MHN-Questions.pptx

Mental health nursing question for students

1. MCQs Sushil Sudarshan Humane MSN, RN

2. A patient who was admitted yesterday with an adjustment disorder and depressed mood has not left his or her room. The psychiatric-mental health nurse's most appropriate approach at meal time today is to respond: " I will bring your tray to your room, if it will make you more comfortable .“ " I will walk with you to the dining room and sit with you while you eat .“ " Where would you like to eat your meal this noon ?“ " You will feel better if you go to the dining room and eat with the others." Answer: 2

3. A 17-year-old, female patient with anorexia nervosa has just been released from the hospital. To facilitate recovery at home, the psychiatric-mental health nurse instructs the family to: D iscourage the patient from sneaking food between meals, by unobtrusively reducing her access to the kitchen. E ncourage the patient's interest in menu planning, food magazines, and cooking lessons, by leaving information and materials around the house. P ermit the patient to eat her meals privately in her bedroom to discourage family preoccupation with meals. R ecommend that the patient joins in routine family meals and clears the dishes after dinner, even if she does not eat. Answer: 4

4. Delusion is a disorder of Thought Perception Insight Cognition Answer: 1

5. Loss of insight and judgement is seen in patient with: Phobic disorder Psychosis Alcoholism Dissociative disorder Answer: 2

6. Rorschach’s project test designed to measure? Unconscious intensions Dreams Conscious desires Brain size Answer: 1

7. A supervisor observes inconsistency in the psychiatric-mental health nurse's behavior toward a patient; the nurse is unreasonably concerned, overly kind, or irrationally hostile. The most appropriate explanation is that the nurse is displaying: Countertransference. E mpathic resonance. S plitting behavior. T ransference . Answer: 1

8. The first step in the treatment of incest is to: Believe the child who reports the activity. N otify the proper authorities. O bjectively confront the accused family member. R emove the child from the home . Answer: 1

9. Most difficult part of a nurse-client relationship in therapeutic relationship for the nurse is: Remain as therapeutic and professional Being able to understand and accept client behavior Accepting responsibility in identifying and evaluating the real need of the client. Developing an awareness of self and professional role relationship Answer: 4

10. Termination of interpersonal relationship starts in ………………… phase. Pre-Interaction Orientation Working Termination Answer : 2

11. Patient who is newly-diagnosed with cancer frequently use the Defence mechanism of: Displacement Reaction formation Denial Projection Answer : 3

12. Older adults have reached Erikson's developmental stage of ego integrity when they: A cknowledge that one cannot get everything one wants in life. Assess their lives and identify actions that had value and purpose. E xpress a wish that life could be relived differently. F eel that they are being punished for things they did not do . Answer: 2

13. A psychiatric-mental health nurse, who is teaching a couple how to use positive reinforcement techniques with their child, recommends: Agreeing with the child's statements, whether negative or positive, and simply restating the child's statements without other comment. C ontrolling the child's behavior, so there is no chance of negative behavior R emoving adverse consequences to produce positive results. R ewarding positive behaviors to promote their recurrence. Answer: 4

14. A selective serotonin reuptake inhibitor targets which part of the brain? Basal ganglia. Frontal cortex. Hippocampus. Putamen . Answer: 2

15. A school-aged patient with attention-deficit/hyperactivity disorder is displaying disruptive behaviors at home. The psychiatric-mental health nurse modifies the treatment plan for the social domain, by advising the patient's parents to: E stablish eye contact before giving directions.   I nitiate a point system, to reward the patient for appropriate behavior.   I nstruct the patient to work on one homework assignment at a time.   M aintain a predictable environment in the home . Answer: 2

16. P atient is being discharged after spending six days in the hospital, due to depression with suicidal ideation. The psychiatric-mental health nurse knows that an important outcome has been met when the patient states: " I can't wait to get home and forget that this ever happened."   " I feel so much better. If I continue to feel this way, I can probably stop taking my medications soon."   " I have a list of support groups and a crisis line that I can call, if I feel suicidal."   " I have to leave here soon, if I want to make it to the shelter before they run out of beds." Answer: 3

17. When screening families for post-traumatic stress disorder following a major natural disaster, psychiatric-mental health nurses are practicing which type of disease prevention? Primary .   Secondary . Tertiary . Universal. Answer: 2