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Mental Health Questions

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PSYCHIATRIC AND MENTAL HEALTH NURSING

DECEMBER,2019

ANSWER ALL QUESTIONS.

1. Kofi's increasing alertness and motivation towards learning in preparation for the end of semester

A.Severe anxiety.

B. Moderate anxiety

C. Mild anxiety

D.Panic anxiety

2. An individual's ability to effectively cope with stress is largely depends on the person's

A. Social factors

B. Environmental factors

C. Constitutional factors

D.Extrinsic factors.

3. They are relatively tall,skinny with longer trunk,and have little muscle or fats and are also prone to
schizophrenic illness is which of the following body types?

A. The athletic body tpe

B.The pyknic body type

C. The asthenic body type

D.The masculine body type

4. Genetic counselling of the host,good nutrition,rovision of employment opportunities,immuniz against

infectious diseases are practices under which of the following levels of illness preventior

A. Tertiary prevention

B. Secondary prevention
C.Primary prevention

D. Upper prevention.

5. Which of the following neurotransmitters is responsible in the aetiology of schizophrenia?

A. Epinephrine

B. Norepinephrine

C. Dopamine

D.Serotonine

6. Suicide prevention services are rendered under which of the levels of mental health prevention?

A. Tertiary prevention

B. Secondary prevention

C. Primary prevention

D. Health prevention.

7. An expression of emotion by the client that is objective is referred to as

A. Feelings

B. Affect

C. Mood

D. Anhedonia

8. Down's syndrome is a chromosomal abnormality under the host factor in the causes of mental illness.
Down's syndrome is also called.

A. Turner's syndrome

B. Monosomy X

C. Trisomy 21

D. Klinefelter's syndrome.

9. Amanda has a style of speech that is impressionistic,uses her physical appearance to seduce
peopleand also has a shallow emotions. This makes Amanda

A.A borderline personality disorder person.

B. An avoidant personality disorder person

C. A histrionic personality disorder person

D. A narcissistic personality disorder person.

10.Which of the following is a component of the mental status examination of a client?

A. Orientation

B. Interview

C.Assessment

D. History

11.In using the multi-axial system of evaluation in diagnosing a mentally sick person, AXIS I always
describes

A. Personality disorder and mental retardation

B. Any medical condition that may cause the mental illness

C.Psychosocial and environmental stressors.

D. Major clinical or psychiatric disorders.

12. During the management of a suicidal client on the ward,all the following are nursing interventions
that must be put in place except

A.Client must be nursed closed to the nurses' station

B. Client must not be left alone in a room

C.Client must be visited at regular intervals by nurses

D. Client must be visited frequently but at irregular intervals

13.Delusions are fixed and false beliefs held by a client which cannot be corrected by reason or logic.V of
the following is not a type delusion?

A. Grandeus delusions

B.Nihilistic delusions

C. Tactile delusions

D. Hypochondriacal delusions

14.Mr.Lang has the strong belief that,his neighbours and family members are plotting to harm and even
kill him.His type of delusion is which of the following?

A. Delusion of guilt

B. Nihilistic delusions

C. Persecutory delusions

D. Grandeus delusions
15.All the following are cardinal signs of Mania except

A. Talkativeness

B. Flight of ideas

C. Grandiosity

D. Sad feelings

16.The feeling of apprehension,dread,tension or uneasiness towards a known object or situation is

termed

A.Anxiety

B. Fear

C.Paranoia

D. Perception

17.During an assessment of a mentally challenged client in the consulting room,the psychiatrist said,it
appears this client has much insight into his condition. This statement made by the psychiatrist means
that,

A.The client has no control over his illness

B. The client is excited with his condition

C.The client is very much aware of his illness

D.The client is confused with his illness

18.All the following are disorders of perception except

A. Depersonalization

B. Illusion

C. Delusion

D. Hallucination

19.In Global Assessment of Functioning which is the AXIS-5 of the multi-axial systems of evaluation,
superior functioning in a wide range of activities where life problems never seems to get out of hand is
within which of the following CODE ranges?

A. 81-90

B.71-80

C. 91-100

D. 51-60
20.The client refused to respond to the nurse's call just because,he claims the nurse refused to address
him as "KING”.Which of the following types of delusions best describes the client's behaviour?

