Mental Health Assessment

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Question 1

Free

Multiple Choice

What function do neurotransmitters have in mental health disorders?

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Dopamine levels are increased in schizophrenia.

Increased levels of gamma aminobutyric acid (GABA) contribute to anxiety.

Serotonin is decreased in a state of anxiety.

Norepinephrine is increased in depression.

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Question 2

Free

Multiple Choice

A 24-year-old male patient tells the nurse he has had no energy for 2 weeks. He has no trouble falling asleep; in fact, he sleeps deeply about 12 hours every night. He states that he has gained 10 lb in the past 2 months and has no friends. The nurse associates these manifestations with which mental health disorder?

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Depression

Schizophrenia

Bipolar disorder

Anxiety disorder

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Question 3

Free

Multiple Choice

A female patient states that she has had problems with depression in the past and thinks she is depressed again. Which response by the nurse is most appropriate?

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"What do you think is causing your depression this time?"

"What therapies have worked for you in the past?"

"Did you stop taking your medication?"

"Do you think this is a situational depression?"

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Question 4

Free

Multiple Choice

Which patient may be experiencing severe anxiety?

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A woman who tells the nurse she is terrified of cats

A man who tells the nurse he feels worthless and is always tired

A woman who reports that she is sleeping very lightly each night because her child has an ear infection

A man who phones the nurse five times asking for instructions about how to take his new medication

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Question 5

Free

Multiple Choice

While assessing a man during a physical examination for work, the nurse suspects alcohol use. Which assessment tool is appropriate in this situation?

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AUDIT screening tool

Rapid eye test

Mental status examination

HITS screening tool

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Question 6

Multiple Choice

A nurse screens every adult and adolescent patient for alcohol consumption. Which patient drinks more than recommended?

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The man who reports drinking three beers and one shot of whiskey each day

The woman who reports drinking two glasses of wine and two vodka martinis each day

The older adult man who reports drinking one glass of sherry before going to bed each night

The woman who reports drinking one glass of wine with dinner each day.

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Question 7

Multiple Choice

During a sports physical for a 16-year-old girl, the nurse asks which question to collect data about drug use?

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"Many teenagers have tried street drugs. Have you tried these drugs?"

"Tell me which street drugs your friends have offered to you?"

"Do most of your friends drink alcohol or do street drugs?"

"Your high school has a reputation for drug use. Do you use drugs?"

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Question 8

Multiple Choice

In contrasting the assessment of mental status from mental health, a nurse recognizes that data for the mental status examination are obtained using which techniques?

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Asking them about their relatives who have mental health disorders

Having them demonstrate their ability to reason and calculate

Asking them to recall how they have coped with daily stress

Having them describe their mood and emotions

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Question 9

Multiple Choice

A nurse is admitting a new patient. Which statement by the patient suggests a bipolar disorder?

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"The last time I had blood drawn at the office, I fainted dead away."

"No matter how hard I try, I just can't get into an elevator of any kind."

"Everyone knows I can control the financial health of this town with a snap of my fingers."

"I worked for Frank Sinatra's band for several months when I lived in New Jersey years ago."

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Question 10

Multiple Choice

During conversation, the nurse observes that the patient is talking continuously and excitedly, and is switching rapidly from one topic to another with seemingly no relationship between topics. This behavior is often associated with which disorder?

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Depression

Obsessive-compulsive disorder

Schizophrenia

Bipolar disorder

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Question 11

Multiple Choice

During a visit to the clinic for an annual gynecologic examination, a patient tells the nurse that she had a bad experience on an airplane, saying, "When I sat down, my heart started racing, I was short of breath and sweaty, and I felt as if I was going to die." She stated that her husband helped her to calm down after a few minutes. The nurse recognizes that the patient was describing which problem?

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Bipolar disorder, manic phase

Moderate anxiety

Panic

Delusions

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Question 12

Multiple Choice

A patient in the waiting room appears anxious and moves around the room cleaning surfaces with a disinfectant cloth. This behavior is consistent with which disorder?

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Bipolar disorder

Delirium

Schizophrenia

Obsessive-compulsive disorder

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Question 13

Multiple Choice

An elderly patient was admitted with pneumonia and a fever of 104.5° F. At the time of admission he was confused, disoriented, restless, and tried to slap the nurse who started an intravenous line. His daughter stated, "Just yesterday he was perfectly fine, except for a cold. I can't believe he is acting this way now." Within a few days, his erratic behavior subsided and his daughter was relieved that he was "back to normal." The nurse recognizes that this patient was exhibiting signs of which disorder?

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Dementia

Delirium

Panic attack

Alcohol withdrawal

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Question 14

Multiple Choice

During a report, a nurse hears about a patient who was admitted at 8 PM after an automobile accident. He had a blood alcohol level of 100 mg/dl at the time of admission. During the 8 AM assessment, the nurse notes that the patient is having hand tremors, is sweaty, is slightly agitated, and complains of nausea. The nurse recognizes that the patient may be exhibiting signs of which disorder?

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Alcohol withdrawal syndrome

Delirium tremens

Panic

Delirium

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Question 15

Multiple Choice

Which neurotransmitters are decreased in patients with depression? (Select all that apply.)

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Acetylcholine (Ach)

Histamine

Norepinephrine (NE)

Dopamine (DA)

Gamma aminobutyric acid (GABA)

Serotonin (5 HT)

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Question 16

Multiple Choice

During a mental health history, the nurse suspects altered mental status for a patient. Which questions are appropriate to ask when assessing mental status? (Select all that apply.)

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Do you have difficulty making decisions?

Do you know where you are?

Are there times when you wanted to escape?

If you bought a hat for $5.75 and gave the sales person $10.00, how much change do you expect back?

What would you do if a fire started in your home?

What does this phrase "A rolling stone gathers no moss" mean?

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Question 17

Multiple Choice

While conducting a health history, the nurse asks which questions to assess for risk factors associated with depression? (Select all that apply.)

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Has anyone in your family ever been diagnosed with depression?

Have you noticed a change in how much energy you have?

Do you have crying spells?

Do your muscles seem tense?

Do you feel that something bad is about to happen to you?

Do you have difficulty making decisions?

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