Mental Health Nursing Quiz | Practice MCQ #mcq.ImBooz

• (A) Infrequently, as they have no value to patients today
• (B) In combination with conventional therapies
• (C) In place of conventional therapies
• (D) Only when there is no hope for recovery

Check AnswerSolution[C]:-The definition of an alternative therapy is one that is used in place of conventional medicine. Option A suggests that such therapy has no value, which is very dependent upon the patient’s beliefs. Option B is the definition of complementary therapies. Option D is incorrect; many cultures and people use alternative modalities as first-line treatment for all types of illness.

• (A) A complementary approach
• (B) A model approach
• (C) A holistic approach
• (D) Non of the above

Check AnswerSolution[A]:-Complementary therapies are used with conventional medicine. Option A is vague; medical treatment is not defined simply by Western standards.Option B is incorrect because a model refers to a picture an idea.Option C infers that conventional medicine is holistic, when in fact it is disease-oriented.

• (A) Integrative medicine
• (B) Exclusive medicine
• (C) Based on the physician’s opinions
• (D) Biofeedback

Check AnswerSolution[A]:-Integrative refers to the use of conventional and less traditional methods in harmony. Option B is incorrect because such combinations are not exclusive to any one belief system.Option C would leave the decision making to a physician without patient input, which is not holistic. Biofeedback,option D, is a complementary therapy.

• (A) A misconception that is dangerous to the patient
• (B) A misconception that is dangerous to the patient
• (C) An integrated therapy
• (D) The mind-body connection

Check AnswerSolution[D]:-The mind-body connection correctly describes why belief and expectation have an effect on health and disease.Option A is an incorrect definition;complementary therapies are used with conventional medicine. Option B is an opinion based on the notion that the mind and body operate independently of one another. Option C describes a treatment modality rather than a mechanism.

• (A) Quickly get the drug handbook and show her she is wrong.
• (B) Remain open and supportive.
• (C) Point out to her that herbal therapy is contraindicated.
• (D) Suggest some available brands for her to use.

Check AnswerSolution[B]:-Regardless of the nurse’s own feelings,remaining open and supportive encourages communication and rapport.Option A would have the effect of destroying rapport by making Mrs. Lucas wrong for her beliefs. Option C might be an observation better reported to the physician for his decision. Option D would have the LPN/LVN performing well outside of his or her scope of practice in most states.

• (A) ECT, Reiki, rolfing
• (B) Hypnotherapy, shiatsu, antianxiety medications
• (C) NLP, psychotherapy, SAM-e
• (D) Aromatherapy, biofeedback, massage

Check AnswerSolution[D]:-Aromatherapy, biofeedback, and massage are either alternative or complementary.In options A, B, and C, ECT (electroconvulsive therapy), antianxiety medications, and psychotherapy are considered conventional.

• (A) Reiki
• (B) Trigger point
• (C) Rolfing
• (D) Swedish

Check AnswerSolution[A]:-Reiki is a therapy involving energy manipulation and unblocking energy flow. Options B, C, and D are all forms of massage therapy.

• (A) It is an altered state of consciousness, just like sleep.
• (B) Humans move in and out of trance states during the day.
• (C) It is a state of relaxed awareness.
• (D) Trance is a common experience even

Check AnswerSolution[A]:-Trance is an altered state of con – sciousness, but it is assuredly not sleep. Much of the therapeutic value of the work done in trance is lost if the client falls asleep. Options B, C,and D are all correct statements about trance.

• (A) “That really feels good! My gut feeling is that it will work!”
• (B) “It sounds good to me; this idea is worth paying attention to.”
• (C) “I can see the solution, and clearly it will work.”
• (D) “I smell a rat. I think the whole thing stinks.”

Check AnswerSolution[C]:-This statement uses “see” and “clearly” to communicate that the speaker prefers a visual channel. Through the predicates “feels good” and “gut feeling” in option A, the speaker reveals a kinesthetic channel preference. In option B, the speaker demonstrates an auditory preference through the predicates “sounds good” and “paying attention to.” Option D reflects the rarely used olfactory preference; many practitioners treat these predicates as kinesthetic for therapeutic purposes.

