Nrsg 436: Mental Health And Psychiatric Nursing Question Paper
Nrsg 436: Mental Health And Psychiatric Nursing
Course:Nursing
Institution: Kenya Methodist University question papers
Exam Year:2011
KENYA METHODIST UNIVERSITY
END OF 3''RD ''TRIMESTER 2011 EXAMINATIONS
FACULTY : SCHOOL OF HEALTH SCIENCES
DEPARTMENT : NURSING
UNIT CODE : NRSG 436
UNIT TITLE : MENTAL HEALTH AND PSYCHIATRIC NURSING
TIME : 3HOURS
Instructions:
Answer all questions in the booklet provided
PART ONE: Multiple choice questions, choose the correct response
Question one
When caring for a client receiving haloperidol, the nurse would assess for
Hypertensive episodes
Extra pyramidal symptoms
Hyper salvation
Over sedation
Question Two
Which of the following is not an alteration of perception
Ideas of reference
Flight of ideas
Illusions
Hallucinations
Question Three
The most effective treatment modality for a person with antisocial personality disorder is
Hypnotherapy
Gestalt therapy
Crisis interventions
Behavior therapy
Question Four
The following is a disturbance in ones possession of thought
Obsession
Delusion
Flight of ideas
Ideas of reference
Question Five
Jamais VU is
Feeling unfamiliar with previously uncounted phenomenon
Feeling familiar with unfamiliar phenomenon
Feeling unfamiliar with unfamiliar
None of the above
PART TWO – Short answer questions
Question Six
State five importance of physical examination during psychiatric assessment
(5mks)
Question Seven
List four indications for each of the therapies (2mks each)
Behavior therapy
Psychotherapy
Question Eight
Describe the contributions of William Tuke to the development of psychiatry (6mks)
Question Nine
Explain three differences between history taking in general medicine and in psychiatric nursing (6mks)
Question Ten
Define the following terms (1mk each)
Counter transference
Insight
Made affect
Laconic speech
Extracampine hallucinations
Shared delusions
Compulsions
First –rark symptoms
Question Eleven
"Known thyself" is a basic tenet in psychiatric nursing. Explain its significance
(6mks)
Question Twelve
Explain the basic steps in the management of alcoholism (9mks)
Question Thirteen
Describe the pharmacological treatment of paranoid schizophrenia (8mks)
Question Fourteen
State five clinical manifestation of a patient suffering from dementia (5mks)
Question Fifteen
State six nursing interventions for a suicidal patient (6mks)
Question Sixteen
State five non-pharmacological means of promoting sleep for an insomnic patient
(5mks)
Question Seventeen
State six nursing diagnosis for a patient suffering from major depressure disorder
(6mks)
Question Eighteen
Describe the pharmacodynamic of the following psychotherapeutic agents (3mks each)
Diazepam
Imipramine
Olanzapine
Carbamazepine
Methylphenidate
Question Twenty
Describe the comiman modes of psychiatric admission according to mental health act revised 1991 CAP 248 (9mks)
PART THREE (25mks)
Question Three
Mr. Jackson, 45 years old secretly consults you as a psychiatric nurse and explain that in the last six months he has been having difficulties in achieving and sub staining an erection
i) Differentiate palaphilias and sexual dysfunctions
(2mks)
ii) Dyspareunia and vaginismus (2mks)
State five major causes of male erectile dysfunctions
(5mks)
Describe the management of male erectile dysfunction
(11mks)
Explain why Mr Jackson had to consult you secretly
(5mks)
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