1|Page
Nurs 441 – Psych-Mental Health Final
(Nursing Program, Practice Exam with
Answers)
1. A child with a tic disorder is prescribed an antipsychotic agent as part of
his treatment plan. Which of the following would the nurse expect to be
prescribed?
-Ariprazole (Abilify)
-Haloperidol (Haldol)
-Clonidine
-Guanfacine (Intuniv)
ANSWER: -Ariprazole (Abilify)
2. A client diagnosed with Alzheimer's disease, is a new resident in a long-
term care facility. The client has difficulty finding their room and is seen
wandering into the room of others. When discussing the situation at a
multidisciplinary conference, which client-centered actions would the nurse
suggest?
-Restrict the client to the client's room and hallway until they can recognize the
area.
-Ensure that the client has prescribed hearing aids and glasses on throughout the
day.
-Place a box with familiar items outside the client's door for visual recognition.
-Assign the client to a room close to the nursing station for closer monitoring.
-Provide a sedative medication to decrease the client's ability to wander.
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-Alzheimer's disease is a chronic, organic, mental disorder that involves a
progressive, irreversible loss of memory. Safety is priority. Client-centered actions
would focus on interventions to promote the id
ANSWER: -Ensure that the client has prescribed hearing aids and glasses on
throughout the day.
-Place a box with familiar items outside the client's door for visual recognition.
-Assign the client to a room close to the nursing station for closer monitoring.
3. A client has been prescribed naltrexone for treatment of alcohol
dependence. The nurse has explained the drug's purpose to the client. The
nurse determines that the client has understood the instructions when the
client identifies which of the following about the drug?
-Improves appetite and nutritional status
-Produces the euphoria of alcohol
-Causes itching if alcohol is consumed
-Reduces the appeal of alcohol
ANSWER: -Reduces the appeal of alcohol
4. A client has started taking haloperidol. What is the most important
instruction for the nurse to give the client?
-"You should report feelings of restlessness or agitation at once."
-"Use a sunscreen outdoors on a year-round basis."
-"Be aware you will feel increased energy taking this drug."
-"This drug will help control high blood pressure."
ANSWER: -"You should report feelings of restlessness or agitation at once."
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5. A client is being seen in the clinic after returning from military service
abroad. The nurse documents restlessness at night with nightmares leaving
the veteran irritable and fatigued during the day. When discussing the
possibility of post traumatic stress disorder (PTSD), which statements about
PTSD are accurate?
-PTSD is a syndrome that affects only those who have experienced traumatic
episodes during war.
-PTSD is characterized by nightmares and flashbacks.
-Hypervigilance is characteristic of clients with PTSD.
-Substance abuse is a common coping mechanism used by clients with PTSD.
-Psychotic episodes can occur in clients with PTSD.
-Clients with PTSD may complain of feeling empty inside.
ANSWER: -PTSD is characterized by nightmares and flashbacks.
-Hypervigilance is characteristic of clients with PTSD.
-Substance abuse is a common coping mechanism used by clients with PTSD.
-Psychotic episodes can occur in clients with PTSD.
-Clients with PTSD may complain of feeling empty inside.
6. 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
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-Tremors
-Increasing anxiety
ANSWER: -Tachycardia
-Elevated blood pressure and temperature
-Tremors
-Increasing anxiety
7. A client is prescribed disulfiram (Antibuse) as part of his alcohol treatment
program to prevent relapse. The client asks the nurse, "How will this drug
help me?" Which response by a nurse would be most appropriate?
-"It makes the withdrawal symptoms less troublesome."
-"It will help to cure your alcoholism."
-"It helps to clear the alcohol out of your body."
-"It can help to prevent you from drinking."
ANSWER: -"It can help to prevent you from drinking."
8. A client is taaking medication to control schizophrenia asks the nurse to
explain the causes of the disorder. The nurse knows that an overactive
dopamine system in the rain is one of the leading causes of schizophrenia and
tells the client that excessive dopamine activity is responsible for symptoms.
Which symptoms is the nurse referring to?
