NRSG 1340 EXAM 1 QUESTIONS AND ANSWERS | 2026 UPDATE | WITH COMPLETE
SOLUTION
What are three factors contributing to mental illness? - (ANSWER)Individual
- biological makeup
- intolerable or unrealistic worries or fearas
Interpersonal
- ineffective communication
- inadequate social support
Social/cultural
- unwarranted negative view of the world
- discrimination
What is the DSM-5? - (ANSWER)Diagnostic and statistical manual of mental disorders
Manual published by the APA to establish
- defining characteristics or symptoms
- identification of the underlying causes of disorders
What are the five axis of the DSM-5? - (ANSWER)Axis I: Is a clinical syndrome, such as a mood, anxiety,
or learning disorder present?
Axis II: Is a personality disorder or mental retardation present?
Axis III: Is a general medical condition such as heart disease, diabetes, or cancer present?
Axis IV: Are social or environmental problems such as homelessness, divorce, school problems, or other
stressors present?
,NRSG 1340 EXAM 1 QUESTIONS AND ANSWERS | 2026 UPDATE | WITH COMPLETE
SOLUTION
Axis V: What is the global assessment of this person's functioning (ranging from "persistent danger of
hurting oneself or others" to "superior functioning in a wide range of activities")?
What is the leading cause of disability in the United States? - (ANSWER)Mental illness
What is the "revolving door" concept? - (ANSWER)Shorter hospital stays leads to decompensation which
leads to rehospitalization and a diagnosis of both mental illness and substance abuse
Mental illness affects what percentage of the homeless population? - (ANSWER)33%
What are basic-level psychiatric nursing practices? - (ANSWER)- counseling
- milieu therapy
- self-care
- psychobiologic interventions
- health teaching
- case management
- health promotion and maintenance
What are advanced-level psychiatric nursing practices? - (ANSWER)- psychotherapy
- prescriptive authority for drugs
- consultation and liaison
- evaluation
- program development and management
- clinical supervision
True or false: The Diagnostic and Statistical Manual of Mental Disorders (DSM) is a published document
that outlines specific diagnostic criteria for mental disorders that are based on clinical research and
experience. - (ANSWER)True
,NRSG 1340 EXAM 1 QUESTIONS AND ANSWERS | 2026 UPDATE | WITH COMPLETE
SOLUTION
_______ drugs are those that are used to change brain function and result in alterations in perception,
mood, or consciousness. - (ANSWER)Psychotropic
Psychotropic is affecting the mind of mental processes. Antipsychotic is preventing or counteracting
psychosis.
_______ management involves the use of an individual who coordinates and manages all of the care
required by a client. - (ANSWER)Case management
Give four examples of excitatory neurotransmitters. - (ANSWER)- dopamine: complex movements,
motivation, cognition, regulation of emotional response
- norepinephrine: attention, learning, memory, sleep, wakefulness, mood regulation
- epinephrine: fight or flight response
- glutamate: neurotoxic effects at high levels
Gove two examples of inhibitory neurotransmitters. - (ANSWER)- serotonin: food intake, sleep,
wakefulness, temperature regulation, pain control, sexual behaviors, regulation of emotions
- GABA: major inhibitory neurotransmitter, modulation of other neurotransmitters
Give an example of an excitatory/inhibitory neurotransmitter. - (ANSWER)- acetylcholine: sleep and
wakefulness cycle, signals muscles to become alert
Give five examples of first generation (conventional) antipsychotics. - (ANSWER)- chlorpromazine
- fluphenazine
- thioridazine
- haloperidol
- loxapine
, NRSG 1340 EXAM 1 QUESTIONS AND ANSWERS | 2026 UPDATE | WITH COMPLETE
SOLUTION
Give three examples of second generation (atypical) antipsychotics. - (ANSWER)- clozapine
- risperidone
- olanzapine
Give an example of a third generation antipsychotic. - (ANSWER)Aripiprazole
What is the use and MOA of antipsychotics? - (ANSWER)Use: treatment of psychosis
MOA: blocks dopamine receptors
What are side effects of antipsychotics? - (ANSWER)- acute dystonia
- pseudoparkinsonism
- akathisia
- neuroleptic malignant syndrome (NMS)
- tardive dyskinesia
- anticholinergic effects (dry mouth, constipation, urinary hesitancy/retention
- increased prolactin levels
- weight gain
- metabolic syndrome
- cardiovascular adverse effects
- lengthening of QT interval
- agranilocytosis
What should you do if you miss a dose of antipsychotic medication? - (ANSWER)Take dose within 4
hours of usual time
What is the use of antidepressants? - (ANSWER)Major depressive illness, anxiety disorders, depressed
phase of bipolar disorder, psychotic depression
SOLUTION
What are three factors contributing to mental illness? - (ANSWER)Individual
- biological makeup
- intolerable or unrealistic worries or fearas
Interpersonal
- ineffective communication
- inadequate social support
Social/cultural
- unwarranted negative view of the world
- discrimination
What is the DSM-5? - (ANSWER)Diagnostic and statistical manual of mental disorders
Manual published by the APA to establish
- defining characteristics or symptoms
- identification of the underlying causes of disorders
What are the five axis of the DSM-5? - (ANSWER)Axis I: Is a clinical syndrome, such as a mood, anxiety,
or learning disorder present?
