Exam 2 Study Guide and Practice Questions with Accurate
Answers
Introduction:
This document contains comprehensive NUR 233 Mental Health
Nursing Exam 2 practice questions and answers covering
psychiatric disorders, psychopharmacology, substance use
disorders, suicide assessment, therapeutic communication,
schizophrenia, bipolar disorder, depression, dementia, and nursing
interventions. It also includes review questions on core mental
health nursing concepts, assessment techniques, treatment
modalities, and patient-centered care.
The material is designed to support exam preparation by
reinforcing key nursing knowledge and clinical decision-making
skills. The content combines scenario-based questions with
foundational mental health nursing principles.
Exam Questions and Answers
The nurse administers Naloxone (Narcan) to a client
overdosing. Which of the following will the nurse be prepared
for as an effective medication administration? --- correct
precise answer ---Symptoms of Opioid withdrawal.
The nurse is monitoring a patient with depression in the early
phase of treatment with Amitriptyline. Which question is the
most important for the nurse to ask a client? --- correct
,precise answer ---Have you had any changes in thoughts or
suicide?
A patient started taking Donepezil (Aricept). The patient's
family member notified the nurse that the patient fainted at
home. What is the nurse's highest priority of action? ---
correct precise answer ---Notify the doctor that the patient
may need to be taken off the drug.
A patient diagnosed with schizophrenia begins to talk about
macnabs hiding in the warehouse at work. --- correct precise
answer ---The term macnabs should be documented as
Neologisms.
The nurse should interpret which comment by a patient
diagnosed with battered wife syndrome as being consistent
with the presence of low-self-esteem. --- correct precise
answer ---Things would be fine if I could just do better, he has
a lot of pressure at work.
A newly admitted patient diagnosed with schizophrenia is
hypervigilant and constantly scans the room, the patient
states. "I saw two doctors talking in the hall they were
plotting to kill me.", the nurse must correctly assess this
behavior as which of the following? --- correct precise answer
---Ideas of reference.
,The nurse on a memory care unit is admitting an older man
diagnosed with dementia, with the new admitting orders the
nurse notices the prescribed order for Wellbutrin is higher
than the usual dose for an adult, Which nurse's behavior is
addictive to the advocacy for the patient? --- correct precise
answer ---Hold the mediation and consult the prescriber.
Nurses who work in a maternity unit interact with new
parents where there may be an increased risk for abuse,
which client is at the highest increase of risk for abuse? ---
correct precise answer ---The new mother requests the
newborn be kept in the nursery at all times.
A client comes into the ER with a severe headache, nausea,
and vomiting, the patient's spouse reports thinking the
leftover pizza was the cause. On assessment, the patient's
blood pressure was 196/124, which of the following
medications can contribute to the symptoms? --- correct
precise answer ---Nardil.
The nurse is an inpatient psych unit is caring for a patient in a
manic episode. During the admission, the client admits he has
not slept in 2 days because he has been busy with a new
online investment. What will the nurse include in the
assessment documentation? --- correct precise answer ---Poor
Judgement and impaired selfcare.
, A client with schizophrenia became aggressive in response to
a visible hallucination and is doing something to another
client. The nurse manager instructs the nurse to seclude the
client for safety. Which client is the patient considered
secluded? --- correct precise answer ---The client is warned of
the consequence if he or she leaves the room.
An adult client whose treatment is for major depressive
disorder met with the doctor and signed an informed consent
for ECT. What ECT education will the nurse provide? ---
correct precise answer ---The nurse will teach you that you
may experience short-term memory loss, and a headache after
the procedure.
The nurse is preparing to document following an assessment
of a client with schizophrenia, which assessment finding will
the nurse document as a negative symptom? Select all that
apply. --- correct precise answer ---Verbal communication
was almost non-existent.
The client needs frequent redirection because of his short
attention span.
Which education should the nurse provide to a client
prescribed 1st generation antipsychotic? Select all that apply?
--- correct precise answer ---Change positions slowly.
Avoid alcohol consumption while on medication therapy.
Refrain from driving until medication affects are known.