Ancc Mental Health Practice Questions

Ancc Mental Health Practice Questions Related

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After describing the various legislative efforts to address the issue of homelessness in the United States, a nursing instructor determines that the teaching was successful when the students identify which of the following as addressing the need for a continuum of care approach?

  • A. Bringing Home America Act
  • B. Affordable Care Act
  • C. American Recovery and Reinvestment Act
  • D. McKinney-Vento Homeless Assistance Act
Correct Answer: D

Rationale: The correct answer is D: McKinney-Vento Homeless Assistance Act. This act addresses the need for a continuum of care approach by providing federal funding for homeless assistance programs that offer a range of services to individuals experiencing homelessness. It emphasizes the importance of coordination among various service providers to ensure a seamless transition from emergency shelters to permanent housing.

Choice A: Bringing Home America Act does not specifically focus on homeless assistance programs or the continuum of care approach.

Choice B: Affordable Care Act primarily focuses on healthcare reform and expanding access to healthcare services, not specifically related to addressing homelessness.

Choice C: American Recovery and Reinvestment Act aims to stimulate economic recovery through job creation and infrastructure projects, not directly related to addressing homelessness or providing a continuum of care approach.

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A client diagnosed with bipolar disorder and experiencing mania is admitted to the inpatient psychiatric setting. During the acute phase of mania, which medication would the nurse expect to most likely administer?

  • A. Lithium carbonate (Lithium)
  • B. Haloperidol lactate (Haldol)
  • C. Fluoxetine (Prozac)
  • D. Paroxetine (Paxil)
Correct Answer: B

Rationale: The correct answer is B: Haloperidol lactate (Haldol). In the acute phase of mania, antipsychotic medications like haloperidol are commonly used to manage symptoms such as agitation, hyperactivity, and psychosis. Haloperidol helps to reduce dopamine activity in the brain, which can help stabilize mood and behavior during manic episodes. Lithium (A) is more commonly used for long-term mood stabilization in bipolar disorder. Fluoxetine (C) and Paroxetine (D) are selective serotonin reuptake inhibitors (SSRIs) used for depression and not recommended during mania due to the risk of worsening manic symptoms.

A nursing student is assigned to care for a patient diagnosed with schizophrenia. When talking about this patient in a clinical postconference, the student would use which terminology when referring to the patient?

  • A. Committed patient
  • B. Schizophrenic
  • C. Schizophrenic patient
  • D. Person with schizophrenia
Correct Answer: D

Rationale: The correct answer is D: Person with schizophrenia. This terminology aligns with person-first language, which emphasizes the individuality and humanity of the patient over their diagnosis. It is important to use person-first language to promote respect and reduce stigma. Using terms like "committed patient" (A) can be stigmatizing and inaccurate, as not all patients with schizophrenia are committed involuntarily. "Schizophrenic" (B) and "schizophrenic patient" (C) both label the individual by their diagnosis, which can be dehumanizing and reduce their identity to just their condition. In contrast, "person with schizophrenia" (D) acknowledges the personhood of the individual first and foremost.

A nurse has just completed a suicide risk assessment of a 76-year-old widowed man. In addition to documenting the presence or absence of suicidal thoughts, plan, and means, the nurse would also document which of the following?

  • A. Use of substances 6 hours before the assessment
  • B. Speech patterns
  • C. Availability of support resources
  • D. Amount of sleep in past 24 hours
Correct Answer: A

Rationale: The correct answer is A: Use of substances 6 hours before the assessment. This is important to assess as substance use can increase the risk of impulsive behavior and exacerbate suicidal thoughts. It is crucial to determine if the individual has recently used substances as it may impact their judgment and decision-making. The other choices are not directly related to immediate risk assessment for suicide. Speech patterns (B) may provide insight into the individual's mental state, but substance use takes precedence in assessing immediate risk. Availability of support resources (C) is important for long-term prevention but does not address immediate risk. The amount of sleep in the past 24 hours (D) may impact mental health but does not directly assess immediate risk of suicide.

A category 5 tornado occurred in a community of 400 people. Many homes and businesses were destroye In the 2 years following the disaster, 140 individuals were diagnosed with posttraumatic stress disorder (PTSD). Which term best applies to these newly diagnosed cases?

  • A. Prevalence
  • B. Comorbidity
  • C. Incidence
  • D. Parity
Correct Answer: C

Rationale: The term that best applies to the newly diagnosed cases of PTSD is "Incidence" (Choice C). Incidence refers to the rate of new cases of a disease within a specific population over a defined period. In this case, the 140 individuals newly diagnosed with PTSD in the 2 years following the tornado represent the occurrence of new cases within the community of 400 people. This term specifically addresses the number of new cases arising from a particular event or exposure.

Summary:
A: Prevalence refers to the total number of cases (new and existing) within a population at a specific point in time.
B: Comorbidity refers to the presence of two or more conditions in an individual at the same time.
D: Parity refers to equality or equivalence, which is not relevant to the context of new PTSD diagnoses post-tornado.

Which statement made by the patient demonstrates an understanding of the treatment of choice for patients managing the effects of traumatic events?

  • A. I attend my therapy sessions regularly.
  • B. Those intrusive memories are hidden for a reason and should stay hidden.
  • C. Keeping busy is the key to getting mentally healthy.
  • D. I've agreed to move in with my parents so I'll get the support I need.
Correct Answer: A

Rationale: The correct answer is A because attending therapy sessions regularly is a key component of treatment for managing the effects of traumatic events. Regular therapy sessions help individuals process their trauma, develop coping strategies, and work towards healing. Choice B is incorrect as suppressing intrusive memories can worsen mental health. Choice C is incorrect as keeping busy may serve as a distraction but does not address the root cause of trauma. Choice D is incorrect as moving in with parents for support is helpful, but therapy is the evidence-based treatment for trauma management.

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