Saudi Prometric Nursing Psychiatric and Mental Health Nursing 2

Question 1

A patient with bipolar disorder is in a manic episode. Which nursing intervention is the priority?

Accepted Answer

Provide a safe, low-stimulation environment and maintain nutrition/hydration

Answer

During mania, patients are hyperactive, distractible, and may not eat or sleep. Providing a low-stimulation environment reduces sensory input that worsens agitation. Maintaining safety, nutrition, and hydration are paramount. Overstimulating activities can escalate the manic state.

Question 2

The nurse is preparing a patient with depression for discharge. Which statement by the patient requires further intervention?

Accepted Answer

'I finally feel better and found my old gun at home to clean it.'

Answer

Patients with depression are at highest risk for suicide when they first begin to feel better, as they regain energy while still harboring suicidal ideation. The combination of apparent improvement plus access to a firearm is a major red flag requiring immediate intervention.

Question 3

A patient is brought to the ED agitated and confused, with dilated pupils, tachycardia, and dry skin. The nurse suspects:

Accepted Answer

Anticholinergic toxidrome

Answer

The anticholinergic toxidrome (from antihistamines, antipsychotics, tricyclic antidepressants) causes dry skin/mucous membranes, mydriasis (dilated pupils), tachycardia, confusion, urinary retention, and fever. Remembered as 'hot as a hare, dry as a bone, blind as a bat, red as a beet, mad as a hatter.'

Question 4

The nurse is using the CAGE questionnaire to assess alcohol use. What do the letters stand for?

Accepted Answer

Cut down, Annoyed, Guilty, Eye-opener

Answer

CAGE stands for: Have you ever felt you should Cut down? Have people Annoyed you by criticizing your drinking? Have you ever felt Guilty about your drinking? Have you ever had an Eye-opener (drink first thing in the morning)? Two or more 'yes' answers suggest a significant alcohol problem.

Question 5

A patient with schizophrenia tells the nurse that the television is sending special messages only to them. This symptom is an example of:

Accepted Answer

Idea of reference

Answer

An idea of reference is a delusional belief that external events (TV, radio, strangers' conversations) have special personal relevance or messages directed specifically at the patient. It is a positive symptom of schizophrenia.

Saudi Prometric Nursing Practice Test

Saudi Prometric Nursing Practice Test

Saudi Prometric Nursing Psychiatric and Mental Health Nursing 2