RN exams mental health practice questions set 10

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The correct answer is B: Deficient knowledge related to potentially harmful drug interactions. The patient's use of ginseng tea can interact with warfarin, potentially leading to increased risk of bleeding. This nursing diagnosis is appropriate as the patient lacks knowledge about the potential harmful interaction between ginseng and warfarin. A: Impaired memory related to neurological changes is not the correct answer because there is no indication in the scenario that the patient is experiencing memory issues due to neurological changes. C: Ineffective denial related to mismanagement of therapeutic regime is not the correct answer as there is no evidence in the scenario to suggest that the patient is in denial about their treatment regimen. D: Effective management of the therapeutic regime related to augmentation of anticoagulant therapy is not the correct answer because the patient's use of ginseng tea can interfere with warfarin therapy, indicating a lack of understanding rather than effective management.

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The correct answer is A: Draw a troponin level every four hours. Troponin levels are important indicators of myocardial infarction. Drawing troponin levels every four hours allows the nurse to closely monitor the client's cardiac enzyme levels for any signs of ongoing myocardial damage. This frequent monitoring helps in early detection of complications and guides further treatment decisions. Explanation for why the other choices are incorrect: B: Performance EKG every 12 hours - While EKG monitoring is important in assessing cardiac function, performing it every 12 hours may not be as frequent as needed in the acute phase post-myocardial infarction. C: Plant oxygen tent fell over minutes via rebreather mask - This intervention does not directly address the client's recovery from myocardial infarction and is not a standard post-MI care measure. D: Obtain a cardiac rehabilitation consult - While cardiac rehabilitation is essential for long-term recovery, it is not a point-of-care intervention immediately post-my

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Rationale for Choice C (Correct Answer - Normal changes attributable to aging): 1. As people age, it is common to experience a decrease in sensory perception and motor function due to changes in the nervous system. 2. The inability to identify vibrations and position of the big toe, slower gait, and impaired tactile sensation are typical age-related changes. 3. Since all other neurologic findings are normal, it suggests these findings are likely due to normal aging processes. 4. There are no signs of acute dysfunction or specific lesions, supporting the interpretation that these findings are part of the natural aging process. Summary of other choices: A: CN dysfunction - Not supported as there are no findings indicative of cranial nerve dysfunction. B: Lesion in the cerebral cortex - Not supported as there are no signs of a specific lesion in the cerebral cortex. D: Demyelination of nerves attributable to a lesion - Not supported as there is no evidence of demyelination or lesion causing nerve damage.

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The correct answer is B because the goal of the cognitive-behavioral theory model according to Beck and Ellis is to substitute rational beliefs for irrational ones and eliminate self-defeating behaviors. This approach focuses on identifying and challenging negative thought patterns and beliefs that contribute to emotional distress and maladaptive behaviors. By replacing irrational beliefs with rational ones, individuals can improve their mental health and overall well-being. A: Developing satisfactory relationships, maturity, and freedom from anxiety is more aligned with a humanistic or social learning theory perspective, not specifically cognitive-behavioral theory. C: Facing reality and developing standards for behaving responsibly is important but not the primary goal of cognitive-behavioral therapy. D: Reducing bodily tensions and managing stress through biofeedback and relaxation training is more related to relaxation techniques and stress management, not the core focus of cognitive-behavioral therapy.

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The correct answer is A: People can become aggressive and violent when their basic needs are threatened. In a disaster situation, individuals may experience fear, stress, and uncertainty, leading to heightened emotions and potential aggression. This response is a natural survival instinct when basic needs such as safety, shelter, and food are threatened. Anticipating this response allows the nurse to prepare for managing potential conflicts and ensuring the safety of both victims and responders. Choices B and C are incorrect because people involved in a disaster may prioritize their own survival and well-being before helping others, depending on the situation. Losses incurred during a disaster can have significant long-term effects on victims, such as trauma, grief, and financial hardship. Choice D is incorrect because the psychological distress associated with disasters may not always be immediately felt, as some individuals may initially be in a state of shock or disbelief before processing their emotions.

