MENTAL HEALTH

NURSING

PROBABLE QUESTIONS

Q1. In Mental Health Act 2017, at which a. Orientation to person place and
hospital an experienced psychiatric nurse environment
is posted? b. To restore bladder and bowel function
a. Central or state mental health c. To improve nutritional status
authority (MHA)
d. Correct the wake and sleep cycle
b. Tertiary centers
Q5. Thiamine has been prescribed for an
c. Secondary centers alcoholic patient. The rationale for
d. None administration of this, medication is the
Q2. Social skill training for schizophrenia prevention of:
patient is done for the symptoms known a. Huntington’s disease
as: b. Alcoholic dementia
a. Positive sign b. Negative sign c. Alcohol withdrawal syndrome
c. Hallucination d. Delusion d. Wernicke-Korsakoff syndrome
Q3. A patient is taking food correctly as Q6. The ability of a person to readily recover
per her diet plan, but no increase in from stressful situations is called:
weight is observed. What will be nursing
a. Mental freedom
intervention for the above patient?
b. Androgyny
a. Observe patient while taking meal
and after, up to 2 hours c. Resilience

b. Increase calorie of food from 1500 to d. Hardiness

2000 Q7. Which of the following is expected in a
c. Add vitamin tablet to her medications patient who is diagnosed with an organic
mental disorder?
d. Engage them in other activities
a. Appropriate behavior
Q4. A patient is admitted in a ward with the
diagnosis of delirium. From first 24 to b. Intact memory
48 hours, what will be nurse’s priority c. Orientation to person, place and time
action? d. Disorganization of thoughts
 Q8. The disulphiram therapy is indicated in: Q15. In schizophrenia, gradual subtle behavioral
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a. Cannabis dependence changes occur in:

b. Anxiety disorder a. The premorbid phase
c. Chronic alcoholism b. The prodromal phase
d. Acute intoxication c. The onset phases

Q9. The La Belle indifference is related to: d. The progressive phase

a. Anxiety disorder Q16. How many quadrant numbers are there

in Johari Window?
b. Conversion reaction
a. 2 b. 6
c. Phobic anxiety
c. 4 d. 8
d. Obsession compulsions disorder
Q17. When a patient is not aware of his/her
Q10. All of the following are mood stabilizing
mental illness, it is called:
agents, except:
a. Disorientation
a. Lithium carbonate
b. Lack of insight
b. Fluoxetine
c. Unconsciousness
c. Valproic acid
d. Lack of concentration
d. Carbamazepine
Q18. A person who is aloof, isolated and does
Q11. A patient on antipsychotic medication
not socialize, falls into which of the
developed rolling of eyes upward. This is
following category?
indicative of:
a. Withdrawn b. Anxious
a. Therapeutic action
c. Aggressive d. Obsessive
b. Drug has not reached its therapeutic
level in blood Q19. Select the correct match:
c. Extrapyramidal symptoms a. Sigmoid Freud - Theory of cognitive
development
d. Myasthenia gravis
b. Jean Piaget - Founder of psychoanal-
Q12. A patient came to ED unconscious with
ysis
pinpoint pupil, lacrimation and history
of substance abuse. Which drug will be c. Eugene Bleuler - 4A’s schizophrenia
administered? d. All of the above
a. Flumazenil b. Naloxone Q20. A patient says she loves her child and
c. Lorazepam d. Naltrexone wants to hug him but also hates him and
wants to hurt him. She is unable to decide
Q13. Least effective therapy in OCD is:
what to express. This is known as:
a. Exposure
a. Abulia
b. Cognitive therapy
b. Ambivalence
c. Medication
c. Anhedonia
d. Physical exercise
d. Alexithymia
Q14. The Theory of Hierarchy of Needs is called
Q21. A patient is mute and immobile but
____:
conscious. He is unresponsive to the
a. Maslow’s Hierarchy of Needs environment. He is known to be:
b. High Performance Level a. Coma
c. McClelland’s Needs Theory b. Stupor
d. Herzberg’s Two Factor Theory c. Sopor
d. Twilight state

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 Probable Questions Discussion—Mental Health Nursing

Q22. New name of mental retardation Q28. Antipsychotic drug with least incidence of

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according to American Association of extrapyramidal side effects and maximum
Mental Retardation: incidence of weight gain is
a. Feeble Mindedness a. Pimozide b. Thioridazine
b. Madness c. Clozapine d. Chlorpromazine
c. Intellectual disability Q29. A patient with acute psychosis who is on
d. Mentally unstable haloperidol 20 mg/day for last 2 years
has an episode characterized by tongue
Q23. Patient complains that someone is making
protrusion oculogyric crisis stiffness and
conspiracy about him. Which type of
abnormal posture of limbs and trunk
delusion is it?
without loss of consciousness for last 20
a. Delusion of infidelity minutes. Before presenting to casualty
b. Delusion of nihilism this improved within a few minutes after
c. Delusion of persecution administration of diphenhydramine HCI,
the most likely diagnosis is
d. Delusion of grandiosity
a. Acute dystonia
Q24. Major depressive episodes are characterized
by low mood for at least: b. Akathisia
a. One-week c. Tardive dyskinesia
b. Two weeks d. Neuroleptic malignant syndrome
c. Four weeks Q30. Which of the following is the most
common risk associated with severe
d. Eight weeks
depression?
Q25. A chronic alcoholic patient blames his
a. Fatigability b. Hallucinations
family environment for his alcoholism;
which of the following defense mechanism c. Agitation d. Suicidal tendency
was used by the patient? Q31. What is the total score in Mini Mental
a. Denial b. Projection Status Examination (MMSE)?
c. Rationalization d. Sublimation a. 25 b. 30
Q26. According to DSM IV, the positive c. 32 d. 35
symptoms of schizophrenia include: Q32. In which defense mechanism anxiety is
i. Hallucinations expressed through physical symptoms?
ii. Delusions a. Projection b. Regression
iii. Flat affect c. Conversion d. Hypochondriasis
iv. Bizarre behavior Q33. When a patient is not aware of his/her
a. I, II, III mental illness, it is called:

b. II, III, IV a. Disorientation

c. I, III, IV b. Lack of insight

d. I, II, IV c. Unconsciousness
d. Lack of concentration
Q27. Mini mental status examination is to
assess: Q34. A patient admitted in the psychiatric
a. Thought ward refused to eat her lunch stating
that the food is poisoned. This kind of
b. Cognition
response is an example of:
c. Mood and affect
a. Sympathy b. Illusions
d. Insight
c. Hallucination d. Delusions

