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

Questão 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?

Selecione uma das seguintes:

  • Perception

  • Judgement

  • Memory

  • Concentration

Explicação

Questão 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?

Selecione uma das seguintes:

  • Reflection

  • Questioning

  • Paraphrasing

  • Summarising

Explicação

Questão 3 de 61

1

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

Selecione uma das seguintes:

  • Visual hallucination

  • Confusion

  • Insonmia

  • Disorientation

Explicação

Questão 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?

Selecione uma das seguintes:

  • Contemplation

  • Action

  • Maintenance

  • Precontemplation

Explicação

Questão 5 de 61

1

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

What does SSRI stand for?

Selecione uma das seguintes:

  • Selective serotonin reuptake interuption

  • Selective selenium reuptake inhibitor

  • Selective serotonin reuptake inhibitor

  • Secreting serotonin reuptake inhibitor

Explicação

Questão 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?

Selecione uma das seguintes:

  • Lorazepam

  • Lithium

  • Benztropin

  • St John`s Wort

Explicação

Questão 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:

Selecione uma das seguintes:

  • Urophobia

  • Chronophobia

  • agoraphobia

  • Antlophobia

Explicação

Questão 8 de 61

1

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

Selecione uma das seguintes:

  • 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

Explicação

Questão 9 de 61

1

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

Selecione uma das opções:

  • VERDADEIRO
  • FALSO

Explicação

Questão 10 de 61

1

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

Selecione uma das seguintes:

  • Treatment

  • Prevention

  • Early intervention

  • Rehabilitation

Explicação

Questão 11 de 61

1

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

Selecione uma das seguintes:

  • High personal regard

  • High self esteem

  • A very thin parent

  • Low self-esteem

Explicação

Questão 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?

Selecione uma das seguintes:

  • Become a model

  • Please her partner

  • Maintain a sense of control

  • Calm her euphoria

Explicação

Questão 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?

Selecione uma das seguintes:

  • Ideas of reference

  • Persecutory delusion

  • Tangential thinking

  • Visual hallucination

Explicação

Questão 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?

Selecione uma das seguintes:

  • Postural hypotension

  • Agranulocytosis

  • Dry mouth

  • Weight loss

Explicação

Questão 15 de 61

1

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

Selecione uma das seguintes:

  • 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

Explicação

Questão 16 de 61

1

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

Selecione uma das seguintes:

  • Insight, aggression & affect

  • Judgment, delusion & speech

  • Appearance, mood & thought

  • Behaviour, conception & sensorium

Explicação

Questão 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?

Selecione uma das seguintes:

  • 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

Explicação

Questão 18 de 61

1

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

Selecione uma das seguintes:

  • Thinking about and planning one's own death

  • The accidental act of taking one's own life

  • An unintentional overdose

  • Planing another's death

Explicação

Questão 19 de 61

1

Bipolar 1 Disorder involves one or more manic episodes

Selecione uma das opções:

  • VERDADEIRO
  • FALSO

Explicação

Questão 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?

Selecione uma das seguintes:

  • Hypnotics

  • Mood stabilisers

  • Anti-depressants

  • Anxiolytics

Explicação

Questão 21 de 61

1

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

Selecione uma das seguintes:

  • 50%

  • --30

  • 40%

  • -60%

Explicação

Questão 22 de 61

1

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

Selecione uma das seguintes:

  • ---8 hours

  • --24 hours

  • 6- 12 hours

  • 1 hour

Explicação

Questão 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?

Selecione uma das seguintes:

  • Late adolescence

  • Early childhood

  • Middle adulthood

  • Late adulthood

Explicação

Questão 24 de 61

1

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

Selecione uma das seguintes:

  • Avolition and depression

  • Thought blocking and paranoid delusions

  • intoxication and depression

  • paranoia and inappropriate dress

Explicação

Questão 25 de 61

1

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

Selecione uma das seguintes:

  • Monoamine oxidase inhibitors (MAOIs)

  • Selective serotonin reuptake inhibitors (SSRIs)

  • Benzodiazepines

  • Beta-blockers

Explicação

Questão 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:

Selecione uma das seguintes:

  • 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

Explicação

Questão 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

Selecione uma das seguintes:

  • Aggression

  • Aggravation

  • Anger

  • Anxiety

Explicação

Questão 28 de 61

1

Feeling spiders crawl on you is an example of _______________________

Selecione uma das seguintes:

  • a gustatory hallucination

  • an olfactory hallucination

  • a visual hallucination

  • a tactile hallucination

Explicação

Questão 29 de 61

1

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

Selecione uma das seguintes:

  • 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

Explicação

Questão 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?

Selecione uma das seguintes:

  • Attention

  • Unconditional positive regard

  • Collaborative care

  • Empathy

Explicação

Questão 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?

Selecione uma das seguintes:

  • Closed question

  • Open question

  • Minimal response

  • Non verbal cue

Explicação

Questão 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?

