Mitch Thornell
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Quiz on Mental health, created by Mitch Thornell on 21/09/2018.

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Mitch Thornell
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Mental health

Pregunta 1 de 61

1

You are assessing Deepak and a you ask him what he might do if he was in a shop and heard a fire alarm.

You are assessing which of the following?

Selecciona una de las siguientes respuestas posibles:

  • Perception

  • Judgement

  • Memory

  • Concentration

Explicación

Pregunta 2 de 61

1

George is interviewing a patient called Jeremy.

Jeremy states that he does not think his mother loves him as she is always busy and ignores him.

George says to Jeremy ` so you think your mother is too busy to pay attention to you?`

This is an example of which of the following?

Selecciona una de las siguientes respuestas posibles:

  • Reflection

  • Questioning

  • Paraphrasing

  • Summarising

Explicación

Pregunta 3 de 61

1

In relation to alcohol use all of the following are symptoms of delirium tremens EXCEPT?

Selecciona una de las siguientes respuestas posibles:

  • Visual hallucination

  • Confusion

  • Insonmia

  • Disorientation

Explicación

Pregunta 4 de 61

1

Clint states that

` I have only gone through detox because I ran out of money to buy drugs`

This is an indication that Clint is in which stage of the Transtheoretical Model?

Selecciona una de las siguientes respuestas posibles:

  • Contemplation

  • Action

  • Maintenance

  • Precontemplation

Explicación

Pregunta 5 de 61

1

SSRI`s are a type of medications used for the treatment of mood disorders.

What does SSRI stand for?

Selecciona una de las siguientes respuestas posibles:

  • Selective serotonin reuptake interuption

  • Selective selenium reuptake inhibitor

  • Selective serotonin reuptake inhibitor

  • Secreting serotonin reuptake inhibitor

Explicación

Pregunta 6 de 61

1

Johnny is a man who has a diagnosis of bi-polar disorder.

He is prescribed medication, it is likely that Johnny would be prescribed which of the following medications for bi-polar disorder?

Selecciona una de las siguientes respuestas posibles:

  • Lorazepam

  • Lithium

  • Benztropin

  • St John`s Wort

Explicación

Pregunta 7 de 61

1

Steven would experience panic if he goes to a shopping centre. He finds crowded places are difficult to escape. Steve may have:

Selecciona una de las siguientes respuestas posibles:

  • Urophobia

  • Chronophobia

  • agoraphobia

  • Antlophobia

Explicación

Pregunta 8 de 61

1

Which of the following is NOT true for a someone experiencing a panic attack

Selecciona una de las siguientes respuestas posibles:

  • they will respond better if you raise your voice when talking to them

  • the first step to treatment is to slow down their breathing

  • they should be considered to have a respiratory problem until this is ruled out

  • they are likely to present to an Emergency Department

Explicación

Pregunta 9 de 61

1

A person has 'capacity' to refuse treatment if they understand the consequences of not receiving treatment

Selecciona uno de los siguientes:

  • VERDADERO
  • FALSO

Explicación

Pregunta 10 de 61

1

An outdoor education program for adolescents who have been identified as 'at risk' of mental health problems is considered:

Selecciona una de las siguientes respuestas posibles:

  • Treatment

  • Prevention

  • Early intervention

  • Rehabilitation

Explicación

Pregunta 11 de 61

1

A significant risk factor for the development of an eating disorder is which if the following?

Selecciona una de las siguientes respuestas posibles:

  • High personal regard

  • High self esteem

  • A very thin parent

  • Low self-esteem

Explicación

Pregunta 12 de 61

1

Lisa is admitted with a tentative diagnosis of anorexia nervosa. The nurse should advise Lisa`s family that Lisa`s fear of being over weight can be equated to her desire to?

Selecciona una de las siguientes respuestas posibles:

  • Become a model

  • Please her partner

  • Maintain a sense of control

  • Calm her euphoria

Explicación

Pregunta 13 de 61

1

Jason tells you that he is being spied on by the Government and that as a result he needed to quit his job so that the spies could not find him.

This is an example of which of the following?

