Chapter 7: Mental Health and Abusive Behavior Assessment

Chapter 7: Mental Health and Abusive Behavior Assessment

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. What function do neurotransmitters have in mental health disorders?

a.	Dopamine levels are increased in schizophrenia.
b.	Increased levels of gamma aminobutyric acid (GABA) contribute to anxiety.
c.	Serotonin is decreased in a state of anxiety.
d.	Norepinephrine is increased in depression.

 

 

ANS:  A

 

	Feedback
A	Dopamine levels are increased in schizophrenia.
B	Insufficient GABA may contribute to anxiety. GABA is an inhibitory neurotransmitter.
C	Serotonin is increased in anxiety states.
D	Norepinephrine is decreased in depression.

 

 

DIF:    Cognitive Level: Remember            REF:   66

TOP:   Nursing Process: Assessment

MSC:  NCLEX Patient Needs: Psychosocial Integrity: Mental Health Concepts

 

2. A male patient scores 125 on the Holmes Social Readjustment Scale. How does the nurse interpret this score?

a.	He is experiencing a great deal of stress in his life and needs hospitalization.
b.	At this time he has no stress in his life and is healthy both mentally and physically.
c.	He has relatively low stress in his life and use of daily relaxation can be beneficial.
d.	He has a moderate chance of developing a stress-related illness and can reduce this by practicing stress management.

 

 

ANS:  C

 

	Feedback
A	A score on the Holmes Social Readjustment Scale greater than 300 is needed for hospitalization.
B	This does not apply to this person. The lowest score possible on the Holmes Social Readjustment Scale (less than 150) indicates the amount of stress experienced is a result of normal changes in life and is manageable.
C	A score on the Holmes Social Readjustment Scale of below 150 indicates the amount of stress experienced is a result of normal changes in life and is manageable.
D	A moderate chance of developing a stress-related illness and reduction through stress management applies to a patient who scores between 150 and 300.

 

 

DIF:    Cognitive Level: Apply                   REF:   69

TOP:   Nursing Process: Assessment

MSC:  NCLEX Patient Needs: Psychosocial Integrity: Mental Health Concepts

 

3. A 24-year-old male patient tells the nurse he has had no energy for 2 weeks. He has no trouble falling asleep; in fact, he sleeps deeply about 12 hours every night. He states that he has gained 10 lb in the past 2 months and has no friends. The nurse associates these manifestations with which mental health disorder?

a.	Depression
b.	Schizophrenia
c.	Bipolar disorder
d.	Anxiety disorder

 

 

ANS:  A

 

	Feedback
A	These are symptoms of depression.
B	Clinical manifestations of schizophrenia include apathy and confusion, delusions and hallucinations, and rambling or stylized patterns of speech.
C	Characteristics of the manic phase are excessive emotional displays, excitement, euphoria, and hyperactivity. In contrast, characteristics of the depressive phase are marked apathy and feelings of profound sadness, loneliness, guilt, and lowered self-esteem.
D	Anxiety is a feeling of uneasiness or discomfort experienced in varying degrees, from mild anxiety to panic. The energy that anxiety provides may mobilize a person to take constructive action such as solving a major problem or filling an unmet need.

 

 

DIF:    Cognitive Level: Apply                   REF:   68-69

TOP:   Nursing Process: Assessment

MSC:  NCLEX Patient Needs: Psychosocial Integrity: Mental Health Concepts

 

4. A female patient states that she has had problems with depression in the past and thinks she is depressed again. Which response by the nurse is most appropriate?

a.	“What do you think is causing your depression this time?”
b.	“What therapies have worked for you in the past?”
c.	“Did you stop taking your medication?’”
d.	“Do you think this is a situational depression?”

 

 

ANS:  B

 

	Feedback
A	This question provides information but does not direct the patient toward identifying a treatment.
B	This question is a therapeutic response to determine if the same or similar therapy can be used again for this depression. It is an open-ended question to collect more data. Also treatment is information collected in a symptom analysis that is useful in this situation.
C	This question sounds accusatory, and the nurse is guessing the cause of this episode of depression without collecting data from the patient. This is a closed-ended question asking for a “yes” or “no” response.
D	This is a closed-ended question and does not collect data to determine if the patient has depression again.

 

 

DIF:    Cognitive Level: Apply                   REF:   70

TOP:   Nursing Process: Assessment

MSC:  NCLEX Patient Needs: Psychosocial Integrity: Mental Health Concepts