Psychiatric Mental Health Nursing Practice Questions

Psychiatric Mental Health Nursing Practice Questions Related

Review Psychiatric Mental Health Nursing Practice Questions related questions and content

A healthcare professional is conducting education on anxiety and stress management. Which of the following should be identified as the most important initial step in learning how to manage anxiety?

  • A. Diagnostic blood tests
  • B. Awareness of factors creating stress
  • C. Relaxation exercises
  • D. Identifying support systems
Correct Answer: B

Rationale: The correct answer is B: Awareness of factors creating stress. In managing anxiety, the first crucial step is recognizing and being aware of the factors that contribute to stress. Without this awareness, it becomes challenging to effectively address and manage anxiety. Diagnostic blood tests are not typically the initial step in managing anxiety; they may be used to rule out other medical conditions but are not the primary focus. While relaxation exercises can be helpful in managing anxiety, understanding the root causes of stress takes precedence. Identifying support systems is important but comes after recognizing the stress factors to develop a comprehensive management plan.

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A client with schizophrenia is experiencing delusions. Which of the following interventions should the nurse implement?

  • A. Agree with the client's delusions to avoid confrontation.
  • B. Challenge the client's delusions directly.
  • C. Encourage the client to discuss their delusions in detail.
  • D. Present reality and offer reassurance without reinforcing the delusions.
Correct Answer: D

Rationale: When caring for a client with schizophrenia experiencing delusions, the nurse should present reality and offer reassurance without reinforcing the client's delusions. This approach helps the client maintain a connection to reality while feeling supported. Agreeing with the delusions may perpetuate false beliefs, while directly challenging them can lead to increased distress for the client. Encouraging the client to discuss their delusions in detail may further exacerbate their symptoms or reinforce their false beliefs. Therefore, the most therapeutic intervention is to gently present reality and provide reassurance to the client.

Which of the following interventions should a nurse include in the care plan for a client with major depressive disorder? Select one that is not appropriate.

  • A. Encourage participation in activities
  • B. Promote adequate nutrition and hydration
  • C. Discourage verbalization of feelings
  • D. Monitor for suicidal ideation
Correct Answer: C

Rationale: Interventions for a client with major depressive disorder should focus on encouraging participation in activities, promoting adequate nutrition and hydration, monitoring for suicidal ideation, and providing a structured daily schedule. Discouraging verbalization of feelings goes against the therapeutic approach as expressing and discussing feelings is crucial in the treatment of major depressive disorder. Clients with major depressive disorder often benefit from talking about their emotions and experiences, as it can help in processing their feelings and promoting recovery. Therefore, discouraging verbalization of feelings would hinder the client's progress and is not an appropriate intervention.

A patient with bipolar disorder is prescribed quetiapine. The nurse should monitor the patient for which common side effect?

  • A. Weight gain
  • B. Hypertension
  • C. Hair loss
  • D. Hyperthyroidism
Correct Answer: A

Rationale: Weight gain is a common side effect of quetiapine, an atypical antipsychotic. Quetiapine can lead to metabolic changes that may result in weight gain. Monitoring weight regularly is essential to address this potential side effect. Choices B, C, and D are incorrect. Quetiapine is not typically associated with hypertension, hair loss, or hyperthyroidism as common side effects.

A client with bipolar disorder is prescribed lithium. Which of the following statements by the client indicates a need for further teaching?

  • A. I should maintain a consistent salt intake.
  • B. I should drink 6-8 glasses of water daily.
  • C. I need to have my lithium levels checked regularly.
  • D. I can stop taking my medication once my mood stabilizes.
Correct Answer: D

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

Which medication is commonly prescribed for the treatment of attention-deficit/hyperactivity disorder (ADHD)?

  • A. Haloperidol
  • B. Fluoxetine
  • C. Methylphenidate
  • D. Clozapine
Correct Answer: C

Rationale: Methylphenidate is a stimulant medication commonly prescribed to manage symptoms of attention-deficit/hyperactivity disorder (ADHD). It works by affecting certain chemicals in the brain to improve focus, attention span, and impulse control. Haloperidol, fluoxetine, and clozapine are not typically used as first-line treatments for ADHD. Haloperidol is an antipsychotic, fluoxetine is an antidepressant, and clozapine is an atypical antipsychotic, each with different mechanisms of action and primary indications.

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