> Signup and view all the answers

    Which antipsychotic medication can potentially interact with grapefruit juice?

    <p>Paliperidone (Invega) (D)</p> Signup and view all the answers

    Which EPS is characterized by a shuffling gait, slowness of movement, and tremor?

    <p>Drug-induced parkinsonianism (D)</p> Signup and view all the answers

    Which of these medication instructions is crucial for the administration of Fluphenazine (Prolixin)?

    <p>Avoid abrupt discontinuation (C)</p> Signup and view all the answers

    According to the Recovery Model, what is the primary focus of healthcare professionals in a patient's recovery journey?

    <p>Collaborating with the patient and their support system to ensure a holistic approach. (C)</p> Signup and view all the answers

    Which of the following reflects a strengths-based approach in the context of the Recovery Model?

    <p>Utilizing the patient's existing skills and resources to facilitate recovery. (D)</p> Signup and view all the answers

    Which of the following best describes the concept of 'person-driven recovery' as outlined in the Recovery Model?

    <p>The Recovery Model focuses on the individual's unique needs, allowing them to choose their path. (B)</p> Signup and view all the answers

    Which of the following is NOT a component of the Recovery Model?

    <p>Emphasizing a standardized approach to every patient's recovery. (D)</p> Signup and view all the answers

    What is the primary focus of the 'Therapeutic Communication' chapter mentioned in the content?

    <p>Developing effective communication strategies to facilitate patient recovery. (D)</p> Signup and view all the answers

    According to the content, what is the importance of studying non-therapeutic communication techniques?

    <p>To understand the potential negative impact of these techniques on patients. (C)</p> Signup and view all the answers

    Which of the following is NOT an example of a non-therapeutic communication technique?

    <p>Validating the patient's feelings and experiences. (C)</p> Signup and view all the answers

    What do the 'LEAPs' from Dr. ______, mentioned in the content, likely stand for?

    <p>Listening, Encouraging, Acknowledging, and Praising (B)</p> Signup and view all the answers

    What are the components of a suicide plan that a nurse should assess for?

    <p>Specificity, lethality, and access to means (D)</p> Signup and view all the answers

    Which of the following is NOT a risk factor for suicide?

    <p>Social support systems (C)</p> Signup and view all the answers

    What is the primary focus of the nursing process when assessing for suicide?

    <p>Evaluating the client's risk factors and protective factors (B)</p> Signup and view all the answers

    What is the purpose of assessing for suicidal behavior?

    <p>To identify individuals who might be at risk for suicide (B)</p> Signup and view all the answers

    Which of the following is NOT a common symptom of Generalized Anxiety Disorder (GAD)?

    <p>Increased appetite (D)</p> Signup and view all the answers

    Which of the following is a medication typically used to treat anxiety?

    <p>Antihistamines (B)</p> Signup and view all the answers

    What is the primary difference between generalized anxiety disorder (GAD) and panic disorder?

    <p>GAD is characterized by chronic worry, while panic disorder involves sudden episodes of intense fear. (C)</p> Signup and view all the answers

    What is the purpose of using outcome criteria in a care plan for anxiety disorders?

    <p>To establish clear goals for treatment and measure success (D)</p> Signup and view all the answers

    Study Notes

    Exam Slam - Spring 2025

    • Exam Slam is scheduled for Spring 2025
    • Hosts are Drs. Fran, Touw, and K

    Topics Covered for Exam 1

    • Exam 1 is held in the Testing Center
    • Exam 1 starts at 1:00 PM
    • Exam duration: 1:00 PM - 4:00 PM
    • Total number of questions: 80
    • Remediation activity is required for scores below 80 on Exam 1
    • Refer to the Assignment Submission Module for details
    • Further practice modules are available for review

    Exam 1 – Specific Chapters Covered

    • Chapter 2: Mental Health and Mental Illness
    • Chapters 1, 3: Stress and Adaptation/Psychobiology
    • Chapter 5: Legal and Ethical Basis for Practice
    • Chapters 6, 7: Relationship Development & Therapeutic Communication
    • Chapter 12, 16: Suicide/Crisis prevention
    • Chapter 20: Recovery Model
    • Chapter 24: Schizophrenia Spectrum and Other Psychotic Disorders
    • Chapter 27: Anxiety, Obsessive-Compulsive, and Related Disorders

    Nursing Exams and Content

    • Nursing exams, including the NCLEX, prioritize identifying potential patient risks
    • Patient safety is paramount, focusing on recognizing cues, intervening, and managing risks
    • Recognizing and acting on potential negative outcomes are key aspects of student nurse assessment
    • The focus is not on stable patients but on identifying and preventing harm

