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NPN 125 Exam 1 (2026) – 120 Exam Questions & Answers on Mental Health, DSM-5, Psychotropic Drugs & Therapeutic Communication

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This document contains 120 structured exam questions and verified answers for NPN 125 Exam One (2026), covering core concepts in psychiatric and mental health nursing. It provides comprehensive review material on definitions of mental health and mental illness, DSM-5 classification, historical evolution of psychiatric care, neurobiology, neurotransmitters, brain imaging modalities, psychopharmacology, therapeutic communication, crisis intervention, developmental theories, and interdisciplinary treatment approaches. The pharmacology section includes detailed coverage of antipsychotics (including EPS, NMS, tardive dyskinesia), antidepressants (SSRIs, MAOIs, cyclic compounds), mood stabilizers such as lithium with therapeutic level monitoring, anxiolytics including benzodiazepines, stimulants for ADHD, and substance use deterrents like disulfiram. Nursing implications, patient education, side effects, toxicity signs, and medication safety principles are thoroughly outlined. The document also integrates foundational psychological and developmental theories from Freud, Erikson, Piaget, Sullivan, Peplau, Maslow, Rogers, Skinner, Pavlov, Ellis, Frankl, and Glasser, ensuring strong conceptual understanding for exam preparation. The content aligns closely with Varcarolis’ Foundations of Psychiatric-Mental Health Nursing: A Clinical Approach, reflecting the structure, terminology, and medication frameworks commonly tested in psychiatric nursing courses. This resource is especially valuable for: Practical Nursing (PN) students Licensed Practical Nurse (LPN) students Vocational Nursing (VN) students Associate Degree in Nursing (ADN) students Bachelor of Science in Nursing (BSN) students Students enrolled in Mental Health Nursing, Psychiatric Nursing, Behavioral Health, or Foundations of Nursing It is ideal for midterm review, final exam preparation, HESI-style testing, and NCLEX-focused psychiatric nursing content reinforcement. Keywords: mental health, mental illness, DSM-5, psychiatric nursing, neurotransmitters, dopamine, serotonin, psychotropic medications, antipsychotics, antidepressants, mood stabilizers, lithium levels, benzodiazepines, stimulants, extrapyramidal symptoms, neuroleptic malignant syndrome, tardive dyskinesia, serotonin syndrome, therapeutic communication, crisis intervention, developmental theories, Freud theory, Erikson stages, Peplau phases, Maslow hierarchy, community mental health, interdisciplinary team, psychiatric pharmacology

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NPN 125 Exam One 2026 Exam
Questions and Verified Answers
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how would you describe someone as mentally healthy? - 🧠ANSWER

✔✔Able to fulfill life responsibilities and fxn affectively with daily life,

satisfied with personal relationships and self. Not simply the absents of

disease.

,how would you describe someone as mentally ill? - 🧠ANSWER

✔✔Dissatisfied with self and relationships, ineffective coping, significant

stress, impaired fxning


what is mental health? - 🧠ANSWER ✔✔o No single, universal definition


o Dynamic, ever-changing state

o Could be our biological make up, self esteem, capacity for growth, ability

to learn and grow, vitality, ability to find meaning in life, emotional

resilience, sense of autonomy or independence, sense of belonging, reality

orientation, ability to cope, stress management techniques


what three factors influence mental health? - 🧠ANSWER ✔✔individual

(biological makeup, self esteem, etc), interpersonal (communication with

others, intimacy), and social/cultural (sense of community, etc)


what is mental illness? - 🧠ANSWER ✔✔behavioral or psychological

syndrome or pattern (clinically significant). Association with present distress

or disability or increased risk of death, pain, disability or important loss of

freedom

what are the general criteria for diagnosis of a mental illness? - 🧠ANSWER

✔✔-Dissatisfaction with characteristics, abilities, accomplishments

,-Ineffective or unsatisfying relationship

-Dissatisfaction with one's place in the world

-Ineffective coping with life events

-Lack of personal growth, stagnant in one spot

what are three influencing factors for mental illness? - 🧠ANSWER

✔✔individual (biological makeup, inability to distinguish reality from

fantasy), interpersonal (ineffective communication, loss of emotional

control), and social/cultural(racism, classism, lack of resources)


what is the DSM-V? - 🧠ANSWER ✔✔a taxonomy published by the

American Psychiatric Association (APA).


what is a taxonomy? - 🧠ANSWER ✔✔the science of naming, describing,

and classifying things in an order


why is the DSM-V important? - 🧠ANSWER ✔✔-Standardize nomenclature,

language

-Identify defining characteristics or symptoms to help differentiate different

types of mental illnesses

-Assist in identifying underlying causes


3
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, mental health in ancient times - 🧠ANSWER ✔✔sickness was because of

gods, Aristotle and the four humors, possession by demons


what were aristotles four humors? - 🧠ANSWER ✔✔blood is happiness,

water is calmness, yellow bile is anger, and black bile is sadness

what was mental health like during the period of enlightenment (1790's) -

🧠ANSWER ✔✔asylums were created, moral treatment, dorthea dix opened

state hospitals

who came up with the concept of the id, ego, and superego? - 🧠ANSWER

✔✔Sigmund Freud


What changed mental health care in the 1950's? - 🧠ANSWER ✔✔the

development of psychotropic drugs, the first of which were chlorpromazine

and lithium


what was the community health movement of 1963? - 🧠ANSWER ✔✔-

Deinstitutionalization: move from state to community facilities

-Legislation for disability income: SSI and SSDI

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