Mental Health Exam Questions Flashcards by Darilyn Inglemon

A person with a neurosis has the following:
A. Ineffective coping with stress
B. Mild interpersonal disorganization
C. Recognizes that they have a mental health disorder.
D. All of the above
E. None of the above

D. All of the above

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Biologic factors which may predispose someone to Major Depression include:
A. Insufficient norepinephrine and serotonin
B. Excess norepinephrine and serotonin
C. Insufficient norepinephrine and excess serotonin
D. Excess norepinephrine and insufficient serotonin

A. Insufficient norepinephrine and serotonin

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Axis III of the Diagnostic and Statistical Manual of Mental Disorders (DSM-VI-TR) covers which subject material?
A. Global Assessment of Functioning
B. Major Psychiatric disorders
C. Psychosocial and environmental disorders
D. General medical conditions
E. Personality and developmental disorders

D. General medical conditions

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Axis I of the Diagnostic and Statistical Manual of Mental Disorders (DSM-VI-TR) covers which subject material?
A. Global Assessment of Functioning
B. Major Psychiatric disorders
C. Psychosocial and environmental disorders
D. General medical conditions
E. Personality and developmental disorders

B. Major Psychiatric disorders

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Axis V of the Diagnostic and Statistical Manual of Mental Disorders (DSM-VI-TR) covers which subject material?
A. Global Assessment of Functioning
B. Major Psychiatric disorders
C. Psychosocial and environmental disorders
D. General medical conditions
E. Personality and developmental disorders

A. Global Assessment of Functioning

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Axis IV of the Diagnostic and Statistical Manual of Mental Disorders (DSM-VI-TR) covers which subject material?
A. Global Assessment of Functioning
B. Major Psychiatric disorders
C. Psychosocial and environmental disorders
D. General medical conditions
E. Personality and developmental disorders

C. Psychosocial and environmental disorders

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Axis II of the Diagnostic and Statistical Manual of Mental Disorders (DSM-VI-TR) covers which subject material?
A. Global Assessment of Functioning
B. Major Psychiatric disorders
C. Psychosocial and environmental disorders
D. General medical conditions
E. Personality and developmental disorders

E. Personality and developmental disorders

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Delerium is defined as:
A. Disorientation and agitation during evening and nights
B. An altered mental status related to cerebral disease
C., A slow and progressive loss of cognitive function
D. A rapid change in consciousness that occurs over a short period of time.
E. An identifiable brain disease that causes abnormal behavior

D. A rapid change in consciousness that occurs over a short period of time.

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Which of the following is a sign of drug withdrawal and not an adverse reaction:
A.  Dizziness
B.  Metallic taste
C.  Constipation
D.  Sedation

B. Metallic taste

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A patient is admitted for acute alcohol withdrawal. It is not surprising to see the physician has ordered:
A. Halcion 0.125mg PO at bedtime
B, Amitriptyline 20 mg IM QID
C. Abilify 20 mg PO every AM
D. Ativan 1.5 mg PO now, reassess in 1 hour

D. Ativan 1.5 mg PO now, reassess in 1 hour

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A delusion is defined as:
A.  A sensory experience
B.  A belief system
C.  A false fixed belief
D.  A tactile sensation

C. A false fixed belief

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You are assessing your mental health patient for his alertness and orientation.  You ask him his name and he responds, "I am the Vice President."  You know that your patient is suffering from a delusion called:
A.  Ideas of reference
B.  Persecution
C.  Thought insertion
D.  Grandeur
E.  Thought broadcasting

D. Grandeur

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A person suffering from psychosis has the following:
A.  Out of touch with reality
B.  Severe personality deterioration
C.  Impaired perception
D.  All of the above
E.  A & B only

D. All of the above

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Chronic alcohol consumption has a toxic effect on intestinal mucosa resulting in decreased absorption of which vitamins?
A.  Vitamin D &amp; calcium
B.  Thiamine &amp; folic acid
C.  Vitamin C &amp; ferrous sulfate
D.  Vitamin E &amp; niacin

B. Thiamine & folic acid

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Neurologic disorders associated with chronic alcohol abuse include:
A.  Dementia & alzheimers
B.  Rombergs & Trendelenberg's 
C.  Wernicke's & Korsakoff's
D.  Chovstek's & Trousseau's

C. Wernicke’s & Korsakoff’s

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Antipsychotic drugs are used in the treatment of all of the following EXCEPT:
A. Acute and chronic psychoses, such as schizophrenia
B. Alcohol withdrawal
C. Bipolar illness
D. Agitated behaviors associated with dementia

B. Alcohol withdrawal

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Your patient is elated, has difficulty concentrating, has not slept for 2 days, has dilated pupils, sinus tachycardia, hypertension, and exhibiting bruxism.  You suspect your patient has been abusing:
A.  Benzodiazepines
B.  Amphetamines
C.  opioids
D.  alcohol

