Mental Health Nursing: cram pack

Formula sheets, the key method steps for every topic and 6 practice problems, with full solutions at the back.

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1Formulas and methods

Mental health nursing

Method

  1. Decide whether there is an immediate risk: suicide, violence, a drug emergency or a physical illness.
  2. Act on safety first: observe, remove means, de-escalate, stop a harmful drug, get help.
  3. Choose the therapeutic response: acknowledge feelings, present reality, avoid false reassurance and “why” questions.
  4. Respect rights: the least restrictive option, consent and confidentiality with its limits.

2Practice problems

1.Mental health nursingMedium

Which side effects are most common with quetiapine?

  1. AHigh prolactin with breast enlargement in almost every patient
  2. BA cough and swollen ankles
  3. CSedation, dizziness when standing and weight gain
  4. DInsomnia and severe weight loss
2.Mental health nursingHard

A patient who had been abstinent from alcohol for 6 months has started drinking again. He says, "I've failed completely. There's no point in trying." What is the most helpful response?

  1. A"You obviously weren't serious about stopping."
  2. B"Relapse is common in recovery. Let's look at what led to it and what you learned."
  3. C"You'll have to start a completely new treatment from the beginning."
  4. D"Yes, I'm afraid you've wasted all of your hard work over the last six months."
3.Clinical psychologyMedium

The diathesis–stress model proposes that mental disorders arise from:

  1. AAn underlying vulnerability combined with environmental stress
  2. BPoor parenting alone
  3. CGenes alone
  4. DStress alone
4.Clinical psychologyHard

Research on cultural factors shows that the Japanese syndrome taijin kyofusho mainly involves fear of:

  1. ALosing one's soul after a sudden fright, leading to weakness and loss of appetite
  2. BOffending or embarrassing others through one's appearance or behaviour
  3. CThe genitals retracting into the body
  4. DBeing possessed by spirits
5.PharmacologyMedium

Which sign is typical of opioid toxicity?

  1. AWidely dilated pupils
  2. BFast, deep breathing
  3. CPinpoint pupils
  4. DHigh body temperature
6.PharmacologyHard

A patient who has taken lorazepam daily for many months stops it suddenly. Which serious complication may follow?

  1. ASevere bradycardia
  2. BPinpoint pupils and coma
  3. CProfound respiratory depression
  4. DWithdrawal seizures

3Solutions

1.Mental health nursing

Answer: C · Sedation, dizziness when standing and weight gain

Why this is the answer

Quetiapine commonly causes drowsiness, orthostatic hypotension and metabolic effects. It has a lower risk of extrapyramidal effects and raised prolactin than many other antipsychotics.

Answer

C · Sedation, dizziness when standing and weight gain
2.Mental health nursing

Answer: B · "Relapse is common in recovery. Let's look at what led to it and what you learned."

Why this is the answer

Relapse is common and does not mean failure. Treating it as a learning opportunity, reviewing triggers and coping strategies and returning to the plan supports the person's motivation.

Answer

B · "Relapse is common in recovery. Let's look at what led to it and what you learned."
3.Clinical psychology

Answer: A · An underlying vulnerability combined with environmental stress

Why this is the answer

The model holds that a predisposition (biological or psychological) leads to disorder only when triggered by sufficient stress.

Answer

A · An underlying vulnerability combined with environmental stress
4.Clinical psychology

Answer: B · Offending or embarrassing others through one's appearance or behaviour

Why this is the answer

Taijin kyofusho is a cultural concept of distress in which the person fears that their gaze, odour or appearance will offend others. It shows that culture shapes how anxiety is expressed.

Answer

B · Offending or embarrassing others through one's appearance or behaviour
5.Pharmacology

Answer: C · Pinpoint pupils

Why this is the answer

Opioid toxicity classically causes pinpoint pupils, slow or shallow breathing and reduced consciousness. Naloxone reverses these effects.

Answer

C · Pinpoint pupils
6.Pharmacology

Answer: D · Withdrawal seizures

Why this is the answer

Abrupt withdrawal after long-term benzodiazepine use causes anxiety, insomnia, tremor and sometimes seizures. Long-term users should have the dose tapered gradually.

Answer

D · Withdrawal seizures

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