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.

1. 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 insomnia

   b.      Acute mania

   c.       Major depression

   d.      Schizophrenia

   
   

   2.       Using the DSM-IV diagnostic system, a diagnosis of Borderline Personality Disorder would be recorded by the Psychiatrist under:

   a.       Axis I

   b.      Axis II

   c.       Axis III

   d.      Axis IV

   
   

   3.       The most likely aetiological cause of Borderline Personality Disorder in an adult is:

   a.       Genetic inheritance

   b.      Substance (i.e. drug) abuse

   c.       Child sexual abuse

   d.      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 them

   b.      An obsessional fascination with Shakespearian dramas

   c.       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 transmission

   b.      Inhibition of the enzymatic action of monoamine oxidase which usually functions to destroy excess monoamine neurotransmitters (e.g. dopamine, serotonin, and noradrenalin) in the synapse

   c.       Blockading post-synaptic serotonin type-II receptors thereby inhibiting serotonin transmission

   d.      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 market

   b.      Teach the patient some basic breathing and relaxation exercises

   c.       Discuss with the patient their childhood experiences of open spaces

   d.      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.       Akathisia

   b.      Acute dystonia

   c.       Agranuloscytosis

   d.      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 tok

   b.      Mangosteens

   c.       Nasi lemak with ikan bilis

   d.      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?