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?
Pre-orientation
Orientation
Termination
Working
A patient’s unresolved feelings related to loss would be MOST LIKELY observed during which phase of the therapeutic nurse-patient relationship?
During which phase of the nurse-patient relationship can the nurse anticipate that identified patient issues will be explored and resolved?
Preorientation
At what point in the nurse-patient relationship should a nurse plan to first address termination?
During the orientation phase
At the end of the working phase
Near the beginning of the termination phase
When the patient initially brings up the topic
You are assessing Deepak and 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?
Perception
Judgement
Memory
Concentration
Which of the following cognitive tasks is NOT an assessment of short term or long term memory?
Ask the patient to tell you his or her address and later, you check the answer with patient’s medical record.
Ask the patient to name as many animals as possible that can be found in the Zoo.
Ask the patient to name the current day/month/year.
Inform the patient 3 objects (e.g. Apple, Newspaper and Train) and ask the patient to name the 3 objects immediately.
Which of the below are examples of questions to screen for perception abnormalities:
Do you ever see, hear, smell, feel, or taste things that are not really there?
Did you think this was real at the time?
Do you still believe it was real?
All of the above.
Lisa is admitted with a tentative diagnosis of anorexia nervosa. The nurse should advise Lisa`s family that Lisa`s fear of being overweight can be equated to her desire to?
Calm her euphoria
Maintain a sense of control
Become a model
Please her partner
Bulimia nervosa is characterised by recurrent binge eating and inappropriate use of compensatory behaviours. The most common example of a compensatory behaviour is: Select the MOST CORRECT answer
Self-induced vomiting.
Use of laxatives.
Excessive exercising.
In Schizophrenia, the term anhedonia refers to?
An inability to enjoy food
An inability to express empathy
An inability to react to enjoyable or pleasurable events
An inability to react appropriately to social cues
What? occurs most commonly in schizophrenia, depression, and bipolar disorder?
Decreased need to sleep
Paranoid delusions
Avolition
Low self esteem
Visual hallucinations are seen in:
Delirium tremens
Phobia
Depression
Mania
FRAMES is a model for conducting brief interventions within substance use settings. Which of the following relates to `F` in FRAMES acronym?
Fliight of ideas
Feedback
Flashback
Frotteurism
FRAMES is a model for conducting brief interventions within substance use settings. Which of the following relates to `R` in FRAMES acronym?
Reliability
Reinforcement
Responsibility
Resistance
FRAMES is a model for conducting brief interventions within substance use settings. Which of the following relates to `A` in FRAMES acronym?
Abulia
Affect
Analysis
Advice
FRAMES is a model for conducting brief interventions within substance use settings. Which of the following relates to `M` in FRAMES acronym?
Menu Options
Mood
FRAMES is a model for conducting brief interventions within substance use settings. Which of the following relates to `S` in FRAMES acronym?
Somatic hallucination
Somatic delusion
Self-Efficacy
Stupor
When considering a client's risk of violence, a nurse might use the acronym STAMP for their assessment. The S in STAMP stands for?
Staring and eye contact
Sign
Signal anxiety
Social adaptation
When considering a client's risk of violence, a nurse might use the acronym STAMP for their assessment. The T in STAMP stands for?
Thought broadcasting
Tone and volume of voice
Tolerance
Temperament
When considering a client's risk of violence, a nurse might use the acronym STAMP for their assessment. The M in STAMP stands for?
Mirroring
Mumbling
When considering a client's risk of violence, a nurse might use the acronym STAMP for their assessment. The P in STAMP stands for?
Panic attack
Paranoia
Pacing
Which is not one of the five stages within the trans-theoretical (stages of change) model
Maintenance
Pre-contemplation
Behavioural engagement
Preparation
You smell something that no one else can and that has no physical source.
an olfactory hallucination
a tactile hallucination
a gustatory hallucination
a visual hallucination
You have a taste in your mouth that has no source.
Delusion – a belief or impression maintained despite being contradicted by reality or rational argument, typically as a symptom of mental disorder.
A significant risk factor for the development of an eating disorder is which if the following?
Low self-esteem
A very thin parent
High self esteem
High personal regard
Which of the following is a diagnostic criterion for anorexia nervosa in DSMV?
A refusal to maintain a minimal body weight
A pathological fear of gaining weight
A distorted body image in which, even when clearly emaciated, sufferers continue to insist they are overweight
All of the above
Steven would experience panic if he goes to a shopping centre. He finds crowded places are difficult to escape. Steve may have:
Antlophobia
Agoraphobia
Chronophobia
Urophobia
Mania involves:
Boundless, frenzied energy.
Feelings of euphoria.
Ideas coming too fast and too many.
