Mental Health Nursing Practice Questions

Mental Health Nursing Practice Questions Related

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Gilbert, age 19, is described by his parents as a moody child with an onset of odd behavior at age 14, which caused Gilbert to suffer academically and socially. Gilbert has lost the ability to complete household chores, is reluctant to leave the house, and is obsessed with the locks on the windows and doors. Due to Gilbert's early and slow onset of what is now recognized as schizophrenia, his prognosis is considered:

  • A. Favorable with medication
  • B. In the relapse stage
  • C. Improvable with psychosocial interventions
  • D. To have a less positive outcome
Correct Answer: D

Rationale: The scenario describes Gilbert as having an early and slow onset of schizophrenia, which typically indicates a less positive prognosis. Individuals with such presentations may experience more severe symptoms and difficulties in functioning, leading to a poorer long-term outcome. In Gilbert's case, his challenges with completing tasks, social withdrawal, and fixation on security measures suggest a more challenging prognosis. Early detection and intervention are crucial in managing schizophrenia, but the described symptoms and onset pattern are concerning for a less favorable outcome.

You may also like to solve these questions

Which patient should be most carefully assessed for fluid and electrolyte imbalance among those receiving the following drugs?

  • A. lithium (Eskalith)
  • B. clozapine (Clozaril)
  • C. diazepam (Valium)
  • D. amitriptyline
Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Which intervention should the nurse implement when caring for a patient demonstrating manic behavior? Select one that doesn't apply.

  • A. Monitor the patient's vital signs frequently.
  • B. Keep the patient distracted with group-oriented activities.
  • C. Provide the patient with frequent milkshakes and protein drinks.
  • D. Reduce the volume on the television and dim bright lights in the environment.
Correct Answer: B

Rationale: When caring for a patient demonstrating manic behavior, it is crucial to monitor vital signs frequently to ensure the patient's physical health is stable. Providing nutrition, such as milkshakes and protein drinks, is essential to meet the patient's dietary needs. Diminishing environmental stimuli by reducing the volume on the television and dimming bright lights can help create a calmer environment. However, keeping the patient distracted with group-oriented activities may not be the most appropriate intervention as it could potentially exacerbate the manic behavior by overstimulating the patient. Therefore, this choice is the one that doesn't apply in managing manic behavior effectively.

A nursing student new to psychiatric-mental health nursing asks a peer what resources he can use to identify the symptoms present in a specific psychiatric disorder. The best answer would be:

  • A. Nursing Interventions Classification (NIC)
  • B. Nursing Outcomes Classification (NOC)
  • C. NANDA-I nursing diagnoses
  • D. DSM-5
Correct Answer: D

Rationale: The DSM-5 is the standard classification of mental disorders used by mental health professionals in the U.S. It provides criteria for diagnosing different psychiatric disorders based on symptoms and clinical observations. Nursing Interventions Classification (NIC) and Nursing Outcomes Classification (NOC) are focused on nursing interventions and outcomes, respectively, while NANDA-I nursing diagnoses are related to identifying nursing problems and their contributing factors.

How does emotional trauma typically affect individuals physically?

  • A. Emotional trauma is a distinct category and unrelated to physical symptoms.
  • B. Physical manifestations of emotional trauma are usually temporary.
  • C. Emotional trauma is often manifested as physical symptoms.
  • D. Patients are more aware of physical problems caused by trauma.
Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Natasha's husband died suddenly two months ago, and she has been overwhelmed with grief. When Natasha is subsequently diagnosed with major depressive disorder, her daughter, Nadia, makes which true statement?

  • A. Depression often begins after a major loss. Losing dad was a major loss.
  • B. Bereavement and depression are the same problem.
  • C. Mourning is pathological and not normal behavior.
  • D. Antidepressant medications will not help this type of depression.
Correct Answer: A

Rationale: When individuals experience a significant loss, such as the death of a loved one, it can trigger major depressive disorder. This is because the intense grief and sadness associated with the loss can lead to the development of depressive symptoms. Therefore, Nadia's statement that 'Depression often begins after a major loss' is accurate in this context.

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