- Mr L., is a 35 year old patient who reports significant difficulty falling asleep each night. He tells you that he lays on his bed at night, tossing and turning for 4 – 6 hours each night before finally falling asleep. When he does eventually fall asleep, he will often wake up 20 – 30 minutes later. These problems have been present for approximately one month. Mr L is likely suffering from:
a. Primary insomniab. Acute maniac. Major depressiond. Schizophrenia
2. Using the DSM-IV diagnostic system, a diagnosis of Borderline Personality Disorder would be recorded by the Psychiatrist under:a. Axis Ib. Axis IIc. Axis IIId. Axis IV
3. The most likely aetiological cause of Borderline Personality Disorder in an adult is:a. Genetic inheritanceb. Substance (i.e. drug) abusec. Child sexual abused. Excessive dopamine activation in the neural synapses
4. ‘Othello Syndrome’ often occurs in patients with alcoholism, but may also occur in patients with schizophrenia and cocaine abuse. The central feature of ‘Othello Syndrome’ is:a. The delusional belief that one’s partner or spouse is cheating on themb. An obsessional fascination with Shakespearian dramasc. Eating non-food substances (e.g. glass, cotton, sand, etc.)d. Ignoring social or cultural rules of behaviour (e.g. urinating in public)
5. Zoloft (sertraline) is a commonly used antidepressant medication used for the treatment of depression. Zoloft works by:a. Antagonism of post-synaptic dopamine receptors thereby increasing dopamine transmissionb. Inhibition of the enzymatic action of monoamine oxidase which usually functions to destroy excess monoamine neurotransmitters (e.g. dopamine, serotonin, and noradrenalin) in the synapsec. Blockading post-synaptic serotonin type-II receptors thereby inhibiting serotonin transmissiond. Inhibition of pre-synaptic reuptake of serotonin thereby increasing serotonin bioavailability
6. You have been asked to provide behaviour therapy for a patient with agoraphobia (i.e. fear of open spaces). Which of the following steps involved in behaviour therapy will you do FIRST?a. Take the patient for a walk through a crowded marketb. Teach the patient some basic breathing and relaxation exercisesc. Discuss with the patient their childhood experiences of open spacesd. Show the patient pictures and videos of busy crowded markets
7. A hospitalised patient taking antipsychotic medication for the treatment of schizophrenia is becoming increasingly restless and agitated. You observe that the patient is constantly moving their feet and that they seem to be walking on the spot. The patient is likely experiencing:a. Akathisiab. Acute dystoniac. Agranuloscytosisd. Tardive dyskinesia
8. Puan S. is a 52 year old Community Mental Health patient. She has recently begun treatment for depression with Nardil (Phenelzine), a potent monoamine oxidase inhibitor. Which of the following commonly found foods in Malaysia must she avoid eating?a. Rendang tokb. Mangosteensc. Nasi lemak with ikan bilisd. Mee rebus
9. Watch the video “Talking to your teenager about drugs” [BELOW].
What psychotic symptoms is the mother in this video demonstrating in her speech?
10. Watch the video “Growing alcoholism among Malaysia’s poor” [BELOW].
a. After watching the video, describe what sociological factors contribute to the high rate of alcohol abuse in Penang
b. Based on your answers above, as a Community Mental Health Nurse, what suggestions or recommendations would you make for reducing the rate of alcohol abuse in Penang?
Wednesday, January 19, 2011
Mental Health Nursing Quiz - 2
NOTE: This is a 'take-home' quiz. Estimated time (1-hour). You will need to do some reading at home to answer these questions. Please write you answers on a separate sheet of paper and submit your answers to me on Monday 24/1/2011.
Wednesday, January 12, 2011
Mental Health Nursing Quiz - 1
NOTE: This is a 'take-home' quiz. Estimated time (1-hour). You will need to do some reading at home to answer these questions. Please write you answers on a separate sheet of paper and submit your answers to me on Monday 16/1/2011.
- Which of the following examples best illustrates a delusion of reference?a. The FBI is plotting to steal my inventionb. The night shift nurse doesn't like mec. The news announcer on TV is talking about med. The food is being poisoned
2. False sensory perception in the absence of real external stimuli is called...a. Depersonalizationb. Hallucinationc. De Ja vud. Illusion
3. Repeating the movement of another person is known as...a. Negativismb. Automatic obediencec. Echolaliad. Echopraxia
4. In the first encounter with the patient, the nurse should give more attention to...a. Fill an observation sheetb. Gain the patient confidencec. Arrive at the proper nursing diagnosisd. Let the patient talk freely as he want
5. Lithium is used for...a. Severe anxietyb. Severe psychomotor retardationc. Control manic episodesd. Delusional disorder
6. The law concerned with the care and protection of patient’s with mental health problems is known as...a. The Lunacy Act (1923)b. The Mental Health Act (2001)c. The Mental Disorders Ordinance (1952)d. The Insane and Deranged Persons Regulation (1931)
7. Schizophrenia was first described by...a. Emil Kraepelinb. Sigmund Freudc. Ivan Pavlovd. Dorothea Dix
8. An involuntary patient in a psychiatric hospital can petition for release by writing a letter to...a. The Prime Minister of Malaysiab. The Yang di-Pertua Agongc. The Medical Director of the hospitald. The Inspector General of Health
9. Describe what is a “Neologism”?
10. Miss Lu is a 19-year old woman who was recently admitted to the Medical Ward of your hospital. When you enter her room to take her blood pressure you find her hanging from the shower nozzle with a bed sheet wrapped around her neck. After quickly taking her pulse you realise that she is deceased and surmise that she committed suicide some time ago.Describe your nursing actions with respect to your legal obligations.
Monday, January 10, 2011
Having trouble downloading slides?
If you cannot download the slides for Mental Health Nursing, follow this link the my SkyDrive where all the files are being hosted. You should be able to download and/or view the files from there.
SkyDrive
SkyDrive
Sunday, January 9, 2011
Clinical Manifestations
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Videos
Example of delirium (organic disorder). Young David is on his way home from the dentist and is experiencing delirium following the anaesthesia.
Videos
Example of delirium (organic disorder). Young David is on his way home from the dentist and is experiencing delirium following the anaesthesia.
Observe as this woman experiences a full blown manic episode. While you might find this funny in the beginning, make sure to watch the video all the way through. Mania can be extremely frightening for the sufferer and their family. For nurses working with manic patients, mania is an exhausting disorder. See if you can keep up with her behaviours.
In this example of psychosis in a patient with schizophrenia, see if you can recognize and name the specific symptoms these patient is demonstrating.
Therapeutic Interventions
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Videos
Video demonstration of akathisia is a patient taking antipsychotic medication.
Videos
Video demonstration of akathisia is a patient taking antipsychotic medication.
Video demonstration of patient experiencing a generalized dystonic reaction to antipsychotic medication.
Demonstration by a psychiatrist of a Parkinsonian gait (i.e. way of walking) due to antipsychotic medication.
Video demonstrating assessment and early recognition of Tardive Dyskinesia, unusual tongue and mouth movements associated with neuroleptic antipsychotics. You are NOT expected to be able to conduct an extensive assessment like in the video, only to recognize the symptoms of Tardive Dyskinesia.
Video demonstration of Electroconvulsive Therapy (ECT) as it is being carried out today.
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