Get premium membership and access revision papers, questions with answers as well as video lessons.
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 (PT) EXAMINATION
SCHOOL : MEDICINE & HEALTH SCIENCES
DEPARTMENT : NURSING
UNIT CODE : NRSG 362
UNIT TITLE : MENTAL HEALTH & PSYCHIATRIC NURSING
TIME : 3 HOURS
INSTRUCTIONS:
Read the instructions preceding each section
SECTION A: (MCQs 20 Marks)
Answer all questions
All responses must be written in capital letters
Question One
The following is a positive symptom of schizophrenia
Alogia
Hallucination
Anhedonia
Avolition
Question Two
The following drug is an anxiolytic
Doxylamine
Zolpidem
Clonazepam
Haloperidol
Question Three
The following drug is an antipsychotic
Diazepam
Buspirone
Propranol
Chlorpromazine
Question Four
The most important intervention when working with a client in crisis is:
Obtaining a complete assessment of the client’s part history.
Determining the client’s contribution to the problem
Remaining focused on the immediate problem
Assisting client identify similarities in his/her crisis
Question Five
A priority nursing diagnostic label for a newly admitted patient in manic phase of bipolar disorder is:
Ineffective individual coping
Imbalanced nutrition, less than body requirements
Risk for violence, self directed
Sleep pattern, disturbed
Question Six
The following drug is a selective serotonin reuptake inhibitor
Phenelzine
Amoxapine
Fluoxetine
Amitriphyline
Question Seven
An effective way for a nurse to start an interaction with a client who is mute is:
Tell the client something about himself or herself and hope that the client does the same.
Remain silent, waiting for the client to bring up a topic.
Bring up a controversial topic to elicit the client’s response
Introduce a neutral topic, giving the client a broad opening
Question Eight
The following are psychomotor manifestations of anxiety
Decreased activity
Increased activity
Increased lability of emotions
Decreased lability of emotions.
Question Nine
The following adaptive behavior in a client diagnosed with a somatoform disorder indicates the greatest improvement in the clients condition.
The client recognizes that the behavior is unreasonable
The client agrees to go to occupational therapy every day
The symptoms are replaced by expressions of hostility
The client verbalizes feelings instead of demonstrating them by pathological body languages.
Question Ten
A nursing care plan for a client with a history of alcohol abuse and dependences must incorporate monitoring the following physical consequence
Cardiac arrhythmia
Convulsive disorder
Psychomotor hyperactivity
Cirrhosis of the liver
Question Eleven
The following are the most significant signs and symptoms indicating delirium tremens
Decreased BP and pulse, restlessness
Increased BP and pulse, seizures
Cramps, nausea, vomiting
Anorexia, diarrhea, dehydration
Question Twelve
The nurse must assess for high risk of suicide when a client’s behavior suggests
Major depression with melancholia features
Schizophrenic disorders
Bipolar mood disorder, manic episode
Psychological factors affecting physical condition
Question Thirteen
Client states that voices are telling her to hang herself. The nurse documents that the client is at risk for suicide on the basis of
An intractable sense of hopelessness
Intolerable emotional pain
Delusions of grandeur
Command hallucination
Question Fourteen
According to the DSM IV-TR multinational assessment, Histirionic personality disorder is classified in:
Axis I
Axis II
Axis III
Axis Iv
Question Fifteen
The primary nursing intervention of a victim of child abuse is
Assess the scope of the problem
Analyze the family dynamics
Ensure the safety of the victim
Teach the victim coping skills
Question Sixteen
A mild form of bipolar disorder is known as
Hypomania
Cyclothymia
Euthymia
Dysthymia
Question Seventeen
The following is a characteristic of a dissociative disorder
Patient is unconscious
Involvement of the disruption of memory
Displacement of anger to other people
Ability to integrate consciousness
Question Eighteen
The following is a common characteristic of clients diagnosed with eating disorders.
Highself esteem
Low self esteem
High levels of responsibility
Narcissim
Question Nineteen
Autism is usually diagnosed when the child is about
2 years of age
6 years of age
6 months of age
1 to 3 months of age
Question Twenty
Severe mental retardation is characterized by
IQ 35-70
IQ 20-34
IQ < 20
IQ 50-70
SECTION B: Short Answer Questions (40 marks)
Answer all questions
Question One
Define the following terms (1 mark each)
Dissociative fugue
Criminal responsibility
Hypocandriacal delusion
Alienation of thought
Loosening of association
Question Two
List (four) roles of a community psychiatric nurse (½mark each)
Question Three
Explain the relationship between mental disorders and a country’s legal principles. (3 marks)
Question Four
State (five) techniques used in behavior therapy. (5 marks)
Question Five
Differentiate between sexual dysfunction and paraphilia. (4 marks)
Question Six
Explain the behavioural features of Anorexia Nervosa. (6 marks)
Question Seven
State five offenses under the mental health act. (5 marks)
Question Eight
Explain the management of mentally ill patients during the early civilization. (8 marks)
Question Nine
List four assessments used in psychiatric care (2 marks)
SECTION III: Long Answer Questions (40 marks)
Answer all questions
Question One
Mr. Q is admitted to the psychiatric ward with allegations of "hearing voices," stating that he is Jesus Christ and failing to go to work. The relatives report that the symptoms have been present for the last one month.
Identify Mr. Q’s diagnosis
(1 mark)
List four more symptoms that Mr. Q might present with.
(2 marks)
State four diagnostic criteria for Mr. Q’s diagnosis.
(4 marks)
Utilizing the nursing process, diseases the nursing management of Mr. Q
(13 marks)
Question Three
Drugs are very dangerous to the individual and the society because they play a major role in other problems in the society e.g. HIV/AIDs, violence, passivity utilizing the biopsycho-social model, discuss the collaborative management of a client who is diagnosed with poly substance abuse disorder. (20 marks)
More Question Papers