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Chronic Mental Health

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LizaSAHM
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Chronic Mental Health (NURS 2800)

Question 1 of 21

1

A patient presents with intense worry and concern regarding a potential disaster for the past 7 months. The was a recent job loss in her family and she is concerned about health and financial issues. The nurse would expect this patient is presenting with

Select one of the following:

  • panic anxiety disorder

  • generalized anxiety disorder

  • separation anxiety disorder

  • mild anxiety disorder

Explanation

Question 2 of 21

1

Risk factors for anxiety include (SATA)

Select one or more of the following:

  • Neurotransmitter imbalance

  • Loss of employment

  • Isolation and personality factors

  • Acute illness

  • Family incidence, childhood adversity including witnessing traumatic events

Explanation

Question 3 of 21

1

A patient that presents with feeling of doom, increased heart rate, sweating and difficulty breathing is likely experiencing what level of anxiety?

Select one of the following:

  • mild

  • moderate

  • severe

  • panic

Explanation

Question 4 of 21

1

A student sits down at the NCLEX with increased alertness, motivation and restlessness. This is prime testing mode and she passes with 75 questions. Way to go Ruth, Jess & Liza WOOHOO, you are rock stars! What level of anxiety is the student presenting?

Select one of the following:

  • Mild

  • Moderate

  • Severe

  • Panic

Explanation

Question 5 of 21

1

The patient that presents self absorbed, increased restlessness, and loud speech is at severe level of anxiety.

Select one of the following:

  • True
  • False

Explanation

Question 6 of 21

1

Which of the following are priority nursing diagnosis for a patient presenting with severe anxiety? (SATA)

Select one or more of the following:

  • Anxiety

  • Risk for ineffective coping

  • Interrupted family processes

  • Impaired social interaction

  • Impaired physical mobility

Explanation

Question 7 of 21

1

When teaching a patient with anxiety disorders, the nurse will (SATA)

Select one or more of the following:

  • limit noise

  • decrease stimuli

  • explain teaching in great detail to ensure the patient understands

  • ensure the patient feels safe

Explanation

Question 8 of 21

1

A patient presents with the following, which apply to depression?

Select one or more of the following:

  • Hx of anxiety disorder

  • Alcohol or drug abuse

  • increased energy

  • traumatic event

Explanation

Question 9 of 21

1

Which of the following indicate that the nurse understands the priority nursing assessments for depression?

Select one of the following:

  • "The first thing I am going to do is check your vital signs."

  • "Tell me, are you thinking about suicide or death?"

  • "Tell me about your mood and how you are feeling."

  • "Please complete this Beck's depression inventory assessment and I will be back in 15 minutes to check on you."

Explanation

Question 10 of 21

1

Identify the priority nursing diagnosis for a patient that states, "I'm feeling better now, I just want to do whatever I can to get out of here."

Select one of the following:

  • risk for self-directed violence

  • ineffective health maintenance

  • hopelessness

  • social isolation

Explanation

Question 11 of 21

1

What is the most common chronic psychotic disorder that requires lifelong treatment in which individuals interpret reality abnormally?

Select one of the following:

  • Delusional Disorder

  • Bipolar Disorder

  • Psychotic Depression

  • Schizophrenia

Explanation

Question 12 of 21

1

Schizophrenia risk factors include maternal exposure to virus, toxins or malnutrition and paternal age father (>40 2x, >50 3x).

Select one of the following:

  • True
  • False

Explanation

Question 13 of 21

1

Positive symptoms of schizophrenia include (SATA)

Select one or more of the following:

  • Anhedonia

  • Hallucinations

  • Clang

  • Avolition

  • Catatonia

Explanation

Question 14 of 21

1

Negative symptoms of schizophrenia include (SATA)

Select one or more of the following:

  • anhedonia

  • monotone voice

  • hyper-focused

  • poor hygiene

Explanation

Question 15 of 21

1

An individual with schizophrenia presents with apathy, lack of focus, lack of motivation and poor personal hygiene. This is identified as positive symptoms.

Select one of the following:

  • True
  • False

Explanation

Question 16 of 21

1

An individual presents at the mental health facility with extreme mood swings and emotional high and lows. This is a form of schizophrenia.

Select one of the following:

  • True
  • False

Explanation

Question 17 of 21

1

Risk factors for bipolar include (SATA)

Select one or more of the following:

  • Periods of high stress such a loss of a loved one or major life event

  • Periods of low stress and boredom

  • Moderate alcohol use

  • genetics

Explanation

Question 18 of 21

1

A patient presents with three depressive episodes 15 days apart and one hypomanic episode that lasts 5 days. This is indicative which psychosis:

Select one of the following:

  • Bipolar I disorder

  • Bipolar II disorder

  • Bipolar III disorder

  • schizophrenia

Explanation

Question 19 of 21

1

The triad of characteristics for Autism Spectrum Disorder (ASD) include (SATA)

Select one or more of the following:

  • strange repetitive behaviors

  • Impaired ability to communicate

  • increased imagination

  • social isolation

  • Aversion to touch and loud noises

Explanation

Question 20 of 21

1

Without specific etiology for Autism Spectrum Disorder, determining risk is difficult. Which of the following are linked risk factors for ASD? (SATA)

Select one or more of the following:

  • maternal age (>40)

  • paternal age (>50)

  • Gender: girls

  • Genetics: familial

  • Extremely late childbirth (<42 wks gestation)

  • Down syndrome

  • maternal smoking or EtOH use

Explanation

Question 21 of 21

1

Traumatic life event, such as loss of loved one or abuse, is a risk factor for which of the following (SATA)

Select one or more of the following:

  • Anxiety Disorder

  • Depression

  • Schizophrenia

  • Bipolar Disorder

  • Autism Spectrum Disorder

Explanation