Selecciona una de las siguientes respuestas posibles:

  • Ideas of reference

  • Persecutory delusion

  • Tangential thinking

  • Visual hallucination

Explicación

Pregunta 14 de 61

1

Jason has schizophrenia and has been experiencing psychosis. His psychotic episodes have not been responsive to some medications and he has now been prescribed Clozapine.

What is the significant side effect of clozapine?

Selecciona una de las siguientes respuestas posibles:

  • Postural hypotension

  • Agranulocytosis

  • Dry mouth

  • Weight loss

Explicación

Pregunta 15 de 61

1

The benefits of conducting a mental health assessment do NOT include:

Selecciona una de las siguientes respuestas posibles:

  • provides a means to gauge the mental health of the client

  • Allows the nurse to decide which family members are supporting the client

  • starts the process of building a therapeutic relationship

  • provides an opportunity to engage with the person who is seeking help

Explicación

Pregunta 16 de 61

1

Which of the answers below is the correct 3 components of the MSE?

Selecciona una de las siguientes respuestas posibles:

  • Insight, aggression & affect

  • Judgment, delusion & speech

  • Appearance, mood & thought

  • Behaviour, conception & sensorium

Explicación

Pregunta 17 de 61

1

Jack is admitted to an acute adult ward following an attempt at suicide by overdose 4 days ago.

He tells you that he feeling much better and that he has written letters to his family to apologise for his behaviour and has asked for their forgiveness.

This is information informs you that?

Selecciona una de las siguientes respuestas posibles:

  • Jack is well again and can be discharged

  • Jack remains suicidal and further assessment should continue

  • Jack`s condition is improving and he has shown remorse for his poor behaviour

  • Jack`s family were the cause of all of his problems

Explicación

Pregunta 18 de 61

1

The term suicidal ideation is defined as which of the following?

Selecciona una de las siguientes respuestas posibles:

  • Thinking about and planning one's own death

  • The accidental act of taking one's own life

  • An unintentional overdose

  • Planing another's death

Explicación

Pregunta 19 de 61

1

Bipolar 1 Disorder involves one or more manic episodes

Selecciona uno de los siguientes:

  • VERDADERO
  • FALSO

Explicación

Pregunta 20 de 61

1

Jack has a diagnosis of Bi-polar disorder. Which of the following would be the predominant medication regime for bi-polar disorder?

Selecciona una de las siguientes respuestas posibles:

  • Hypnotics

  • Mood stabilisers

  • Anti-depressants

  • Anxiolytics

Explicación

Pregunta 21 de 61

1

What percentage of the Australian population is estimated to experience a mental health issue in their life?

Selecciona una de las siguientes respuestas posibles:

  • 50%

  • --30

  • 40%

  • -60%

Explicación

Pregunta 22 de 61

1

An emergency examination authority allows a person to be detained for ___________ for an examination.

Selecciona una de las siguientes respuestas posibles:

  • ---8 hours

  • --24 hours

  • 6- 12 hours

  • 1 hour

Explicación

Pregunta 23 de 61

1

Tim has schizophrenia and his family are visiting him in hospital following a psychotic episode. Tim's family are asking questions. You explain that schizophrenia is commonly diagnosed during which of the following periods?

Selecciona una de las siguientes respuestas posibles:

  • Late adolescence

  • Early childhood

  • Middle adulthood

  • Late adulthood

Explicación

Pregunta 24 de 61

1

Tim has been diagnosed with schizophrenia. Which of the following are classified as negative symptoms?

Selecciona una de las siguientes respuestas posibles:

  • Avolition and depression

  • Thought blocking and paranoid delusions

  • intoxication and depression

  • paranoia and inappropriate dress

Explicación

Pregunta 25 de 61

1

Which of the following is NOT a pharmacological treatment for anxiety?

Selecciona una de las siguientes respuestas posibles:

  • Monoamine oxidase inhibitors (MAOIs)

  • Selective serotonin reuptake inhibitors (SSRIs)

  • Benzodiazepines

  • Beta-blockers

Explicación

Pregunta 26 de 61

1

Jo is admitted to an acute adult mental health ward. Two days after her admission, Jo expresses suicidal ideation.

----Jo tells the nurse she feels at peace and is fine. Jo informs the nurse that she would like to be discharged.

