TIA Mental Health Nursing

Question 1

A patient with schizophrenia tells the nurse, 'The CIA has implanted a chip in my brain to monitor my thoughts.' The nurse documents this as:

Accepted Answer

A persecutory delusion

Answer

An auditory hallucination

Answer

A somatic delusion

Answer

Thought broadcasting

Question 2

A patient who has been taking lithium for bipolar disorder presents with coarse hand tremors, polyuria, and confusion. The nurse suspects:

Accepted Answer

Lithium toxicity

Answer

Subtherapeutic lithium levels

Answer

Lithium withdrawal syndrome

Answer

Normal side effects at steady state

Question 3

A nurse is using motivational interviewing with a patient who has alcohol use disorder. Which response best reflects this technique?

Accepted Answer

'Tell me what concerns you have about your drinking.'

Answer

'You really need to stop drinking before it kills you.'

Answer

'Have you considered AA — it works for most people.'

Answer

'Your family is very worried and you should listen to them.'

Question 4

A patient receiving haloperidol develops muscle rigidity, high fever, altered consciousness, and autonomic instability. The nurse recognizes this as:

Accepted Answer

Neuroleptic malignant syndrome (NMS)

Answer

Tardive dyskinesia

Answer

Akathisia

Answer

Extrapyramidal symptoms (EPS)

Question 5

A nurse is completing a suicide risk assessment. Which factor represents the highest risk?

Accepted Answer

Previous suicide attempt with a lethal method

Answer

Passive ideation without a plan

Answer

Report of occasional hopelessness

Answer

Moderate depression with good social support

Question 6

Which nursing response is most therapeutic when a patient in crisis says, 'I have nothing to live for'?

Accepted Answer

'I hear you — it sounds like you're in a lot of pain. Can you tell me more?'

Answer

'Things will get better — you'll see.'

Answer

'Why do you feel that way?'

Answer

'You have so much to be grateful for.'