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 Q35. Which one of the following is derived from Q43. A patient came to emergency with alcohol
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the plant ‘Cannabis Sativa’? withdrawal symptoms, what symptoms

a. Cocaine b. Ganja will you observe?
c. Opium d. Morphine a. Tremor, sweating, restlessness

Q36. Mr. Raju was crying out to the nurse, b. Fever, nausea vomiting, hyperactivity
describing the loss of his wife in an c. Hypertension, sweating, rhinorrhea
accident. The nurse did not interrupt but d. Deep coma, lacrimation, tears
allowed him to express his feelings. This
Q44. Following drugs have abuse liability,
technique is called:
except:
a. Reassurance b. Ventilation
a. Buprenorphine
c. Abreaction d. Persuasion
b. Alprazolam
Q37. A state of diminished consciousness in c. Fluoxetine
which the patient remains mute and still
d. Dextropropoxyphene
with the eyes open is called:
a. Catatonia b. Stupor Q45. Not a feature of paradoxical sleep is:

c. Panic d. Hysteria a. Decreased muscles tone

b. Rapid eye movements
Q38. Senseless repetition of same words phrases
over and over again is known as: c. Brain shows increased metabolism
a. Stereotypy b. Trance d. EEG shows decreased activity
c. Verbigeration d. Broadcasting Q46. Alpha rhythm is seen in:
Q39. A very severe elevation of mood in manic a. Sleep with eyes closed with mind
episode is: wandering
a. Euphoria b. Ecstasy b. Mental activity
c. Exaltation d. Elation c. Awake with eyes open
Q40. The absolute contraindication for d. REM sleep
electroconvulsive therapy is: Q47. Which of the following behavioral problems
a. Raised intracranial tension would suggest an organic brain lesion?
b. Retinal detachment a. Formal thought disorder
c. Myocardial infarction b. Auditory hallucinations
d. Diabetes mellitus c. Visual hallucinations
Q41. All of the following are mood stabilizing d. Depression
agents, except: Q48. Disorientation occurs in:
a. Lithium carbonate a. Schizophrenia
b. Fluoxetine b. Organic brain syndrome
c. Valproic acid c. Depression
d. Carbamazepine d. Mania
Q42. The following delusions are common in Q49. The term catatonia was coined by:
depression, except: a. Kahlbaum
a. Delusion of Nihilism b. Freud
b. Delusion of persecution c. Maxwell
c. Delusion of grandeur d. Adler
d. Delusion of poverty

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 Probable Questions Discussion—Mental Health Nursing

Q50. Schizophrenia is characterized by all of Q56. According to whom do we face a

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the following symptoms, except: psychosocial dilemma at each stage of
a. Delusion of reference life?
b. Delusion of control a. Sigmund Freud
c. Waxy flexibility b. Erik Erikson
d. Altered sensorium c. Lawrence Kohlberg

Q51. A 20-year-old boy complaints of hearing d. James Coleman

of voices and aggressive behavior for last Q57. Dependent personality traits are related
2 days. He had fever before the onset of to which phase?
these symptoms. The family members a. Oral b. Anal
report that he has been muttering to
c. Phallic d. Genital
self and gesticulating as if he is talking to
someone. There is no history of any past Q58. False statements regarding myocardial
psychiatric illness. The likely diagnosis is: infraction and depression is
a. Dementia a. Depression is a risk factor for MI
b. Acute psychosis b. MI is a risk factor for depression
c. Delirium c. SSRIS can be used post MI for
treatment of depression
d. Delusional disorder
d. Only cognitive behavioral therapy is
Q52. What is the most appropriate nursing
used after MI
intervention for clients who exhibit mild
cognitive impairment? Q59. Which of the following phenomenon is
closely associated with slow wave sleep?
a. Reality orientation
a. Dreaming
b. Behavioral confrontation
b. Sleep walking
c. Reflective communication
c. Atonia
d. Reminiscence group therapy
d. Irregular heart rate
Q53. All are relatively normal in Korsakoff’s
psychosis, except: Q60. Which of the following is NOT a medico-
psychiatric condition?
a. Implicit memory
a. Insulinoma
b. Intelligence
b. Agitated depression
c. Language
c. Hyperthyroidism
d. Learning
d. Angina
Q54. At what age dose Freud’s phallic stage of
psychosexual development compare with Q61. In depression, there is deficiency of:
Erikson’s psychosocial phase of initiative a. Acetylcholine
versus guilt? b. Dopamine
a. Adolescence c. 5-HT
b. 6 to 12 years d. GABA
c. 3 to 5½ years Q62. Rorschach Inkblot test or Thematic
d. Birth to 1 year apperception test is based on the
Q55. Amotivational syndrome is seen in: phenomenon of:
a. Cannabis b. Cocaine a. Observation b. Projection
c. Amphetamine d. Heroin c. Identication d. Transference

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 Q63. The situation in which individuals have Q70. “Scheduled activity” therapy is used for
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excessive worry or belief that they are the patient with:

suffering from a physical illness despite a. Negative symptoms of schizophrenia
lack of medical evidence is known as:
b. Depression
a. Dissociative disorder
c. Mania
b. Panic disorder
d. OCD
c. Somatoform disorder
Q71. Psychological eating disorder in which
d. Phobic disorder there is an intense fear of becoming obese
Q64. The ability of a person to readily recover is called:
from stressful situations is called: a. Bulimia nervosa
a. Mental freedom b. Androgyny b. Anorexia nervosa
c. Resilience d. Hardiness c. Pica
Q65. The La Belle indifference is related to: d. Dieting
a. Anxiety disorder Q72. ______________ is the procedure of artificial
b. Conversion reaction induction of grand mal seizure, through
c. Phobic anxiety the application of electrical current to
the brain:
d. Obsession compulsions disorder
a. Transcranial magnetic stimulation
Q66. A person, suffering from severe anxiety
disorder, is able to speak freely with b. Reflexology
certain people only and is not able to c. Phototherapy
speak with others, especially with certain d. Electroconvulsive therapy
social groups such as classmates at school:
Q73. Auditory hallucinations are disorders of
a. Selective mutism b. Aphasia __________:
c. Mutism d. Epilepsy a. Judgment
Q67. Which of the following is expected in a b. Perception
patient who is diagnosed with an organic c. Mood
mental disorder?
d. Affect
a. Appropriate behavior
Q74. ‘Omega sign’ is seen in which of the
b. Intact memory
following?
c. Orientation to person, place and time
a. Anxious patient
d. Disorganization of thoughts
b. Depressed patient
Q68. A client sleeps between conversations. It is c. Deluded patients
described as:
d. Negativistic patient
a. Sleep apnea
Q75. Which of the following is NOT true about
b. Narcolepsy
sleep?
c. Somnambulism
a. It consists of REM and non-REM
d. Insomnia sleep.
Q69. Impairment in consciousness and cognition b. Sleep cycles are controlled by the
for short time is the: suprachiasmatic nucleus.
a. Delirium c. Most growth hormones are produced
b. Dementia during stage 3 and 4 of sleep.
c. LOC d. Dreams occur during non-REM sleep.
d. Parkinson

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 Probable Questions Discussion—Mental Health Nursing

Q76. Most common symptom of alcohol Q81. Expand the term given below in the

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withdrawal is image:
a. Body ache
b. Tremor
c. Diarrhea
d. Rhinorrhea
Q77. Naltrexone is used in opioid addiction
a. To treat withdrawal symptoms
b. To treat overdose of opioids and
prevent respiratory depression
c. To prevent relapse
d. Has addiction potential used for
detoxification of opioid
Q78. Dysthymia is:
a. Pediatric Autoimmune Neuropsy-
a. Chronic mild depression chiatric Disorders Associated with
b. Chronic severe depression Streptococcal Infections
c. Bipolar disorder b. Puerperal Autoimmune Neuropsy-
d. Personality disorder chiatric Disorders Associated with
Streptococcal Infections
Q79. A patient with acute psychosis who is on
haloperidol 20 mg/day for last 2 years c. Pediatric Autoimmune Neuropsy-
has an episode characterized by tongue chiatric Disorders Associated with
protrusion oculogyric crisis stiffness and Staphylococcal Infections
abnormal posture of limbs and trunk d. Puerperal Automatic Neuropsychiat-
without loss of consciousness for last 20 ric Disorders Associated with Strep-
minutes. Before presenting to casualty tococcal Infections
this improved within a few minutes after Q82. Psychological separation of a mental
administration of diphenhydramine HCI, function from the rest of the personality
the most likely diagnosis is is called as:
a. Acute dystonia a. Isolation
b. Akathisia b. Dissociation
c. Tardive dyskinesia c. Acting out
d. Neuroleptic malignant syndrome d. Paranoia
Q80. An alcoholic person comes to your office, Q83. The nurse completes a health history for
he can’t tell his name, there is gross a patient who has been taking lorazepam
incoordination in walking, and his eye for 6 months. During the physical
is deviated to one side, what is your examination of the patient most likely
diagnosis the nurse will find:
a. Wernicke’s encephalopathy a. Physical dependence
b. Korsakoff psychosis b. Seizure activity
c. Alcoholic hallucination c. Excessive appetite
d. Delirium tremens d. Suicidal ideation

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 Q84. Type of phobia seen in the given below Q88. A 67-years old lady is brought in by
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image: her G children saying that she has gone

senile six months after her husband death
she has become more religious spiritual
and gives lots of money in donation she
is occupied in too many activities and
sleep less she now believes that she has
a goal to change the society she does not
like being brought to the hospital and is
argumentative on being questioned on
her doings, the diagnosis is:

a. Agoraphobia b. Claustrophobia a. Depression

c. Pyrophobia d. Algophobia b. Schizophrenia

c. Mania
Q85. The organization given below in the image
was founded in the year: d. Impulse control disorder
Q89. A 3-year-old child has normal
developmental milestones, except
delayed language development, poor
speech development. He has difficulty
in concentrations communication and
making friends. He has no friends and
spends time seeing his own hands. The
most probable diagnosis is_____
a. Autism
b. ADHD
c. Specific Learning disability
d. Mental retardation
Q90. False statements regarding myocardial
infraction and depression is
a. Depression is a risk factor for MI
b. MI is a risk factor for depression
c. SSRIS can be used post MI for
treatment of depression
a. 1948 b. 1949
d. Only cognitive behavioral therapy is
c. 1947 d. 1950 used after MI
Q86. The defense mechanism in phobia is: Q91. A 41-yrsold woman presented with a
a. Displacement b. Dissociation history of aches and pains all over the
c. Distortion d. Conversion body and generalized weakness for four
years she cannot sleep because of the
Q87. Most commonly depression is seen in
illness and has lost her appetite as well
a. Middle aged men she has lack of interest in work and
b. Middle aged females doesn’t like to meet friends and relatives,
c. Young girl she denies feelings of sadness her most
d. Children likely diagnosis is:

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 Probable Questions Discussion—Mental Health Nursing

a. Somatoform pain disorder a. Dreaming

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b. Major depression b. Sleep walking
c. Somatization disorder c. Atonia
d. Dissociative disorder d. Irregular heart rate
Q92. Persistent feeling of guilt is seen in: Q97. Organic mental diseases is indicated by:
a. Obsessive compulsive disorder a. Incoherence
b. Mania b. Delusion
c. Depression c. Flight of idea
d. Schizophrenia d. Perseveration of speech
Q93. A patient is depressed for past 3 years Q98. A 60-yrs old man had undergone cardiac
does not go out of his house much and is bypass surgery 2 days back now he started
cut off from the society but with normal forgetting things and was not able to
sleep and normal weight most probable recall names and phone numbers of his
diagnosis is: relatives what is the probable diagnosis?
a. Major depression a. Depression
b. Dysthymia b. Post traumatic psychosis
c. Chronic fatigue syndrome c. Cognitive dysfunction
d. No psychiatric illness d. Alzheimer’s disease
Q94. A patient is brought to the casualty in Q99. A patient with pneumonia for 5 days
the state of altered sensorium he was on is admitted to the hospital in altered
lithium treatment for affective disorder sensorium. He suddenly ceases to recognize
and has suffered through an attack the doctor and staff. He thinks that he
of epileptic fits on examination he has has in jail and complains of scorpion
worsening tremors increased DTRs and attacking him, his probable diagnosis is
incontinence of urine he has also undergone a. Acute dementia
an episode of severe gastroenteritis two
b. Acute delirium
days ago the serum lithium was found to
be 1.95 mEq/L the parables cause for this c. Acute schizophrenia
present state is: d. Acute paranoia
a. Lithium toxicity Q100. Delirium and schizophrenia differ from
b. Dehydration each other by:
c. Manic episodes a. Change in mood
d. Depressive stupor b. Clouding of consciousness