The nurse understands that:

Selecciona una de las siguientes respuestas posibles:

  • Jo has resolved her negative affect and now feels hopeful for the future. Jo can be discharged

  • Jo remains at risk of suicide and requires further assessment

  • Jo is ready for discharge as she now feels well again

  • --Jo's condition is improving and therefore home leave or discharge would be helpful

Explicación

Pregunta 27 de 61

1

When considering a client's risk of violence, a nurse might use the acronym STAMP for heir assessment. The 'A"in STAMP stands for

Selecciona una de las siguientes respuestas posibles:

  • Aggression

  • Aggravation

  • Anger

  • Anxiety

Explicación

Pregunta 28 de 61

1

Feeling spiders crawl on you is an example of _______________________

Selecciona una de las siguientes respuestas posibles:

  • a gustatory hallucination

  • an olfactory hallucination

  • a visual hallucination

  • a tactile hallucination

Explicación

Pregunta 29 de 61

1

If a patient's serum lithium level was above 3 mEq/l, which would be the most appropriate nursing intervention?

Selecciona una de las siguientes respuestas posibles:

  • withhold the next dose and wait until the doctor's next round to inform them of the level

  • Assist in the administration of mannnitol

  • take a further lithium level the next day to ensure accuracy of the level

  • administer over the counter medications for the relief of symptoms

Explicación

Pregunta 30 de 61

1

During an assessment patient Sally thinks

`Wow! That nurse didn`t even react when I told her about the drugs I used`

What therapeutic skill is the nurse using?

Selecciona una de las siguientes respuestas posibles:

  • Attention

  • Unconditional positive regard

  • Collaborative care

  • Empathy

Explicación

Pregunta 31 de 61

1

During an assessment Nurse Mary says to her patient:

`Sally can you please tell me more about your drug use?`

This is an example of which of teh following?

Selecciona una de las siguientes respuestas posibles:

  • Closed question

  • Open question

  • Minimal response

  • Non verbal cue

Explicación

Pregunta 32 de 61

1

FRAMES is a model for conducting brief interventions within substance use settings.

Which of the following relates to `E` in FRAMES acronym?

Selecciona una de las siguientes respuestas posibles:

  • Empathy

  • Engagement

  • Education

  • Environment

Explicación

Pregunta 33 de 61

1

MAOI is the acronym for: Monoamine Oxidase Inhibitors

Selecciona uno de los siguientes:

  • VERDADERO
  • FALSO

Explicación

Pregunta 34 de 61

1

the nurse working with a client with an antisocial personality disorder would expect which of the following behaviours?

Selecciona una de las siguientes respuestas posibles:

  • exploitation of other clients

  • compliance with expectations and rules

  • --withdrawal from social activities

  • utilisation of rituals to allay anxiety

Explicación

Pregunta 35 de 61

1

Alan is diagnosed with delirium tremens having been alcohol dependent. He attempts to remove his intravenous line from his arm and says to the nurse 'get this snake out of me!'

Alan is experiencing which f the following?

Selecciona una de las siguientes respuestas posibles:

  • Olfactory hallucinations

  • Delusions

  • Illusions

  • Auditory hallucinations

Explicación

Pregunta 36 de 61

1

You are a school nurse and you are completing a risk assessment on Jessica, a 15 year old.

Which of the following three factors put Jessica at high risk of suicide?

Selecciona una de las siguientes respuestas posibles:

  • bouts of weeping, a recent bereavement, loss of appetite

  • hallucinations, delusions, pressured speech

  • past suicide attempts, a diagnosis of mood disorder, a plan

  • Hypomania, insomnia, living in a single parent family

Explicación

Pregunta 37 de 61

1

Lisa is admitted with a tentative diagnosis of anorexia nervosa. According to DSM-V the criteria that must be present for this diagnosis includes which of the following?

Selecciona una de las siguientes respuestas posibles:

  • Bradycardia with peripheral oedema

  • Persistent restriction of energy intake

  • Mild anaemia with fatigue after exertion

  • Weight loss of at least 15 (fifteen) kilos

Explicación

Pregunta 38 de 61

1

According to Barker's (2004) content free interviewing communication strategy, which of the following strategies does Barker suggest is best to understand psychosis?

