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

A patient says, "I'll take the pill, the bill, the hill, the still." What is this called?

  1. AEcholalia
  2. BPerseveration
  3. CNeologism
  4. DClang association
2.Mental health nursingHard

A young man spends hours a day checking his nose in mirrors and has asked for several operations, although others see nothing unusual about it. What is the most likely diagnosis?

  1. ABody dysmorphic disorder
  2. BDelusional disorder, jealous type
  3. CIllness anxiety disorder
  4. DAnorexia nervosa
3.Clinical psychologyMedium

A client says "I failed one test, so I will fail everything." Which cognitive distortion is this?

  1. AOvergeneralisation
  2. BPersonalisation
  3. CMind reading
  4. DEmotional reasoning
4.Clinical psychologyHard

Learned helplessness (Seligman) was proposed as a model for:

  1. ASchizophrenia
  2. BSpecific phobias
  3. CDepression
  4. DAutism spectrum disorder
5.PharmacologyMedium

How do SGLT2 inhibitors such as empagliflozin lower blood glucose?

  1. AThey increase the loss of glucose in the urine
  2. BThey stimulate insulin release from beta cells
  3. CThey slow the emptying of the stomach
  4. DThey make the liver store more glycogen
6.PharmacologyHard

A nurse calculates a child's dose and finds it is ten times higher than the usual range in the drug reference. What should the nurse do?

  1. AGive half the dose as a compromise
  2. BWithhold it, recheck the calculation and clarify with the prescriber
  3. CGive the dose, because the prescriber is responsible for the order
  4. DGive one tenth of the dose without telling anyone

3Solutions

1.Mental health nursing

Answer: D · Clang association

Why this is the answer

Clang associations link words by rhyme or sound and are seen in mania and psychosis. Echolalia repeats another person's words; a neologism is a newly invented word.

Answer

D · Clang association
2.Mental health nursing

Answer: A · Body dysmorphic disorder

Why this is the answer

Body dysmorphic disorder is a preoccupation with perceived defects in appearance, with repetitive behaviours such as mirror checking or seeking reassurance. It is related to OCD, and cosmetic surgery rarely relieves it.

Answer

A · Body dysmorphic disorder
3.Clinical psychology

Answer: A · Overgeneralisation

Why this is the answer

Overgeneralisation draws a sweeping conclusion from a single event. Beck's cognitive therapy teaches clients to notice and test such distortions.

Answer

A · Overgeneralisation
4.Clinical psychology

Answer: C · Depression

Why this is the answer

After uncontrollable aversive events, animals and people may stop trying even when escape becomes possible, resembling the passivity and hopelessness of depression.

Answer

C · Depression
5.Pharmacology

Answer: A · They increase the loss of glucose in the urine

Why this is the answer

SGLT2 reabsorbs most filtered glucose in the proximal tubule. Blocking it lets glucose leave in the urine, which also explains the higher risk of genital fungal infections.

Answer

A · They increase the loss of glucose in the urine
6.Pharmacology

Answer: B · Withhold it, recheck the calculation and clarify with the prescriber

Why this is the answer

Doses outside the safe range must be questioned before administration. The nurse holds the dose, rechecks the weight and calculation and contacts the prescriber or pharmacist.

Answer

B · Withhold it, recheck the calculation and clarify with the prescriber

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