Psych Nursing Exam 2 M O S T R E C E N T E X A M 2 0 2 6 A C T U A L
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Which neurotransmitter is reduced in people with schizophrenia?
Dopamine
GABA
Acetylcholine
Serotonin
ANSWERS: GABA (Gamma-aminobutyric acid)
Prenatal and perinatal factors that result in the onset of schizophrenia include:
viral infection
maternal depression
maternal smoking
exposure to toxic waste
ANSWERS: viral infection
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What is the link between major depression and cortisol secretion?
Individuals with depression show suppression of plasma cortisol when given
dexamethasone.
Individuals with depression have a decreased plasma cortisol level despite
administration of exogenous corticosteroids.
Individuals with depression continue to exhibit elevated plasma cortisol levels
throughout the evening and early morning.
Individuals with depression have normal plasma cortisol levels throughout the
day when they take antidepressant medication as prescribed.
ANSWERS: Individuals with depression continue to exhibit elevated plasma cortisol
levels throughout the evening and early morning.
A newly admitted patient diagnosed with schizophrenia is hypervigilant and
constantly scans the environment. The patient states, "I saw two doctors talking in
the hall. They were plotting to kill me." The nurse may correctly assess this
behavior as:
echolalia
an idea of reference
a delusion of infidelity
an auditory hallucination
ANSWERS: an idea of reference
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A patient diagnosed with schizophrenia says, "My co-workers are out to get me. I
also saw two doctors plotting to kill me." How does this patient perceive the
environment?
Disorganized
Dangerous
Supportive
Bizarre
ANSWERS: Dangerous
When a patient diagnosed with schizophrenia was discharged 6 months ago,
haloperidol (Haldol) was prescribed. The patient now says, "I stopped taking
those pills. They made me feel like a robot." What are common side effects the
nurse should validate with the patient?
Sedation and muscle stiffness
Sweating, nausea, and diarrhea
Mild fever, sore throat, & skin rash
Headache, watery eyes, & runny nose
ANSWERS: Sedation and muscle stiffness
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Which hallucination necessitates the nurse to implement safety measures? The
patient says,
"I hear angels playing harps."
"The voices say everyone is trying to kill me."
"My dead father tells me I am a good person."
"The voices talk only at night when I'm trying to sleep."
ANSWERS: "The voices say everyone is trying to kill me."
A patient's care plan includes monitoring for auditory hallucinations. Which
assessment findings suggest the patient may be hallucinating?
Detachment and overconfidence
Darting eyes, tilted head, mumbling to self
Euphoric mood, hyperactivity, distractibility
Foot tapping and repeatedly writing the same phrase
ANSWERS: Darting eyes, tilted head, mumbling to self
A health care provider considers which antipsychotic medication to prescribe for a
patient diagnosed with schizophrenia who has auditory hallucinations and poor social
function. The patient is also overweight and hypertensive. Which drug
should the nurse advocate?
Clozapine
Ziprasidone
Olanzapine
Aripiprazole
ANSWERS: Aripiprazole
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