Selecciona una de las siguientes respuestas posibles:

  • Tell the person that you do not agree with their beliefs

  • Ask the person to describe how they know that their belief is true

  • Ask the person to tell you how their beliefs make them feel

  • Tell the person that you believe their delusion

Explicación

Pregunta 39 de 61

1

Tim has been diagnosed with schizophrenia and whilst experiencing a psychotic episode is hospitalised.

Which of the following are likely to be Tim's positive symptoms?

Selecciona una de las siguientes respuestas posibles:

  • Anhedonia, lethargy, social isolation

  • Hallucinations, delusions, disorganised speech

  • Suicidal ideation, introversion, poor hygiene

  • disorganised behaviours, pressure of speech, social isolation

Explicación

Pregunta 40 de 61

1

When assessing for symptoms of mania, the nurse recognises that the symptoms may include which of the following?

Selecciona una de las siguientes respuestas posibles:

  • Low self esteem

  • Avolition

  • Decreased need to sleep

  • Paranoid delusions

Explicación

Pregunta 41 de 61

1

You are completing an MSE on David and he tells you that he is feeling 'really very well, thank you'

However on observation you note that Davis is slow to move, slow to respond to your questions and does notshow any animation in his speech.

You recognise this as being which of the following?

Selecciona una de las siguientes respuestas posibles:

  • Distorted perceptions

  • Incongruence of mood and affect

  • Congruence of mood and affect

  • Incongruence of perception

Explicación

Pregunta 42 de 61

1

Susan is a secondary school nurse. She has received a referral about Wendy from the guidance officer. Prior to meeting Wendy, Susan reads the school report and meets with Wendy's home room teacher.

Susan is currently in what phase of the therapeutic relationship with Wendy?

Selecciona una de las siguientes respuestas posibles:

  • Working

  • Termination

  • Pre-orientation

  • Orientation

Explicación

Pregunta 43 de 61

1

A nurse working with a client with agoraphobia recognises that the most effective technique for treatment of agoraphobia is:

Selecciona una de las siguientes respuestas posibles:

  • gradual desensitization by controlled exposure to the situation the client fears

  • teaching relaxation techniques

  • distraction each time the client brings up the problem

  • repeated exposure to the situations the client fears

Explicación

Pregunta 44 de 61

1

Lisa is admitted with a tentative diagnosis of anorexia nervosa.

The nurse caring for Lisa should explain to Lisa`s family that it is typical for a person with anorexia nervosa to percieve his or her body as which of the following?

Selecciona una de las siguientes respuestas posibles:

  • Extremely obese

  • Sexually appealing

  • Extremely thin

  • Normal size

Explicación

Pregunta 45 de 61

1

Karmel is prescribed Prozac (fluoxetine) for a diagnosis of major depression.

The nurse recognises that this is which of the following types of medication?

Selecciona una de las siguientes respuestas posibles:

  • MAOI

  • Tricyclic antidepressant

  • minor tanquilliser

  • Selective serontonin reuptake inhibitor

Explicación

Pregunta 46 de 61

1

Which of the following would NOT indicate an increased risk of suicide?

Selecciona una de las siguientes respuestas posibles:

  • Having sudden improvement of mood

  • Calling family members to make amends for past events

  • Feeling overwhelmed by daily tasks

  • Statements like `It will be the end of the story`

Explicación

Pregunta 47 de 61

1

As a nurse, you are planning to deliver some psychoeducation to Tim, who has recently been diagnosed with schizophrenia.

What topic would take priority?

Selecciona una de las siguientes respuestas posibles:

  • The importance of taking medication correctly

  • The ways to behave when taking a trip on a bus into the community

  • How to complete an application for housing

  • How to be assertive

Explicación

Pregunta 48 de 61

1

Sam is undergoing a medically supported alcohol withdrawal.

Which of the following medications would you give to maintain brain function and decrease liklihood of cognitive impairments?

Selecciona una de las siguientes respuestas posibles:

  • Cod liver oil

  • Vitamin B complex

  • Vitamin C

  • Thiamine

Explicación

Pregunta 49 de 61

1

Abel has been admitted into the acute hospital in acute alcohol withdrawal. He has not had alcohol for 36 hours.

Which if teh following would you be most concerned about?

