EXAM PREDICTION 2026
NUR 354 - Exam 4 Cumulative QUESTIONS
(Varcarolis Psych-Mental Health Nursing)
A patient who was admitted to your psych unit has been
diagnosed with both major depressive disorder and
substance abuse. What are some shared risk factors for
these two diagnoses? Select all that apply.
a. Genetic vulnerabilities
b. Adverse childhood events
c. Underlying brain defects in common areas and pathways
d. Environmental Factors
e. Risk taking behaviors
a. Genetic vulnerabilities
b. Adverse childhood events
c. Underlying brain defects in common areas and pathways
d. Environmental Factors
ANSWE AND EXPLANETION: Genetic vulnerabilities (40% to 60% risk)
Underlying brain defects in common areas and pathways of the brain
Environmental factors, including exposure to stress or trauma during early
developmental stages.
A patient who was admitted to your psych unit has been
diagnosed with both major depressive disorder and
substance abuse. What are some negative consequences
this patient may experience because of her substance
abuse? Select all that apply.
,a. Fetal Alcohol Syndrome
b. Crime
c. Occupational Impairment
d. Physical Health Problems
e. Domestic Abuse
b. Crime
c. Occupational Impairment
d. Physical Health Problems
e. Domestic Abuse
ANSWE AND EXPLANETION: Problems stemming from substance abuse and MDD
include Lost productivity at work, Crime
Health problems, Loss of employment, Failure in school, Family dysfunction with
disintegration, Domestic violence, Child abuse
For the substance abuse treatment plan to be successful,
what factors should be considered? Select all that apply.
a. Acute safety needs
b. Severity and range of symptoms
c. Motivation or readiness to change
d. Skills and strengths
e. Availability of a support system
f. Individual's cultural needs
a. Acute safety needs
b. Severity and range of symptoms
c. Motivation or readiness to change
d. Skills and strengths
e. Availability of a support system
,f. Individual's cultural needs
ANSWE AND EXPLANETION: All of these are important to be considered.
A nurse is assigned the care of four patients who are
detoxifying from alcohol. The patient with which symptom
would be the nurse's highest priority?
a. Fine motor tremors
b. Diaphoresis
c. Diarrhea
d. Hallucinations and delusions
ANSWE d. Hallucinations and delusions
A person has recently abused morphine. The person's pupils
would most likely be:
a. Dilated
b. Constricted
c. Asymmetrical
d. Unresponsive to light
b. Constricted
ANSWE AND EXPLANETION: Pupils are usually constricted after the use of opioid
narcotics
Which behavior indicates that a patient diagnosed with
borderline personality disorder is improving?
A. The patient cries when her roommate refuses to go to the dining room with her.
, B. The patient yells at the group facilitator when he points out that she is monopolizing
the group.
C. The patient informs a staff member that she is having thoughts of harming herself.
D. The patient tells the evening staff that the day staff excused her from group to smoke
when she got upset.
ANSWE AND EXPLANETION: C. The patient informs a staff member that she is having
thoughts of harming herself.
Use of splitting is most associated with which personality
disorder?
a. Antisocial
b. Borderline
c. Dependent
d. Schizotypal
ANSWE b. Borderline
Perfectionism is a trait likely to be evident in a person with
which personality disorder?
a. Obsessive-compulsive
b. Narcissistic
c. Antisocial
d. Avoidant
ANSWE : a. Obsessive-compulsive
Antisocial, obsessive-compulsive, and schizotypal
personality disorders occur most frequently in:
a. Adolescents
NUR 354 - Exam 4 Cumulative QUESTIONS
(Varcarolis Psych-Mental Health Nursing)
A patient who was admitted to your psych unit has been
diagnosed with both major depressive disorder and
substance abuse. What are some shared risk factors for
these two diagnoses? Select all that apply.
a. Genetic vulnerabilities
b. Adverse childhood events
c. Underlying brain defects in common areas and pathways
d. Environmental Factors
e. Risk taking behaviors
a. Genetic vulnerabilities
b. Adverse childhood events
c. Underlying brain defects in common areas and pathways
d. Environmental Factors
ANSWE AND EXPLANETION: Genetic vulnerabilities (40% to 60% risk)
Underlying brain defects in common areas and pathways of the brain
Environmental factors, including exposure to stress or trauma during early
developmental stages.
A patient who was admitted to your psych unit has been
diagnosed with both major depressive disorder and
substance abuse. What are some negative consequences
this patient may experience because of her substance
abuse? Select all that apply.
,a. Fetal Alcohol Syndrome
b. Crime
c. Occupational Impairment
d. Physical Health Problems
e. Domestic Abuse
b. Crime
c. Occupational Impairment
d. Physical Health Problems
e. Domestic Abuse
ANSWE AND EXPLANETION: Problems stemming from substance abuse and MDD
include Lost productivity at work, Crime
Health problems, Loss of employment, Failure in school, Family dysfunction with
disintegration, Domestic violence, Child abuse
For the substance abuse treatment plan to be successful,
what factors should be considered? Select all that apply.
a. Acute safety needs
b. Severity and range of symptoms
c. Motivation or readiness to change
d. Skills and strengths
e. Availability of a support system
f. Individual's cultural needs
a. Acute safety needs
b. Severity and range of symptoms
c. Motivation or readiness to change
d. Skills and strengths
e. Availability of a support system
,f. Individual's cultural needs
ANSWE AND EXPLANETION: All of these are important to be considered.
A nurse is assigned the care of four patients who are
detoxifying from alcohol. The patient with which symptom
would be the nurse's highest priority?
a. Fine motor tremors
b. Diaphoresis
c. Diarrhea
d. Hallucinations and delusions
ANSWE d. Hallucinations and delusions
A person has recently abused morphine. The person's pupils
would most likely be:
a. Dilated
b. Constricted
c. Asymmetrical
d. Unresponsive to light
b. Constricted
ANSWE AND EXPLANETION: Pupils are usually constricted after the use of opioid
narcotics
Which behavior indicates that a patient diagnosed with
borderline personality disorder is improving?
A. The patient cries when her roommate refuses to go to the dining room with her.
, B. The patient yells at the group facilitator when he points out that she is monopolizing
the group.
C. The patient informs a staff member that she is having thoughts of harming herself.
D. The patient tells the evening staff that the day staff excused her from group to smoke
when she got upset.
ANSWE AND EXPLANETION: C. The patient informs a staff member that she is having
thoughts of harming herself.
Use of splitting is most associated with which personality
disorder?
a. Antisocial
b. Borderline
c. Dependent
d. Schizotypal
ANSWE b. Borderline
Perfectionism is a trait likely to be evident in a person with
which personality disorder?
a. Obsessive-compulsive
b. Narcissistic
c. Antisocial
d. Avoidant
ANSWE : a. Obsessive-compulsive
Antisocial, obsessive-compulsive, and schizotypal
personality disorders occur most frequently in:
a. Adolescents