A.Delusion of alien control

B. Delusion of grandeur

C. Delusion of guilt

D.Delusion of sin

21.Hypnogogic is a normal form of hallucination which a person experiences

A. Immediately before falling asleep

B. Immediately after waking up from sleep

C. Immediately after taking your medication

D.Immediately after wetting your bed

22.A client's frequent opposition to instructions and suggestions made by nurses on the ward is termed

A. Echolalia

B. Echopraxia

C. Negativism

D. Stereotype

23.In echopraxia,

A.The client purposelessly imitate movements and actions of others

B. The client repeats words made by others.

C. The client refuses to speak

D. The client quarrels with other clients.

24.Aquaphobia refers to the fear of

A.Kerosene

B. Petrol

C. Rice porridge

D.Water

25.Which of the following terms best describes an individual or a group of people's fear towards
strangers?

A.Zoophobia
B. Acrophobia

C. Xenophobia

D. Pyrophobia

26.Abigail will never even attempt to climb just a two-story building because of her intense fear towards
height. Which of the following terms best describes Abigail's fear?

A. Acrophobia

B. Algophobia

C. Astraphobia

D. Arachnophobia

27.Titus is fond of using logical reasons and excuses always to justify his wrong doing or his
unacceptable behaviour.Which of the following defence mechanisms best describes Titus's behaviour?

A. Rationalization

B. Reaction formation

C. Denial

D. Projection

28.In Atypical depression,clients experience an increase in

A.Both appetite and sleep

B.Appetite and concentration

C. Sleep and reading

D. Activity and relaxation

29.Which of the following is not true about depression?

A. Common in men than in women

B.Common in women than in men

C.Common in the single,divorced and separated than the married

D.Common in the adolescent and early adulthood than the late adulthood.

30.The state in which an individual experiences a recurrent bouts of major depression with episodic
occurrence of hypomania is referred to as

A. Cyclothymic disorder

B. Bipolar ll

C. Bipolar I
31.A client meets the criteria for HYPOMANIA provided his symptoms have persisted for a period of

A.I week or more

B. 2 weeks or more

C. 3 weeks or more

D. 4 days or more

32.The act of intentionally taking one's own life is termed

A. Homicide

B. Genocide

C. Suicide

D. Sumicide

33.. is the unsuccessful and continuous attempt to kill

oneself usually to seek attention from significant others is called

A. Anomic suicide

B. Egoistic suicide

C. Para suicide

D.Dama suicide

34.Which of the following is NOT a method that can be used to commit suicide?

A.Hanging

B.Jumping from a height

C. Cutting a major vein or an artery

D. Fighting with a goat

35.Which of the following personalities described schizophrenia as dementia praecox?

A. Eugene Bleuler

B. Sigmund Freud

C. Emil Kraeplin

D. Albert Ellis

36.The term schizophrenia also means

A. Split-mind

B. Split-brain
C. Split-soul

D. Split-bones

37. When a client has schizophrenia with manic-depressive symptoms, that client is said to have which
of th following diagnosis?

A.Manic-depressive disorder

B. Manic-anxiety disorder

C. Schizo-Affective disorder

D. Manic disorder

38.Cluster B personality disorders include all the following except

A. Antisocial personality disorder

B. Histrionic personality disorder

C. Borderline personality disorder

D. Paranoid personality disorder.

39. James has a pervasive distrust and suspiciousness of he wife so much that, it results into frequent
fighting

A. Antisocial personality disorder

B. Avoidant Personality disorder

C. Paranoid personality disorder

D. Obsessive compulsive personality disorder

40. Which of the following clusters of personality disorders exhibit theatrical and emotionalistic
behaviours?

A.Cluster A

B. Cluster B

C. Cluster C

D. Cluster D

the completion of her tasks all the time.Her friends think Dorcas has which of the following personality
disoders?

