NURS 661 – Psychiatric Mental Health Diagnosis and Management Exam 1
Preparation
NURS 661 – PSYCHIATRIC MENTAL HEALTH DIAGNOSIS AND
MANAGEMENT EXAM 1 PREPARATION NEWEST 2025/2026
COMPLETE 170 QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS)|ALREADY GRADED A+
A patient with a long history of hypertension and diabetes now develops
confusion. The health care provider wants to make a differential diagnosis
between Alzheimers disease and multiple infarcts. Which diagnostic procedure
should the nurse expect to prepare the patient for first?
a. Skull x-rays
b. Computed tomography (CT) scan
c. Positron-emission tomography (PET)
d. Single-photon emission computed tomography (SPECT)
Answer: B
A patients history shows drinking 4 to 6 liters of fluid and eating more than 6,000
calories per day. Which part of the central nervous system is most likely
dysfunctional for this patient?
a. Amydala
c. Hippocampus
b. Parietal lobe
d. Hypothalamus
Answer: D
The nurse administers a medication that potentiates the action of gamma-
aminobutyric acid (GABA). Which effect would be expected?
a. reduced anxiety
b. improved memory
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, NURS 661 – Psychiatric Mental Health Diagnosis and Management Exam 1
Preparation
c. more organized thinking
d. fewer sensory perceptual alterations
Answer: A
A nurse would anticipate that treatment for a patient with memory difficulties
might include medications designed to:
A. inhibit gamma-aminobutyric acid (GABA).
B. prevent destruction of acetylcholine.
C. reduce serotonin metabolism.
D. increase dopamine activity.
Answer: B
8. A patient has disorganized thinking associated with schizophrenia.
Neuroimaging would likely show dysfunction in which part of the brain?
a. Hippocampus
b. Frontal lobe
c. Cerebellum
d. Brainstem
Answer: B
The nurse should assess a patient taking a drug with anticholinergic properties for
inhibited function of the:
a. parasympathetic nervous system
b. sympathetic nervous system
c. reticular activating system
d. medulla oblongata
Answer: A
The therapeutic action of neurotransmitter inhibitors that block reuptake cause:
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, NURS 661 – Psychiatric Mental Health Diagnosis and Management Exam 1
Preparation
a. decreased concentration of the blocked neurotransmitter in the central nervous
system.
b. increased concentration of the blocked neurotransmitter in the synaptic gap.
c. destruction of receptor sites specific to the blocked neurotransmitter.
d. limbic system stimulation.
Answer: B
A patient taking medication for mental illness develops restlessness and an
uncontrollable need to be in motion. Which drug action causes these symptoms
to develop?
a. Anticholinergic effects
b. Dopamine-blocking effects
c. Endocrine-stimulating effects
d. ability to stimulate spinal nerves
Answer: B
A patient has fear as well as increased heart rate and blood pressure. The nurse
suspects increased activity of which neurotransmitter?
a. Gamma-aminobutyric acid (GABA)
b. Norepinephrine
c. Acetylcholine
d. Histamine
Answer: B
A patient has acute anxiety related to an automobile accident 2 hours ago. The
nurse should teach the patient about medication from which group?
a. Tricyclic antidepressants
b. Antipsychotic drugs
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, NURS 661 – Psychiatric Mental Health Diagnosis and Management Exam 1
Preparation
c. Antimanic drugs
d. Benzodiazepines
Answer: D
A patient is hospitalized for severe depression. Of the medications listed below,
the nurse can expect to provide the patient with teaching about:
a. chlordiazepoxide (Librium)
b. clozapine (Clozaril)
c. sertraline (Zoloft)
d. tacrine (Cognex)
Answer: C
A patient diagnosed with bipolar disorder has an unstable mood, aggressiveness,
agitation, talkativeness, and irritability. The nurse expects the health care provider
to prescribe a medication from which group?