Q95. Not seen in narcolepsy: c. Tangential thinking

a. Sleep paralysis d. All of the above

b. Ataxia Q101. Anterograde amnesia is seen in:

c. Catalepsy a. Head injury
d. Abnormal REM sleep b. Stroke

Q96. Which of the following phenomenon is c. Spinal cord injury traumatic para-
closely associated with slow wave sleep? plegia
d. Alzheimer’s disease

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 Q102. Which of these is NOT a feature of a. Anxious patient
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paradoxical sleep: b. Depressed patient

a. Decreased muscle tone c. Deluded patients
b. Rapid eye movements d. Negative patient
c. Brain shows increased metabolism Q108. IQ range of severe Mental Retardation:
d. EEG shows decreased activity a. Below 20 b. 21- 34
Q103. Which of the following is NOT a medico- c. 21- 40 d. 35- 49
psychiatric condition?
Q109. Which of the following is not a part of
a. Insulinoma the 4 A’s of Bleuler?
b. Agitated depression a. Ambivalence
c. Hyperthyroidism b. Avolition
d. Angina c. Affective disturbances
Q104. Which of the following is not a characteristic d. Autism
symptom/sign of schizophrenia?
Q110. Which of the following features is more in
a. Inappropriate affect favor of delirium?
b. Disturbance of thought process a. Occurs gradually over a period of
c. Visual hallucinations time
d. Auditory hallucinations b. Fluctuating course
Q105. The ICD classification of disease is published c. Preserved consciousness
by: d. Commonly associated with auditory
a. American Psychiatric Association hallucinations
APA Q111. A 25-year-old woman complains of
b. Indian Society of Psychiatric Nurses intense depressed mood for last 6
ISPN months. She also reports inability to
c. International Psychiatric Association enjoy previously pleasurable activities.
This symptoms is known as:
d. World Health Organization
a. Avolition
Q106. With regards to diagnosis of Mental
disorder, the term DSM stands b. Amotivation
for: c. Anhedonia
a. Disease System Manual d. Apathy
b. Diagnostic system manual Q112. Which of the following principles is
c. Diagnostic and statistical manual matched correctly with the part of the
mind it works on?
d. Diagnostic system for mental disorder
a. Id-Principle of reality, in the conscious
Q107. The given below sign in the image is seen
domain
in seen in which of the following?
b. Ego-Principle of pleasure, in the
unconscious domain
c. Super Ego-Principle of idealism, both
in the conscious and unconscious
domain
d. Id-Defense mechanism, in the
unconscious domain

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 Probable Questions Discussion—Mental Health Nursing

Q113. Which of the following is not a common Q118. Prophylactic maintenance serum levels of

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feature of anorexia nervosa? lithium is____.
a. Binge eating a. 0.2-0.8 mEq/L
b. Amenorrhea b. 0.7-1.2 mEq/L
c. Self-perception of being fat c. 1.2-2.0 mEq/L
d. Under weight d. 2.0-2.5 mEq/L
Q114. The perception that occurs when a sensory Q119. A 16-year-old males is found to have a
stimulus is present but is incorrently mental age of 9 years on IQ testing he
perceived and misinterpreted is known has
as: a. Mild mental retardation
a. Illusion b. Moderate mental retardation
b. Delusion c. Severe mental retardation
c. Hallucination d. Profound mental retardation
d. Delirium Q120. Which of the following is not a part of
Q115. The day given in the image is observed on: cognitive triad of beck?
a. Hopelessness
b. Worthlessness
c. Helplessness
d. Guilt
a. 10th march Q121. Bipolar II disorder includes:
b. 10th October a. Cyclothymic disorder
c. 10th July b. Dysthymia
d. 10th September c. Single manic episodes
Q116. A 28 year old female was brought to d. Major depression and hypomania
psychiatry OPD she appeared agitated Q122. Delirium is defined as:
and claimed that her husbands has stolen
a. Acute onset of disturbed consciousness
baby from her womb patient was also
muttering to herself and has not slept for b. Chronic onset of disturbed
last 4 days she had delivered a healthy consciousness
females child three weeks back however c. Progressive generalized impairment of
was not taking care of the baby the intellectual function and memory with
symptoms started in second week post- without impairment of consciousness
partum. The likely diagnosis is: d. Disorientation without clouding of
a. Postpartum blues consciousness
b. Postpartum depression Q123. Which of the following is NOT a symptom of
c. Postpartum psychosis neuroleptic malignant syndrome?
d. Schizophrenia a. Autonomic dysregulation
Q117. Which of the following is not a symptom b. Hypothermia
of mania? c. Muscle rigidity
a. Distractibility d. Catatonia and stupor
b. Elated mood Q124. Which of the following is a long-term
c. Delusion of grandeur effect of ‘medical complication of
alcoholism’?
d. Increased sleep