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Cohesiveness is a desirable group characteristic that is associated with positive group outcomes. It is not common for the group to be cohesive during the first meeting of the group. During the first meeting, or the initial stage, members introduce themselves and the parameters of the group are established. Group members begin to 'check out' one another and the leaders as they determine their levels of comfort in the group setting. Cohesiveness is associated with the working stage of a group that may take two or three sessions in a therapy group because members must develop some level of trust before sharing personal feelings or difficult situations. If a group is 'overly cohesive,' in that uniformity and agreement become the group's implicit goals, there may be a negative effect on the group outcome as members may not offer needed feedback and this may thwart critical thinking and creative problem solving. Group cohesiveness is the degree to which members work together cooperatively to accomplish the purpose.

Correct answer:

Cohesiveness is a desirable group characteristic that is associated with positive group outcomes. It is not common for the group to be cohesive during the first meeting of the group. During the first meeting, or the initial stage, members introduce themselves and the parameters of the group are established. Group members begin to 'check out' one another and the leaders as they determine their levels of comfort in the group setting. Cohesiveness is associated with the working stage of a group that may take two or three sessions in a therapy group because members must develop some level of trust before sharing personal feelings or difficult situations. If a group is 'overly cohesive,' in that uniformity and agreement become the group's implicit goals, there may be a negative effect on the group outcome as members may not offer needed feedback and this may thwart critical thinking and creative problem solving. Group cohesiveness is the degree to which members work together cooperatively to accomplish the purpose.

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The correct answer is D: "Would you like to play a game of checkers with me?" This choice is most appropriate as it focuses on building a therapeutic relationship through a non-threatening and engaging activity. Playing a game of checkers can help establish rapport, foster trust, and create a sense of normalcy for the child in a psychiatric setting. It allows for social interaction, provides a distraction, and can help the child feel more comfortable and open up to the nurse. Explanation of why the other choices are incorrect: A: Comparing the child's situation to Cinderella's in a fairy tale may not be relatable or relevant to the child's experiences, potentially minimizing their feelings and concerns. B: Using a tool to measure self-control and initiative may come off as clinical and impersonal, possibly making the child feel like they are being evaluated rather than supported. C: Asking the child to draw a picture of themselves may be intimidating or invasive, as it delves into personal expression without

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The correct answer is B: Care for hard-to-engage, seriously ill patients. ACT is an evidence-based, multidisciplinary approach designed for individuals with severe mental illnesses who have difficulty engaging with traditional mental health services. It offers intensive, team-based support to address the complex needs of this population, including housing, medication management, and social support. This approach is particularly beneficial for homeless individuals with schizophrenia, as it provides ongoing, personalized care to help them stabilize and reintegrate into the community. Incorrect choices: A: Psychiatric home care - ACT is not limited to home care but involves a comprehensive, community-based approach. C: Outpatient community mental health center care - While ACT involves community-based care, it is more intensive and individualized than standard outpatient services. D: A comprehensive emergency service model - ACT is focused on providing ongoing, long-term support rather than emergency services.

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During admission to a psychiatric unit, it is crucial for the registered nurse to remain calm and use a matter-of-fact approach when addressing a client who is extremely anxious. By staying composed and adopting a matter-of-fact demeanor, the nurse can help establish trust and promote a sense of calm in the client. This approach can also convey a sense of reassurance and stability, which can be beneficial in managing the client's anxiety. Assisting the client in developing alternative coping skills (Choice A) may be important in the long term but is not the most immediate priority during the admission process. Asking the client why she is anxious (Choice C) may not be helpful at this moment as the client may not be able to articulate the specific reasons due to her heightened anxiety. Administering a PRN sedative (Choice D) should not be the initial intervention as it does not address the underlying cause of the anxiety and should be considered only if other non-pharmacological interventions are ineffective.