RPN Mental Health and Psychiatric Nursing 3

Question 1

A client with schizophrenia has been stable on risperidone for two years and now shows involuntary, repetitive facial movements. The nurse recognizes this as:

Accepted Answer

Tardive dyskinesia

Answer

Acute dystonia

Answer

Akathisia

Answer

Neuroleptic malignant syndrome

Question 2

A client refuses psychiatric medication citing personal beliefs. The nurse's most appropriate action is to:

Accepted Answer

Document the refusal, inform the prescriber, and continue to respect the client's right to refuse

Answer

Administer the medication covertly in food to ensure treatment compliance

Answer

Contact the client's family to persuade the client to take the medication

Answer

Apply for an emergency psychiatric hold to force medication administration

Question 3

Which component is included in a comprehensive Mental Status Examination (MSE)?

Accepted Answer

Appearance, behavior, mood, affect, thought process, cognition, and insight

Answer

Complete blood count and metabolic panel

Answer

Past surgical history and current medications

Answer

Pain scale rating and functional mobility assessment

Question 4

A client with post-traumatic stress disorder (PTSD) is triggered in the unit and begins to dissociate. What is the nurse's immediate intervention?

Accepted Answer

Use a calm, steady voice and simple grounding techniques such as the 5-4-3-2-1 sensory method

Answer

Leave the client alone in a quiet room until the episode resolves

Answer

Administer a benzodiazepine as a PRN to reduce acute distress

Answer

Encourage the client to talk through the traumatic memory to process the emotion

Question 5

Which neurotransmitter deficiency is most closely associated with major depressive disorder?

Accepted Answer

Serotonin deficiency

Answer

Dopamine excess

Answer

Acetylcholine deficiency

Answer

GABA excess

Question 6

A client in alcohol withdrawal is at risk for seizures. Which medication is most commonly used to prevent withdrawal seizures?

Accepted Answer

Lorazepam (Ativan)

Answer

Haloperidol (Haldol)

Answer

Methadone

Answer

Naltrexone (Vivitrol)

Question 7

A nurse is performing a suicide risk assessment. Which factor represents the HIGHEST risk for a completed suicide attempt?

Accepted Answer

A specific plan with access to a lethal method

Answer

Feeling sad and tearful without a specific plan

Answer

Stating 'I wish I was dead' during a depressive episode

Answer

A history of one prior low-lethality gesture without hospitalization