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 a. Korsakoff’s psychosis Q131. A lady comes home from office and
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b. Depression shouts on maid after a bad day at work

is known as:
c. Delirium Tremens
a. Compensation
d. Paranoia
b. Denial
Q125. Which is the most important factor in a
therapeutic relationship? c. Displacement

a. Trust b. Knowledge d. Intellectualization

c. Respect d. Motivating Q132. Consciously or unconsciously channeling

instinctual drives into acceptable drives is
Q126. All of the following are mood stabilizing
known as:
agents, except:
a. Repression b. Regression
a. Lithium carbonate
c. Suppression d. Sublimation
b. Fluoxetine
Q133. A girl who had a traumatic experience
c. Valproic aid
does not want to talk or not ready to
d. Carbamazepine talk about the incidence is known as:
Q127. When did the mental Health Bill become a. Repression b. Regression
the Mental Health Act?
c. Suppression d. Sublimation
a. 1990 b. 1912
Q134. Reverting to less mature way of handling
c. 1987 d. 1985 the stresses and feelings is known as:
Q128. A person thinks that somebody follows a. Reaction formation
him because he had secret paper in his
b. Repression
briefcase:
c. Regression
a. Delusion of persecution
d. Suppression
b. Idea of reference
Q135. An alcoholic husband is not ready to
c. Idea of suspect
accept the ill effects of alcohol abuse to
d. Delusion of grandeur his health and continues to drink is know
Q129. Consciously covering up for a weakness as:
by over emphasizing or making up a a. Compensation
desirable trait is known as:
b. Denial
a. Conversion
c. Displacement
b. Compensation
d. Intellectualization
c. Denial
Q136. A student starts experiencing headache
d. Disaplacement on the day of announcement of results is
Q130. A lady behaves in an over affectionate known as:
manner to her neighbor when she meets a. Conversion b. Compensation
her in a social gathering is known as:
c. Denial d. Displacement
a. Reaction formation
Q137. Helping orphan children which gives
b. Repression personal satisfaction is known as:
c. Regression a. Altruism b. Conversion
d. Suppression c. Compensation d. Denial

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 Probable Questions Discussion—Mental Health Nursing

Q138. Children integrate their parent’s value Q143. A sudden loss of muscle tone and voluntary

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system into the proves of conscience muscle movement:
formation is known as:
a. Displacement b. Intellectualization
c. Introjection d. Projection
Q139. Fixed, false unshakable belief, in spite of
obvious proof/rationale:
a. Hallucination
b. Delusion
c. Perception
d. Illusion
a. Cataplexy b. Mutism
Q140. State of mental confusion and excitement c. Aphasia d. Apraxia
characterized by disorientation to time
and place, clouding of consciousness: Q144. The involuntary repetition of words
spoken by another person:
a. Euphoria b. Echopraxia
c. Word salad d. Echolalia
Q145. The shifting from one idea to another
without completing the previous idea or
an abrupt change of topics expressed in a
rapid flow of speech:
a. Flight of ideas
b. Thought block
a. Dementia c. Neologism
b. Delirium d. Ideas of reference
c. Confusion
Q146. The outward bodily expression of emotions
d. Disorientation that range from joy to sorrw:
Q141. The unrealistic preoccupation with fear of a. Mood b. Affect
having a serious illness: c. Insight d. Judgement
a. False perception
Q147. The loss of interest and inability to
b. Hypochondriasis experience pleasure in activities that were
c. La belle indifference previously enjoyed by an individual
d. Panic disorder a. Apathy b. Avolition
Q142. Inability to get to the point of a story. c. Anhedonia d. Aphasia
Patient talks about many unrelated Q148. The fabricating of stories to fill in in
topics, until original topic of discussion is memory gaps:
lost
a. Dissociative amnesia
a. Circumstantiality
b. Compulsion
b. Tangentiality
c. Confabulation
c. Echolalia
d. Akathisia
d. Echopraxia

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 Q149. Select the correct match: Q154. According to Kubler-Ross theory of grief,
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a. Sigmoid Freud - Theory of cognitive which among the following behaviour is

development observed in stage II?
b. Jean Piaget - Founder of a. Depression b. Anger
psychoanalysis c. Bargaining d. Denial
c. Eugene Bleuler - 4A’s schizophrenia Q155. According to Sigmund Freud, we have
d. All of the above a barrier in our mind called repression.
Q150. Which of the following principles is This function is done by:
matched correctly with the part of the a. The conscious part of our mind
mind it works on? b. The preconscious part of our mind
a. Id - Principle of reality, in the c. The unconscious part of our mind
conscious domain
d. Both b and c
b. Ego - Principle of pleasure, in the
unconscious domain Q156. How many quadrants are there in the
Johari window?
c. Super Ego - Principle of idealism,
both in the conscious and unconscious a. 2 b. 4
domain c. 6 d. 8
d. Id - Defense mechanism, in the Q157. In Piaget’s theory of cognitive development,
unconscious domain out of sight, out of mind is seen in which
Q151. Which of the following is false according stage:
to the topographical theory? a. Pre operational
a. Primary process thinking is illogical b. Sensorimotor
and primitive
c. Concrete operational
b. An unconscious thought can never
d. Formal operational
reach conscious awareness
c. The drives and desires than one is born Q158. A perception that occurs when a sensory
with are part of the unconscious mind stimulus is present but is incorrectly
perceived and misinterpreted is known
d. The contents of the preconscious
as:
mind can be brought into awareness
by focusing a. Illusion b. Delusion
Q152. According to Erikson’s stages of c. Hallucination d. Delirium
psychosocial development, which of the Q159. Which of the following is wrong about the
following developmental task is associated Mental Status Examination?
with adolescence?
a. It has objective observation of the
a. Trust Vs Mistrust clinician
b. Identity Vs Role confusion b. It has subjective description given by
c. Industry Vs Inferiority the patient
d. Intimacy Vs Isolation c. Both a and b
Q153. The term dementia praecox was described d. It is scored out of 30
by?
Q160. Temporary loss of muscle tone and
a. Eugene Bleuler weakness precipitated by a variety of
b. Sigmoid Freud emotional states is called:
c. Emil Kraepelin a. Cataplexy b. Catharsis
d. Erich Muir c. Compulsion d. Confabulation

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 Probable Questions Discussion—Mental Health Nursing

Q161. The Folstein’s test is done out of a score c. International Psychiatric Association

