PSYCH JERSEY EXAM FINAL QUESTIONS FOR EXAM 2
QUESTIONS AS AT 1-MAY-2026 EXAM QUESTIONS WITH
CORRECT ANSWERS AND RATIONALES LATEST VERSION
SOLVED QUESTIONS & ANSWERS VERIFIED 100 %
A client asks a nurse about altering any activites because of taking lithium
carbonate. Which response would be most appropriate?
Increase your salt intake if an activity causes you to perspire heavily.
The primary nursing goal for a client who is admitted for suicidal ideation or
attempt would be what?
Prevent self-destructive behavior.
The nurse is conducting an admission assessment with a 45-year-old client
who has been demonstrating signs of bipolar disorder. While conducting the
assessment, the client starts speaking in illogical rhymes and using word
associations. What is the name for this thought pattern?
Flight of ideas
A client is being evaluated 3 days after beginning a new prescription for an
antidepressant medication. Upon assessment, the client is agitated, has a
fever, and is shivering. Which adverse reaction is the client experiencing?
serotonin syndrome
A 56-year-old client who suffers from seasonal affective disorder is being
assessed by the nurse in an outpatient mental health clinic. The nurse is aware
which treatment is the most effective type of treatment for this condition?
Light therapy
A client with major depression is scheduled to receive electroconvulsive
therapy. The nurse understands that this treatment is typically used in which
situation?
The client is experiencing catatonia.
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A client with major depression is prescribed paroxetine. The nurse develops
an education plan for the client based on the understanding that this drug
belongs to which class of drugs?
Selective serotonin reuptake inhibitors
Which is a true statement regarding depressive disorders?
Norepinephrine, dopamine, and serotonin have been implicated.
A nurse is reviewing the medical record of a client with bipolar disorder. The
nurse would most likely expect to find a history of what condition?
Panic disorder
When conducting a suicide risk assessment, the nurse understands that which
method has the least lethality?
Wrist slashing
A client recovering from the manic phase of bipolar disorder is distraught to
realize all savings account money was spent during the episode. Which action
would the nurse make a priority for this client?
Assess for risk of suicide
The nurse is seeing a 43-year-old client whose spouse just died by suicide.
Which is a common emotional response that the nurse should anticipate from
this client?
Anger toward the loved one who committed suicide
When teaching prevention to the parents of a 15-year-old client who recently
attempted suicide by taking an overdose of alprazolam, the nurse describes
which behavioral clue?
Giving away valued personal items
A client was admitted to the psychiatric unit with major depression after a
suicide attempt. In addition to the client's feelings of sadness and
hopelessness, the nurse would expect to assess what?
Psychomotor retardation
A nurse is providing a presentation about suicide for a group of health
professionals. Which element would the nurse include as a major contributor
to the rising suicide rate among men?
Substance use disorders
The nurse reviews the medication list for a client who is newly prescribed a
selective serotonin reuptake inhibitor (SSRI) for the treatment of depression.
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Which client statement indicates a need to assess the client for serotonin
syndrome?
I started taking diet pills to assist with weight loss
What is the difference between depressive disorders and bipolar disorders?
Bipolar disorders involve mood swings ranging from depression to mania
After educating a client's family on the etiology of bipolar disorders, a nurse
determines that the education was successful when the family describes the
kindling theory as involving what?
Exposure to repetitive sub-threshold stressors at vulnerable times
A depressed older adult client is being treated with a tricyclic antidepressant
(TCA). For which clinical manifestations should the nurse monitor the client?
Orthostatic hypotension and urinary retention
Which medication classification is considered first-line drug therapy for
bipolar disorder?
Mood stabilizers
Which is an anticonvulsant used as a mood stabilizer?
Divalproex
The nurse is providing care for a client who deliberately overdosed on
acetaminophen several days ago. The nurse should assess the current
severity of the client's suicidal ideation by asking what question?
How often are you having thoughts about suicide this morning?
Which could be incorporated into the plan of care for a client receiving an
antidepressant who is experiencing orthostatic hypotension?
Increase hydration
A client who otherwise is healthy is admitted for depression and reports
feeling "all alone." The client reports recently losing a spouse to divorce. The
client admits to drinking at least 12 beers every day. The client has which risk
factors for the depression?
Current substance use or abuse, Life and environmental stressors, Lack of coping
abilities
Psychodynamic theory attributes the development of mood disorders to what?
Unexpressed and unconscious anger
The mental health nurse appropriately provides education on light therapy to
which client?
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20-year-old college student who reports being "too tired, sad, and unfocused" to
enroll for classes in the winter term
When reviewing the diagnostic criteria for schizophrenia based on the
Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-V),
which would be most accurate?
Schizophrenia lasts at least 6 months and includes at least 1 month of two or more
characteristic symptoms.
A client who is delusional and paranoid refuses to take antipsychotic
medication as prescribed. Which is the most therapeutic response by the
nurse to this refusal?
What is it about the medicine that you don't like?
After assessing a client with schizophrenia, the nurse notes that the client
exhibits signs and symptoms related to being unable to experience pleasure.
The nurse documents this finding as what?
Anhedonia
A client has been taking haloperidol for 5 years when the client is admitted to
the inpatient unit for relapse of symptoms of schizophrenia. Upon assessment,
the client demonstrates akathisia, dystonia, a stiff gait, and rigid posture. The
nurse correctly identifies these symptoms are indicative of what?
Extrapyramidal side effects
Which is a nonneurologic side effect of antipsychotic medications?
Weight gain
A client diagnosed with schizophreniform disorder must have symptoms
present for at least 1 month but with a duration of less than:
6 months
A client has been prescribed clozapine for treatment of schizophrenia. The
client must be taught to monitor which blood concentrations weekly while
taking this drug?
white blood cells
A client with a long history of schizophrenia has managed well on
fluphenazine. The client reports smacking of the lips and sticking out the
tongue. Based on this report, what does the nurse suspect is occurring with
the client?
Signs of tardive dyskinesia (TD) associated with neuroleptic medication