NSG 3450 MENTAL HEALTH EXAM 1 NEWEST
2026 | WITH COMPLETE ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) ALREADY
GRADED A+ |
The nurse is caring for a client with depression using milieu therapy. Which
intervention should the nurse include in this therapy? Select all that apply -
ANSWER--Promote growth by role modeling
-Maintain a therapeutic environment
-Encourage communication between clients
The nurse is planning a social skills training group for clients with schizophrenia.
Which techniques should be used to help the clients gain social skills? -
ANSWER-Provide rewards for small approximations of the desired behaviors
A psychiatric-mental health nurse is preparing a review class for a group of
colleagues on the various theoretical models used in psychiatric-mental health
nursing. When describing cognitive theories, which statement would the nurse
practitioner most likely include about what these theories attempt to do? -
ANSWER-"Link internal thought processes with behavior."
A mentally healthy individual exhibits Maslow's concept of self-actualization
when: - ANSWER-approaching a problem with more than one possible
solution
A nurse is developing a plan of care integrating Maslow's hierarchy of needs.
Which area would the nurse identify as the priority? - ANSWER-Activity Level
The goal of cognitive therapy is to restructure how a person perceives events in his
or her life to facilitate behavioral change and what? - ANSWER-Emotional
reactions
,A 22-year-old client states, "I just don't know who I am." Which stage of
development, according to Erikson, would the client have had difficulty
completing? - ANSWER-Identity vs. identity diffusion
A nurse can accurately identify which personal characteristics that contribute to
mental health? Select all that apply.
a. Sense of responsibility for one's own actions
b. Personal self-awareness
c. Relatively worry free
d. Generally happy with life - ANSWER-a. Sense of responsibility for one's
own actions
b. Personal self-awareness
c. Relatively worries free
d. Generally happy with life
The nursing instructor asks the student to perform an assessment of a mentally ill
client. What should the student do when executing this task? - ANSWER-Collect
comprehensive data
A psychiatric-mental health nurse is describing the various programs offered by the
local community mental health center. When explaining how these programs work,
the nurse would emphasize which concept? - ANSWER-Collaboration
Medical insurance coverage for medical illnesses is greater than for psychiatric
illnesses. What term best describes this discrepancy? - ANSWER-Lack of parity
A nurse is studying the positron emission tomography (PET) report of a client with
Alzheimer's disease. What findings should the nurse expect to find in the report?
Select all that apply
a. Decreased blood flow to the brain
b. Presence of amyloid plaques and tangles
c. Decreased glucose metabolism in the brain - ANSWER-a. Decreased blood
flow to the brain
b. presence of amyloid plaques and tangles
c. decreased glucose metabolism in the brain
,A nurse is reviewing the medical records of several clients receiving antipsychotic
agents. Which factors, if noted, would the nurse identify as placing a client at
greater risk for tardive dyskinesia? - ANSWER-History of depression
What is the primary factor that contributes to the high cost of providing mental
health care? - ANSWER-Most mental illnesses are chronic in nature
While discussing the CNS, the nursing instructor tells the students that the major
inhibitory neurotransmitter in the CNS is what? - ANSWER-GABA
The structure of the brain associated with emotional control, memory, and learning
is what? - ANSWER-Limbic system
The advanced practice registered nurse is planning interventions for clients in a
mental health practice. Which are considered basic level? - ANSWER-Ensuring a
therapeutic environment
Improving client function and health
A nurse is administering an MAOI to a client with depression. Which information
would the nurse most likely include in the teaching plan? Select all that apply.
a. Hypertensive crisis if food with tyramines are ingested
b. Interaction with other MAOI's and antidepressants
c. Risk for decreased libido and impotence - ANSWER-a, b, c
The nurse is assessing a client who is on a psychotropic drug. The client primarily
complains about gaining weight and feeling sleepy. Which action of the drug
would most likely have caused these effects? - ANSWER-The drug blocks
histamine uptake
A client is in the acute phase of mania and is receiving lithium. Which blood
concentration of lithium is within the therapeutic range for acute mania? -
ANSWER-0.9 mEq/L
, After educating a client who is receiving phenelzine, the nurse determines that the
education was successful when the client states the need to avoid: - ANSWER-Tap
beers
A hospitalized male client who has been taking an antipsychotic medication for 2
weeks begins pacing and walking throughout the unit. He tells the nurse that he
"cannot sit still." The nurse documents this finding as: - ANSWER-akathisia
A client who has been taking clozapine for 6 weeks visits the clinic reporting fever,
sore throat, and mouth sores. The nurse notifies the client's physician because the
nurse suspects: - ANSWER-agranulocytosis
An older adult resident of a group home has been receiving treatment for
schizophrenia for several decades. The nurse who oversees care at the facility
believes that the resident may be developing tardive dyskinesia. What assessment
findings would support this suspicion? Select all that apply. - ANSWER--The
client often smacks lips when at rest
-The client makes repetitive movements with the fingers
A client has been diagnosed with Parkinson's disease. Which neurotransmitter is
decreased in those with Parkinson's disease? - ANSWER-Dopamine
The client has difficulty with motor coordination and walks with an unsteady gait.
Of the following brain structures, which is most likely affected in the client's
brain? - ANSWER-Cerebellum
A college student wakes up and notices a racing heart and dilated pupils. The
student is scheduled to write an exam later that morning. Which system is
responsible for this physiological response? - ANSWER-Sympathetic nervous
system
In which way do neurons communicate through the use of synapses? - ANSWER-
Chemically
What is the primary benefit of the DSM-5 to the student nurse's practice with the
mentally ill population? - ANSWER-Encourages the building of a knowledge base
about the nature of psychiatric illnesses
2026 | WITH COMPLETE ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) ALREADY
GRADED A+ |
The nurse is caring for a client with depression using milieu therapy. Which
intervention should the nurse include in this therapy? Select all that apply -
ANSWER--Promote growth by role modeling
-Maintain a therapeutic environment
-Encourage communication between clients
The nurse is planning a social skills training group for clients with schizophrenia.
