Questions 20

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Mental Health Practice Test Questions Questions

Question 1 of 5

A 20-year-old man arrives at the emergency department by ambulance. He is unconscious, with slow respirations and pinpoint pupils. There are 'tracks' visible on his arms. The friend who came with him reports that the client had just 'shot up' heroin when he became unconscious. Which medication would the nurse most likely expect to administer?

Correct Answer: A

Rationale: The correct answer is A: Naloxone. Naloxone is a medication used to reverse opioid overdose by blocking opioid receptors in the brain. In this case, the man's symptoms of slow respirations and pinpoint pupils are indicative of opioid overdose. Naloxone can quickly restore normal breathing and consciousness. Naltrexone (
B) is used for opioid addiction treatment but not for acute overdose reversal. Bupropion (
C) is an antidepressant and smoking cessation aid, not indicated for opioid overdose. Varenicline (
D) is a smoking cessation aid and is not used for opioid overdose reversal.

Question 2 of 5

Which nursing intervention focuses on managing a common characteristic of major depressive disorder associated with the older population?

Correct Answer: A

Rationale: The correct answer is A because conducting routine suicide screenings at a senior center is a crucial nursing intervention to manage the common characteristic of major depressive disorder associated with the older population, which is an increased risk of suicide. By conducting these screenings, nurses can identify individuals at risk and provide appropriate interventions to prevent suicide.
Choice B is incorrect as depression is not a natural result of aging and should not be normalized.
Choice C is incorrect as both males and females are at risk for developing depression.
Choice D is incorrect as major depressive disorder is often a recurring condition, rather than a one-time episode for many individuals.

Question 3 of 5

A nurse is preparing to assess a middle-aged male client who was brought to the emergency department by his wife. She reports that the client has been extremely depressed lately. When assessing this client, which of the following would be a priority assessment?

Correct Answer: B

Rationale: The correct answer is B: Thoughts of self-harm. This is the priority assessment because it indicates the client's risk of harm to himself. Assessing for self-harm is crucial in determining the immediate safety of the client. Changes in sleeping patterns, appetite, and fatigue are important assessments in evaluating depression but do not directly address the client's immediate safety. It is essential to address the most critical issue first to ensure the client's well-being.

Question 4 of 5

During a solution-focused behavior therapy session, the therapist asks a patient to use his imagination based on a scenario in which a patient awakens and all his problems have disappeared. The therapist then asks the patient, 'How would your life be different?' Which type of question is the therapist using?

Correct Answer: B

Rationale: The correct answer is B: Miracle question. This question is used to help clients envision a future where their problems have miraculously disappeared, allowing them to explore how their life would be different without those issues. It encourages clients to imagine a positive change and helps them identify their desired outcomes. A: Exception question focuses on times when the problem did not occur. C: Relationship question explores how relationships may be impacting the issue. D: Scaling question involves rating progress or motivation levels, not imagining a problem-free scenario.

Question 5 of 5

The nurse is caring for a group of hospitalized patients with various psychiatric diagnoses. The nurse identifies which patient as having the greatest risk for a suicide attempt?

Correct Answer: C

Rationale: The correct answer is C: Man with major depressive disorder. Patients with major depressive disorder have a higher risk of suicide due to the intense feelings of hopelessness and despair associated with the condition. Individuals with depression may experience suicidal ideation and have a higher likelihood of attempting suicide. Bipolar I disorder (
A) may also present a risk, but major depressive disorder has a more consistent association with suicide. Acute stress disorder (
B) typically does not have as direct a link to suicide as major depressive disorder. Somatoform disorder (
D) is characterized by physical symptoms without a clear medical explanation and is not specifically linked to an increased risk of suicide.

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