a. psychostimulants
b. mood stabilizers
c. anticholinergics
d. antidepressants
Answer: B
A drug causes muscarinic receptor blockade. The nurse will assess the patient for:
a. dry mouth
b. gynecomastia
c. psedoparkinsonism
d. orthostatic hypotension
Answer: A
4|Page
Preparation
NURS 661 – PSYCHIATRIC MENTAL HEALTH DIAGNOSIS AND
MANAGEMENT EXAM 1 PREPARATION NEWEST 2025/2026
COMPLETE 170 QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS)|ALREADY GRADED A+
A patient with a long history of hypertension and diabetes now develops
confusion. The health care provider wants to make a differential diagnosis
between Alzheimers disease and multiple infarcts. Which diagnostic procedure
should the nurse expect to prepare the patient for first?
a. Skull x-rays
b. Computed tomography (CT) scan
c. Positron-emission tomography (PET)
d. Single-photon emission computed tomography (SPECT)
Answer: B
A patients history shows drinking 4 to 6 liters of fluid and eating more than 6,000
calories per day. Which part of the central nervous system is most likely
dysfunctional for this patient?
a. Amydala
c. Hippocampus
b. Parietal lobe
d. Hypothalamus
Answer: D
The nurse administers a medication that potentiates the action of gamma-
aminobutyric acid (GABA). Which effect would be expected?
a. reduced anxiety
b. improved memory
1|Page
, NURS 661 – Psychiatric Mental Health Diagnosis and Management Exam 1
Preparation
c. more organized thinking
d. fewer sensory perceptual alterations
Answer: A
A nurse would anticipate that treatment for a patient with memory difficulties
might include medications designed to:
A. inhibit gamma-aminobutyric acid (GABA).
B. prevent destruction of acetylcholine.
C. reduce serotonin metabolism.
D. increase dopamine activity.
Answer: B
8. A patient has disorganized thinking associated with schizophrenia.
Neuroimaging would likely show dysfunction in which part of the brain?
a. Hippocampus
b. Frontal lobe
c. Cerebellum
d. Brainstem
Answer: B
The nurse should assess a patient taking a drug with anticholinergic properties for
inhibited function of the:
a. parasympathetic nervous system
b. sympathetic nervous system
c. reticular activating system
d. medulla oblongata
Answer: A
The therapeutic action of neurotransmitter inhibitors that block reuptake cause:
2|Page
, NURS 661 – Psychiatric Mental Health Diagnosis and Management Exam 1
Preparation
a. decreased concentration of the blocked neurotransmitter in the central nervous
system.
b. increased concentration of the blocked neurotransmitter in the synaptic gap.
c. destruction of receptor sites specific to the blocked neurotransmitter.
d. limbic system stimulation.
Answer: B
A patient taking medication for mental illness develops restlessness and an
uncontrollable need to be in motion. Which drug action causes these symptoms
to develop?
a. Anticholinergic effects
b. Dopamine-blocking effects
c. Endocrine-stimulating effects
d. ability to stimulate spinal nerves
Answer: B
A patient has fear as well as increased heart rate and blood pressure. The nurse
suspects increased activity of which neurotransmitter?
a. Gamma-aminobutyric acid (GABA)
b. Norepinephrine
c. Acetylcholine
d. Histamine
Answer: B
A patient has acute anxiety related to an automobile accident 2 hours ago. The
nurse should teach the patient about medication from which group?
a. Tricyclic antidepressants
b. Antipsychotic drugs
3|Page
, NURS 661 – Psychiatric Mental Health Diagnosis and Management Exam 1
Preparation
c. Antimanic drugs
d. Benzodiazepines
Answer: D
A patient is hospitalized for severe depression. Of the medications listed below,
the nurse can expect to provide the patient with teaching about:
a. chlordiazepoxide (Librium)
b. clozapine (Clozaril)
c. sertraline (Zoloft)
d. tacrine (Cognex)
Answer: C
A patient diagnosed with bipolar disorder has an unstable mood, aggressiveness,
agitation, talkativeness, and irritability. The nurse expects the health care provider
to prescribe a medication from which group?
a. psychostimulants
b. mood stabilizers
c. anticholinergics
d. antidepressants
Answer: B
A drug causes muscarinic receptor blockade. The nurse will assess the patient for:
a. dry mouth
b. gynecomastia
c. psedoparkinsonism
d. orthostatic hypotension
Answer: A
4|Page