    Recovery Model (Chapter 20)

    • Person-driven recovery: Individuals control their recovery journey
    • Holistic approach: Improves overall wellness, reaching full potential (not just managing symptoms)
    • Multiple pathways: Recovery involves various interventions (clinical, peer support, community)
    • Strengths-based approach: Focuses on individual strengths rather than deficits
    • Emphasizes autonomy, insight, community integration, and support networks
    • Interventions and nurse-patient collaboration are essential aspects of the recovery process
    • Specific model interventions can be found in Table 20-1 (pages 344-45)

    Therapeutic Communication (Chapter 7)

    • Chapter 7 includes techniques tables (7-2, 7-3)
    • Non-therapeutic statements are presented, with better alternative statements
    • Focus on concepts like active listening, voicing doubt, validation, humor, and avoiding stigmatizing language
    • Emphasize clarifying and refocusing clients.
    • Refer to LEAPs framework by Dr. Touw
    • The focus is on ethical principles, not theoretical frameworks
    • Essential concepts include patient rights, ethical principles (Autonomy, Beneficence, Non-Maleficence, veracity), and duty to warn
    • This should be reviewed by referring to the provided lecture notes
    • Involuntary commitment is specifically mentioned when there's a detailed plan to harm self
    • The client's right to decide about their care is vital
    • Holistic approach to care is emphasized

    Stress and Coping (Chapter 1)

    • Stress responses occur in stages (alarm, resistance, exhaustion)
    • Stress management and coping strategies are crucial
    • Focus on recognizing stress beyond just the medical condition

    Stress as a Biological Response (Chapter 12)

    • The general adaptation syndrome (GAS) comprises three major stages (alarm reaction, resistance, exhaustion)

    Suicide (Chapter 16)

    • Risk factors include current suicidal ideation, suicide plan, previous attempts, mental health history, and recent stressors.
    • Protective factors include social support, reasons for living, cultural or religious influences opposing suicide.
    • Focus on suicide inquiry (ideation, plan, behavior, intent).
    • Review the nursing process and CARE plan application
    • Assess for suicidal ideation.

    Anxiety Disorders (Chapter 27)

    • Follow Dr. Touw's slides and the textbook content
    • Skip diagnosing medical conditions—focus on concepts relating to anxiety 2/2 substance/medication conditions
    • Move through material on obsessions/compulsions and hoarding.
    • Refer to outcome criteria (pages 581) and Table 27-3 (outcomes/interventions/rationals)

    Generalized Anxiety Disorder (GAD) (Chapter 27)

    • Symptoms and nursing interventions are key points of focus

    Medication Management - Anxiolytics

    • Review Dr. Touw's slides, Chapter 4 (pages 61-63, Table 4-3), and Table 24-7 (page 593)
    • Focus on understanding the different types of anxiolytics and their indications versus non-benzodiazepines
    • Key is the difference between benzodiazepines and non-benzodiazepines and their considerations for use and monitoring

    Medication Management - Antipsychotics (Chapter 4 & 24)

    • Review Chapters 4 and 24 (pages 490 & subsequent)
    • Section on indications actions and side effects
    • Note the significance of teaching in this context
    • Refer to p. 73 for a review of the content and pay attention to the nursing interventions related to antipsychotic medications
    • Exclusion of the specific AIMS test
    • This review involves identifying the antipsychotic medications
    • Emphasize the action of antipsychotics on dopamine receptors
    • Identify dopamine receptor blocking agents (DRBAs) and their effects

    Teaching Patients/SO/Family About Medication Management

    • Cover the indications for use
    • Understand when patients might feel better
    • The role of PCP in management
    • How to handle side effects
    • When to go to the ER/referral for refills

    Antipsychotic Medications and Nursing Interventions (Chapter 24 & 22)

    • Review specific antipsychotics (Haloperidol, Olanzapine, Clozapine, Risperidone, Aripiprazole, Fluphenazine, Chlorpromazine, Paliperidone) and associated nursing interventions regarding their use, monitoring, and possible side effects, including extrapyramidal symptoms (EPS)

    DRBA-induced Movement Disorders (Chapter 23)

    • Differentiate between acute dystonia and tardive dyskinesia (TD) . Note on onset, symptoms, treatment, and prognosis, and the different characteristics of these forms of disorders

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    Exam Slam Spring 2025 Exam PDF

    Description

    Test your knowledge on key concepts in mental health nursing, including active listening, ethical principles, and therapeutic communication techniques. This quiz covers aspects of patient care such as strengths-based approaches and medication effects, essential for any nursing professional.

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