NR 326 Mental Health Nursing Week 6 Study Guide Quiz 2026
|Chamberlain College
1. Which of the following is a primary characteristic of delirium that
distinguishes it from dementia?
A. Gradual onset over several years
B. Sudden change in level of consciousness
C. Irreversible cognitive decline
D. Intact attention span
Answer: B
Rationale: Delirium is characterized by an acute, rapid onset and a fluctuating level of
consciousness, whereas dementia is chronic and progressive.
2. A nurse is caring for a client with Alzheimer’s disease who is experiencing
agnosia. Which behavior should the nurse expect?
A. The client is unable to find the correct words to speak.
B. The client fails to recognize familiar objects like a toothbrush.
C. The client is unable to perform motor tasks despite intact sensation.
D. The client repeats words spoken by others.
Answer: B
Rationale: Agnosia is the loss of sensory ability to recognize objects, such as not knowing
what a toothbrush is used for.
,3. Which medication is a cholinesterase inhibitor commonly prescribed for mild
to moderate Alzheimer’s disease?
A. Memantine
B. Donepezil
C. Risperidone
D. Lorazepam
Answer: B
Rationale: Donepezil (Aricept) is a cholinesterase inhibitor used to slow the progression of
cognitive decline in Alzheimer’s disease.
4. A child with ADHD is prescribed methylphenidate. What is a priority nursing
assessment regarding side effects?
A. Increased appetite and weight gain
B. Height and weight monitoring
C. Excessive sleepiness during the day
D. Bradycardia
Answer: B
Rationale: Stimulants like methylphenidate can cause appetite suppression and growth
delays, necessitating regular monitoring of height and weight.
5. Which behavior is most characteristic of a child diagnosed with Conduct
Disorder?
A. Difficulty sustaining attention in tasks
B. Physical cruelty to animals or people
C. Argumentative behavior with authority figures only
D. Repetitive hand-flapping
Answer: B
Rationale: Conduct disorder involves a persistent pattern of violating the basic rights of
others, often including physical aggression or cruelty.
, 6. In the context of Neurocognitive Disorders, what does ‘confabulation’ refer
to?
A. The loss of the ability to write
B. The involuntary repetition of others’ words
C. Creating imaginary stories to fill in memory gaps
D. Extreme agitation occurring in the evening
Answer: C
Rationale: Confabulation is a defense mechanism where the client creates stories to cover
for memory loss, often to maintain self-esteem.
7. A nurse is teaching a parent about Atomoxetine for ADHD. Which statement
indicates an understanding of this medication?
A. I should give this right before bed to help my child sleep.
B. This medication is a stimulant and will work immediately.
C. This drug has a high potential for abuse and addiction.
D. I need to watch for signs of liver toxicity, like yellowing skin.
Answer: D
Rationale: Atomoxetine is a non-stimulant (SNRI) that carries a risk of liver damage; it
does not have the high abuse potential of stimulants.
8. Which intervention is most appropriate for a client with dementia who is
‘sundowning’?
A. Turning on bright lights and increasing activity in the evening
B. Providing a quiet, well-lit environment and limiting caffeine
C. Restricting the client to their room until morning
D. Ordering a PRN sedative for every evening at 6:00 PM
Answer: B
Rationale: Managing sundowning involves creating a calm, low-stimulus environment and
ensuring adequate lighting to reduce shadows/confusion.
|Chamberlain College
1. Which of the following is a primary characteristic of delirium that
distinguishes it from dementia?
A. Gradual onset over several years
B. Sudden change in level of consciousness
C. Irreversible cognitive decline
D. Intact attention span
Answer: B
Rationale: Delirium is characterized by an acute, rapid onset and a fluctuating level of
consciousness, whereas dementia is chronic and progressive.
2. A nurse is caring for a client with Alzheimer’s disease who is experiencing
agnosia. Which behavior should the nurse expect?
A. The client is unable to find the correct words to speak.
B. The client fails to recognize familiar objects like a toothbrush.
C. The client is unable to perform motor tasks despite intact sensation.
D. The client repeats words spoken by others.
Answer: B
Rationale: Agnosia is the loss of sensory ability to recognize objects, such as not knowing
what a toothbrush is used for.
,3. Which medication is a cholinesterase inhibitor commonly prescribed for mild
to moderate Alzheimer’s disease?
A. Memantine
B. Donepezil
C. Risperidone
D. Lorazepam
Answer: B
Rationale: Donepezil (Aricept) is a cholinesterase inhibitor used to slow the progression of
cognitive decline in Alzheimer’s disease.
4. A child with ADHD is prescribed methylphenidate. What is a priority nursing
assessment regarding side effects?
A. Increased appetite and weight gain
B. Height and weight monitoring
C. Excessive sleepiness during the day
D. Bradycardia
Answer: B
Rationale: Stimulants like methylphenidate can cause appetite suppression and growth
delays, necessitating regular monitoring of height and weight.
5. Which behavior is most characteristic of a child diagnosed with Conduct
Disorder?
A. Difficulty sustaining attention in tasks
B. Physical cruelty to animals or people
C. Argumentative behavior with authority figures only
D. Repetitive hand-flapping
Answer: B
Rationale: Conduct disorder involves a persistent pattern of violating the basic rights of
others, often including physical aggression or cruelty.
, 6. In the context of Neurocognitive Disorders, what does ‘confabulation’ refer
to?
A. The loss of the ability to write
B. The involuntary repetition of others’ words
C. Creating imaginary stories to fill in memory gaps
D. Extreme agitation occurring in the evening
Answer: C
Rationale: Confabulation is a defense mechanism where the client creates stories to cover
for memory loss, often to maintain self-esteem.
7. A nurse is teaching a parent about Atomoxetine for ADHD. Which statement
indicates an understanding of this medication?
A. I should give this right before bed to help my child sleep.
B. This medication is a stimulant and will work immediately.
C. This drug has a high potential for abuse and addiction.
D. I need to watch for signs of liver toxicity, like yellowing skin.
Answer: D
Rationale: Atomoxetine is a non-stimulant (SNRI) that carries a risk of liver damage; it
does not have the high abuse potential of stimulants.
8. Which intervention is most appropriate for a client with dementia who is
‘sundowning’?
A. Turning on bright lights and increasing activity in the evening
B. Providing a quiet, well-lit environment and limiting caffeine
C. Restricting the client to their room until morning
D. Ordering a PRN sedative for every evening at 6:00 PM
Answer: B
Rationale: Managing sundowning involves creating a calm, low-stimulus environment and
ensuring adequate lighting to reduce shadows/confusion.
