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Nrsg 362:Mental Health And Psychiatric Nursing Question Paper

Nrsg 362:Mental Health And Psychiatric Nursing

Course:Nursing

Institution: Kenya Methodist University question papers

Exam Year:2013

KENYA METHODIST UNIVERSITY

END OF 1''ST ''TRIMESTER 2013 (DAY) EXAMINATION
SCHOOL : MEDICINE & HEALTH SCIENCES
DEPARTMENT : NURSING
UNIT CODE : NRSG 362
UNIT TITLE : MENTAL HEALTH PSYCHIATRIC NURSING
TIME : 3 HOURS

Instructions:

Answer all questions in the exam booklet provided.

SECTION A (MCQs)

Question One

Compulsion can be described as

Persistent, irrational fears
Repetitive, intrusive thoughts
Repetitive actions closely associated with obsessions.
Repetitive actions closely associated with delusion.

Question Two

Extracampine hallucinations are those

Experienced without vivid external reality
Experienced without external stimuli
Where the stimuli is not strong enough to represent reality
Where the stimuli is outside the normal range of perception.

Question Three

A patient who is laughing one second and crying the other has

Labile affect
Labile mood
Made impulse
Emotional incontinence

Question Four

A patient incorrectly claims that the famous TV character Winfrey send him a message invitation in for a party. This patient can be said to have which delusions.

Delusions of grandeur
Paranoid delusions
Nihilistic delutions
Delusions of reference.

Question Five

The following are components of the "mimi mental state examination." (MMSE). Except.

Orientation
Memory
Insight and judgment
Visuospatial ability

Question Six

You examine a patient on the Global Assessment of Function (GAF) scale and he/she scores 70. This means the patient has

Absent or minimal symptoms
Some mild symptoms
Moderate symptoms
Serious symptoms

Question Seven

Serotonin syndrome often occurs due to combination of the following drugs.

MAOI and SSRIS
Tricyclic antidepressants and neuroleptics
Phenothiazines and lithium
SSRIs and Tricyclic antidepressants.

Question Eight

The following drugs are useful in the treatment of Narcolepsy.

Monoamine oxidize inhibitor
SSRIs
Psychostimutants
Phenothiazines

Question Nine

The differentiating characteristic between Anorexia nervosa and Bulimia Nervosa is that in Anorexia nervosa.

There is abnormal body weight.
There is low body weight.
There is amenorrhea
Poor body image

Question Ten

When patients change psychiatric problem to a neurological problem and then spontaneously convert back to normal, he/she is said t suffer from

Malingering
Somatization
Dissociative disorder
Conversion disorder

For question 11 to 13 write True (T) or False (F) for each statement under each question.

Question Eleven

Characteristics of Karsakoffs syndrome include.

Polyneuritis which is detected in all cases
A clear consciousness
Impaired judgement
Morphological abnormalitics in the hypothalamus
Confabulation

Question Twelve

Haloperidol

Is effective in the treatment of depressive psychosis
Has a marked antiemetic effect.
Has marked extra pyramidal effects
Is administered which is the form of injection
Can be used to substitute for phenothiazide derivatives in patients who become jaundiced following pheonthiazide administration.

Question Thirteen

Signs indicate of a good prognosis in schizophremia include

An acute onset of the disease
A positive family history
A previously stable personality
An early onset of the disease

Question Fourteen

The drug of choice for the treatment attention deficit disorder is

Lithium
Fluoextine
Methylphenidate
Amitripthyline

Question Fifteen

Jamais Vu is a characteristic of the following type of seizures.

Grand mal
Petitimal
Partial complex
Partial seizures.

SECTION B (40 marks)

Question One
State four major contributions of Philippe pinel in the development of psychiatry. (4 marks)

Question Two
Explain two major characteristics of DSMIV-TR psychiatric classification system. (6 marks)

Question Three
Explain any three drug related psychiatric emergencies. (6 mark)

Question Four
Explain, giving examples four major factors influencing the choice of therapies in psychiatric nursing. (8 marks)

Question Five
Describe the management of psychopathic personality disorders. (8 marks)

Question Six
State four nursing diagnosis for a patient diagnosed with somatoform pain disorder. (4 marks)

Question Seven
State four social nursing interventions for a patient diagnosed with undifferentiated schizophrenia. (4 marks)

Question Eight
Explain the pharmacodynamics of sertindole. (4 marks)

SECTION C (LAQ)

Question One

Mrs. Kilebi brings her teenage daughter, to the psychiatric clinic. The daughter is extremely thin, amenorrhic eats very little does aerobics for 2 hours a day and ritualistically does 400 sit-ups every day.

State the diagnosis of Mrs. Kilebi’s daughter.

(2 marks)

State the DSMIV-TR criteria you used to come up with the diagnosis in (a) above.

(5 marks)

Describe the management of Mrs. Kilebi’s daughter.

(18 marks)

Question Two

Psychiatric assessment is key to making psychiatric diagnosis.

Differentiate between assessments in general medicine and psychiatric assessment.

(2 marks)

Discuss the components of psychiatric assessment.

(18 marks)

Nrsg 362:Mental Health And Psychiatric Nursing Question Paper

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