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

An 80-year-old man often talks about his life and his achievements. According to Erikson, which task is he working on?

  1. AIdentity versus role confusion
  2. BIntimacy versus isolation
  3. CIntegrity versus despair
  4. DGenerativity versus stagnation
2.Mental health nursingHard

A malnourished patient with alcohol dependence needs an IV glucose infusion. Which order should the nurse expect first?

  1. AA diuretic
  2. BThiamine before or with the glucose
  3. CGlucose with no vitamin replacement
  4. DGlucose first, thiamine a week later
3.Clinical psychologyMedium

Validity scales on the MMPI are designed to detect:

  1. AInconsistent, exaggerated or defensive answering
  2. BThe client's intelligence level
  3. CBrain damage
  4. DWhich therapy will work best
4.Clinical psychologyHard

Comorbidity means that:

  1. AA person meets criteria for two or more disorders at the same time
  2. BA disorder is caused by a physical illness that occurs at the same time
  3. CA symptom is shared by everyone in a group
  4. DA disorder runs in families
5.PharmacologyMedium

Which drug is the antidote for an opioid overdose?

  1. AAtropine
  2. BNaloxone
  3. CAcetylcysteine
  4. DFlumazenil
6.PharmacologyHard

Why is intravenous insulin given with glucose in severe hyperkalaemia?

  1. AInsulin increases potassium excretion by the kidney
  2. BInsulin moves potassium from the blood into cells
  3. CInsulin protects the heart muscle directly from potassium
  4. DGlucose binds potassium in the blood

3Solutions

1.Mental health nursing

Answer: C · Integrity versus despair

Why this is the answer

In later life, the task is to look back and find meaning in one's life. Reminiscence supports a sense of integrity; failure leads to regret and despair.

Answer

C · Integrity versus despair
2.Mental health nursing

Answer: B · Thiamine before or with the glucose

Why this is the answer

Giving glucose to a thiamine-deficient patient can precipitate or worsen Wernicke's encephalopathy. Thiamine is given before or with the glucose, although treatment of hypoglycaemia must not be delayed.

Answer

B · Thiamine before or with the glucose
3.Clinical psychology

Answer: A · Inconsistent, exaggerated or defensive answering

Why this is the answer

Validity scales flag random responding, faking bad or faking good, so clinicians know whether the clinical scale profile can be interpreted.

Answer

A · Inconsistent, exaggerated or defensive answering
4.Clinical psychology

Answer: A · A person meets criteria for two or more disorders at the same time

Why this is the answer

Comorbidity is the co-occurrence of disorders in the same person, which complicates diagnosis and treatment and raises questions about categorical classification.

Answer

A · A person meets criteria for two or more disorders at the same time
5.Pharmacology

Answer: B · Naloxone

Why this is the answer

Naloxone reverses opioid-induced respiratory depression. Flumazenil reverses benzodiazepines, acetylcysteine treats paracetamol overdose and atropine treats bradycardia or organophosphate poisoning.

Answer

B · Naloxone
6.Pharmacology

Answer: B · Insulin moves potassium from the blood into cells

Why this is the answer

Insulin activates the Na⁺/K⁺-ATPase and drives potassium into cells, lowering plasma levels within minutes. Glucose is given to prevent hypoglycaemia. The effect is temporary; potassium must still be removed from the body.

Answer

B · Insulin moves potassium from the blood into cells

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