A. Narcissistic personality disorder

B. Obsessive-Compulsive personality disorder

C. Histrionic personality disorder

D. Dependent personality disorder

42.Benzodiazepines are also called

A. Major tranquilizers

B. SSRI's

C. Anti-depressants

D. Anti-anxiety medications

43.All anti-convulsants can also be used as

A. Mood stabilizing agents

B. Anti-depressants

C. Anti-emetic

D. Anti-hypertensives

44. SIGECAPS is an acronym that is used for the diagnosis of major depressive illness.The 'G'and the·P'in
the acronym means

A. Grandeosity and Psychomotor retardation

B. Guilt feeling and Psychomotor retardation

C.Guilt feeling and Psychomotor agitation

D. Guilt feeling and poor sleep

45.Cannabis is a psychoactive substance that is either smoked,chewed or eaten. It's other names include
the following except

A. Indian hemp

B. Ganja

C. Weed

D. Snuff

46.Turner's syndrome is also known as

A. Trisomy 21

B. Asperger's syndrome

C. Monosomy X

D. Moon's syndrome
47.Rehabilitation is mainly used at the

A.Primary prevention level of mental illness prevention

B. Tertiary prevention level of mental illness prevention

C.Disease prevention level

D. Secondary prevention level

48.All the following are physical therapies employed in the management of mental illness except

A. Chemotherapy

B. Electroconvulsive therapy

C. Psychosurgery

D. Psychotherapy

49.Which of the following medications is used to manage the extra pyramidal effects from typical major
tranquilizers?

A.Carbamazepine

B. Olanzapine

C. Trihexyphenydil (Artane)

D. Paracetamol

50.A client who attempted lifting up his leg to climb a staircase eventually ended up in that position for
minutes to an hour and refused to bring his leg down regardless of the discomfort he was experiencing.
Which of the following terms best describe his disorder?

A.Electroplexy

B. Waxy flexibility

C. Catalepsy

D. Deje entendu

51.Adolf saw a belt lying in his room and started shouting 'snake' 'snake' 'snake'. This drew the wife's
attention to come to the scenebut only to see a belt lying in the room.Which of these terms best
describes his behaviour?

A. Hallucination

B. Delusion

C. Hypnopompic

D. Illusion
52.Client Alberta has a strong belief belief that,her kidneys aredamaged.However,all laboratory
investigations indicate that,her kidneys are normal.This shows that,this client has

A. Nihilistic delusion

B. Hypchondriacal delusion

C. Delusion of alien control

D. Ideas of reference.

53. All the following are agents factors that have the potential of causing mental illness in an
individual except

A. Infections

B. Head injury

C. Cannabis use

D. Neurotransmitter imbalance.

54.Which of the following medications does NOT belong to the SSRI's class of anti-depressants?

A. Carbamazepine

B. Sertraline

C.Fluoxetine

D.Escitalopram

55.When good public health measures are put in place to prevent the occurrence of mental illness, it is
called

A. Tertiary prevention measures

B. Primary prevention measures

C.Secondary prevention measures

D. Disease prevention measures.

56.The intense feeling of familiaritywith places,persons or events which in reality has never happened is
referred to as

A. Déjà vu illusion

B. Derealisation

C.Depersonalization

D. Hallucinations

57.Electroconvulsive therapy (ECT) was first introduced by

A. Ladislas Joseph Meduna in 1934.

B. Bini and Cerletti in 1938

C. Abraham Lincoln in 1957

D. Bini and Cerletti in 1934

58.All the following are tratments used during the Golden Era of historical perspective except

A. Rest and sleep

B. Regular body exercise

C. Good nutrition

D. Trephining

59.Anti-convulsants are used in the management of epilepsy of seizuredisorders. Which of the following
medications is an anti-convulsant?

A. Carbamazepine

B. Citalopram

C. Risperidone

D.Olanzapine

60.The beginning of humane treatment in the management of the mentally ill patient began in the

A. Humanitarian period.

B. The Dark period

C. The scientific period

D. The political period.

61.Client's presenting complaints are also called

A. Patient's complaints

B. Chief complaints

C. Family complints

D. Illness history

62.The use of atropine during ECT helps to

A. Dry up excessive mucus or saliva production during the procedure.

B. Increase muscular twitching

C. Put the patient to sleep

D.Wake the client up early

63.ECT can only be prescribed for clients with severe depression only when

A.Drug treatments have failed.

B. Client is still taking anti-depressants

C. Client is not sleeping

D.Client is not eating

64.Mental illness is NOT possible without a sgnificant relationship between the HOST,AGENT and the
ENVIRONMENTAL factors.

A. False

B.True

65.The coining of words which is only understood by the client is termed as

A. Verbigeration

B. Confabulation

C. Neologism

D.Catalepsy

66.Lithium carbonate is a drug of choice for the treatment of which of the following conditions

A. Anxiety disorder

B.Dementia

C. Manic disorder

D. Major depression

67.Which of the body types is prone to manic-depressiveillness?