B. Amphetamines

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Clinical manifestations of huffing include:
A.  persistent dry coughing
B.  rash around the mouth
C.  red watery eyes
D.  All of the above

D. All of the above

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Joanie, a nurse at your clinic, has been arriving late for her shift every day this week.  She has been giving you elaborate excuses for the tardiness, and her appearance is becoming more and more unkept.  Her eyes are bloodshot and she seems clumsy.  You suspect that Joanie may:
A.  Be chemically impaired
B.  Be gambling away all her money
C.  Not like her job
D.  Be working a second job

A. Be chemically impaired

The nurse is working on a psychiatric unit where a 6 yr old child has been admitted for treatment.  The nurse uses toys to play with the child to help him express his feelings.  This is an example of \_\_\_\_\_\_ therapy.
A.  Cognitive
B. Group
C.  Play
D.  Behavior

C. Play

The benzodiazepines are pregnancy category D drugs and should not be taken while lactating because the newborn may become:
A.  Depressed
B.  Lethargic and lose weight
C.  Hypoglycemic
D.  Excited and irritable

B. Lethargic and lose weight

An individual who uses violence or aggression to cope with anxiety has which Personality Disorder (PD)?
A.  Borderline PD
B.  Paranoid PD
C.  Dependent PD
D.  Abusive PD
E.  Antisocial/Sociopathic PD

D. Abusive PD

An individual who is suspicious and mistrustful of other people and hypersensitive may have which Personality Disorder (PD)?
A.  Borderline PD
B.  Paranoid PD
C.  Dependent PD
D.  Abusive PD
E.  Antisocial/Sociopathic PD

B. Paranoid PD

An individual who's moods are unstable and changeable, may have multiple suicide attempts, and may be impulsive may have which Personality Disorder (PD)?
A.  Borderline PD
B.  Paranoid PD
C.  Dependent PD
D.  Abusive PD
E.  Antisocial/Sociopathic PD

A. Borderline PD

``` An individual who has no loyalties or code of ethics, is often in trouble with the law, with very little concern for others and is often very intelligent may have which Personality Disorder (PD)? A. Borderline PD B. Paranoid PD C. Dependent PD D. Abusive PD E. Antisocial/Sociopathic PD ```

E. Antisocial/Sociopathic PD

``` An individual who is over-cooperative, submissive and wants others to make decisions for them may have which Personality Disorder (PD)? A. Borderline PD B. Paranoid PD C. Dependent PD D. Abusive PD E. Antisocial/Sociopathic PD ```

C. Dependent PD

``` Your patient Mr. Greenman is describing the fire that destroyed his home two weeks ago. His wife and son were critically injured and they lost all of their material possessions. He is burned over 70% of his body. His voice is dull and he has no change in facial expression., This outward display of emotion is called: A. Ambivalence B. Flight of Ideas C. Mood D. Affect E. Effect ```

D. Affect

``` The very first prodromal phase of schizophrenia typically begins in which age group? A. 8-12 years B. 13-15 years C. 15-25 years D. over 30 E. over 40 ```

C. 15-25 years

The clinical manifestations of catatonic schizophrenia include: A. Stupor, rigidity, posturing B. Mania, echololia C. Gross disorganization, somatic symptoms D. Irrelevant speech, azotemia

A. Stupor, rigidity, posturing

``` The nurse instructs the patient taking a MAOI not to eat foods containing: A. Glutamine B, Sugar C. Tyramine D. Large amounts of iron ```

C. Tyramine

``` Mrs. McWilliams, a patient with a Bi-Polar disorder has returned to the clinic where you are working. Last month she was extremely depressed and was placed on Lithium. She is at the clinic today because she is seeking financial sponsors for her new television cooking program that she is planning. She also tells you that she has started writing a book, designing a web page, and plans to travel to France for cooking lessons. What phase of Bi-Polar is Mrs. McWilliams exhibiting? A. Depression B. Cyclothymic C. Hypomanic D. Mania E. Dysthymic ```

D. Mania

``` Obsessive-compulsive disorder (OCD) is an anxiety disorder in which people have unwanted and repeated thoughts, feelings, ideas, sensations, and behaviors. Obsession are defined as: A. Recurrent thoughts B. Recurrent actions C. Hallucinations D. Delusions of Grandeur E, Cyclic Rituals ```

A. Recurrent thoughts

``` Restoril and Halcion are both examples of: A, Barbituates B. Benzodiazepines C. Nonbenzodiazepines D. Atypical antipsychotics ```

