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Psychiatric Emergencies Quiz

Total questions: 30

Worksheet time: 15mins

Name
Class
Date
1.

What is the first step in managing a patient with suicidal ideation?

a)

Administer antidepressants

b)

Conduct a thorough risk assessment

c)

Refer to a psychiatrist

d)

Call emergency services

2.

Which of the following is a common intervention for acute psychosis?

a)

Cognitive Behavioral Therapy

b)

Antipsychotic medication

c)

Electroconvulsive Therapy

d)

Group therapy

3.

In a bipolar disorder emergency, what is the primary concern when a patient is in a manic episode?

a)

Ensuring the patient is well-fed

b)

Preventing self-harm or harm to others

c)

Encouraging social interaction

d)

Monitoring sleep patterns

4.

What is a key component of safety planning for individuals with suicidal ideation?

a)

Identifying triggers and coping strategies

b)

Avoiding discussions about suicide

c)

Increasing social media usage

d)

Limiting physical activity

5.

Which medication is often used as a first-line treatment for acute psychosis?

a)

Fluoxetine

b)

Olanzapine

c)

Lithium

d)

Sertraline

6.

What is the most appropriate action for a nurse when a patient with bipolar disorder exhibits severe agitation?

a)

Encourage the patient to express feelings

b)

Administer a sedative as prescribed

c)

Allow the patient to leave the unit

d)

Engage the patient in physical activity

7.

Which of the following is a warning sign of imminent suicide risk?

a)

Increased social engagement

b)

Sudden calmness after a period of depression

c)

Improved appetite

d)

Increased academic performance

8.

What is the primary goal of intervention in acute psychosis?

a)

To provide long-term therapy

b)

To stabilize the patient and ensure safety

c)

To diagnose the underlying cause

d)

To encourage family involvement

9.

In managing a patient experiencing a manic episode, which of the following strategies is most effective?

a)

Allowing the patient to make all decisions

b)

Providing a structured environment

c)

Encouraging excessive physical activity

d)

Limiting medication use

10.

What is an essential part of the discharge plan for a patient with suicidal ideation?

a)

Providing a list of emergency contacts

b)

Recommending isolation

c)

Discontinuing all medications

d)

Avoiding follow-up appointments

11.

Which of the following is NOT a typical symptom of acute psychosis?

a)

Hallucinations

b)

Delusions

c)

Euphoria

d)

Disorganized thinking

12.

What is the recommended approach for a patient with bipolar disorder who is experiencing a depressive episode?

a)

Increase physical activity

b)

Start antidepressant therapy without mood stabilizers

c)

Use mood stabilizers as the first line of treatment

d)

Encourage isolation to reflect

13.

Which of the following is a common risk factor for suicide?

a)

Strong family support

b)

Recent loss or trauma

c)

High academic achievement

d)

Regular physical activity

14.

In the context of acute psychosis, what is the role of family members?

a)

To provide therapy

b)

To ensure the patient adheres to medication

c)

To assist in the patient's stabilization and support

d)

To avoid contact to prevent stress

15.

What is the most effective way to assess the risk of suicide in a patient?

a)

Observing their behavior

b)

Asking direct questions about suicidal thoughts

c)

Relying on family reports

d)

Monitoring their social media activity

16.

which methods would a nurse use to determine a patient's potential risk for suicide?

a)

Do not focus much on suicidal ideations

b)

Questions the patient directly on suicidal thoughts

c)

Divert patient's mind by asking future plans

d)

Observe the patient behaviour continuously for cues of suicide ideation

17.

Healthy resolution of crises depends upon all of the following factors,except

a)

Realistic appraisal of the precipitating event

b)

Availability of support system

c)

Availability of adaptive coping measures

d)

Availability of medical facilities

18.

which of the following is the first step in counseling?

a)

Developing insight into the problem

b)

Collecting data from client

c)

Establishing rapport with the client

d)

Encourage the client to ventilate his problems

19.

Following are all appropriate nursing interventions for aggressive patients ,except:

a)

Remove hazarduos objects and substances from patient vicinity

b)

use punishment strategies

c)

Keep environmental stimuli to a minimum

d)

Encourage the patient to talk out his aggressive feelings

20.

When serotonergic agents are used along with Monoamine Oxidase inhibitors (MAOI),it leads to

a)

Neuroleptic Malignant syndrome

b)

Serotonin syndrome

c)

Rabbit syndrome

d)

Sundowning Syndrome

21.

___________is defined as physical,somatic,spiritual ,emotional and intellectual responses to the nature of loss

a)

Grief

b)

Stress

c)

Stressor

d)

Distress

22.

District mental Health program was launched in __________

a)

1996

b)

1982

c)

2003

d)

2005

23.

which of the following disorder is self limiting condition,except ?

a)

postnatal depression

b)

postnatal blues

c)

postnatal psychosis

d)

postnatal anxiety disorders

24.

The main aim of secondary prevention is :

a)

strengthening individual,family and group coping abilities

b)

Helping mentally ill patients to regain pre -morbid level of functioning through treatment

c)

Helping to reduce the discomfort and disability associated with illness

d)

Enabling the patient to achieve maximum range of interest and activity

25.

Drug of choice to treat alcohol withdrawal symptoms such as tremors and high B.P include:

a)

Disulfirum

b)

Lorazepam

c)

cloxacillin

d)

Benztropine

26.

Wernick's encephalopathy features are all,except:

a)

Confusion

b)

Ataxia

c)

Aphasia

d)

Nystagmus

27.

A schizophrenia patient who is on Haloperidol since one week exhibits muscular spasms and involuntary movements of neck and jaw.the nurse interprets these findings as:

a)

Acute Dystonia

b)

Tardive dyskinesia

c)

Akathesia

d)

Drug-induced parkinsonism

28.

People with Antisocial personality have difficulty in relating with others because-

a)

will not count on others

b)

cannot empathize with others

c)

never learned to be dependent on others

d)

have difficulty in communicating socially with others

29.

In which of the following disorders the "La belle indifference" is a typical feature?

a)

post traumatic stress disorder

b)

Dissociative disorders

c)

phobic disorders

d)

Mood disorders

30.

which of the following is not a feature of Mental health care Act 2017:

a)

Every person except minor has right to take advance directive in writing

b)

it does not allow the patient to appoint a representative to take decision on behalf of patient

c)

This Act abolished the ECT for children and made provisions for modified ECT

d)

Decriminalization of suicide