NUR 2459 MENTAL AND BEHAVIORAL HEALTH
NURSING EXAM 2 FIVE VERSIONS 2026 FINAL
REVIEW BUNDLED SOLUTION PACKAGE
◉ Apraxia. Answer: The inability to carry out purposeful motor
activities
◉ Aphasia. Answer: Difficulty expressing or understanding (speech,
reading)
◉ Agraphia. Answer: Impairment of the ability to write
◉ Agnosia. Answer: The inability to recognize familiar
objects/people/sounds/smells
◉ Confabulation. Answer: Creating imaginary events to fill in memory
gaps (stage 4 Alzheimer's)
◉ Pseudodementia. Answer: A set of symptoms that can mimic those of
dementia but are usually caused by other conditions. No structural
changes in the brain.
◉ Sundowning. Answer: A state of confusion that occurs in the late
afternoon and lasts into the night (stage 6 Alzheimer's)
,◉ Neurocognitive Disorder (NCD). Answer: A clinical deficit in
cognition or memory, causing a change from a previous level of
function.
◉ Tolerance. Answer: The need to use more of a substance over time to
achieve the same effect. Tolerance increases overdose risk.
◉ Dependence. Answer: A physical or psychological reliance on the
substance, leading to withdrawal symptoms when it is reduced or
stopped.
◉ Withdrawal Syndrome. Answer: A group of predictable symptoms
that occur when substance use is reduced after prolonged use. These
vary by substance and can range from mild to life-threatening.
◉ Therapeutic Communication. Answer: Use open-ended, non-
judgmental questions during assessments, such as 'Tell me about your
current drug and alcohol use.'
◉ Alcohol. Answer: A CNS depressant
◉ Intoxication. Answer: Blood concentration of 80 or 100mg ethanol
per deciliter or 0.08-0.1g/dL
,◉ Wernicke-Korsakoff Syndrome. Answer: Most serious form of
thiamine deficiency in alcoholics
◉ Wernicke's Encephalopathy. Answer: Acute, short-term, and life-
threatening phase with a triad of symptoms: confusion, ataxia, and
ophthalmoplegia (abnormal eye movements)
◉ Korsakoff's Psychosis. Answer: Chronic, long-term, and often
permanent phase with severe anterograde/retrograde amnesia,
confabulation, and hallucinations
◉ Withdrawal Symptoms. Answer: Abdominal cramping, vomiting,
tremors, restlessness, insomnia, tachycardia, hallucinations or illusions,
anxiety, HTN, tachypnea, increased temperature, tonic-clonic seizures
◉ Delirium Tremens. Answer: Severe Alcohol Withdrawal Syndrome or
Delirium Tremens (DTs) is an emergency situation that results in death
in 20% of untreated individuals.
◉ Chlordiazepoxide (Librium). Answer: A long-acting benzodiazepine
primarily used for short-term, medically supervised detoxification from
alcohol
◉ Acamprosate (Campral). Answer: Helps maintain abstinence by
reducing alcohol cravings.
, ◉ Disulfiram (Antabuse). Answer: Creates a severe, unpleasant
sensitivity to alcohol, causing nausea/vomiting, flushing, tachycardia,
and headache if alcohol is consumed.
◉ Naltrexone (ReVia, Vivitrol). Answer: Usually used for opioids, but
can also be used for alcohol to block the opioid receptors in the brain.
◉ Sedative-Hypnotics. Answer: Includes benzodiazepines, barbiturates,
prescription sleep medications, antianxiety medications, and club drugs.
◉ Opioids. Answer: These drugs suppress pain but also produce
sedation and euphoria.
◉ Naloxone (Narcan). Answer: The antidote for opiate overdose that can
be given IM, SQ, IC, or IN.
