Category Archives: Mental Health and Psychiatric Nursing Quiz

Comprehensive exams for Mental Health Q 221

The nurse knows that the physician has ordered the liquid form of the drug chlorpromazine (Thorazine) rather than the tablet form because the liquid:         A. Has a more predictable onset of action.      B. Produces fewer anticholinergic effects.      C. Produces fewer drug interactions.      D. Has a longer duration of action.     … Read More »

Comprehensive exams for Mental Health Q 222

When interviewing the parents of an injured child, which of the following is the strongest indicator that child abuse may be a problem?         A. The injury isn’t consistent with the history or the child’s age.      B. The mother and father tell different stories regarding what happened.      C. The family is poor.   … Read More »

Comprehensive exams for Mental Health Q 223

Which method would a nurse use to determine a client’s potential risk for suicide?         A. Wait for the client to bring up the subject of suicide.      B. Observe the client’s behavior for cues of suicide ideation.      C. Question the client directly about suicidal thoughts.      D. Question the client about future plans.… Read More »

Comprehensive exams for Mental Health Q 224

A client who has been hospitalized with disorganized type schizophrenia for 8 years can’t complete activities of daily living (ADLs) without staff direction and assistance. The nurse formulates a nursing diagnosis of Self-care deficit: Dressing/grooming related to inability to function without assistance. What is an appropriate goal for this client?         A. “Client will be… Read More »

Personality and Mood Disorders Q 1

The nursing diagnosis that would be most appropriate for a 22-year old client who uses ritualistic behavior would be:         A. Ineffective coping      B. Impaired adjustment      C. Personal identity disturbance      D. Sensory/perceptual alterations           Correct Answer: A. Ineffective coping Ineffective coping is the impairment of a person’s adaptive behaviors and problem-solving… Read More »

Personality and Mood Disorders Q 2

When caring for a client with a diagnosis of schizotypal personality disorder, the nurse should:         A. Set limits on manipulative behavior.      B. Encourage participation in group therapy.      C. Respect the client’s needs for social isolation.      D. Understand that seductive behavior is expected.           Correct Answer: C. Respect the… Read More »

Personality and Mood Disorders Q 3

Nurse Rica is teaching a client and her family about the causes of depression. Which of the following causative factors should the nurse emphasize as the most significant?         A. Brain structure abnormalities      B. Chemical imbalance      C. Social environment      D. Recessive gene transmission           Correct Answer: B. Chemical imbalance Chemical imbalance… Read More »

Personality and Mood Disorders Q 4

Clara is under evaluation for imminent suicide risk, which information given by her would be most significant?         A. At least a 2-year history of feeling depressed more days than not.      B. Divorced from spouse six (6) months ago.      C. Feeling loss of energy and appetite.      D. Reference to suicide as best solution to… Read More »

Personality and Mood Disorders Q 5

Rendell is admitted in an acute psychiatric unit at Nurseslabs Medical Center. He suddenly tells Nurse Matt about his plans for suicide. The nurse’s priority is to:         A. Allow the client time alone for reflection.      B. Encourage the client to use problem solving.      C. Follow agency protocol for suicide precautions.      D.… Read More »

Personality and Mood Disorders Q 6

Which mood disorder is characterized by the client feeling depressed most of the day for a 2-year period?         A. Cyclothymia      B. Dysthymia      C. Melancholic depressive disorder      D. Seasonal affective disorder           Correct Answer: B. Dysthymia Dysthymia is characterized by at least a 2-year history of depression, occurring most… Read More »