Nurs 441 Psych-Mental Health Final
Exam Questions and Answers
During the nurse's shift in the emergency department, a nurse assess a client who is
suspected of being under the influence of amphetamines. Which symptoms are
indicative of amphetamine use?
-Depressed affect
-Diaphoresis
-Shallow Respirations
-Hypotension
-Tremors
-Dilated pupils - answer- -Diaphoresis
-Shallow respirations
-Tremors
-Dilated pupils
The nurse is teaching a client with a generalized anxiety disorder how to effectively
cope with severe distress. Which interventions would the nurse use to promote
effective coping with anxiety?
-Discuss previous methods that were effective in handling stress.
-Encourage the client to limit to a mutually decided amount of time spent on
worrying.
-Help the client to establish a goal and develop a plan to meet the goal.
-Teach the client how to label feelings and how to express them.
-Discuss ways to examine the reality of fears.
-Assist the client to acknowledge the major consequences of blaming others. -
answer- -Discuss previous methods that were effective in handling stress.
-Encourage the client to limit to a mutually decided amount of time spent on
worrying.
-Help the client to establish a goal and develop a plan to meet the goal.
-Teach the client how to label feelings and how to express them.
A nurse is assessing a new client and notices clang associations in the speech
pattern. From this assessment finding, the nurse begins to evaluate for the potential
of which psychiatric conditions?
-Dissociative identity disorder
-Schizophrenia
-Narcolepsy
-Mania
-Organic disorders
-Intermittent explosive disorder - answer- -Schizophrenia
-Mania
-Organic disorders
,When teaching a group of nursing students about the use of antipsychotic
medications, the nurse advises them that certain symptoms can occur within the first
few weeks of treatment. Which symptoms are likely to occur?
-Acute dystonia reactions
-Akathisia
-Tardive dyskinesia
-Neuroleptic malignant syndrome
-Hearing loss
-Orthostatic hypotension - answer- -Acute dystonia reactions
-Akathisia
-Neuroleptic malignant syndrome
-Orthostatic hypotension
The nurse monitoring a client with schizophrenia who is prescribed clozapine. During
a multidisciplinary mental healt team meeting, which signs and symptoms would be
brought to the psychiatrist's attention?
-Sore throat
-Pill-rolling movements
-Polyuria
-Fever
-Polydipsia
-Orthostatic hypotension - answer- -Sore throat
-Fever
-Orthostatic hypotension
A nurse is caring for a client diagnosed with persistent depressive disorder. Which
defining characteristics are associated with this disorder?
-Insomnia or hypersomnia
-Delusions or hallucinations
-Suicidal thoughts
-Onset of symptoms within a 2-week period
-Symptoms that occur in the winter and resolve in the spring
-Appetite disturbance - answer- -Insomnia or hypersomnia
-Suicidal thoughts
-Appetite disturbance
A client is prescribed chlodiazepoxide as needed to control the symptoms of alcohol
withdrawal. Which symptoms may indicate the need for an additional dose of this
medication?
-Tachycardia
-Mood swings
-Elevated blood pressure and temperature
-Piloerection
-Tremors
-Increasing anxiety - answer- -Tachycardia
-Elevated blood pressure and temperature
, -Tremors
-Increasing anxiety
A nurse is employed at an outpatient rehabilitation facility caring for the client with
opioid addiction who is in withdrawal. When assessing clients who present for their
counseling session, which findings would be commonly observed?
-Abdominal cramps
-Dry, warm skin
-Rhinorrhea
-Dilated pupils
-Hypersomnia
-Feelings of hunger - answer- -Abdominal cramps
-Rhinorrhea
-Dilated pupils
A nurse interviews the family of a client hospitalized with severe depression and
suicidal ideation. What family assessment information is essential to know when
formulating an effective plan of care?
-Physical Pain
-Personal responsibilities
-Employment skills
-Communication patterns
-Role expectations
-Current family stressors - answer- -Communication patterns
-Role expectations
-Current family stressors
A nurse is caring for a client who has experienced frontal lobe damage in a car
accident. Which psychosocial behaviors are indications of the damage?
-A change in personality
-Overt sexual behavior
-Difficulty controlling temper
-Fewer facial expressions
-Inability to go out in public settings
-A disinterest in family relationships - answer- -A change in personality
-Overt sexual behavior
-Difficulty controlling temper
-Fewer facial expressions
The nurse is caring for a mental health client who exhibits passive-aggressive
behavior when interacting with the nursing staff. When reporting client behaviors to
the next shift, which actions are consistent with this assessment?
-The client states that problems are not his/her fault.
-The client agrees with the staff but then complains to others.