A. Mesomorphic body type

B. Pyknic body type

C. Athletic body type

D. Asthenic body type.

68. Tofranil is an

A.Anti-manic medication

B. Anti-psychotic medication

C.Anti-depressant
D. Anti-convulsant

69.If a nurse puts herself in a client's 'shoes' and appreciates their feelings and pains, it is called

A. Altruism

B. Empathy

C. Sympathy

D.Good nursing

70.All the following are other terms of delirium except

A.Acute brain syndrome

B. Toxic confusional state

C. Gate confusional state

D.Acute confusional state.

71.Reasoning judgement, perception,attention, comprehension and memory are all

A. Cognitive abilities

B. Physical abilities

C. Chemical abilities

D. Emotional abilities.

72.Which of the following psychotropic medications is a long acting anti-psychotic?

A. Aripiperazole

B. Chlorpromazine

C.Olanzapine

D.Fluphenazine decanoate

73.The new mental health Act which is Act 846 came to replace

A.NRCD-30 1972

B. NRCD-30 1970

C. NRCD-30 1971

D. NRCD-30 1973

74.Which of the following is a potential side effect that may occur immediately after ECT?

A. Diarrhoea
B. Headache

C. Fracture

D. Abdominal pains

75.Circumstantiality is a disorder of

A. Affect

B.Mood

C. Thought

D.Behaviour

76.When a mental disorder is caused by a disease of the brain,it is often classified as...........

A. Affective mental illness

B. Depressive mental ilness

C.Functional mental ilness

D. Organic mental illness

77.The delusion that one's thoughts are being broadcast out loud so that they can be perceived by
others is known as?

A. Thought insertion

B. Thought broadcasting

C. Thought ideas

D. Thought preference

78.All the following anti-depressants belongs to the SSRI's class except

A.Fluoxetine

B. Sertraline

C.Phenelzine

D.Escitalopram

79.A depressed patient is more likely to commit suicide when

A. He is confused

B.He is very depressed

C.The depression is lifting

D.He cries always

80.Psychoanalytic theory was proposed by....

A. Albert Ellis

B. Albert Bandura

C. Sigmund Freud

D. Ivan Pavlov

81.The plucking of bed sheets by client in a delirious state due to irritation of the cerebral cortex is
termed

A. Morphology

B. Caphology

C.Synergy

D.Acophology

82. In middle dementia,symptoms of patients seem to worsen in the late afternoon and evenings.This
phenomenon is called

A.Dark afternoon phenomenon

B. Early evening phenomenon

C. Sundowning

D. Stardowning

83.Flights of ideas means the patient is overwhelmed with his

A.Emotions

B.Delusions

C. Hallucinations

D. Thoughts

84.All the following are types of suicide according to Emil Durkheim except

A.Anomic suicide

B. Egoistic suicide

C. Altruistic suicide

D. Gamma suicide

85.All the following ar products from tobacco except

A. Cigarette
B. Snuff

C. Cigar

D. Coca leaf

86.The branch of medicine that deals with the causes,diagnosis, treatment,and prevention of mental
disorders is termed as

A.Psychiatry

B.Medicine

C. Neurology

D. Urology

87.All the following are characteristics of mental health except

A.The ability to solve problems

B. The ability to adjust and adapt to ones environment

C. Ability to love self and others

D. Ability to take one's own life

88.All the following are host factors in the causes of mental illness except

A. Hereditary factors

B. Constitutional factors

C.Sex

D. Divorce

89.All the following are levels of anxiety except

A. Mild anxiety

B. Moderate anxiety

C.Double anxiety

D. Severe anxiety

90.A state in which a person does not react to or is unaware of the surrounding in the presence ofclear
consciousness due to neurological as well as psychiatric disorders is termed as

A. Negativism

B. Mannerisms

C. Stupor
D. Echolalia

91.When a client believes that external ideas have the ability to be places into his minds, its termed

A. Thought insertion

B. Thought withdrawal

C. Thought digestion

D.Thought blocking

92. What is the generic name for elavil

A. Nortriptyline

B. Imipramine

C. Amitriptyline

D. Desipramine

93.All the following are types of depressions except

A. Major depression

B. Pre-menstrual dysphoric disorder

C. Atypical depression

D. Melancholia depression

From questions 94-98 indicate the type of hallucination in relations to the five senses

