CNA CPMHN Practice Test Questions with 100% Verified Correct Answers Mr. McCrohan, 21 years old, has recently been diagnosed with schizophrenia and hears voices that frighten him. He is having difficulty adhering to his medication regimen and feels his family is not supportive. He has poor impulse control and is fearful of others. At times, he becomes aggressive. Mr. McCrohan has stopped taking his medication, stating that he is feeling fine and no longer needs it. What defence mechanism is Mr. McCrohan using?
- Rationalization
- Reaction Formation
- Denial
- Displacement - Correct Answer C --> Denial refers to refusal to acknowledge some painful aspect
- Discuss the behaviour with him
- Clarify what has upset him
- Role-play the incident with him
- Help him identify his needs - Correct Answer B --> Clarification of what has upset Mr. McCrohan is
of external reality or subjective experience that is apparent to others.Mr. McCrohan, 21 years old, has recently been diagnosed with schizophrenia and hears voices that frighten him. He is having difficulty adhering to his medication regimen and feels his family is not supportive. He has poor impulse control and is fearful of others. At times, he becomes aggressive. What should the psychiatric and mental health nurse do initially to help prevent future recurrences of Mr. McCrohan's physically aggressive behaviour?
important. The goal is to work with Mr. McCrohan to find solutions Mr. McCrohan, 21 years old, has recently been diagnosed with schizophrenia and hears voices that frighten him. He is having difficulty adhering to his medication regimen and feels his family is not supportive. He has poor impulse control and is fearful of others. At times, he becomes aggressive. Mr. McCrohan states that the voices are telling him to kill himself and that he is afraid. Which safety precaution is most important for the psychiatric and mental health nurse to implement at this time? 1 / 4
- Initiate a safety plan
- Negotiate a contract to refrain from self-harm behaviour
- Administer PRN sedative
- Spend more time with him exploring his fears - Correct Answer A
- Notify the police that he will be returning to the community
- Meet with him and the home supervisor to develop a crisis plan
- Provide pamphlets on schizophrenia to the home
- Provide information on MH issues to the community - Correct Answer B --> A crisis plan involves
- Administer PRN neuroleptic IM
- Encourage and accept the expression of his thoughts and feelings
- Give him a pen, paper, and access to tile floor
- - Correct Answer C --> This action establishes trust by respecting Mr. Kent's needs. Mistrust will
Mr. McCrohan, 21 years old, has recently been diagnosed with schizophrenia and hears voices that frighten him. He is having difficulty adhering to his medication regimen and feels his family is not supportive. He has poor impulse control and is fearful of others. At times, he becomes aggressive. Mr. McCrohan has agreed to placement in a supervised home in the community. Given Mr. McCrohan's previous aggressive behaviour, which measure is most important for the psychiatric and mental health nurse to take?
identification of early warning signs and a plan of how to cope with the situation.Mr. Kent, 45 years old, was brought in by the police after he was found running in traffic, hitting cars with a garden hose. During the initial interview, he actively paced the room, stared at the psychiatric and mental health nurse and asked rambling questions about the nurse's involvement with the government. While admitting Mr. Kent, the nurse observes that his hat and shoes are lined with aluminium foil. When he arrives on the psychiatric unit, Mr. Kent asks for a pen and paper to "keep records "of the events surrounding his hospitalization. He does not walk on the carpeted areas of the floor and has declined any food or drink for 24 hours. What should the psychiatric and mental health nurse do initially to best address Mr. Kent's paranoid delusional thinking?
hinder the therapeutic relationship and treatment process. 2 / 4
Mr. Kent, 45 years old, was brought in by the police after he was found running in traffic, hitting cars with a garden hose. During the initial interview, he actively paced the room, stared at the psychiatric and mental health nurse and asked rambling questions about the nurse's involvement with the government. While admitting Mr. Kent, the nurse observes that his hat and shoes are lined with aluminium foil. The psychiatric and mental health nurse suspects that Mr. Kent may be experiencing auditory hallucinations. These appear to be most predominant at dinnertime each night. What should the nurse do as a priority to assess the contributing factors to these hallucinations?
