Exam 4 Mental Health 2026
Exam Questions and Correct
Answers | New Update
1. How do anti anxiety medications, such as benzodiazepines, produce
a calming effect? - ANSWER ✔✔a. Depressing the CNS
2. There is a narrow margin between the therapeutic and toxic levels of
lithium carbonate. Symptoms of toxicity are most likely to appear when
the serum levels exceed: - ANSWER ✔✔b. 1.5 mEq/L
,3. Initial symptoms of lithium toxicity include: - ANSWER ✔✔c.
Vomiting, diarrhea
4. Antipsychotic medications are thought to decrease psychotic
symptoms by: - ANSWER ✔✔b. Blocking the action of dopamine in
the brain
5. Part of the nurse's ongoing assessment of the client taking
antipsychotic medications is to observe for extrapyramidal symptoms.
Which of the following are examples of extrapyramidal symptoms? -
ANSWER ✔✔a. Muscular weakness, rigidity, tremors, facial spasms
6. A client who is prescribed haloperidol is observed to be staring at the
ceiling and says they cannot move their eyes. The nurse notices that the
client also appears to have muscle spasms in their legs and hands.
What is the most appropriate action for the nurse to take at this point? -
ANSWER ✔✔b. Administer prn benztropine (Cogentin).
7. A client reports to the nurse that, after having been on their
antidepressant medication (fluoxetine) for almost 2 weeks, they don't
feel much better. Which of these actions by the nurse demonstrates the
best clinical judgment? - ANSWER ✔✔a. Educate the client that this
medication may not be fully effective for up to 4 weeks.
, 8. A client who was recently prescribed an MAOI tells the nurse that they
drink 3 to 4 cups of coffee with each meal. Which of these actions by the
nurse demonstrates the best clinical judgment? - ANSWER ✔✔b..
Inform the client that foods or beverages with high caffeine content
increase the risk for
serious hypertension and arrhythmias.
9. A young adult client has been prescribed an SSRI antidepressant,
which they have been taking for 1 week. The client reports that they feel
that they are getting worse and that nothing is going to help. Which of
these actions by the nurse is a priority? - ANSWER ✔✔d. Conduct a
suicide risk assessment.
10. A licensed practical nurse who is administering medications reports
to the RN in charge that he forgot to give the last scheduled dose of
bupropion to a client. He asks the RN if he should give the client two
doses at the next scheduled time. Which of these responses by the
nurse demonstrates the best clinical judgment? - ANSWER ✔✔b.
"No. Doses of this medication should not be doubled since that poses an
increased risk for
seizures."
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED
Exam Questions and Correct
Answers | New Update
1. How do anti anxiety medications, such as benzodiazepines, produce
a calming effect? - ANSWER ✔✔a. Depressing the CNS
2. There is a narrow margin between the therapeutic and toxic levels of
lithium carbonate. Symptoms of toxicity are most likely to appear when
the serum levels exceed: - ANSWER ✔✔b. 1.5 mEq/L
,3. Initial symptoms of lithium toxicity include: - ANSWER ✔✔c.
Vomiting, diarrhea
4. Antipsychotic medications are thought to decrease psychotic
symptoms by: - ANSWER ✔✔b. Blocking the action of dopamine in
the brain
5. Part of the nurse's ongoing assessment of the client taking
antipsychotic medications is to observe for extrapyramidal symptoms.
Which of the following are examples of extrapyramidal symptoms? -
ANSWER ✔✔a. Muscular weakness, rigidity, tremors, facial spasms
6. A client who is prescribed haloperidol is observed to be staring at the
ceiling and says they cannot move their eyes. The nurse notices that the
client also appears to have muscle spasms in their legs and hands.
What is the most appropriate action for the nurse to take at this point? -
ANSWER ✔✔b. Administer prn benztropine (Cogentin).
7. A client reports to the nurse that, after having been on their
antidepressant medication (fluoxetine) for almost 2 weeks, they don't
feel much better. Which of these actions by the nurse demonstrates the
best clinical judgment? - ANSWER ✔✔a. Educate the client that this
medication may not be fully effective for up to 4 weeks.
, 8. A client who was recently prescribed an MAOI tells the nurse that they
drink 3 to 4 cups of coffee with each meal. Which of these actions by the
nurse demonstrates the best clinical judgment? - ANSWER ✔✔b..
Inform the client that foods or beverages with high caffeine content
increase the risk for
serious hypertension and arrhythmias.
9. A young adult client has been prescribed an SSRI antidepressant,
which they have been taking for 1 week. The client reports that they feel
that they are getting worse and that nothing is going to help. Which of
these actions by the nurse is a priority? - ANSWER ✔✔d. Conduct a
suicide risk assessment.
10. A licensed practical nurse who is administering medications reports
to the RN in charge that he forgot to give the last scheduled dose of
bupropion to a client. He asks the RN if he should give the client two
doses at the next scheduled time. Which of these responses by the
nurse demonstrates the best clinical judgment? - ANSWER ✔✔b.
"No. Doses of this medication should not be doubled since that poses an
increased risk for
seizures."
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED
