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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:2014
KENYA METHODIST UNIVERSITY
END OF 3''RD ''TRIMESTER 2014 (FT) EXAMINATION
SCHOOL : MEDICINE & HEALTH SCIENCES
DEPARTMENT : NURSING
UNIT CODE : NRSG 362
UNIT TITLE : MENTAL HEALTH & PSYCHIATRIC NURSING
TIME : 3 HOURS
INSTRUCTIONS
SECTION A: MCQ’s
All Questions in this section are compulsory and each question is one mark.
Choose One Correct Answer
Question One
A primary difference between nursing model of psychiatric care and the psychosocial, behavioral and medicals models is?
Focus on the person as an individual.
Incorporate a holistic view of the person.
Centre on healthy instead of illness.
Have a psychosocial not psychobiologic perspective.
Question Two
Advantages of group therapy in psychiatry include:
Learning multiple ways of problem solving.
That client can be treated more economically.
Clients feel comfortable and supported.
That therapist need less education to facilitates group therapy.
Question Three
The role of the chaplain or spiritual advisor in a mental health facility is to:
Provide the spiritual care for the nurse.
Provide religious services that nurses are not qualified to give.
Work in collaboration with the nurses by providing spiritual care expertise.
Respond to request for consultation on clients spiritual distress or spiritual needs.
Question Four
The best nursing intervention for strengthening the elderly person experience in solving mental health related problem is:
Provide opportunities for socialization with others.
Encourage participation in an adaption group.
Foster the development of the opportunity for spiritual growth.
Enhance capacity in managing stress.
Question Five
The nurse documents, "The patient described her husband’s an abusive in an emotionless tone, and with a flat facial expression." This statement describes the patients:
Feelings.
Thought blocking.
Mood.
Affect.
Question Six
Mrs. James has the tendency of responding to situation by yelling. "No, I don’t believe it. It can’t be true." Mrs. James is using which type of defense mechanism.
Introjections.
Suppression.
Denial.
Repression.
Question Seven
The best indicator that crisis counseling has been effective to a psychiatric patient is:
Working through once feeling loss over something.
Developing closer relationship with the patient.
Resuming patient precrisis routines and activities.
Visiting friends several times a week.
Question Eight
An anxious patient may benefit greatly from:
Muscle relaxation.
Psychodrama.
Confrontation.
Biofeedback.
Question Nine
In conversion disorder.
The symptoms are a conscious attempt to control others in the environment.
The patient exhibits a high level of anxiety in response to the conversion symptoms.
The conversion symptom typically has some symbolic meaning for the patient.
The patient responds positively to confrontational approaches by the nurse.
Question Ten
The nurse should approach a newly admitted psychiatric patient who isolates him/her self from stress, understanding that:
Depressed patients commonly are suicidal and establishing trusting relationship is key to preventing suicide.
Patient believes that they are not ill and therefore they will not sociaze with others at that point.
Patient isolates him/her self because family members are not present to support them.
Illness and hospitalization for emotional problem have a negative impact on him and his family.
Question Eleven
The nurse administering imipramine should inform the patient that the fall therapeutic benefits may not take effect for:
3 to 7 days
2 to 3 weeks
3 to 4 weeks
2 month or more.
Question Twelve
The drug of choice for management of hyperkinetic childhood disorder is:
Phenothiazines e.g. largatil.
Central nerves depressants e.g. valium
Anticonvulsants e.g. phenobarbiton
Central nervous stimulants e.g. Ritalin
Question Thirteen
The first sign of alcohol withdrawal after the last drink in alcoholic is expected to occur in:
Several hours
2-3 days
4-5 days
6-7 days
Question Fourteen
Effective disorders
Includes schizophrenia.
Have specific causes.
Presents with signs of mood disturbances.
Are mostly due to genetic effects.
Question Fifteen
A type of personality disorder in which a patient presents with self dramatization, craving for novelty and self - deception is:
Paranoid.
Obsossive compulsive
Histirionic
Narcissitic
Question Sixteen
The neurotransmitter implicated in the pathophysiology of primary degenerative dementia of Alzheimer types is:
Dopamine.
Substance P.
Gamma Amino Butyric Acid.
Acetylcholine.
For Question 17, match the form in column A with correct description from column B by indicating the correct number in the answer sheet provided.
Column A
Attribution
Public health model of psychiatric
Shaping
Concrete thinking
Precipitating stressor
Hypochondriasis.
Column B
1. Gives patient time to process and respond to information.
2. Loss, life events and role strain.
3. Realize that the patient sees every problem as having one solution.
4. Reasoning process that people use to explain why certain events happen.
5. Preoccupation with fear of having a serious disease.
6. Induce new behaviors by forcing behavior that approximate the desired behavior.
For Question 18
Indicate whether the following statement are true (T) or false (F) in the answer book provided.
Auditory hallucination is an initial symptom of alcoholi hallucination.
Children who only witness family violence are usually safe from its effects.
Nurses who take care of children who have been abused can be traumatized vicariously.
Atypical antipsycholtic drug should be used only when the patient does not respond to typical (conventional) treatment.
SECTION B
Short Answer Question - 40 Marks
All Questions are Compulsory
Question One
Define the term mental retardation.
(1 Mk)
State four (4) causative factors of mental retardation.
(4 Mks)
Question Two
Describe four (4) health needs of an adolescent person. (8 Mks)
Question Three
Explain four (4) etiological factors for psychiatric illness. (8 Mks)
Question Four
Outline five (5) roles of a nurse during psychiatric emergencies. (5 Mks)
Question Five
Describe three (3) functions of Mental Health Act Cap 248. (6 Mks)
Question Six
Identify three (3) indication of involuntary admission of psychiatric patient. (3 Mks)
Question Seven
List two (2) disorder of:
Speech
(1 Mk)
Memory
(1 Mk)
Motor activity
(1 Mk)
Question Eight
Describe two clinical features of dementia. (2 Mks)
LONG ANSWER QUESTION – 40 MARKS
ESSAY ONE
John 32 years old is admitted into a psychiatric unit with a diagnosis of attempted suicide.
Define the term suicide.
(1 Mk)
State three (3) types of suicide.
(3 Mks)
Formulate three (3) nursing diagnosis that will fit John’s condition.
(3 Mks)
Describe the management of John till discharge.
(13 Mks)
ESSAY TWO
Mr. Nyaal aged 22 years is admitted into psychiatric unit with a diagnosis of Hebephrenic schizophrenia.
Define the term schizophrenia.
(1 Mk)
List six (6) clinical features of Hebephrenic schizophrenia.
(3 Mks)
Describe five essential components that the nurse will incorporate while interviewing Mr. Nyaal.
(5 Mks)
Describe the general management of Mr. Nyaal from admission to discharge.
(11 Mks)
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