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NSG322/ NSG 322 Exam 2 (Latest 2026/2027 Update) | Complete Exam Questions with Verified Answers and Detailed Rationales | Grief and Loss, Kubler-Ross Stages, Aggression Cycle, Substance Use Disorders, Alcohol Withdrawal, Disulfiram Reaction | A+ Graded |

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INSTANT PDF DOWNLOAD This comprehensive EXAM resource for NSG 322 Mental Health Nursing Exam 2 at Herzing University covers Grief and Loss, Aggression Cycle, Substance Use Disorders, Anxiety Disorders, and Psychopharmacology for the 2026/2027 academic year. This resource is designed to align with the Unit 2 Exam (49 multiple choice questions) and covers chapters 3 (Psychobiology & Psychopharmacology) and 6 (Legal & Ethical Considerations) . Exam 2 Topics Covered: Psychobiology & Psychopharmacology: Homeostasis, Parasympathetic vs Sympathetic Nervous System, Brain structure functions, Memory types (immediate, recent, remote) Neurotransmitters: Serotonin (mood), Norepinephrine (fight/flight), Dopamine (hallucinations/delusions), GABA (anxiety) Psychotropic Drug Classifications: Anti-anxiety/Hypnotics, Antidepressants, Mood Stabilizers, Antipsychotics MAOIs: Tyramine-free diet requirement to prevent hypertensive crisis SSRIs: Potential for increased suicidal ideation, especially in young adults; delayed therapeutic effect Receptor Blockade Effects: Alpha-1 blockade = orthostatic hypotension; H1 blockade = weight gain Legal and Ethical Considerations: Five principles of bioethics (Beneficence, Autonomy, Justice, Fidelity, Veracity), scope of practice, medication error protocols (notify instructor/RN, hold and clarify with provider) Loss, Grief, Dying: Kubler-Ross five stages of grief, mourning vs. grief, types of loss, physiologic and emotional responses to grief Anger/Aggression Cycle: Triggering, Escalation, Crisis, Recovery, Post-Crisis phases; de-escalation techniques Substance Use Disorders: Alcohol withdrawal syndrome, CIWA protocol, Disulfiram (Antabuse) reaction, opioid use disorder Anxiety Disorders: GAD, Panic Disorder, Phobias; SSRIs as first-line, benzodiazepines for acute episodes MENTAL HEALTH NURSING – COMPLETE Q&A REVIEW PSYCHOBIOLOGY & PSYCHOPHARMACOLOGY Q1. What is homeostasis in the context of psychobiology? Correct Answer: Balance in the body's internal environment; the tendency of the body to maintain stability and equilibrium Rationale: Homeostasis is the body's ability to maintain a stable internal environment despite external changes. In mental health, disruptions in homeostasis can contribute to psychiatric symptoms and disorders. Q2. What is the difference between parasympathetic and sympathetic nervous system function? Correct Answer: Parasympathetic: "rest and digest" - conserves energy, slows heart rate, increases digestion. Sympathetic: "fight or flight" - prepares body for stress, increases heart rate, dilates pupils, inhibits digestion Rationale: The autonomic nervous system has two branches that oppose each other. The sympathetic system activates the stress response; the parasympathetic system promotes relaxation and recovery. Q3. What are the primary functions of the brainstem? Correct Answer: Controls basic life-sustaining functions including heart rate, breathing, digestion, and sleeping

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NSG 322 Exam 2 - (Latest 2026/2027 Update) Personality, Anxiety, Somatic,
OCD, Neurodevelopmental Disorders | Q&A | Grade A | 100% Correct (Verified
Answers)

Subject: Psychiatric-Mental Health Nursing / Personality & Neurodevelopmental Disorders
Source: NSG 322 Exam 2 – Comprehensive Review
Format: Q&A Guide with Clinical Rationale


1: What is Schizoid Personality Disorder?
Correct Answer: Cluster A. Socially withdrawn & minimal interactions. Restricted emotional range.
Does not seek out or enjoy close relationships. Does not care about approval.

1. Presents as "loner" with no desire for relationships.
2. Indifferent to praise or criticism.
3. Often misdiagnosed as autism (but no restricted/repetitive behaviors).

2: What is Schizotypal Personality Disorder?
Correct Answer: Cluster A. Strange and unusual behavior, paranoid anxiety, magical thinking, severe
social deficits, makes people uncomfortable. Schizophrenia spectrum.

1. Magical thinking: belief in telepathy, clairvoyance.
2. Ideas of reference: unrelated events have personal meaning.
3. May have brief psychotic episodes.

3: What is Borderline Personality Disorder?
Correct Answer: Cluster B. Emotional, rapid mood swings. Impulsive. Intense sense of rejection.
Splitting (black and white thinking). Childhood trauma common. Self-destructive. SSI & suicide
common: 70% will attempt, 10% will complete.

1. DBT (Dialectical Behavior Therapy) is gold standard treatment.
2. Fear of abandonment drives behaviors.
3. Chronic emptiness, identity disturbance.

4: What is Narcissistic Personality Disorder?
Correct Answer: Cluster B. Entitled with exaggeration of own importance. Arrogant, lack of empathy.
Overly self-confident display, very low self-esteem. Will lash out at anyone questioning their
importance. Fear of abandonment.

1. Grandiose sense of self-importance.
2. Requires excessive admiration.
3. Fragile self-esteem masked by grandiosity.

, 5: What is Histrionic Personality Disorder?
Correct Answer: Cluster B. High functioning "Drama Queen." Extroverted, flamboyant. Self-centered.
Flirtatious, difficulty maintaining meaningful relationships. Often have medical crisis or suicidal
gestures.

1. Attention-seeking behavior is central.
2. Shifting, shallow emotions.
3. Relationship difficulties due to perceived shallowness.

6: What is Antisocial Personality Disorder?
Correct Answer: Cluster B. Aka sociopath. Increased lack of empathy. Disregard for law & others.
Antagonistic/manipulative. Often in criminal behavior. Can start in childhood as ODD or DMDD then
changes in adulthood.

1. Conduct disorder before age 15 required for diagnosis.
2. No remorse for harmful actions.
3. Increased risk of substance use and incarceration.

7: What is Avoidant Personality Disorder?
Correct Answer: Cluster C. Low self-esteem, unworthy. Fear of rejection. Wants relationships but
avoids due to fear of criticism.

1. Differs from schizoid (wants relationships but afraid).
2. Hypersensitive to negative evaluation.
3. Socially inhibited despite desire for connection.

8: What is Dependent Personality Disorder?
Correct Answer: Cluster C. Intense fear of separation, high levels of insecurity. Submissive, clingy,
indecisive. Vulnerable to manipulation. Intense anxiety when alone. Will seek relationship
replacements.

1. Difficulty making everyday decisions without reassurance.
2. Feels helpless when alone.
3. Quickly seeks new relationship when one ends.

9: What is Obsessive Compulsive Personality Disorder (OCPD)?
Correct Answer: Cluster C. Perfectionism, control. Very rigid, inflexible, always "right." Find safety in
self-imposed rules and sense of order. Often exhausted, push themselves beyond reason.

1. Differs from OCD (no true obsessions/compulsions).
2. Preoccupation with order, rules, details.
3. May sacrifice leisure time for productivity.

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