-Hallucinations
-Withdrawn behavior
-Grandiosity
-Delusional thinking
Nurs 441 – Psych-Mental Health Final
(Nursing Program, Practice Exam with
Answers)
1. A child with a tic disorder is prescribed an antipsychotic agent as part of
his treatment plan. Which of the following would the nurse expect to be
prescribed?
-Ariprazole (Abilify)
-Haloperidol (Haldol)
-Clonidine
-Guanfacine (Intuniv)
ANSWER: -Ariprazole (Abilify)
2. A client diagnosed with Alzheimer's disease, is a new resident in a long-
term care facility. The client has difficulty finding their room and is seen
wandering into the room of others. When discussing the situation at a
multidisciplinary conference, which client-centered actions would the nurse
suggest?
-Restrict the client to the client's room and hallway until they can recognize the
area.
-Ensure that the client has prescribed hearing aids and glasses on throughout the
day.
-Place a box with familiar items outside the client's door for visual recognition.
-Assign the client to a room close to the nursing station for closer monitoring.
-Provide a sedative medication to decrease the client's ability to wander.
,2|Page
-Alzheimer's disease is a chronic, organic, mental disorder that involves a
progressive, irreversible loss of memory. Safety is priority. Client-centered actions
would focus on interventions to promote the id
ANSWER: -Ensure that the client has prescribed hearing aids and glasses on
throughout the day.
-Place a box with familiar items outside the client's door for visual recognition.
-Assign the client to a room close to the nursing station for closer monitoring.
3. A client has been prescribed naltrexone for treatment of alcohol
dependence. The nurse has explained the drug's purpose to the client. The
nurse determines that the client has understood the instructions when the
client identifies which of the following about the drug?
-Improves appetite and nutritional status
-Produces the euphoria of alcohol
-Causes itching if alcohol is consumed
-Reduces the appeal of alcohol
ANSWER: -Reduces the appeal of alcohol
4. A client has started taking haloperidol. What is the most important
instruction for the nurse to give the client?
-"You should report feelings of restlessness or agitation at once."
-"Use a sunscreen outdoors on a year-round basis."
-"Be aware you will feel increased energy taking this drug."
-"This drug will help control high blood pressure."
ANSWER: -"You should report feelings of restlessness or agitation at once."
,3|Page
5. A client is being seen in the clinic after returning from military service
abroad. The nurse documents restlessness at night with nightmares leaving
the veteran irritable and fatigued during the day. When discussing the
possibility of post traumatic stress disorder (PTSD), which statements about
PTSD are accurate?
-PTSD is a syndrome that affects only those who have experienced traumatic
episodes during war.
-PTSD is characterized by nightmares and flashbacks.
-Hypervigilance is characteristic of clients with PTSD.
-Substance abuse is a common coping mechanism used by clients with PTSD.
-Psychotic episodes can occur in clients with PTSD.
-Clients with PTSD may complain of feeling empty inside.
ANSWER: -PTSD is characterized by nightmares and flashbacks.
-Hypervigilance is characteristic of clients with PTSD.
-Substance abuse is a common coping mechanism used by clients with PTSD.
-Psychotic episodes can occur in clients with PTSD.
-Clients with PTSD may complain of feeling empty inside.
6. 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
, 4|Page
-Tremors
-Increasing anxiety
ANSWER: -Tachycardia
-Elevated blood pressure and temperature
-Tremors
-Increasing anxiety
7. A client is prescribed disulfiram (Antibuse) as part of his alcohol treatment
program to prevent relapse. The client asks the nurse, "How will this drug
help me?" Which response by a nurse would be most appropriate?
-"It makes the withdrawal symptoms less troublesome."
-"It will help to cure your alcoholism."
-"It helps to clear the alcohol out of your body."
-"It can help to prevent you from drinking."
ANSWER: -"It can help to prevent you from drinking."
8. A client is taaking medication to control schizophrenia asks the nurse to
explain the causes of the disorder. The nurse knows that an overactive
dopamine system in the rain is one of the leading causes of schizophrenia and
tells the client that excessive dopamine activity is responsible for symptoms.
Which symptoms is the nurse referring to?
-Hallucinations
-Withdrawn behavior
-Grandiosity
-Delusional thinking
