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Nrsg 362:Mental Health And Psychiatric Nursing Question Paper
Nrsg 362:Mental Health And Psychiatric Nursing
Course:Nursing
Institution: Kenya Methodist University question papers
Exam Year:2013
KENYA METHODIST UNIVERSITY
END OF 2''ND ''TRIMESTER 2013 (PT) EXAMINATION
SCHOOL : MEDICINE & HEALTH SCIENCES
DEPARTMENT : NURSING
UNIT CODE : NRSG 362
UNIT TITLE : MENTAL HEALTH & PSYCHIATRIC NURSING
TIME : 3 HOURS
Instructions:
All questions are compulsory
Section I: Multiple choice questions
Section II: Short answer questions
Section III. Long answer questions
SECTION I (MCQs)
Question One
The following is not a type of perception
Olfaction
Affection
Audition
Gestation
Question Two
Rattling of leaves interpreted as a reproaching voice is an example of
Hallucination
Delusion
Illusion
Ideas of reference
Question Three
The most frequent content of delusion is
Persecution
Jealousy
Love
Grandiosity
Question Four
The term used to describe a peculiar change in the awareness of self in which the individual feels "as if" he is unreal is:
Derealization
Depersonalization
Jamais Vu
Dissociation
Question Five
In DSM – IV TR depersonalization is classified as a
Dissociation disorder
Delusional disorder
Conversion disorder
Organic disorder.
Question Six
The following is not a characteristic of agitated depression
Depressed mood
Increased motor activity
Restless and purposeless movements
Elevated mood.
Question Seven
The following is not an essential feature of obsession thoughts in obsessive compulsive disorder.
A feeling of subjective compulsion
A resistance to subjective compulsion
Preservation of insight
Presence of primary delusions
Question Eight
Axis 5 of DSM –IV classification includes
Clinical disorders
Personality disorders
General assessment of functioning
Psychosocial and environmental problems.
Question Nine
The following is not a typical characteristic of Parkinson’s disease.
Slowing of emotional and voluntary movement
Muscular rigidity, akinesia and tremor.
Disorders of gait, speech and posture
Choreiform movements and mendelian dominant inheritance.
Question Ten
The following condition is characterized by multiple tics, accompanied by forced verbalizations and coprolacia.
Parkinson’s disease
Huntington’s disease
Gilles de latouretes syndrome
Alzheimers disease
Question Eleven
The tem "Sundowners" is used to describe patients suffering from the following condition.
Schizophrenia
Dementia
Alcoholic hallucinosis
Delirium
Question Twelve
The following statement is true about Marijuana
It is not physically addictive
It is safe to drive under the influence of Marijuana
It is healthier than tobacco
Short-term memory is enhanced by smoking Marijuana
Question Thirteen
Lacrimation, rhinorrhea, pin-point pupils, sweating diarrhea, and muscle cramps are characteristic of:
Alcohol withdrawal syndrome
Cahencibis withdrawal syndrome
Opium withdrawal syndrome
Cocaine withdrawal syndrome
Question Fourteen
The following is not a characteristic feature of a manic episode
Elevated, expansive instable mood
Increased psychomotor activity
Thought echo, thought insertion or thought withdrawal
Flight of ideas
Question Fifteen
The following is a tricyclic antidepressant drug.
Escitalopram
Imipruamine
Paroxetine
Fluoxetine
Question Sixteen
The following condition is an indication for electroconvulsive therapy (ECT)
Serene depression
Hypomania
Autistic disorders
Tourettes syndrome
Question Seventeen
Drug-induced Parkinsonism most commonly presents in
Schizophrenia
Mania
Obsessive compulsive disorders
Phobia
Question Eighteen
Compared to other antipsychotics, clozapine is associated with a higher risk of:
Extrapyramidical symptoms
Seizures
Neuroleptic malignant syndrome
Anticholinergic side effects.
Question Nineteen
The following drug is least likely to cause sexual dysfunction
Imipramine
Thioridazine
Captopric
Mirtazapine
Question Twenty
Narcolepsy is characterized by:
Sudden irresistible desire to sleep
More frequent occurrence in females
Relief from barbiturates
N-REM sleep during narcoleptic attacks
SECTION II SHORT ANSWER QUESTIONS (40 MARKS)
Question One
Define the following terms (1 mark each)
Reflex hallucination
Fragmented thinking
Phobia
Thought broadcasting
Clang association
Catatonia
Emotional ambivalence
De ja Vu.
Question Two
Distinguish between anorexia nervosa and bulimia nervosa. (8 marks)
Question Three
List eight common causes of sleep disorders. (4 marks)
Question Four
Explain the psychological aspect of epilepsy. (4 marks)
Question Five
Explain the historical development of psychiatric nursing in Kenya. (8 marks)
Question Six
Explain the general psychopathology of somatoform disorders. (2 marks)
Question Seven
State three functions of Kenya Board of Mental Health. (3 marks)
Question Eight
Explain the admission procedure of a member of armed forces of Kenya into a psychiatric hospital. (3 marks)
SECTION III
LONG ANSWER QUESTIONS (40 marks)
Question One
Discuss the legal aspects of nursing psychiatric patients in Kenya. (20 marks)
Question Two
Utilizing the nursing process, discuss the nursing management of patient who is diagnosed with Autism. (20 marks)
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