Saudi Prometric Nursing Psychiatric and Mental Health Nursing

Question 1

A patient with major depressive disorder is started on fluoxetine. What must the nurse monitor for in the first 2 weeks?

Accepted Answer

Increased risk of suicidal ideation, especially in patients under 25

Answer

Serotonin syndrome from the first dose

Answer

Agranulocytosis and bone marrow suppression

Answer

Severe hypertension and tachycardia

Question 2

A patient with schizophrenia on haloperidol develops sudden severe muscle rigidity, hyperthermia, and altered consciousness. The nurse should suspect:

Accepted Answer

Neuroleptic malignant syndrome (NMS)

Answer

Acute dystonia

Answer

Tardive dyskinesia

Answer

Extrapyramidal syndrome

Question 3

The nurse is using therapeutic communication with a patient who says, 'I feel like no one cares about me.' Which response is most therapeutic?

Accepted Answer

'It sounds like you're feeling very alone right now. Tell me more about that.'

Answer

'I'm sure people care about you — you have family!'

Answer

'Why would you feel that way?'

Answer

'You shouldn't think like that. Focus on positive things.'

Question 4

A patient with alcohol use disorder is admitted. Which withdrawal symptom requires the most urgent intervention?

Accepted Answer

Delirium tremens (DTs) with seizures and autonomic instability

Answer

Mild anxiety and diaphoresis

Answer

Nausea and vomiting

Answer

Tremors and insomnia

Question 5

The nurse is caring for a patient with anorexia nervosa. Which physical complication is most life-threatening?

Accepted Answer

Cardiac arrhythmias from electrolyte imbalances

Answer

Amenorrhea

Answer

Lanugo hair growth

Answer

Parotid gland enlargement

Question 6

The nurse is assessing a patient for lithium toxicity. Which early sign should be monitored?

Accepted Answer

Coarse tremor, nausea, diarrhea, and confusion at levels >1.5 mEq/L

Answer

Fine tremor at therapeutic levels (0.6–1.2 mEq/L)

Answer

Hyperreflexia only at levels >3.0 mEq/L

Answer

Polyuria and polydipsia as signs of toxicity