Saudi Prometric Nursing Mental Health Nursing 3

Question 1

A patient on lithium therapy reports coarse tremors, confusion, and ataxia. Serum lithium level is 2.4 mEq/L. What is the priority nursing action?

Accepted Answer

Hold the medication and notify the physician immediately

Answer

A lithium level above 2.0 mEq/L indicates severe toxicity requiring immediate drug discontinuation and physician notification.

Question 2

Which therapeutic communication technique does a nurse use when saying, 'You mentioned feeling hopeless. Can you tell me more about that?'

Accepted Answer

Exploring

Answer

Exploring encourages the patient to elaborate on a specific topic to gain deeper understanding.

Question 3

A nurse is caring for a patient with obsessive-compulsive disorder (OCD) who performs handwashing rituals for 3 hours daily. What is the most appropriate initial nursing intervention?

Accepted Answer

Allow the rituals while establishing a therapeutic relationship

Answer

Initially allowing rituals while building trust prevents increased anxiety; reduction of rituals is a gradual process.

Question 4

A patient with schizophrenia states, 'The television is sending me secret messages.' This is an example of:

Accepted Answer

Delusion of reference

Answer

Ideas of reference involve the belief that external events or objects are personally directed at oneself.

Question 5

Which medication class is considered first-line treatment for generalized anxiety disorder (GAD) in outpatient settings?

Accepted Answer

Selective serotonin reuptake inhibitors (SSRIs)

Answer

SSRIs are first-line for GAD due to their efficacy and favorable safety profile without dependence risk.

Saudi Prometric Nursing Practice Test

Saudi Prometric Nursing Practice Test

Saudi Prometric Nursing Mental Health Nursing 3