Which of the following is NOT true for someone experiencing a panic attack?
they should be considered to have a respiratory problem until this is ruled out
the first step to treatment is to slow down their breathing
they will respond better if you raise your voice when talking to them
they are likely to present to an Emergency Department
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:
Jo's condition is improving and therefore home leave or discharge would be helpful
Jo remains at risk of suicide and requires further assessment
Jo is ready for discharge as she now feels well again
Jo has resolved her negative affect and now feels hopeful for the future. Jo can be discharged
The term suicidal ideation is defined as which of the following?
The accidental act of taking one's own life
Thinking about and planning one's own death
An unintentional overdose
Planning another's death
Which of the following is not an antidepressant drug?
Tricyclic antidepressants.
Monoamine oxidase inhibitors (MAOIs).
Selective serotonin reuptake inhibitors (SSRIs).
Antinoamine tritase rehibitor (ATRs).
Anxiolytic drugs are used to treat:
The symptoms of depression and mood disorder.
The symptoms of anxiety and stress.
The symptoms of psychosis and schizophrenia.
Loss of sexual desire.
Antipsychotics do which of the following?
Alleviate Major positive symptoms (such as thought disorder and hallucinations).
Alleviate Major negative symptoms (such as social withdrawal).
Reducing the burden of institutional care.
Promote personal growth and productivity.
Monoamine oxidase inhibitors (MAOIs) are effective for the treatment of:
Schizophrenia.
Major depression.
Obsessive compulsive disorder.
Generalized anxiety disorder.
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?
Ideas of reference
Visual hallucination
Tangential thinking
Persecutory delusion
Generalised Anxiety Disorder (GAD) is a pervasive condition in which the sufferer experiences:
Fear of fear.
Continual apprehension and anxiety about future events.
Continual flashbacks to past events.
A desire to check that the environment is safe.
Tim has been diagnosed with schizophrenia and whilst experiencing a psychotic episode is hospitalised. Which of the following are likely to be Tim's negative symptoms?
Absent, blunted or incongruous emotional responses.
Suicidal ideation, introversion, poor hygiene
Disorganised behaviours, pressure of speech, social isolation
Anhedonia, lethargy, social isolation
In relation to alcohol use all of the following are symptoms of delirium tremens EXCEPT?
Confusion
Disorientation
Insomnia
In Bipolar II Disorder, major depressive episodes alternate with periods of:
Hyperventilation.
Hypomania.
Hypothermia.
Hypoxia.
The nurse working with a client with an antisocial personality disorder would expect which of the following behaviours?
withdrawal from social activities
compliance with expectations and rules
utilisation of rituals to allay anxiety
exploitation of other clients
In Schizophrenia psychotic symptoms such as hallucinations delusions, disorganised speech and grossly disorganised or catatonic behaviours are known as:
Negative symptoms
Positive symptoms
Mediating symptoms
Catastrophic symptoms
Misinterpretation of perceptions or experiences in Schizophrenia are known as:
Hallucinations
Misperceptions
Delusions
A normal or stable mental state is described as
Dysthymic
Euthymic
Euphoric
Dysphoric
A persistent mild depression is described as
A feeling of intense excitement and happiness is described as
A state of mental discomfort or suffering is described as
Which of the following is an important factor in substance abuse?
Whether the substances are regularly used by other family members
Whether the family environment is rural or urban
Whether you are a twin
Whether you are born in the winter
Alcohol Dependence is supported specifically by evidence of tolerance effects and withdrawal symptoms that develop within:
1-2 hours of restricted consumption
3-6 hours of restricted consumption
4-12 hours of restricted consumption
12-24 hours of restricted consumption
Which of the following is not a hallucinogenic?
Cannabis
MDMA
LSD
Antibiotics
Which of the following are the consequences of vitamin and mineral deficiencies which can lead to dementia and memory disorders in alcohol abuse?
Smirnoff's syndrome
Korsakoff's syndrome
Helmert syndrome
Huynh-Feldt syndrome
An outdoor education program for adolescents who have been identified as 'at risk' of mental health problems is considered:
Rehabilitation
Prevention
Treatment
Early intervention
Which of the following is a subtype of Dramatic/Emotional Personality Disorders (Cluster B)
Paranoid Personality Disorder
Schizotypical Personality Disorder
Histrionic Personality Disorder
Schizoid Personality Disorder
Which of the following is NOT considered to be a risk factors for personality disorders ?
living in inner cities
low socioeconomic class
gender
being a young adult
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
obsessive-compulsive disorder
panic disorder without agoraphobia
generalised anxiety disorder
borderline personality disorder
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?
Oculogyric crisis
Akinesia
Akathisia
Dystonia
Jason is in hospital having experienced a state of abnormal muscle tone resulting in muscular spasm and abnormal posture, typically due to neurological disease or a side effect of drug therapy. You assess Jason as most likely to be experiencing which of the following?
Jason is in hospital having experienced bilateral elevation of the visual gaze. You assess Jason as most likely to be experiencing which of the following?
Jason is in hospital having experienced a loss or an impairment of the power of voluntary movement. You assess Jason as most likely to be experiencing which of the following?