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of: d. World Health Organization
a. 15 b. 20 Q168. Excessive sexual desire in male is known
c. 25 d. 30 as:
Q162. Mechanism of action of the antidepressants a. Nymphomania b. Satyriasis
include: c. Tribadism d. Sadism
a. Change in neurotransmitter receptor Q169. Individual psychology was proposed by:
sensitivity a. Adolf Meyer
b. Decrease in level of neurotransmitters b. Alfred Adler
c. Change in efficacy of neurotransmitters c. Carl Jung
d. None of the above d. Harry Stack Sullivan
Q163. National mental health program was Q170. Transference means………………………….:
launched in the year of: a. Individual spontaneously report all
a. 1979 b. 1980 thought to therapist
c. 1981 d. 1982 b. Strong positive/negative feelings
towards the therapist on part of
Q164. The traits of being talkative or silent and
client
sociable or reclusive are described under
c. Individual prevents all the repressed
which dimension of personality?
thoughts
a. Agreeableness
d. None of these
b. Conscientiousness
Q171. Which of the following is not seen in
c. Extraversion autism?
d. Emotional stability a. 2/3rd patients are mentally retarded
Q165. Who is the father of modern psychiatry? b. Poor eye contact
a. Benjamin Rush c. Language is impaired
b. Philippe Pinel d. Abnormal dermatoglyphics
c. Emil Kraepelin Q172. A patient with IQ 30 will be diagnosed
with:
d. William Tuke
a. Mild mental retardation
Q166. A 50-year-old man has a fight with his
b. Moderate mental retardation
neighbour. The next day he feels that
his neighbours are following him and c. Severe mental retardation
recording his movements and he fears d. Profound mental retardation
that they are planning to kill him. What Q173. IQ is :
do his symptoms represent? a. Mental age/Chronological age × 100
a. Thought insertion b. Chronological age/ Mental age × 100
b. Delusion of control c. Mental age + Chronological age × 100
c. Delusion of persecution d. Mental age − Chronological age × 100
d. Delusion of reference Q174. Which of the following is wrong about the
Q167. The ICD classification of disease is published Mental Status Examination?
by: a. It has objective observation of the clinician
a. American Psychiatric Association b. It has subjective description given by
(APA) the patient
b. Indian Society of Psychiatric Nurses c. Both A and B
(ISPN) d. It is scored out of 30

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 Q175. All of the following are the characteristic Q181. A person who believes that the television
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of perception; except: news anchor is talking to him is suffering

a. Perception is an active process from:
b. Perception is highly selective a. Delusion of grandeur
c. Perception is unaffected by motivation b. Delusion of reference

d. Perception is automatic that we are c. Undifferentiated schizophrenia

not aware of it d. Catatonic schizophrenia
Q176. A 50-year-old man has a fight with Q182. Expand IDEAS:
his neighbor. The next day he feels that a. International disability evaluation
his neighbors are following him and and assessment Scale
recording his movements and he fears b. Indian disability evaluation and
that they are planning to kill him. What assessment Scale
do his symptoms represent?
c. Indian disorder evaluation and
a. Thought insertion assessment Scale
b. Delusion of control d. None of above
c. Delusion of persecution Q183. What will be the nursing intervention for
d. Delusion of reference an agitated elderly client with Alzheimer’s
Q177. Mental status examination includes all of disease?
the following, except: a. Tell the client firmly that it is time to
a. Psychomotor activity get dressed
b. Obtain assistance to restrain the
b. Temperament
client for safety
c. Perception
c. Remain calm and talk quietly to the
d. Judgment client
Q178. Binge-eating disorder is characterized by d. Call the doctor and request an order
all, except: for sedation
a. Eating much more than normal Q184. Dementia is:
b. Compensatory behavior a. Memory loss occurring as part of the
c. Eating large amounts of food when natural consequence of aging
not feeling physically Hungary b. Difficulty coping with physical and
psychological change
d. Eating alone
c. Severe cognitive impairment that
Q179. Appetite for non-nutritive substance is
occurs rapidly
called:
d. Loss of cognitive abilities, impairing
a. Pica ability to perform activities of daily
b. Anorexia living
c. Bulimia Q185. The definition of nihilistic delusions is:
d. Binge a. False belief about the functioning of
the body
Q180. Z track technique is used for:
b. Belief that the body is deformed or
a. Monitoring of lithium therapy
defective in a specific way
b. Monitoring of carbamazepine therapy
c. False ideas about the self, others, or
c. Administration of long acting depot the world
antipsychotics d. The inability to carry out motor
d. Administration of nicotine patches activities

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 Probable Questions Discussion—Mental Health Nursing

Q186. Systematic desensitization consists of Q192. According to cognitive psychotherapy,

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following steps, except: cognitive phenomena which determine
a. Relaxation training psychopathology are all, except:
b. Hierarchy construction a. Automatic thoughts
c. Desensitization of stimulus b. Cognitive distortions

d. Resolving unconscious conflicts c. Schemata

d. Basic Instincts
Q187. Which of the following therapy is based
on learning theory? Q193. Which among the following is NOT an
a. Logotherapy antidepressant?

b. Psychoanalysis a. Sertraline  b. Fluoxetine

c. Citalopram d. Clonazepam
c. Behavior therapy
d. Interpersonal therapy Q194. Repetitive, uncontrollable thoughts and
acts (E.g. Rituals, rigidity, inflexibility) is
Q188. The cognitive triad of depression, negative termed as:
views of self, the world, and future, was
a. Ritualistic behavior
explained by __________
b. Phobias
a. Aron Beck
c. Obsessive Compulsive Disorder
b. Frankl
d. Apprehension
c. Joseph Wolpe
Q195. The most significant characteristics
d. Winnicott
experienced by a patient with depression
Q189. ‘Socratic questioning’ as a tool for is:
therapeutic process is employed in
a. Aggressive, abusive or violent behavior
__________
b. Hypervigilance and nightmares
a. Psychodynamic psychotherapy
c. Lack of impulse control
b. Logotherapy
d. Depressed mood and loss of pleasure
c. Behavior therapy or interest
d. Cognitive psychotherapy
Q196. The drug of choice to treat Bulimia
Q190. Which is NOT true about psychoanalytic nervosa is:
psychotherapy? a. Benzodiazepines
a. Insight-oriented b. Antidepressants (E.g., SSRI)
b. Consider disorders as arising from c. Thiamine IV
unresolved conflicts
d. IV Glucose 10%
c. Focused on past
Q197. Behavioral clues of impending suicide are
d. Emphasize modelling and operant as follows, EXCEPT:
conditioning
a. Gives away valuable possessions
Q191. A psychotherapy technique effective in
b. Becomes energetic after a period of
obsessive ruminations is called _______ .
severe depression
a. Exposure
c. Withdraws from social activities and
b. Thought stopping plans
c. Flooding d. Hypervigilance and exaggerated
d. Sensitization startle response