Selecione uma das seguintes:

  • Empathy

  • Engagement

  • Education

  • Environment

Explicação

Questão 33 de 61

1

MAOI is the acronym for: Monoamine Oxidase Inhibitors

Selecione uma das opções:

  • VERDADEIRO
  • FALSO

Explicação

Questão 34 de 61

1

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

Selecione uma das seguintes:

  • exploitation of other clients

  • compliance with expectations and rules

  • --withdrawal from social activities

  • utilisation of rituals to allay anxiety

Explicação

Questão 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?

Selecione uma das seguintes:

  • Olfactory hallucinations

  • Delusions

  • Illusions

  • Auditory hallucinations

Explicação

Questão 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?

Selecione uma das seguintes:

  • 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

Explicação

Questão 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?

Selecione uma das seguintes:

  • Bradycardia with peripheral oedema

  • Persistent restriction of energy intake

  • Mild anaemia with fatigue after exertion

  • Weight loss of at least 15 (fifteen) kilos

Explicação

Questão 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?

Selecione uma das seguintes:

  • 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

Explicação

Questão 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?

Selecione uma das seguintes:

  • Anhedonia, lethargy, social isolation

  • Hallucinations, delusions, disorganised speech

  • Suicidal ideation, introversion, poor hygiene

  • disorganised behaviours, pressure of speech, social isolation

Explicação

Questão 40 de 61

1

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

Selecione uma das seguintes:

  • Low self esteem

  • Avolition

  • Decreased need to sleep

  • Paranoid delusions

Explicação

Questão 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?

Selecione uma das seguintes:

  • Distorted perceptions

  • Incongruence of mood and affect

  • Congruence of mood and affect

  • Incongruence of perception

Explicação

Questão 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?

Selecione uma das seguintes:

  • Working

  • Termination

  • Pre-orientation

  • Orientation

Explicação

Questão 43 de 61

1

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

Selecione uma das seguintes:

  • 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

Explicação

Questão 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?

Selecione uma das seguintes:

  • Extremely obese

  • Sexually appealing

  • Extremely thin

  • Normal size

Explicação

Questão 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?

Selecione uma das seguintes:

  • MAOI

  • Tricyclic antidepressant

  • minor tanquilliser

  • Selective serontonin reuptake inhibitor

Explicação

Questão 46 de 61

1

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

Selecione uma das seguintes:

  • 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`

Explicação

Questão 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?

Selecione uma das seguintes:

  • 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

Explicação

Questão 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?

Selecione uma das seguintes:

  • Cod liver oil

  • Vitamin B complex

  • Vitamin C

  • Thiamine

Explicação

Questão 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?

Selecione uma das seguintes:

  • Korsakoff's syndrome

  • Wernicke's encephalopathy

  • Dependence

  • Delerium tremens

Explicação

Questão 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?

Selecione uma das seguintes:

  • Oculogyric crisis

  • Dystonia

  • Akinesia

  • Akathisia

Explicação

Questão 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?

Selecione uma das seguintes:

  • Perception

  • Thought

  • Mood and affect

  • Judgement

Explicação

Questão 52 de 61

1

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

Selecione uma das seguintes:

  • Paranoia

  • Ataxia

  • Memory loss

  • Visual chnages

Explicação

Questão 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 ______________________

Selecione uma das seguintes:

  • borderline personality disorder

  • obsessive-compulsive disorder

  • ----generalised anxiety disorder

  • panic disorder without agoraphobia

Explicação

Questão 54 de 61

1

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

Selecione uma das seguintes:

  • 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

Explicação

Questão 55 de 61

1

Jason is having delusional thoughts.

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

Selecione uma das seguintes:

  • 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

Explicação

Questão 56 de 61

1

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

Selecione uma das seguintes:

  • Re-feeding

  • Family therapy

  • Role modelling

  • Motivational interviewing

Explicação

Questão 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?

Selecione uma das seguintes:

  • Perpetrating

  • Protective

  • Problematic

  • Precipitating

Explicação

Questão 58 de 61

1

Symptoms of a panic attack can include:

Selecione uma das seguintes:

  • nausea, dizziness and chest pain

  • constipation, fatigue and diaphoresis

  • nausea, fatigue and chest pain

  • nausea, constipation and chest pain

Explicação

Questão 59 de 61

1

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

Selecione uma das opções:

  • VERDADEIRO
  • FALSO

Explicação

Questão 60 de 61

1

A normal or stable mental state is described as _______________________

Selecione uma das seguintes:

  • Dysthymic

  • Dysrythymic

  • Euphoric

  • Euthymic

Explicação

Questão 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?

Selecione uma das seguintes:

  • Hypertension, vomiting and ataxia

  • Tremor, fatigue, rhinitis

  • Restlessness, tremor, headache

  • Sweating, goose flesh, diarrhoea

Explicação