Mental Health Nursing Quiz | Practice MCQ #mcq.ImBooz

• (A) Report the patient to the police.
• (B) Ignore the patient’s suicidal comments,considering them “attention getting.”
• (C) Tell the patient that he or she “has so much to live for!”
• (D) Listen to the patient’s concerns and worries

Check AnswerSolution[D]:-Teaching skills to help the patient deal with the problems of day-to-day life will be helpful in the long run. Option B is a mistake made by people who believe the myth that some suicide attempts are not serious. C is a block to therapeutic communication (disagreeing) and may give false hope. The patient does not see that there is much to live for, or the suicide would probably not have been attempted. A is also incorrect because reporting the patient to the police is not required in most communities and could be a threat to the patient.

• (A) Is in deepest depression
• (B) Has a sudden lift from previous depressed mood
• (C) Is confused
• (D) Is feeling loved and appreciated

Check AnswerSolution[B]:-People are more likely to carry out the suicide when they appear to feel better.This is when they have the energy to create a plan and carry it out. When they are deeply depressed or confused,they often are not able to think clearly enough to do these things. When people feel loved and appreciated, they are less likely to think about suicide. This may be a temporary feeling on their part, however.

• (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.

Check AnswerSolution[C]:-If a person is talking about suicide, the possibility for carrying it out is very real and must be taken seriously. In very few situations is suicidal ideation a manipulative or attention-seeking behavior. Suicide may be an impulsive act but the person is usually thinking about it for some time.

• (A) Knowledge deficit related to family needs
• (B) Ineffective individual coping as evidenced by manipulation of wife’s feelings
• (C) Anxiety related to hospitalization
• (D) Potential for violence, self-directed, as evidenced by stating suicidal thoughts

Check AnswerSolution[D]:-This man has definite potential for self-harm. He is not attempting to manipulate his wife’s feelings, although she may feel that he is.

• (A) Place Mr. P in a locked unit.
• (B) Begin one-on-one observation at least every 15 minutes.
• (C) Call the security code over the public address system.
• (D) Allow Mr. P to shave and carry out his bedtime care.

Check AnswerSolution[B]:-Your first action is to place the patient on one-on-one observation.Some facilities accomplish this by having staff perform rounds at a minimum of every 15 minutes; most facilities assign a staff person to stay with the patient. There is no need to place the patient in a locked unit at this time, nor is it appropriate to publicize the precautions to the whole facility. It would not be appropriate to give him his razor, as this could be an implement he could use to perform the suicide.

• (A) Document the discussion and remove the suicide precautions, citing religious freedom.
• (B) Encourage him to present his beliefs at group tomorrow.
• (C) Document the discussion but tell him that the suicide precautions remain in effect.
• (D) Thank him for his explanation and bring him his next dose of medication.

Check AnswerSolution[C]:-Document the discussion but explain that the precautions remain in effect.It is for his safety and the safety of others that the precautions are policy, generally. You may thank him for sharing his beliefs, and depending on where he is in his treatment, it may become appropriate for him to share his belief system with others.

• (A) Nancy is a 33-year-old mother of two who just lost her mother in a motor vehicle accident.
• (B) Jim is a 68-year-old man who is a recent widower and has a long history of alcohol abuse.
• (C) Carol, age 18, has a long history of sickle cell disease and is depressed over chronic pain and the inability to attend her prom.
• (D) Hans is a 55-year-old man with end stage pancreatic cancer who is entering a hospice program.

Check AnswerSolution[B]:-Older men who live alone with a history of alcohol abuse are at one of the highest risks for suicide. Though any of the other examples could be suicidal they do not represent the most frequent statistically.

• (A) “You are young. You will find someone else.”
• (B) “Forget him. You can do better than him. He isn’t worth losing your life for.”
• (C) “Why did he break up with you?”
• (D) “You must have been feeling very sad when he told you.”

Check AnswerSolution[D]:-This response is supportive and empathetic.Responses A and B reflect insensitivity to the patient’s distress. Asking the question of response C has nothing to do with the depth of distress this patient must have felt, so it inappropriate.

