NR 326 Mental Health Nursing Exam 9 Study Guide 2026
|Chamberlain College
1. A client is admitted for alcohol detoxification. Which of the following
symptoms should the nurse prioritize as a sign of alcohol withdrawal delirium?
A. Fine tremors and tachycardia
B. Auditory and visual hallucinations
C. Diaphoresis and hypertension
D. Severe hypotension and bradycardia
Answer: B
Rationale: Alcohol withdrawal delirium (delirium tremens) is a medical emergency
characterized by hallucinations, severe disorientation, and fluctuating levels of
consciousness. While tremors and tachycardia are early signs of withdrawal, hallucinations
indicate the progression to delirium.
2. A nurse is caring for a client with Antisocial Personality Disorder. Which
behavior should the nurse expect?
A. Excessive emotionality and attention-seeking
B. Social inhibition and feelings of inadequacy
C. Preoccupation with orderliness and perfectionism
D. Lack of remorse for actions and manipulation
Answer: D
Rationale: Antisocial Personality Disorder is characterized by a persistent pattern of
disregard for the rights of others, lack of empathy, manipulation for personal gain, and a
lack of remorse.
,3. A client is prescribed Disulfiram for alcohol use disorder. Which instruction is
most critical for the nurse to provide?
A. Avoid all products containing alcohol, including mouthwash and vanilla extract.
B. Take the medication only when you feel an urge to drink.
C. Expect a mild headache as a common side effect of the drug itself.
D. Drink a small amount of alcohol to test your reaction to the drug.
Answer: A
Rationale: Disulfiram (Antabuse) causes severe physical reactions (nausea, vomiting,
tachycardia) if even small amounts of alcohol are ingested or absorbed through the
skin/mucosa.
4. The nurse observes a client with Borderline Personality Disorder telling one
nurse they are the ‘best’ while calling another nurse ‘incompetent.’ This
behavior is known as:
A. Projection
B. Rationalization
C. Idealization
D. Splitting
Answer: D
Rationale: Splitting is a defense mechanism common in Borderline Personality Disorder
where the individual views people or situations as either all good or all bad, unable to
integrate positive and negative qualities.
, 5. A nurse is assessing a client for Opioid withdrawal. Which of the following
findings is expected?
A. Pupillary constriction and sedation
B. Euphoria and slowed respirations
C. Dry mouth and constipation
D. Rhinorrhea, lacrimation, and pupillary dilation
Answer: D
Rationale: Opioid withdrawal signs include ‘flu-like’ symptoms such as rhinorrhea (runny
nose), lacrimation (tears), pupillary dilation, muscle aches, and diarrhea.
6. Which medication is considered the gold standard for treating Opioid Use
Disorder by preventing withdrawal and reducing cravings?
A. Naloxone
B. Bupropion
C. Lorazepam
D. Methadone
Answer: D
Rationale: Methadone is a long-acting opioid agonist used to replace the opioid the person
is addicted to, preventing withdrawal and reducing cravings without producing significant
euphoria when taken correctly.
7. A nurse is assessing a client with Narcissistic Personality Disorder. Which trait
is the nurse likely to find?
A. Hypersensitivity to negative evaluation
B. Intense fear of abandonment
C. Magical thinking and odd beliefs
D. A sense of entitlement and grandiosity
Answer: D
|Chamberlain College
1. A client is admitted for alcohol detoxification. Which of the following
symptoms should the nurse prioritize as a sign of alcohol withdrawal delirium?
A. Fine tremors and tachycardia
B. Auditory and visual hallucinations
C. Diaphoresis and hypertension
D. Severe hypotension and bradycardia
Answer: B
Rationale: Alcohol withdrawal delirium (delirium tremens) is a medical emergency
characterized by hallucinations, severe disorientation, and fluctuating levels of
consciousness. While tremors and tachycardia are early signs of withdrawal, hallucinations
indicate the progression to delirium.
2. A nurse is caring for a client with Antisocial Personality Disorder. Which
behavior should the nurse expect?
A. Excessive emotionality and attention-seeking
B. Social inhibition and feelings of inadequacy
C. Preoccupation with orderliness and perfectionism
D. Lack of remorse for actions and manipulation
Answer: D
Rationale: Antisocial Personality Disorder is characterized by a persistent pattern of
disregard for the rights of others, lack of empathy, manipulation for personal gain, and a
lack of remorse.
,3. A client is prescribed Disulfiram for alcohol use disorder. Which instruction is
most critical for the nurse to provide?
A. Avoid all products containing alcohol, including mouthwash and vanilla extract.
B. Take the medication only when you feel an urge to drink.
C. Expect a mild headache as a common side effect of the drug itself.
D. Drink a small amount of alcohol to test your reaction to the drug.
Answer: A
Rationale: Disulfiram (Antabuse) causes severe physical reactions (nausea, vomiting,
tachycardia) if even small amounts of alcohol are ingested or absorbed through the
skin/mucosa.
4. The nurse observes a client with Borderline Personality Disorder telling one
nurse they are the ‘best’ while calling another nurse ‘incompetent.’ This
behavior is known as:
A. Projection
B. Rationalization
C. Idealization
D. Splitting
Answer: D
Rationale: Splitting is a defense mechanism common in Borderline Personality Disorder
where the individual views people or situations as either all good or all bad, unable to
integrate positive and negative qualities.
, 5. A nurse is assessing a client for Opioid withdrawal. Which of the following
findings is expected?
A. Pupillary constriction and sedation
B. Euphoria and slowed respirations
C. Dry mouth and constipation
D. Rhinorrhea, lacrimation, and pupillary dilation
Answer: D
Rationale: Opioid withdrawal signs include ‘flu-like’ symptoms such as rhinorrhea (runny
nose), lacrimation (tears), pupillary dilation, muscle aches, and diarrhea.
6. Which medication is considered the gold standard for treating Opioid Use
Disorder by preventing withdrawal and reducing cravings?
A. Naloxone
B. Bupropion
C. Lorazepam
D. Methadone
Answer: D
Rationale: Methadone is a long-acting opioid agonist used to replace the opioid the person
is addicted to, preventing withdrawal and reducing cravings without producing significant
euphoria when taken correctly.
7. A nurse is assessing a client with Narcissistic Personality Disorder. Which trait
is the nurse likely to find?
A. Hypersensitivity to negative evaluation
B. Intense fear of abandonment
C. Magical thinking and odd beliefs
D. A sense of entitlement and grandiosity
Answer: D