94.Sight

95.Smell

96.Touch

97.Hearing

ChatGPT

1. Answer: B. Moderate anxiety

2. Answer: C. Constitutional factors
3. Answer: C. The asthenic body type
4. Answer: C. Primary prevention
5. Answer: C. Dopamine
6. Answer: A. Tertiary prevention
7. Answer: B. Affect
8. Answer: C. Trisomy 21
9. Answer: C. A histrionic personality disorder person
10. Answer: A. Orientation
11. Answer: D. Major clinical or psychiatric disorders.
12. Answer: D. Client must be visited frequently but at irregular intervals
13. Answer: C. Tactile delusions
14. Answer: C. Persecutory delusions
15. Answer: D. Sad feelings
16. Answer: A. Anxiety
17. Answer: C. The client is very much aware of his illness
18. Answer: C. Delusion
19. Answer: C. 91-100
20. Answer: B. Delusion of grandeur
21. Answer: A. Immediately before falling asleep
22. Answer: C. Negativism
23. Answer: A. The client purposelessly imitates movements and actions of others
24. Answer: D. Water
25. Answer: C. Xenophobia
26. Answer: A. Acrophobia
27. Answer: A. Rationalization
28. Answer: D. Activity and relaxation
29. Answer: B. Common in women than in men
30. Answer: B. Bipolar ll
31. Answer: D. 4 days or more
32. Answer: C. Suicide
33. Answer: C. Para suicide
34. Answer: D. Fighting with a goat
35. Answer: C. Emil Kraeplin
36. Answer: A. Split-mind
37. Answer: C. Schizo-Affective disorder
38. Answer: D. Paranoid personality disorder.
39. Answer: C. Paranoid personality disorder
40. Answer: B. Cluster B
41. Answer: B. Obsessive-Compulsive personality disorder
42. Answer: D. Anti-anxiety medications
43. Answer: A. Mood stabilizing agents
44. Answer: C. Guilt feeling and Psychomotor agitation
45. Answer: D. Snuff
46. Answer: C. Monosomy X
47. Answer: B. Tertiary prevention level of mental illness prevention
48. Answer: A. Chemotherapy
49. Answer: C. Trihexyphenydil (Artane)
50. Answer: C. Catalepsy
51. Answer: D. Illusion
52. Answer: B. Hypochondriacal delusion
53. Answer: D. Neurotransmitter imbalance.
54. Answer: A. Carbamazepine
55. Answer: B. Primary prevention measures
56. Answer: A. Déjà vu illusion
57. Answer: D. Bini and Cerletti in 1934
58. Answer: C. Good nutrition
59. Answer: A. Carbamazepine
60. Answer: A. Humanitarian period.
61. Answer: B. Chief complaints
62. Answer: A. Dry up excessive mucus or saliva production during the procedure.
63. Answer: A. Drug treatments have failed.
64. Answer: B. True
65. Answer: C. Neologism
66. Answer: C. Manic disorder
67. Answer: D. Asthenic body type.
68. Answer: C. Anti-depressant
69. Answer: B. Empathy
70. Answer: D. Acute confusional state.
71. Answer: A. Cognitive abilities
72. Answer: D. Fluphenazine decanoate
73. Answer: A. NRCD-30 1972
74. Answer: B. Headache
75. Answer: C. Thought
76. Answer: D. Organic mental illness
77. Answer: B. Thought broadcasting
78. Answer: C. Phenelzine
79. Answer: B. He is very depressed
80. Answer: C. Sigmund Freud
81. Answer: B. Caphology
82. Answer: C. Sundowning
83. Answer: D. Thoughts
84. Answer: D. Gamma suicide
85. Answer: D. Coca leaf
86. Answer: A. Psychiatry
87. Answer: D. Ability to take one's own life
88. Answer: D. Divorce
89. Answer: C. Double anxiety
90. Answer: C. Stupor
91. Answer: B. Thought broadcasting
92. Answer: C. Amitriptyline
93. Answer: D. Melancholia depression
94. Answer: A. Visual hallucination
95. Answer: B. Olfactory hallucination
96. Answer: C. Tactile hallucination
97. Answer: D. Auditory hallucination
98. Answer: Not provided in the questions.