• (A) “You are safe here.”
• (B) “What are you planning to do?”
• (C) “I won’t tell anyone if you promise not to do anything to yourself.”
• (D) “I was hoping you were feeling better.”

Check AnswerSolution[B]:-By asking the patient directly what she plans to do you are gaining important information and communicating your concern to the patient. Since she told you her plan, you know she is reaching out for help.

• (A) She is reaching out for help and is ambivalent about wanting to die.
• (B) She is committed to her suicide plan.
• (C) She is psychotic.
• (D) She needs antidepressants started right away.

Check AnswerSolution[A]:-By reaching out to you, she is communicating her mixed feelings about suicide and is indirectly asking for help.

• (A) When the behavior is done
• (B) Just before the nurse anticipates the behavior
• (C) When the staff or family complains about the behavior
• (D) When the limit is set

Check AnswerSolution[D]:-Consequences should always be stated at the time the limits are set, to increase consistency. The problems with options A through C are as follows. A:When the behavior occurs, the patient may be testing, but if the consequences are not known, the patient has not been given enough information to make an appropriate choice. B:Anticipating a behavior is presuming, and you may be presuming incorrectly. This sets up negative expectations from the patient. C: The limits should not be set for the convenience of the staff or family or anyone but the patient. Family should be involved in the care plan if the patient is agreeable.

• (A) Paranoid
• (B) Dependent
• (C) Antisocial
• (D) Schizoid

Check AnswerSolution[C]:-David is most likely displaying signs of antisocial personality disorder evidenced by information that he tends to lie, has committed a crime, and his patterns with job and personal relationships. He is not exhibiting signs of suspiciousness or paranoia, nor is he behaving in a dependent manner.

• (A) Manipulation
• (B) Depression
• (C) Projection
• (D) Euphoria

Check AnswerSolution[A]:-Manipulation is used frequently by patients with personality disorders.This mechanism can be used with other disorders but it is a primary mechanism in personality disorders

• (A) Listening to music
• (B) Abiding by the rules in the hospital
• (C) Playing volleyball
• (D) Developing a friendship

Check AnswerSolution[D]:-Interpersonal relationships are among the most difficult activities for a person with a personality disorder to develop.They can participate in group activities because they can excel and bring attention and gratification to themselves, but developing a close personal relationship is very difficult.

• (A) Narcissistic
• (B) Schizoid
• (C) Antisocial
• (D) Borderline

Check AnswerSolution[C]:-Antisocial (sociopathic) personality is usually the type of disorder in which a person would be in trouble with the law.

• (A) Narcissistic
• (B) Schizotypal
• (C) Antisocial
• (D) Borderline

Check AnswerSolution[B]:-Schizotypal personality disorder is characterized by bizarre and unusual

• (A) Antidepressants are most effective with most personality disorders.
• (B) Inpatient psychiatric hospitalization is particularly effective.
• (C) Self-awareness by the nurse is necessary to ensure a therapeutic relationship.
• (D) Long-term psychoanalysis is the treatment of choice.

Check AnswerSolution[C]:-The nurse needs to understand how he/she reacts to the challenging behaviors exhibited by people with personality disorders. Medications, long-term therapy, and in-patient hospitalization are rarely effective.

• (A) Schizoid
• (B) Antisocial
• (C) Narcissistic
• (D) Borderline

Check AnswerSolution[C]:-Characteristics of narcissistic personality include exaggerated sense of selfimportance and lack of concern for the nurse’s time.

• (A) Unconditional positive regard
• (B) Trust
• (C) Limit setting
• (D) Vague communication (to decrease feelings of inferiority)

Check AnswerSolution[D]:-Vague communication is not acceptable. Honesty and clarity in communication are always necessary. The patient may feel inferior, which may be part of the manipulation. The nurse needs to confront the feelings of inferiority or any others that the patient might state.

• (A) Narcissistic
• (B) Borderline
• (C) Schizoid
• (D) Passive-aggressive

Check AnswerSolution[B]:-Borderline personality. This group tends to engage in self-mutilating behaviors.