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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:2014

KENYA METHODIST UNIVERSITY

END OF 3''RD ''TRIMESTER 2014 (PT) EXAMINATION
SCHOOL : MEDICINE & HEALTH SCIENCES
DEPARTMENT : NURSING
UNIT CODE : NRSG 362
UNIT TITLE : MENTAL HEALTH & PSYCHIATRIC NURSING
TIME : 3 HOURS

INSTRUCTIONS:

Read the instructions preceding each section

SECTION A: (MCQs 20 Marks)

Answer all questions
All responses must be written in capital letters

Question One

The following is a positive symptom of schizophrenia

Alogia
Hallucination
Anhedonia
Avolition

Question Two

The following drug is an anxiolytic

Doxylamine
Zolpidem
Clonazepam
Haloperidol

Question Three

The following drug is an antipsychotic

Diazepam
Buspirone
Propranol
Chlorpromazine

Question Four

The most important intervention when working with a client in crisis is:

Obtaining a complete assessment of the client’s part history.
Determining the client’s contribution to the problem
Remaining focused on the immediate problem
Assisting client identify similarities in his/her crisis

Question Five

A priority nursing diagnostic label for a newly admitted patient in manic phase of bipolar disorder is:

Ineffective individual coping
Imbalanced nutrition, less than body requirements
Risk for violence, self directed
Sleep pattern, disturbed

Question Six

The following drug is a selective serotonin reuptake inhibitor

Phenelzine
Amoxapine
Fluoxetine
Amitriphyline

Question Seven

An effective way for a nurse to start an interaction with a client who is mute is:

Tell the client something about himself or herself and hope that the client does the same.
Remain silent, waiting for the client to bring up a topic.
Bring up a controversial topic to elicit the client’s response
Introduce a neutral topic, giving the client a broad opening

Question Eight

The following are psychomotor manifestations of anxiety

Decreased activity
Increased activity
Increased lability of emotions
Decreased lability of emotions.

Question Nine

The following adaptive behavior in a client diagnosed with a somatoform disorder indicates the greatest improvement in the clients condition.

The client recognizes that the behavior is unreasonable
The client agrees to go to occupational therapy every day
The symptoms are replaced by expressions of hostility
The client verbalizes feelings instead of demonstrating them by pathological body languages.

Question Ten

A nursing care plan for a client with a history of alcohol abuse and dependences must incorporate monitoring the following physical consequence

Cardiac arrhythmia
Convulsive disorder
Psychomotor hyperactivity
Cirrhosis of the liver

Question Eleven

The following are the most significant signs and symptoms indicating delirium tremens

Decreased BP and pulse, restlessness
Increased BP and pulse, seizures
Cramps, nausea, vomiting
Anorexia, diarrhea, dehydration

Question Twelve

The nurse must assess for high risk of suicide when a client’s behavior suggests

Major depression with melancholia features
Schizophrenic disorders
Bipolar mood disorder, manic episode
Psychological factors affecting physical condition

Question Thirteen

Client states that voices are telling her to hang herself. The nurse documents that the client is at risk for suicide on the basis of

An intractable sense of hopelessness
Intolerable emotional pain
Delusions of grandeur
Command hallucination

Question Fourteen

According to the DSM IV-TR multinational assessment, Histirionic personality disorder is classified in:

Axis I
Axis II
Axis III
Axis Iv

Question Fifteen

The primary nursing intervention of a victim of child abuse is

Assess the scope of the problem
Analyze the family dynamics
Ensure the safety of the victim
Teach the victim coping skills

Question Sixteen

A mild form of bipolar disorder is known as

Hypomania
Cyclothymia
Euthymia
Dysthymia

Question Seventeen

The following is a characteristic of a dissociative disorder

Patient is unconscious
Involvement of the disruption of memory
Displacement of anger to other people
Ability to integrate consciousness

Question Eighteen

The following is a common characteristic of clients diagnosed with eating disorders.

Highself esteem
Low self esteem
High levels of responsibility
Narcissim

Question Nineteen

Autism is usually diagnosed when the child is about

2 years of age
6 years of age
6 months of age
1 to 3 months of age

Question Twenty

Severe mental retardation is characterized by

IQ 35-70
IQ 20-34
IQ < 20
IQ 50-70

SECTION B: Short Answer Questions (40 marks)

Answer all questions

Question One

Define the following terms (1 mark each)

Dissociative fugue
Criminal responsibility
Hypocandriacal delusion
Alienation of thought
Loosening of association

Question Two
List (four) roles of a community psychiatric nurse (½mark each)

Question Three
Explain the relationship between mental disorders and a country’s legal principles. (3 marks)

Question Four
State (five) techniques used in behavior therapy. (5 marks)

Question Five
Differentiate between sexual dysfunction and paraphilia. (4 marks)

Question Six
Explain the behavioural features of Anorexia Nervosa. (6 marks)

Question Seven
State five offenses under the mental health act. (5 marks)

Question Eight
Explain the management of mentally ill patients during the early civilization. (8 marks)

Question Nine
List four assessments used in psychiatric care (2 marks)

SECTION III: Long Answer Questions (40 marks)

Answer all questions

Question One

Mr. Q is admitted to the psychiatric ward with allegations of "hearing voices," stating that he is Jesus Christ and failing to go to work. The relatives report that the symptoms have been present for the last one month.

Identify Mr. Q’s diagnosis

(1 mark)

List four more symptoms that Mr. Q might present with.

(2 marks)

State four diagnostic criteria for Mr. Q’s diagnosis.

(4 marks)

Utilizing the nursing process, diseases the nursing management of Mr. Q

(13 marks)

Question Three
Drugs are very dangerous to the individual and the society because they play a major role in other problems in the society e.g. HIV/AIDs, violence, passivity utilizing the biopsycho-social model, discuss the collaborative management of a client who is diagnosed with poly substance abuse disorder. (20 marks)

Nrsg 362:Mental Health And Psychiatric Nursing Question Paper

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