Axis II: Is a personality disorder or mental retardation present?
Axis III: Is a general medical condition such as heart disease, diabetes, or cancer present?
Axis IV: Are social or environmental problems such as homelessness, divorce, school problems, or other
stressors present?
,NRSG 1340 EXAM 1 QUESTIONS AND ANSWERS | 2026 UPDATE | WITH COMPLETE
SOLUTION
Axis V: What is the global assessment of this person's functioning (ranging from "persistent danger of
hurting oneself or others" to "superior functioning in a wide range of activities")?
What is the leading cause of disability in the United States? - (ANSWER)Mental illness
What is the "revolving door" concept? - (ANSWER)Shorter hospital stays leads to decompensation which
leads to rehospitalization and a diagnosis of both mental illness and substance abuse
Mental illness affects what percentage of the homeless population? - (ANSWER)33%
What are basic-level psychiatric nursing practices? - (ANSWER)- counseling
- milieu therapy
- self-care
- psychobiologic interventions
- health teaching
- case management
- health promotion and maintenance
What are advanced-level psychiatric nursing practices? - (ANSWER)- psychotherapy
- prescriptive authority for drugs
- consultation and liaison
- evaluation
- program development and management
- clinical supervision
True or false: The Diagnostic and Statistical Manual of Mental Disorders (DSM) is a published document
that outlines specific diagnostic criteria for mental disorders that are based on clinical research and
experience. - (ANSWER)True
,NRSG 1340 EXAM 1 QUESTIONS AND ANSWERS | 2026 UPDATE | WITH COMPLETE
SOLUTION
_______ drugs are those that are used to change brain function and result in alterations in perception,
mood, or consciousness. - (ANSWER)Psychotropic
Psychotropic is affecting the mind of mental processes. Antipsychotic is preventing or counteracting
psychosis.
_______ management involves the use of an individual who coordinates and manages all of the care
required by a client. - (ANSWER)Case management
Give four examples of excitatory neurotransmitters. - (ANSWER)- dopamine: complex movements,
motivation, cognition, regulation of emotional response
- norepinephrine: attention, learning, memory, sleep, wakefulness, mood regulation
- epinephrine: fight or flight response
- glutamate: neurotoxic effects at high levels
Gove two examples of inhibitory neurotransmitters. - (ANSWER)- serotonin: food intake, sleep,
wakefulness, temperature regulation, pain control, sexual behaviors, regulation of emotions
- GABA: major inhibitory neurotransmitter, modulation of other neurotransmitters
Give an example of an excitatory/inhibitory neurotransmitter. - (ANSWER)- acetylcholine: sleep and
wakefulness cycle, signals muscles to become alert
Give five examples of first generation (conventional) antipsychotics. - (ANSWER)- chlorpromazine
- fluphenazine
- thioridazine
- haloperidol
- loxapine
, NRSG 1340 EXAM 1 QUESTIONS AND ANSWERS | 2026 UPDATE | WITH COMPLETE
SOLUTION
Give three examples of second generation (atypical) antipsychotics. - (ANSWER)- clozapine
- risperidone
- olanzapine
Give an example of a third generation antipsychotic. - (ANSWER)Aripiprazole
What is the use and MOA of antipsychotics? - (ANSWER)Use: treatment of psychosis
MOA: blocks dopamine receptors
What are side effects of antipsychotics? - (ANSWER)- acute dystonia
- pseudoparkinsonism
- akathisia
- neuroleptic malignant syndrome (NMS)
- tardive dyskinesia
- anticholinergic effects (dry mouth, constipation, urinary hesitancy/retention
- increased prolactin levels
- weight gain
- metabolic syndrome
- cardiovascular adverse effects
- lengthening of QT interval
- agranilocytosis
What should you do if you miss a dose of antipsychotic medication? - (ANSWER)Take dose within 4
hours of usual time
What is the use of antidepressants? - (ANSWER)Major depressive illness, anxiety disorders, depressed
phase of bipolar disorder, psychotic depression
