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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 3''RD ''TRIMESTER 2013 (PT) EXAMINATION
SCHOOL : MEDICINE & HEALTH SCIENCES
DEPARTMENT : NURSING
UNIT CODE : NRSG 362
UNIT TITLE : MENTAL HEALTH & PSYCHIATRIC NURSING
TIME : 3 HOURS

Instructions:

All questions are compulsory

Answer all questions in the booklet provided
Section I: Multiple Choice Questions
Section II: Short Answer Questions
Section III: Long Answer Questions

MULTIPLE CHOICE QUESTIONS (20 marks)

Question One

Primary grandiose delusions occur in?

Maniac state
Obsessive compulsive disorder
Schizophrenia
Anxiety disorder

Question Two

The popularly used first rank symptoms of schizophrenia was explained by

Eugene Bleuler
Emil Kraepelin
Sigmond Freud
Schneider

Question Three

A phenomenological term used to refer to the subjective experience of dissatisfaction with body shape or form is

Unilateral neglect
Dissociation
Dysmorphia
Obtundation

Question Four

When a parent produces factitious illness in a child (e.g. complaint of haematuria in the child caused by mother placing blood in his urine) is a typical feature of:

Hypochodriacal disorder
Nanchausen’s syndrome by proxy
Somatization disorder
Masquerade syndrome

Question Five

Bestiality is also known as:

Pedophilia
Voyeurism
Zoophilia
Fetishism

Question Six

Waxy flexibility, psychological pillow, mutisuripostering and stupor are characteristics of:

Paranoid schizophrenia
Residual schizophrenia
Catatonic schizophrenia
Disorganized schizophrenia

Question Seven

DSM-IV-TR, cluster A personality disorders includes are the following except:

Paranoid personality disorder
Schizoid personality disorder
Schizotypal personality disorder
Anankastic personality disorder

Question Eight

ICD-10 (WHO) describes hysteria under:

Hysteric disorders
Dissociative disorders
Depersonalization disorders
Generalized personality disorders

Question Nine

Pseudo-Hallucinations are not typical symptoms of

Dissociative disorders
Hysteria
Schizophrenia
Malingering

Question Ten

Hallucinations occurring in the semiconscious state preceding awakening are known as:

Extra campine
Pseudo hallucinations
Hypnogogic
Hypnopompic

Question Eleven

The mechanism of action of alcohol on the brain is attributed to

Release of GABA
Release of dopamine
Suppression of acetylcholine
Release of epinephrine

Question Twelve

The most common cause of dementia is:

Multiple sclenrosis
General pareses of insane
Alzheimers disease
Multi infarct lesion

Question Thirteen

"Learned helplessness" is typically seen in

Delirium
Dementia
Schizophrenia
Depression

Question Fourteen

"Flash back phenomenon" is common with

Opium abuse
Cannabis abuse
Nicotine abuse
Alcohol abuse

Question Fifteen

The following is the most acceptable etiologic hypothesis in obsessive compulsive disorder

Dopamine hypothesis
Serotinin hypothesis
Acetylcholine hypothesis
Glutamate hypothesis

Question Sixteen

The following is the safest drug in pregnant women diagnosed with acute schizophrenia

Haloperidol
Chlorpromazine
Trifluperanize
Thionidazine

Question Seventeen

The following characteristic is a good prognosis factor in schizophrenia

Unmarried
Childhood onset
Presence of negative symptoms
Presence of delusions and hallucinations

Question Eighteen

The best approach for the psychiatric nurse to taken when a client thinks his food is poisoned is to:

Assure the client that all food served at the hospital is safe to eat
Obtain an order for tube feeding for the client
Provide the client with food in unopened containers
Tell the client that irrational thinking is detrimental to good health.

Question Nineteen

Claustrophobia means fear of:

Open spaces
Closed spaces
Height
Lizards

Question Twenty

Agoraphobia is characterized by:

Fear of lifts and heights
Association with schizophrenia
Panic attacks
Fear attacks

SECTION II: SHORT ANSWER QUESTIONS (40 marks)

Question One

Define the following terms (1 mark each)

Anhedonia
Confabulation
Dysphoria
Nihilism
Perseveration
Derealization
Tangentiality
"Folic a deux"

Question Two
State four factors that influence attitudes towards mental illness. (4 marks)

Question Three
State four differences between the DSM IV-TIR and ICD -10 classifications of mental disorders. (4 marks)

Question Four
Explain the management of mentally ill patients during the middle ages. (8 marks)

Question Five
Explain the admission of foreigners according to the mental health act (CAP 248) (5 marks)

Question Six
Explain the general psychopathology of dissociative disorder. (3 marks)

Question Seven
State four characteristics of borderline personality disorder. (4 marks)

Question Eight
State four types of services provided in a community psychiatric health Centre. (4 marks)

LONG ANSWER QUESTIONS (40 marks)

Question One
Utilizing the nursing process, discuss the management of a patient who is diagnosed with aggression. (20 marks)

Question Two
Discuss five therapies utilized in psychiatric treatment include their indications. (20 marks)

Nrsg 362:Mental Health And Psychiatric Nursing Question Paper

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