-The client pouts when he/she does not get his/her way.
Exam Questions and Answers
During the nurse's shift in the emergency department, a nurse assess a client who is
suspected of being under the influence of amphetamines. Which symptoms are
indicative of amphetamine use?
-Depressed affect
-Diaphoresis
-Shallow Respirations
-Hypotension
-Tremors
-Dilated pupils - answer- -Diaphoresis
-Shallow respirations
-Tremors
-Dilated pupils
The nurse is teaching a client with a generalized anxiety disorder how to effectively
cope with severe distress. Which interventions would the nurse use to promote
effective coping with anxiety?
-Discuss previous methods that were effective in handling stress.
-Encourage the client to limit to a mutually decided amount of time spent on
worrying.
-Help the client to establish a goal and develop a plan to meet the goal.
-Teach the client how to label feelings and how to express them.
-Discuss ways to examine the reality of fears.
-Assist the client to acknowledge the major consequences of blaming others. -
answer- -Discuss previous methods that were effective in handling stress.
-Encourage the client to limit to a mutually decided amount of time spent on
worrying.
-Help the client to establish a goal and develop a plan to meet the goal.
-Teach the client how to label feelings and how to express them.
A nurse is assessing a new client and notices clang associations in the speech
pattern. From this assessment finding, the nurse begins to evaluate for the potential
of which psychiatric conditions?
-Dissociative identity disorder
-Schizophrenia
-Narcolepsy
-Mania
-Organic disorders
-Intermittent explosive disorder - answer- -Schizophrenia
-Mania
-Organic disorders
,When teaching a group of nursing students about the use of antipsychotic
medications, the nurse advises them that certain symptoms can occur within the first
few weeks of treatment. Which symptoms are likely to occur?
-Acute dystonia reactions
-Akathisia
-Tardive dyskinesia
-Neuroleptic malignant syndrome
-Hearing loss
-Orthostatic hypotension - answer- -Acute dystonia reactions
-Akathisia
-Neuroleptic malignant syndrome
-Orthostatic hypotension
The nurse monitoring a client with schizophrenia who is prescribed clozapine. During
a multidisciplinary mental healt team meeting, which signs and symptoms would be
brought to the psychiatrist's attention?
-Sore throat
-Pill-rolling movements
-Polyuria
-Fever
-Polydipsia
-Orthostatic hypotension - answer- -Sore throat
-Fever
-Orthostatic hypotension
A nurse is caring for a client diagnosed with persistent depressive disorder. Which
defining characteristics are associated with this disorder?
-Insomnia or hypersomnia
-Delusions or hallucinations
-Suicidal thoughts
-Onset of symptoms within a 2-week period
-Symptoms that occur in the winter and resolve in the spring
-Appetite disturbance - answer- -Insomnia or hypersomnia
-Suicidal thoughts
-Appetite disturbance
A client is prescribed chlodiazepoxide as needed to control the symptoms of alcohol
withdrawal. Which symptoms may indicate the need for an additional dose of this
medication?
-Tachycardia
-Mood swings
-Elevated blood pressure and temperature
-Piloerection
-Tremors
-Increasing anxiety - answer- -Tachycardia
-Elevated blood pressure and temperature
, -Tremors
-Increasing anxiety
A nurse is employed at an outpatient rehabilitation facility caring for the client with
opioid addiction who is in withdrawal. When assessing clients who present for their
counseling session, which findings would be commonly observed?
-Abdominal cramps
-Dry, warm skin
-Rhinorrhea
-Dilated pupils
-Hypersomnia
-Feelings of hunger - answer- -Abdominal cramps
-Rhinorrhea
-Dilated pupils
A nurse interviews the family of a client hospitalized with severe depression and
suicidal ideation. What family assessment information is essential to know when
formulating an effective plan of care?
-Physical Pain
-Personal responsibilities
-Employment skills
-Communication patterns
-Role expectations
-Current family stressors - answer- -Communication patterns
-Role expectations
-Current family stressors
A nurse is caring for a client who has experienced frontal lobe damage in a car
accident. Which psychosocial behaviors are indications of the damage?
-A change in personality
-Overt sexual behavior
-Difficulty controlling temper
-Fewer facial expressions
-Inability to go out in public settings
-A disinterest in family relationships - answer- -A change in personality
-Overt sexual behavior
-Difficulty controlling temper
-Fewer facial expressions
The nurse is caring for a mental health client who exhibits passive-aggressive
behavior when interacting with the nursing staff. When reporting client behaviors to
the next shift, which actions are consistent with this assessment?
-The client states that problems are not his/her fault.
-The client agrees with the staff but then complains to others.
-The client pouts when he/she does not get his/her way.