- Inform the physician so that a CT may be ordered
- Arrange for a drug screen
- Review the times of scheduled and PRN medications
- Determine any stressful events which occur around dinnertime - Correct Answer D --> Assessment
- Attempt to restrain him while calling for help
- Reflect behaviours back to him & promote awareness
- Leave the room and obtain assistance
- Provide empathy and non-judgemental statements - Correct Answer C --> Crisis response
includes identifying precipitating factors and decreasing stimuli Mr. Kent, 45 years old, was brought in by the police after he was found running in traffic, hitting cars with a garden hose. During the initial interview, he actively paced the room, stared at the psychiatric and mental health nurse and asked rambling questions about the nurse's involvement with the government. While admitting Mr. Kent, the nurse observes that his hat and shoes are lined with aluminium foil. While the psychiatric and mental health nurse is discussing Mr. Kent's reasons for lining his hat and shoes with aluminium foil, he begins uttering profanities. He gets up, grabs a lamp and throws it against the intercom system in the room. What should the nurse do initially?
guidelines list calling for help and formulating a plan with assistance as the primary intervention Mr. Kent, 45 years old, was brought in by the police after he was found running in traffic, hitting cars with a garden hose. During the initial interview, he actively paced the room, stared at the psychiatric and mental health nurse and asked rambling questions about the nurse's involvement with the government. While admitting Mr. Kent, the nurse observes that his hat and shoes are lined with aluminium foil. Mr. Kent has been receiving haloperidol (Haldol) 10 mg three times a day for 2 days now. What behaviour by Mr. Kent should indicate to the psychiatric and mental health nurse the need to administer his benztropine mesylate (Cogentin) 2 mg p.r.n. 3 / 4
medication?
- Profound sedation with difficulty staying awake
- Muscle stiffness in head and neck
- Jerky, involuntary movements of the upper extremities
- Difficulty urinating and dry mouth - Correct Answer B --> These manifestations indicate an acute
- Risperidone 1mg
- Lithium 900mg
- Lorazepam 2mg
- Lorazepam 1mg - Correct Answer D
- Inform him the rules of the unit must be respected
- Explore what is bothering him
- Call a staff meeting to address his aggressive tendencies
- Rotate staff members to minimize frustration and optimize care - Correct Answer B --> This
- / 4
dystonic reaction. Dystonic reactions involve involuntary muscle spasms primarily in the head and neck.Mr. Anderson, 60 years old, has a 25-year history of bipolar disorder. He has been hospitalized five times. Recently, he hasbecome very agitated and suspicious. He has no history of violence against others. He responds well to lithium carbonate (Lithane) 900 mg twice a day and lorazepam (Ativan) 1-2 mg twice a day p.r.n. Mr. Anderson is admitted to the acute care unit. He is in a hypomanic state, is very agitated, grandiose and is suspicious. Two hours after giving him his scheduled dose of lithium carbonate, you notice that he has not responded to non-pharmalogical interventions to help him settle. Which of the following medications would the nurse first offer him?
Mr. Anderson, 60 years old, has a 25-year history of bipolar disorder. He has been hospitalized five times. Recently, he has become very agitated and suspicious. He has no history of violence against others. He responds well to lithium carbonate (Lithane) 900 mg twice a day and lorazepam (Ativan) 1-2 mg twice a day p.r.n. Mr. Anderson is critical of others, defiant and anxious. How can the psychiatric and mental health nurse best help Mr. Anderson? Mr. Anderson is critical of others, defiant and anxious. How can the psychiatric and mental health nurse best help Mr. Anderson?
establishes an open, trusting relationship. It reduces the threat that the nurse poses to Mr. Anderson