◉ Narcotics. Answer: Nausea (vomiting, anorexia), Abdominal cramps
(diarrhea), Restlessness (yawning), Coryza (runny nose, watery eyes),
Outbursts (violent, noisy, hysterical, threatening, destructive), Tremors
(convulsions, coma), Irritability (dilated pupils), Cold (and hot flashes,
piloerection)
◉ Short-Acting Drugs (heroin). Answer: Onset of withdrawal in 6-24
hours, peaking in 2-3 days, and gradually subsiding in 5-7 days
NURSING EXAM 2 FIVE VERSIONS 2026 FINAL
REVIEW BUNDLED SOLUTION PACKAGE
◉ Apraxia. Answer: The inability to carry out purposeful motor
activities
◉ Aphasia. Answer: Difficulty expressing or understanding (speech,
reading)
◉ Agraphia. Answer: Impairment of the ability to write
◉ Agnosia. Answer: The inability to recognize familiar
objects/people/sounds/smells
◉ Confabulation. Answer: Creating imaginary events to fill in memory
gaps (stage 4 Alzheimer's)
◉ Pseudodementia. Answer: A set of symptoms that can mimic those of
dementia but are usually caused by other conditions. No structural
changes in the brain.
◉ Sundowning. Answer: A state of confusion that occurs in the late
afternoon and lasts into the night (stage 6 Alzheimer's)
,◉ Neurocognitive Disorder (NCD). Answer: A clinical deficit in
cognition or memory, causing a change from a previous level of
function.
◉ Tolerance. Answer: The need to use more of a substance over time to
achieve the same effect. Tolerance increases overdose risk.
◉ Dependence. Answer: A physical or psychological reliance on the
substance, leading to withdrawal symptoms when it is reduced or
stopped.
◉ Withdrawal Syndrome. Answer: A group of predictable symptoms
that occur when substance use is reduced after prolonged use. These
vary by substance and can range from mild to life-threatening.
◉ Therapeutic Communication. Answer: Use open-ended, non-
judgmental questions during assessments, such as 'Tell me about your
current drug and alcohol use.'
◉ Alcohol. Answer: A CNS depressant
◉ Intoxication. Answer: Blood concentration of 80 or 100mg ethanol
per deciliter or 0.08-0.1g/dL
,◉ Wernicke-Korsakoff Syndrome. Answer: Most serious form of
thiamine deficiency in alcoholics
◉ Wernicke's Encephalopathy. Answer: Acute, short-term, and life-
threatening phase with a triad of symptoms: confusion, ataxia, and
ophthalmoplegia (abnormal eye movements)
◉ Korsakoff's Psychosis. Answer: Chronic, long-term, and often
permanent phase with severe anterograde/retrograde amnesia,
confabulation, and hallucinations
◉ Withdrawal Symptoms. Answer: Abdominal cramping, vomiting,
tremors, restlessness, insomnia, tachycardia, hallucinations or illusions,
anxiety, HTN, tachypnea, increased temperature, tonic-clonic seizures
◉ Delirium Tremens. Answer: Severe Alcohol Withdrawal Syndrome or
Delirium Tremens (DTs) is an emergency situation that results in death
in 20% of untreated individuals.
◉ Chlordiazepoxide (Librium). Answer: A long-acting benzodiazepine
primarily used for short-term, medically supervised detoxification from
alcohol
◉ Acamprosate (Campral). Answer: Helps maintain abstinence by
reducing alcohol cravings.
, ◉ Disulfiram (Antabuse). Answer: Creates a severe, unpleasant
sensitivity to alcohol, causing nausea/vomiting, flushing, tachycardia,
and headache if alcohol is consumed.
◉ Naltrexone (ReVia, Vivitrol). Answer: Usually used for opioids, but
can also be used for alcohol to block the opioid receptors in the brain.
◉ Sedative-Hypnotics. Answer: Includes benzodiazepines, barbiturates,
prescription sleep medications, antianxiety medications, and club drugs.
◉ Opioids. Answer: These drugs suppress pain but also produce
sedation and euphoria.
◉ Naloxone (Narcan). Answer: The antidote for opiate overdose that can
be given IM, SQ, IC, or IN.
◉ Narcotics. Answer: Nausea (vomiting, anorexia), Abdominal cramps
(diarrhea), Restlessness (yawning), Coryza (runny nose, watery eyes),
Outbursts (violent, noisy, hysterical, threatening, destructive), Tremors
(convulsions, coma), Irritability (dilated pupils), Cold (and hot flashes,
piloerection)
◉ Short-Acting Drugs (heroin). Answer: Onset of withdrawal in 6-24
hours, peaking in 2-3 days, and gradually subsiding in 5-7 days
