TIA Mental Health Nursing 1

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

A fixed false belief that an organization is monitoring or controlling the person is a classic persecutory delusion.

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

Coarse tremors (not fine), polyuria, and confusion indicate lithium toxicity, which requires immediate intervention.

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

Motivational interviewing uses open-ended questions to explore the patient's own ambivalence and motivation for change.

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

NMS is a life-threatening reaction to antipsychotics characterized by hyperthermia, muscle rigidity, altered consciousness, and autonomic dysfunction.

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

A history of previous suicide attempts, especially with a lethal method, is the strongest predictor of future suicide completion.

TIA - Assessment Technologies Institute Practice Test

TIA - Assessment Technologies Institute Practice Test

TIA Mental Health Nursing 1