NURS 327 CERTIFICATION REVIEW SCRIPT
2026 ACCURATE Q&A COLLECTION
◉Risk factors for mood disorders. Answer: - stress
- trauma
- neglect, abuse
- family hc
- comorbidities (medical or psychiatric)
- personality disorders
- social factors
◉Impacts and consequences of bipolar disorder. Answer: -financial
-impulsivity
-sexual
-physical harm
- substance abuse
- violence (often impulsive or due to boundary crossing)
◉primary prevention of anxiety and mood disorders. Answer: aim at
reducing
- poverty
,- racism
- homophobia
- vioience
- stress
- sexism
-social inequity
- social exclusion
◉Secondary prevention AND screening of anxiety and mood
disorders. Answer: - recommend routine screening of adults for
mood disorders
- patient health quetionnaire used by AHS
- aimed at early detection
- obtain a histroy of past anxiety and trauma exposure
- look into lifestyle (diet exercise, smoking, sleep, coping
mechanisms)
-physical examination
◉what would the physical examination of anxiety and mood
disorders look like. Answer: - vital signs
- assessment of heart and lungs
- palpation of thyroid (can lead to issues with sleep)
- lab tests (TSH, T3, T4)
,- cranial nerve assessment
- diagnositc tests
- medications, history of infection
- GI or sleep disturbances
◉when is suicide risk the highest. Answer: between episodes of
depression and mania (client feels better has more energy and
improved cognition)
- after initiating treatment: once antidepressants become effectve
(4-5 risks) = higher risk
- having any combination of low mood and higher
energy/motivation and elevated cognitive capacity
◉some common nursing priorities for anxiety and mood disorder
patients. Answer: - ineffective coping
- ineffective role performance/impaired self esteem
- disturbed thought processes and disturbed sensory perception
- imapired verbal communication
- social isolation
- risk for trauma
- risk for harm to self/others
-physical health: nutrition, fluid/electrolytes, sleep
, ◉How should a nurse approach a person experiencing anxiety
/mood disorders. Answer: - calm, simple instructions with written
reinforcement
- stay with client and de escalate
-direct patient to breather (inhale 1,2,3 exhale 1,2,3)
- keep client cool : cold wet washcloth around their face and neck
- recognize cognitive distortions, disrupt negative thinking
◉how to intervene if patient is expressing negative feelings. Answer:
- counseling, affirm strengths
- discussion/expression of feelings
- dont try to avoid or smooth over negativity n
- focus on affect
- set a limit on time spent worrying with client
◉basic care of patients with anxiety /mood disorders. Answer: -
regular oruntine and structure
- high calorie meal replacements and nutritional supplements
- Attend to ADLs, healthy sleep
- have tasks organized in small manageable steps
- be ready to supply more support during periods of high acuity
2026 ACCURATE Q&A COLLECTION
◉Risk factors for mood disorders. Answer: - stress
- trauma
- neglect, abuse
- family hc
- comorbidities (medical or psychiatric)
- personality disorders
- social factors
◉Impacts and consequences of bipolar disorder. Answer: -financial
-impulsivity
-sexual
-physical harm
- substance abuse
- violence (often impulsive or due to boundary crossing)
◉primary prevention of anxiety and mood disorders. Answer: aim at
reducing
- poverty
,- racism
- homophobia
- vioience
- stress
- sexism
-social inequity
- social exclusion
◉Secondary prevention AND screening of anxiety and mood
disorders. Answer: - recommend routine screening of adults for
mood disorders
- patient health quetionnaire used by AHS
- aimed at early detection
- obtain a histroy of past anxiety and trauma exposure
- look into lifestyle (diet exercise, smoking, sleep, coping
mechanisms)
-physical examination
◉what would the physical examination of anxiety and mood
disorders look like. Answer: - vital signs
- assessment of heart and lungs
- palpation of thyroid (can lead to issues with sleep)
- lab tests (TSH, T3, T4)
,- cranial nerve assessment
- diagnositc tests
- medications, history of infection
- GI or sleep disturbances
◉when is suicide risk the highest. Answer: between episodes of
depression and mania (client feels better has more energy and
improved cognition)
- after initiating treatment: once antidepressants become effectve
(4-5 risks) = higher risk
- having any combination of low mood and higher
energy/motivation and elevated cognitive capacity
◉some common nursing priorities for anxiety and mood disorder
patients. Answer: - ineffective coping
- ineffective role performance/impaired self esteem
- disturbed thought processes and disturbed sensory perception
- imapired verbal communication
- social isolation
- risk for trauma
- risk for harm to self/others
-physical health: nutrition, fluid/electrolytes, sleep
, ◉How should a nurse approach a person experiencing anxiety
/mood disorders. Answer: - calm, simple instructions with written
reinforcement
- stay with client and de escalate
-direct patient to breather (inhale 1,2,3 exhale 1,2,3)
- keep client cool : cold wet washcloth around their face and neck
- recognize cognitive distortions, disrupt negative thinking
◉how to intervene if patient is expressing negative feelings. Answer:
- counseling, affirm strengths
- discussion/expression of feelings
- dont try to avoid or smooth over negativity n
- focus on affect
- set a limit on time spent worrying with client
◉basic care of patients with anxiety /mood disorders. Answer: -
regular oruntine and structure
- high calorie meal replacements and nutritional supplements
- Attend to ADLs, healthy sleep
- have tasks organized in small manageable steps
- be ready to supply more support during periods of high acuity