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 Q198. The third phase of body’s adaptation to a. Situational crisis
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stress is: b. Adventitious crisis

a. Reaction c. Maturational crisis
b. Exhaustion d. Social crisis
c. Resistance
Q205. A person changing the subject or cracking
d. Rebound joke in an attempt to compensate for
Q199. Which of the following is not a feature of defects by using strategies to avoid
mania? demonstrating failures in intellectual
a. Disorientation performance is termed as:
b. Delusion of grandeur a. Catastrophic reaction
c. Elation b. Sundowner syndrome
d. Pressure of speech c. Affective impairment
Q200. A chronic alcoholic blames the family d. Thought insertion
environment as a cause of his alcoholism. Q206. A person has run away from home
He is using : adopting a new identify with complete
a. Projection amnesia about his earlier life. This disorder
b. Denial is known as:
c. Rationalization a. Dissociative fugue
d. Sublimation b. Multiple personality disorder
Q201. Which of the following is not a part of c. Dissociative amnesia
Bleuler’s 4 As? d. Conversion disorder
a. Ambivalence Q207. A person in a banquet “high” on alcohol
b. Avolition is verbally abusing the DJ for not playing
c. Associative loosening his favorite song. He has gross motor
d. Autistic thinking incoordination, and slurred speech. What
would be his blood alcohol concentration
Q202. Services aimed at reducing the prevalence
(mg/dL) at that point of time?
of psychiatric illness by shortening the
course of the illness is called: a. 100 – 200

a. Secondary prevention b. 300 – 400

b. Primary prevention c. 0 – 90
c. Tertiary prevention d. 210 – 300
d. Primordial prevention Q208. What is the first treatment to be given to
Alcohol Dependent patient in casualty?
Q203. When MAOIs are prescribed, the client
should be cautioned against: a. Thiamine
a. Engaging in active physical activities b. Dextrose
b. Use of medication with an elixir base c. Benzodiazepine
c. Prolonged exposure to the sun d. Normal Saline
d. Ingesting wine and aged cheese Q209. Amotivational Syndrome is seen in:
Q204. The crisis that is precipitated by an a. Cannabis
unanticipated stressful event that creates b. Cocaine
disequilibrium by threatening one’s
c. Amphetamine
sense of biological, social or psychological
integrity is called: d. Heroin

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 Probable Questions Discussion—Mental Health Nursing

Q210. Naltrexone is used in opioid addiction Q215. A client patient with paranoid thoughts

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because: refuses to eat because he believes the food
a. To treat withdrawal symptoms is poisoned. The MOST appropriate initial
action is to:
b. To treat overdose of opioids and
prevent respiratory depression a. Taste the food in the clientpatient’s
presence
c. Prevent relapse
b. Suggest that food be brought from
d. Has addiction potential; used for
home
detoxification of opioid
c. Simply state the food is not poisoned
Q211. With regards to diagnosis of Mental
disorder, the term DSM stands for: d. Inform the clientpatient he will be
tube fed if he does not eat
a. Disease System Manual
Q216. The emergency department nurse is
b. Diagnostic System manual
assigned to provide care for a victim of
c. Diagnostic and Statistical Manual a sexual assault. When following legal and
d. Diagnostic System for mental disorder agency guidelines, which intervention is
Q212. According to Erikson the major conflict in most important?
the first year of life is between: a. Determine the assailant’s identity
a. Trust Vs Mistrust b. Preserve the clientpatient’s privacy
b. Autonomy Vs Shame and Doubt c. Identify the extent of injury
c. Initiative Vs Guilt d. Ensure an unbroken chain of evidence
d. Intimacy vs isolation Q217. Mr. Dubey is experiencing alcohol
Q213. In a toddler, which of the following withdrawal exhibits tremors, diaphoresis,
injuries is most likely the result of child and and hyperactivity. Blood pressure
abuse? is 190/87 mmHg and pulse is 92 bpm.
Which of the medications would the nurse
a. A hematoma on the occipital region
expect to administer?
of the head
a. Naloxone (Narcan)
b. A 1-inch forehead laceration
b. Benztropine (Cogentin)
c. Several small, dime-sized circular
burns on the child’s back c. Lorazepam (Ativan)
d. A small isolated bruise on the right d. Haloperidol (Haldol)
lower extremity Q218. A client patient is admitted to the
Q214. A 27- year- old writer is admitted for inpatient adolescent unit after being
the second time accompanied by his wife. arrested for attempting to sell cocaine
He is demanding, arrogant, talked fast to an undercover police officer. The nurse
and hyperactive. Initially the nurse should plans to write a behavioral contract. To
plan this for a manic client patient: best promote compliance, the contract
should be written:
a. Set realistic limits to the clientpatient’s
behavior a. Abstractly
b. Repeat verbal instructions as often as b. By the client patient alone
needed c. Jointly by the client patient and
c. Allow the clientpatient to get out nurse
feelings to relieve tension d. Jointly by the physician and nurse
d. Assign a staff to be with the
clientpatient at all times to help
maintain control

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 Q219. The nurse exemplifies awareness of a. Written directions for bathing
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the rights of a patient whose anger is b. Speaking very loudly

escalating by:
c. Gentle touch while guiding ADLs
a. Taking a directive role in verbalizing (activities of daily living)
feelings
d. Flat facial expression
b. Using an authoritarian, confronta-
Q224. Which neurotransmitter has been
tional approach
implicated in the development of
c. Putting the clientpatient in a seclusion Alzheimer’s disease?
room
a. Acetylcholine b. Dopamine
d. Applying mechanical restraints
c. Epinephrine d. Serotonin
Q220. The nurse is caring for a severely depressed
Q225. A 60-year-old female clientpatient who
clientpatient who has just been admitted
lives alone tells the nurse at the community
to the in-clientpatient psychiatric unit.
health center “I really don’t need anyone
Which of the following is a PRIORITY of
to talk to”. The TV is my best friend. The
care?
nurse recognizes that the clientpatient is
a. Nutrition using the defense mechanism known as:?
b. Elimination a. Displacement b. Projection
c. Rest c. Sublimation d. Denial
d. Safety Q226. An 16-year-old boy is admitted to the
Q221. Which factor is least important in the facility after acting out his aggressions
decision regarding whether a victim of inappropriately at school. Predisposing
family violence can safely remain in the factors to the expression of aggression
home? include:
a. The availability of appropriate a. Violence on television
community shelters b. Passive parents
b. The non-abusing caretaker’s ability to c. An internal locus of control
intervene on the clientpatient’s behalf
d. A single-parent family
c. The clientpatient’s possible response
Q227. Mr. Nitish, 40, is admitted for bipolar
to relocation
illness, manic phase, after assaulting his
d. The family’s socioeconomic status landlord in an argument over Mr. Nitish’s
Q222. Which of the following is important when staying up all night playing loud music.
restraining a violent patient? Mr. Nitish’s is hyperactive, intrusive, and
a. Have three staff members present, and has rapid, pressured speech. He has
one for each side of the body and one not slept in three days and appears thin
for the head and disheveled. Which of the following is
the most essential nursing action at this
b. Always tie restraints to side rails
time?
c. Have an organized, efficient team
a. Providing a meal and beverage for
approach after the decision is made
Mr. Nitish to eat in the dining room
to restrain the clientpatient
b. Providing linens and toiletries for Mr.
d. Secure restraints to the gurney with
Nitish to attend to his hygiene
knots to prevent escape
c. Consulting with the psychiatrist to
Q223. A student nurse is caring for a 75-year-
order a hypnotic to promote sleep
old patient who is very confused. The
student’s communication tools should d. Providing for clientpatient safety by
include: limiting his privileges

