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1
Q
A client with substance abuse disorder makes a comment "lately I have had to get more and more of my drug just to get my the effect I used to get." The nurse recognises this as an example of : 
A: Addiction
B: Dependence 
C: Tolerance 
D: Withdrawal
A

C: Tolerance

2
Q
  1. The nurse is caring for a client with a conversion disorder. Which of the following assessments will the nurse expect to see:
    A: Extreme distress over the physical symptom
    B: Indifference about the physical symptom
    C: Labile mood
    D: Multiple physical complaints
A

B: Indifference about the physical symptom

3
Q
  1. Strategies a nurse might use to deal with the demanding clients with personality disorders include all of the following except:
    A: Setting the time limits you devote to these clients’ demands
    B: Communicating with colleagues to ensure a consistent team approach toward these clients
    C: Giving these clients a little extra attention so there will be a positive feeling between you and them
    D: Responding to these clients’ needs in a professional, efficient manner
A

C: Giving these clients a little extra attention so there will be a positive feeling between you and them

4
Q
  1. In caring for a person with a paranoid personality disorder, the nurses should not attempt to:
    A: Respond to the client in an unemotional way
    B: Focus on the major features of the client’s dysfunctional behaviour
    C: Try to convince the client that their paranoid feelings are unfounded
    D: Give honest feedback to the client on how the client’s behaviour is perceived by others
A

C: Try to convince the client that their paranoid feelings are unfounded

5
Q
  1. The nurse caring for an individual with schizotypal personality disorder would expect to see:
    A: Few interactions with others and little verbalisation
    B: Impulsive, restless, aggressive behaviour
    C: Suspicious, lack of friends and odd behaviour
    D: Distrustful, cold and often angry behaviour
A

C: Suspicious, lack of friends and odd behaviour

6
Q
  1. Which of the following would be contra-indicated for a client who is experiencing severe symptoms of alcohol withdrawal?
    A: Ambulating the client
    B: Lowering the client’s bed
    C: Monitor intake and output
    D: Use short, clear and direct statements
A

A: Ambulating the client

7
Q
  1. People’s mental health promotion are linked with their

A: Genetic predisposition to disorders
B: Family’s health perceptions
C: Lifestyle choices
D: Behavioural experiences

A

C: Lifestyle choices

8
Q

8 Psychoanalytic theory holds that:

 A.  Behaviour of a person is influenced by the unconscious mind
 B.  Society may be ‘sicker’ than its individuals
 C.  There are neurotransmitters abnormalities
 D.  Culture, society, government, laws, economy can contribute to  mental illness
A

A. Behaviour of a person is influenced by the unconscious mind

9
Q
  1. A client says, “Watch out! There is someone standing right behind you.” There is no one else there. The appropriate response by the nurse is:
    A: “I understand that you see someone, but I don’t see anyone there.”
    B: “Let’s move away to the other room.”
    C: “Tell me more about what you see.”
    D: “You are not seeing anything”
A

A: “I understand that you see someone, but I don’t see anyone there.”

10
Q
  1. Which statement by a depressed client taking an antidepressant would indicate that further teaching is necessary?
    A: “Once I start taking medication, I should begin to feel better within a day or two.”
    B: “My appetite should improve once my depression is resolved.”
    C: “My medications work on the synaptic gap in my brain.”
    D: “I can expect to be able to sleep through the night again once I begin to feel better.”
A

A: “Once I start taking medication, I should begin to feel better within a day or two.”

11
Q
  1. Patients with schizophrenia may help prevent relapse by all of the following
    interventions except:
    A: Self-monitoring of symptoms such as decreased appetite, difficulty sleeping and mild psychotic symptoms.
    B. Identify triggers that bring about increased distress.
    C. Using alcohol and other drugs to treat uncomfortable symptoms of schizophrenia
    D. Following medication regimes even when they “feel better.”
A

C. Using alcohol and other drugs to treat uncomfortable symptoms of schizophrenia

12
Q
  1. To work closely with families of patients with schizophrenia the nurse should do all of the following except:

A. Recognise and acknowledge the care giving burden
B. Prepare the management plan for the patient without the family
C. Provide the education about the illness, relapse prevention, symptom monitoring,
and medication management
D Provide resources to meet needs during crises, for relapse care, and affiliation with
support groups

A

B. Prepare the management plan for the patient without the family

13
Q
  1. Name four theoretic approaches used in mental health setting
A

Biomedical theory
Psychoanalytical theory
Cognitive theory
Behavioural theory

14
Q

List four reasons for carrying out a risk assessment�

A

risk suicide —————- risk to patient
risk of violence ———– risk to others
risk of sexual abuse —– risk to property
risk to others ————— risk to reputation

15
Q

Mention two Atypical antipsychotic drugs and state four side effects �

A

Olanzapine - sedation, weight gain

Clozapine - drooling, sedation, weight gain

16
Q

Describe the following Mental Health Act 1996 legal forms used mostly in authorised hospital Form 3

A

Transport order

17
Q

Describe the following Mental Health Act 1996 legal forms used mostly in authorised hospital Form 4

A

Detention for further assessment for 48hrs

18
Q

Describe the following Mental Health Act 1996 legal forms used mostly in authorised hospital Form 9

A

Continuation of involuntary order for up 6 months

19
Q

Describe the following Mental Health Act 1996 legal forms used mostly in authorised hospital Form 13

A

Breach of CTO

20
Q

Describe the following Mental Health Act 1996 legal forms used mostly in authorised hospital Form 10

A

Community Treatment Order (CTO)

21
Q

Calculate the body mass index (BMI) for a client who is 1.63 cm tall and weighs 47 kg.

A

BMI = Weight (kg) / (Height (m) x Height (m))

17.7