Selecciona una de las siguientes respuestas posibles:

  • Korsakoff's syndrome

  • Wernicke's encephalopathy

  • Dependence

  • Delerium tremens

Explicación

Pregunta 50 de 61

1

Jason is in hospital having experienced delusions and acute psychosis. He is now prescribed antipsychotic medications. You notice that he is pacing the hospital corridor and is unable to stay still even when you are trying to engage him in conversation. You assess Jason as most likely to be experiencing which of the following?

Selecciona una de las siguientes respuestas posibles:

  • Oculogyric crisis

  • Dystonia

  • Akinesia

  • Akathisia

Explicación

Pregunta 51 de 61

1

Nora states that worms are wriggling on her body. There is nothing visible on her body. Which domain of the mental state examination is Nora having difficulties with?

Selecciona una de las siguientes respuestas posibles:

  • Perception

  • Thought

  • Mood and affect

  • Judgement

Explicación

Pregunta 52 de 61

1

The chronic abuse of alcohol may result in Korsakoff's syndrome. What is the main symptom of Korsakoff's syndrome?

Selecciona una de las siguientes respuestas posibles:

  • Paranoia

  • Ataxia

  • Memory loss

  • Visual chnages

Explicación

Pregunta 53 de 61

1

A sixty-year-old client visits the mental health outpatient clinic, and tells the nurse that she "worries all the time and sometimes life just seems hopeless". The nurse suspects that the client is most likely experiencing ______________________

Selecciona una de las siguientes respuestas posibles:

  • borderline personality disorder

  • obsessive-compulsive disorder

  • ----generalised anxiety disorder

  • panic disorder without agoraphobia

Explicación

Pregunta 54 de 61

1

Which of the following best describes a rapid cycling bipolar disorder?

Selecciona una de las siguientes respuestas posibles:

  • It is a concurrence of elevated mood and depression for at least 4 times, within 1 month (YEAR)

  • It is a concurrence of elevated mood and depression within the last 12 months

  • It is a concurrence of elevated mood and depression at least 4 times within the last 1 month

  • It is a concurrence of elevated mood and depression within 1 month

Explicación

Pregunta 55 de 61

1

Jason is having delusional thoughts.

Which of the following would be the most appropriate nursing intervention?

Selecciona una de las siguientes respuestas posibles:

  • Challenge the content of the delusion

  • Separate Jason from the rest of the ward, he is clearly a danger to others

  • Promise Jason that medication is the correct treatment

  • Avoid challenging the content of the delusional thoughts

Explicación

Pregunta 56 de 61

1

Which of the following is the first line psychological intervention for Anorexia Nervosa?

Selecciona una de las siguientes respuestas posibles:

  • Re-feeding

  • Family therapy

  • Role modelling

  • Motivational interviewing

Explicación

Pregunta 57 de 61

1

When writing your nursing notes you note that Gary has a supportive family, good understanding of his psychosis and he adheres to his medication and medication reviews well.

You note that he undertakes some community work in a charity shops.

How would you classify these factors?

Selecciona una de las siguientes respuestas posibles:

  • Perpetrating

  • Protective

  • Problematic

  • Precipitating

Explicación

Pregunta 58 de 61

1

Symptoms of a panic attack can include:

Selecciona una de las siguientes respuestas posibles:

  • nausea, dizziness and chest pain

  • constipation, fatigue and diaphoresis

  • nausea, fatigue and chest pain

  • nausea, constipation and chest pain

Explicación

Pregunta 59 de 61

1

A life-threatening crisis can occur when a patient ingests tyramine when they are prescribed tricyclic antidepressants.

Selecciona uno de los siguientes:

  • VERDADERO
  • FALSO

Explicación

Pregunta 60 de 61

1

A normal or stable mental state is described as _______________________

Selecciona una de las siguientes respuestas posibles:

  • Dysthymic

  • Dysrythymic

  • Euphoric

  • Euthymic

Explicación

Pregunta 61 de 61

1

Sam has been admitted to hospital in acute alcohol withdrawal. He has not had any alcohol for 36 hours.

Which of the following symptoms would you expect Sam to display?

Selecciona una de las siguientes respuestas posibles:

  • Hypertension, vomiting and ataxia

  • Tremor, fatigue, rhinitis

  • Restlessness, tremor, headache

  • Sweating, goose flesh, diarrhoea

Explicación

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