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 Probable Questions Discussion—Mental Health Nursing

Q228. Which factors are most essential for the Q233. A 41-yrs-old woman presented with a

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nurse to assess when providing crisis history of aches and pains all over the
intervention foe a clientpatient? body and generalized weakness for four
a. The clientpatient’s communication years she cannot sleep because of the
and coping skills illness and has lost her appetite as well
b. The clientpatient’s anxiety level and she has lack of interest in work and
ability to express feelings doesn’t like to meet friends and relatives,
c. The clientpatient’s perception of the she denies feelings of sadness her most
triggering event and availability of likely diagnosis is:
situational supports a. Somatoform pain disorder
d. The clientpatient’s use of reality b. Major depression
testing and level of depression
c. Somatization disorder
Q229. Which of the following is not a characteristic
d. Dissociative disorder
symptom/sign of schizophrenia?
Q234. Which of the following is not a part of
a. Inappropriate affect
cognitive triad of beck?
b. Disturbance of thought process
a. Hopelessness b. Worthlessness
c. Visual hallucinations
c. Helplessness d. Guilt
d. Auditory hallucinations
Q235. Persistent feeling of guilt is seen in:
Q230. Psychological separation of a mental
function from the rest of the personality a. Obsessive compulsive disorder
is called as: b. Mania
a. Isolation b. Dissociation c. Depression
c. Acting out d. Paranoia d. Schizophrenia
Q231. A 16-year-old males is found to have a Q236. A patient is depressed for past 3 years
mental age of 9 years on IQ testing he
does not go out of his house much and is
has?
cut off from the society but with normal
a. Mild mental retardation sleep and normal weight most probable
b. Moderate mental retardation diagnosis is:
c. Severe mental retardation a. Major depression
d. Profound mental retardation b. Dysthymia
Q232. False statements regarding myocardial c. Chronic fatigue syndrome
infraction and depression is
d. No psychiatric illness
a. Depression is a risk factor for MI
Q237. Bipolar II disorder includes:
b. MI is a risk factor for depression
a. Cyclothymic disorder
c. SSRIS can be used post MI for
treatment of depression b. Dysthymia
d. Only cognitive behavioral therapy is c. Single manic episodes
used after MI d. Major depression and hypomania

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 Q238. A patient is brought to the casualty in days ago the serum lithium was found to
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the state of altered sensorium he was on be 1.95 mEq/L the parables cause for this
lithium treatment for affective disorder present state is:
and has suffered through an attack a. Lithium toxicity
of epileptic fits on examination he has
b. Dehydration
worsening tremors increased DTRs and
incontinence of urine he has also undergone c. Manic episodes
an episode of severe gastroenteritis two d. Depressive stupor

Answer Key
1. a 2. b 3. a 4. a 5. d 6. c 7. d 8. c 9. b 10. b 11. c
12. b 13. d 14. a 15. b 16. c 17. b 18. a 19. c 20. b 21. b 22. c
23. c 24. b 25. c 26. d 27. b 28. c 29. a 30. d 31. b 32. c 33. b
34. d 35. b 36. c 37. b 38. a 39. b 40. a 41. b 42. c 43. a 44. c
45. d 46. c 47. c 48. b 49. a 50. d 51. b 52. a 53. d 54. c 55. a
56. b 57. a 58. d 59. b 60. b 61. c 62. b 63. c 64. c 65. b 66. a
67. d 68. b 69. a 70. b 71. b 72. d 73. b 74. b 75. d 76. b 77. c
78. a 79. a 80. a 81. a 82. b 83. a 84. c 85. c 86. a 87. b 88. c
89. a 90. d 91. b 92. c 93. b 94. a 95. c 96. b 97. d 98. c 99. b
100. b 101. b 102. d 103. b 104. c 105. d 106. c 107. b 108. b 109. b 110. b
111. c 112. c 113. a 114. a 115. b 116. c 117. d 118. b 119. a 120. d 121. d
122. a 123. b 124. a 125. a 126. b 127. c 128. a 129. b 130. a 131. c 132. d
133. c 134. c 135. b 136. a 137. a 138. c 139. b 140. b 141. b 142. b 143. a
144. d 145. a 146. b 147. c 148. c 149. c 150. c 151. b 152. b 153. c 154. b
155. b 156. b 157. b 158. a 159. d 160. a 161. d 162. a 163. d 164. c 165. b
166. c 167. d 168. b 169. b 170. b 171. d 172. c 173. a 174. d 175. c 176. c
177. b 178. b 179. a 180. c 181. b 182. b 183. c 184. d 185. c 186. d 187. c
188. a 189. d 190. d 191. b 192. d 193. d 194. c 195. d 196. b 197. d 198. b
199. a 200. c 201. b 202. a 203. d 204. a 205. c 206. a 207. a 208. a 209. a
210. c 211. c 212. a 213. c 214. a 215. c 216. d 217. c 218. c 219. a 220. d
221. d 222. c 223. c 224. a 225. d 226. a 227. d 228. c 229. c 230. b 231. a
232. d 233. b 234. d 235. c 236. b 237. d 238. a

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