Which techniques should be used to help the clients gain social skills? -
ANSWER-Provide rewards for small approximations of the desired behaviors
A psychiatric-mental health nurse is preparing a review class for a group of
colleagues on the various theoretical models used in psychiatric-mental health
nursing. When describing cognitive theories, which statement would the nurse
practitioner most likely include about what these theories attempt to do? -
ANSWER-"Link internal thought processes with behavior."
A mentally healthy individual exhibits Maslow's concept of self-actualization
when: - ANSWER-approaching a problem with more than one possible
solution
A nurse is developing a plan of care integrating Maslow's hierarchy of needs.
Which area would the nurse identify as the priority? - ANSWER-Activity Level
The goal of cognitive therapy is to restructure how a person perceives events in his
or her life to facilitate behavioral change and what? - ANSWER-Emotional
reactions
,A 22-year-old client states, "I just don't know who I am." Which stage of
development, according to Erikson, would the client have had difficulty
completing? - ANSWER-Identity vs. identity diffusion
A nurse can accurately identify which personal characteristics that contribute to
mental health? Select all that apply.
a. Sense of responsibility for one's own actions
b. Personal self-awareness
c. Relatively worry free
d. Generally happy with life - ANSWER-a. Sense of responsibility for one's
own actions
b. Personal self-awareness
c. Relatively worries free
d. Generally happy with life
The nursing instructor asks the student to perform an assessment of a mentally ill
client. What should the student do when executing this task? - ANSWER-Collect
comprehensive data
A psychiatric-mental health nurse is describing the various programs offered by the
local community mental health center. When explaining how these programs work,
the nurse would emphasize which concept? - ANSWER-Collaboration
Medical insurance coverage for medical illnesses is greater than for psychiatric
illnesses. What term best describes this discrepancy? - ANSWER-Lack of parity
A nurse is studying the positron emission tomography (PET) report of a client with
Alzheimer's disease. What findings should the nurse expect to find in the report?
Select all that apply
a. Decreased blood flow to the brain
b. Presence of amyloid plaques and tangles
c. Decreased glucose metabolism in the brain - ANSWER-a. Decreased blood
flow to the brain
b. presence of amyloid plaques and tangles
c. decreased glucose metabolism in the brain
,A nurse is reviewing the medical records of several clients receiving antipsychotic
agents. Which factors, if noted, would the nurse identify as placing a client at
greater risk for tardive dyskinesia? - ANSWER-History of depression
What is the primary factor that contributes to the high cost of providing mental
health care? - ANSWER-Most mental illnesses are chronic in nature
While discussing the CNS, the nursing instructor tells the students that the major
inhibitory neurotransmitter in the CNS is what? - ANSWER-GABA
The structure of the brain associated with emotional control, memory, and learning
is what? - ANSWER-Limbic system
The advanced practice registered nurse is planning interventions for clients in a
mental health practice. Which are considered basic level? - ANSWER-Ensuring a
therapeutic environment
Improving client function and health
A nurse is administering an MAOI to a client with depression. Which information
would the nurse most likely include in the teaching plan? Select all that apply.
a. Hypertensive crisis if food with tyramines are ingested
b. Interaction with other MAOI's and antidepressants
c. Risk for decreased libido and impotence - ANSWER-a, b, c
The nurse is assessing a client who is on a psychotropic drug. The client primarily
complains about gaining weight and feeling sleepy. Which action of the drug
would most likely have caused these effects? - ANSWER-The drug blocks
histamine uptake
A client is in the acute phase of mania and is receiving lithium. Which blood
concentration of lithium is within the therapeutic range for acute mania? -
ANSWER-0.9 mEq/L
, After educating a client who is receiving phenelzine, the nurse determines that the
education was successful when the client states the need to avoid: - ANSWER-Tap
beers
A hospitalized male client who has been taking an antipsychotic medication for 2
weeks begins pacing and walking throughout the unit. He tells the nurse that he
"cannot sit still." The nurse documents this finding as: - ANSWER-akathisia
A client who has been taking clozapine for 6 weeks visits the clinic reporting fever,
sore throat, and mouth sores. The nurse notifies the client's physician because the
nurse suspects: - ANSWER-agranulocytosis
An older adult resident of a group home has been receiving treatment for
schizophrenia for several decades. The nurse who oversees care at the facility
believes that the resident may be developing tardive dyskinesia. What assessment
findings would support this suspicion? Select all that apply. - ANSWER--The
client often smacks lips when at rest
-The client makes repetitive movements with the fingers
A client has been diagnosed with Parkinson's disease. Which neurotransmitter is
decreased in those with Parkinson's disease? - ANSWER-Dopamine
The client has difficulty with motor coordination and walks with an unsteady gait.
Of the following brain structures, which is most likely affected in the client's
brain? - ANSWER-Cerebellum
A college student wakes up and notices a racing heart and dilated pupils. The
student is scheduled to write an exam later that morning. Which system is
responsible for this physiological response? - ANSWER-Sympathetic nervous
system
In which way do neurons communicate through the use of synapses? - ANSWER-
Chemically
What is the primary benefit of the DSM-5 to the student nurse's practice with the
mentally ill population? - ANSWER-Encourages the building of a knowledge base
about the nature of psychiatric illnesses