B. Benzodiazepines

``` A DSM-IV-TR diagnosis of Generalized Anxiety Disorder requires patients to exhibit excessive worry related to two or more things during: A. The last month B. The last 2 months C. The last 4 months D. The last 6 months ```

D. the last 6 months

Panic Disorder is defined as: A. Irrational fear of a particular object or situation B. Repeated thoughts and/or repeated actions. C, Muscle aches, shakes, palpitations, dry mouth, nausea, chills, vomiting, hot flashes, polyuria, difficulty swallowing. D. Fear, dissociation, nausea, diaphoresis, chest pain, increased pulse, shaking, unsteadiness. E. "Flashbacks" social withdrawal, low self-esteem, relationships that may change or be difficult to form, irritability, anger seemingly for no reason, depression, chemical dependency.

D. Fear, dissociation, nausea, diaphoresis, chest pain, increased pulse, shaking, unsteadiness.

Generalized Panic Disorder is defined as: A. Irrational fear of a particular object or situation B. Repeated thoughts and/or repeated actions. C, Muscle aches, shakes, palpitations, dry mouth, nausea, chills, vomiting, hot flashes, polyuria, difficulty swallowing. D. Fear, dissociation, nausea, diaphoresis, chest pain, increased pulse, shaking, unsteadiness. E. "Flashbacks" social withdrawal, low self-esteem, relationships that may change or be difficult to form, irritability, anger seemingly for no reason, depression, chemical dependency.

C. Muscle aches, shakes, palpitations, dry mouth, nausea, chills, vomiting, hot flashes, polyuria, difficulty swallowing.

Phobia is defined as: A. Irrational fear of a particular object or situation B. Repeated thoughts and/or repeated actions. C, Muscle aches, shakes, palpitations, dry mouth, nausea, chills, vomiting, hot flashes, polyuria, difficulty swallowing. D. Fear, dissociation, nausea, diaphoresis, chest pain, increased pulse, shaking, unsteadiness. E. "Flashbacks" social withdrawal, low self-esteem, relationships that may change or be difficult to form, irritability, anger seemingly for no reason, depression, chemical dependency.

A. Irrational fear of a particular object or situation

Obsessive-Compulsive Disorder is defined as: A. Irrational fear of a particular object or situation B. Repeated thoughts and/or repeated actions. C, Muscle aches, shakes, palpitations, dry mouth, nausea, chills, vomiting, hot flashes, polyuria, difficulty swallowing. D. Fear, dissociation, nausea, diaphoresis, chest pain, increased pulse, shaking, unsteadiness. E. "Flashbacks" social withdrawal, low self-esteem, relationships that may change or be difficult to form, irritability, anger seemingly for no reason, depression, chemical dependency.

B. Repeated thought and/or repeated actions.

Post-traumatic stress disorder is defined as: A. Irrational fear of a particular object or situation B. Repeated thoughts and/or repeated actions. C, Muscle aches, shakes, palpitations, dry mouth, nausea, chills, vomiting, hot flashes, polyuria, difficulty swallowing. D. Fear, dissociation, nausea, diaphoresis, chest pain, increased pulse, shaking, unsteadiness. E. "Flashbacks" social withdrawal, low self-esteem, relationships that may change or be difficult to form, irritability, anger seemingly for no reason, depression, chemical dependency.

E. "Flashbacks" social withdrawal, low self-esteem, relationships that may change or be difficult to form, irritability, anger seemingly for no reason, depression, chemical dependency.

``` The most severe type of schizophrenia which has the poorest prognosis is: A. Paranoid Schizophrenia B. Disorganized Schizophrenia C. Catatonic Schizophrenia D. None of the above E. All of the above ```

B. Disorganized Schizophrenia

Your stroke patient confides in you, "I am just a burden to my family. Everyone would be better off if I was dead." You are aware that: A. Suicide talk is just an attention-getting device B. Suicide is an impulsive act; it is not thought out. C. Suicidal talk or ideation can lead to suicidal behavior. D. Suicidal people seldom really attempt suicide.

C. Suicidal talk or ideation can lead to suicidal behavior,

``` The mental health continuum runs from adaptive (constructive) mental health to maladaptive (destructive) mental health. An individual exhibiting regression, low energy, and lack of insight is placed on which end of the continuum? A. Healthy B. Normal C. Mental Illness D. Paranoid E. Schizophrenic ```

C. Mental Illness

``` All of the following drugs are atypical antipsychotics except: A. Haldol B. Abilify C. Zyprexa D. Risperdal ```

A. Haldol

``` Alparazolam (Xanax) is contraindicated in patients with: A. Diabetes B. Hypertension C. CHF D. A psychotic disorder ```

D. A psychotic disorder

Women who drink alcohol during pregnancy risk having an infant with Fetal Alcohol Syndrome (FAS). Typical clinical manifestations of FAS include: A. wide-set eyes, long arms, short stature, small mouth B. mental retardation, growth disorders, wide-set eyes, thin upper lip C. low set ears, narrow nose bridge, large lips D. flat face, large slips, small mouth

B, mental retardation, growth disorders, wide-set eyes, thin upper lip

Which of the following sets of symptoms are consistent with lithium toxicity? A. Nausea, vomiting, diarrhea B. Dry mouth, blurred vision, difficulty swallowing C. Stupor, oliguria, hypertension D. Constipation, abdominal cramps, rash

A. Nausea, vomiting, diarrhea