• (A) Having an expectation that the patient will get better
• (B) Making the presupposition that the patient will not improve
• (C) Taking the time to convey respect for the patient
• (D) Demonstrating through your expression and posture that you are listening

Check AnswerSolution[B]:-Presupposing, or assuming, that the patient will not improve will directly and indirectly negatively affect the thoughts, feelings, and actions of the nurse as well as the patient. Often mentally ill patients are more sensitive to unspoken assumption, especially when it is communicated nonverbally.Options A, C, and D will positively impact unspoken communication and improve chances for better rapport.

• (A) Auditory hallucinations
• (B) Flashbacks
• (C) Delusions of grandeur
• (D) Free-floating anxiety

Check AnswerSolution[B]:-The vividness of the description suggests that the person is having a flashback.Auditory hallucinations would most likely involve “voices” or “hearing” the guns. Delusions of grandeur might cause the person to go after the people with guns, while being unarmed himself or herself. Free-floating anxiety would be less descriptive. The person would not know the cause of the anxiety.

• (A) Generalized anxiety disorder
• (B) Phobia
• (C) Post-traumatic stress disorder
• (D) Obsessive-compulsive disorder

Check AnswerSolution[D]:-Repetitive behavior that interferes with daily functioning is indicative of OCD.

• (A) “I’ll take your vital signs and call my supervisor.”
• (B) “Why do you think you’re having a heart attack, Mr. L?”
• (C) “Don’t worry. She’s done this many times before.”
• (D) “Mr. L, relax. Take a few deep breaths.I’ll stay with you.”

Check AnswerSolution[D]:-This is the best of the four choices because you are simply stating for the patient to relax. You are helping him reoxygenate and refocus and you are calming him by offering to stay with him. It also buys you some time to make a visual assessment. Option A would be appropriate nursing actions, but not as the first priority. Your first action needs to be calming the patient and continuing to assess. B and C are nontherapeutic responses.

• (A) Panic disorder
• (B) Obsessive-compulsive disorder
• (C) Multiple personality disorder
• (D) Agoraphobia

Check AnswerSolution[D]:-Multiple personality disorder (also known as dissociative identity disorder) is considered to be a dissociative disorder rather than an anxiety disorder. Some theorists believe that the dissociative disorders are also anxiety disorders, but most are now differentiating the two types of disorders.Obsessive compulsive disorder has traditionally been classified as an anxiety disorder but that has changed in DSM-5 since it is now known to be neurologically based.

• (A) Suspicious and hostile
• (B) Flexible and adaptable to change
• (C) Extremely frightened of something
• (D) Rigid in thought and inflexible with routines and rituals

Check AnswerSolution[D]:-Rigid and inflexible behaviors are characteristic of OCD. These persons would like to be able to control those behaviors, but without treatment it is very difficult for them. They are not usually hostile, unless they are prevented from performing the obsession or compulsion, because that decreases the anxiety.

• (A) It involves repetitive actions.
• (B) It involves a loss of identity.
• (C) It results in sociopathic behavior.
• (D) It is an irrational fear that is not changed by logic.

Check AnswerSolution[D]:-Phobia is an irrational fear that cannot be changed by reason or logic. The patient usually understands it is irrational, but the fear remains.

• (A) A repetitive thought
• (B) A repetitive action
• (C) A repetitive fear
• (D) A repetitive illusion

Check AnswerSolution[B]:-A compulsion is a repetitive act; an obsession is a repetitive thought.

• (A) Paxil (paroxetine)
• (B) Prozac (fluoxetine)
• (C) Luvox (fluvoxamine)
• (D) Effexor (venlafaxine)

Check AnswerSolution[C]:-Luvox (fluvoxemine), Prozac (fluoxetine), and Paxil (paroxetine) are the current drugs of choice for OCD. Venlafaxine is also used in treating many mental disorders. So be careful! All sound similar and are spelled similarly.

• (A) Agoraphobia
• (B) Social phobia
• (C) Acrophobia
• (D) Specific phobia

Check AnswerSolution[C]:-Acrophobia is a form of specific phobia since it is fear of a specific situation (heights).

• (A) “You aren’t hungry?”
• (B) “If you can’t eat, what is that candy bar wrapper doing in your bed?”
• (C) “Why aren’t you hungry?”
• (D) “You really should try to eat some real food.”

Check AnswerSolution[A]:-This is selective reflecting. You have repeated the patient’s exact words in a way that encourages her to either explain herself or rephrase her response in some way. Options B, C, and D are all blocks to therapeutic communication. B is challenging her, C uses the word “why,” and D is giving advice