🧠 Final-Year Nursing Exam Paper – Mental Health Nursing
Course Code: NSC 410
Course Title: Mental Health and Psychiatric Nursing
Duration: 3 Hours
Total Marks: 100
SECTION A: MULTIPLE CHOICE QUESTIONS (20 Marks)
Choose the most appropriate answer.
1. Which neurotransmitter is most commonly associated with
schizophrenia?
A. Dopamine
B. Serotonin
C. GABA
D. Acetylcholine
2. A patient believes the government is watching them through the
television. This is an example of:
A. Hallucination
B. Delusion of reference
C. Thought insertion
D. Flight of ideas
3. The most appropriate nursing response to a suicidal client is:
A. “Why do you feel that way?”
B. “Think about how your family would feel.”
C. “You seem very upset. Are you thinking of harming yourself?”
,D. “You’ll feel better soon.”
4. Lithium is primarily used to treat:
A. Schizophrenia
B. Bipolar disorder
C. Panic disorder
D. Dementia
5. Extrapyramidal symptoms are side effects of:
A. SSRIs
B. Benzodiazepines
C. Antipsychotics
D. MAOIs
6. The priority intervention for a violent psychiatric patient is to:
A. Physically restrain them
B. Call security immediately
C. Ensure safety of all individuals nearby
D. Argue to calm them
7. The defense mechanism where a person refuses to accept reality is:
A. Projection
B. Denial
C. Displacement
D. Regression
, 8. A patient with depression is prescribed fluoxetine. The nurse should
monitor for:
A. Hyperglycemia
B. Extrapyramidal symptoms
C. Suicidal ideation
D. Hypertension
9. Which disorder involves alternating between mania and depression?
A. Schizoaffective disorder
B. Major depressive disorder
C. Bipolar disorder
D. OCD
10. The therapeutic technique of reflecting involves:
A. Giving advice
B. Repeating the patient’s feelings to encourage more sharing
C. Challenging irrational thoughts
D. Explaining patient behavior to them
SECTION B: SHORT ANSWER QUESTIONS (40 Marks)
Answer all questions briefly and clearly.
1. Define mental health and mental illness.
Course Code: NSC 410
Course Title: Mental Health and Psychiatric Nursing
Duration: 3 Hours
Total Marks: 100
SECTION A: MULTIPLE CHOICE QUESTIONS (20 Marks)
Choose the most appropriate answer.
1. Which neurotransmitter is most commonly associated with
schizophrenia?
A. Dopamine
B. Serotonin
C. GABA
D. Acetylcholine
2. A patient believes the government is watching them through the
television. This is an example of:
A. Hallucination
B. Delusion of reference
C. Thought insertion
D. Flight of ideas
3. The most appropriate nursing response to a suicidal client is:
A. “Why do you feel that way?”
B. “Think about how your family would feel.”
C. “You seem very upset. Are you thinking of harming yourself?”
,D. “You’ll feel better soon.”
4. Lithium is primarily used to treat:
A. Schizophrenia
B. Bipolar disorder
C. Panic disorder
D. Dementia
5. Extrapyramidal symptoms are side effects of:
A. SSRIs
B. Benzodiazepines
C. Antipsychotics
D. MAOIs
6. The priority intervention for a violent psychiatric patient is to:
A. Physically restrain them
B. Call security immediately
C. Ensure safety of all individuals nearby
D. Argue to calm them
7. The defense mechanism where a person refuses to accept reality is:
A. Projection
B. Denial
C. Displacement
D. Regression
, 8. A patient with depression is prescribed fluoxetine. The nurse should
monitor for:
A. Hyperglycemia
B. Extrapyramidal symptoms
C. Suicidal ideation
D. Hypertension
9. Which disorder involves alternating between mania and depression?
A. Schizoaffective disorder
B. Major depressive disorder
C. Bipolar disorder
D. OCD
10. The therapeutic technique of reflecting involves:
A. Giving advice
B. Repeating the patient’s feelings to encourage more sharing
C. Challenging irrational thoughts
D. Explaining patient behavior to them
SECTION B: SHORT ANSWER QUESTIONS (40 Marks)
Answer all questions briefly and clearly.
1. Define mental health and mental illness.
