MENTAL HEALTH NURSING EXAM REVISION

Question 1

List 6 components of the comprehensive assessment

Answer 1

reason for referal
consumer response to referal
presenting problem
hx of problems
mental health hx
trauma
MSE
risk assessment

Question 2

components of the MSE

Answer 2

general appearance
behaviour or motor activity
speech
mood and affect
perception
thought content
thought form
insight
judgement
memory
orientation
intelligence

Question 3

list 3 examples of alterations to thought form

Answer 3

circumstantiality
derailment
flight of ideas
neologisms
perseveration
thought blocking
tangentiality

Question 4

list 5 barriers to performing a good MSE

Answer 4

lack of TR
physical envionment
age
health literacy
stigma
cognitive state compromise

Question 5

examples of static risk factors

Answer 5

gender, hx, family hx, Foresic hx

Question 6

dynamic risk factors

Answer 6

age, substance use, clinical stability, pyshcosocial issues

Question 7

list 4 iatrogenic risks

Answer 7

diagnosis and labelling
erosion of identity
stigma
truma
violation of HR

Question 8

3 NTs involved in depression

Answer 8

serotonin
noradrenaline
dopamine

Question 9

5 examples of SSRI

Answer 9

citalopram
escitalopram
fluoxetine
gluvoxemine
sertraline

Question 10

SNRI’s examples

Answer 10

venlafaxine
duloxetine
desvenlafaxine

Question 11

TCA examples

Answer 11

amitripyline
clomipramine
imipramine
nortripyline

Question 12

2 examples of Mono amide oxidase inhbitors

Answer 12

tranycypromine
moclobemide

Question 13

symptoms of discontinuation syndrome

Answer 13

FINISH
flu like, insomina, nausea, imabalnce, sensory distrubance, hyperarousal

Question 14

list 4 mood stabilizers

Answer 14

lithium carbonate
sodium valproate
carbamazepine
lamotrigine

Question 15

benefits of lithium

Answer 15

reduces SI

Question 16

benefits of sodium valproate

Answer 16

rapid onset, well tolerated

Question 17

benefits of carbamzepine

Answer 17

less sedating than others

Question 18

nursing care consideration of clients taking lithium

Answer 18

monitor water and salt intake
replace fluids
be mindful of events causing change in lithium levels
education

Question 19

list 6 types of delusions

Answer 19

paranoid
persecutory
grandiose
somatic
religion
erotomanic
thought broadcasting
delusion of guilt
ideas of references

Question 20

3 phases of schitzophrenia

Answer 20

prodromal - decline in functioning
psychotic - all symptoms appear
residual: between psychotic episodes : flat, sociallyu withdrawn, thinking and behaviour odd

Question 21

4 symptoms of schitzophrenia

Answer 21

hallucinations
delusions
disorganised thinking
abnormal motor activity

Question 22

positive symptoms of schitz

Answer 22

disorganised thinking
bizarre bahviour
delusions
hallucinations

Question 23

negative symptoms of schitz

Answer 23

anhedonia
blunted emotions
cognitive deficits
apathy