,NU 160/NU160 Exam 3 | Mental Health
Concepts (2026) Q&A | Galen College
1. A patient with schizophrenia reports hearing voices that no one else can hear.
The nurse documents this as a(n):
A) Delusion
B) Illusion
C) Hallucination
D) Obsession
Correct Answer: Hallucination
Rationale: Hallucinations are false sensory perceptions without an external
stimulus. Auditory hallucinations are common in schizophrenia. Delusions are
fixed false beliefs, illusions are misinterpretations of real stimuli, and obsessions
are intrusive thoughts.
2. A patient believes that the CIA is controlling his thoughts through a radio
transmitter implanted in his brain. This is an example of a:
A) Persecutory delusion
B) Somatic delusion
C) Delusion of control
D) Grandiose delusion
Correct Answer: Delusion of control
,Rationale: A delusion of control involves the false belief that external forces are
manipulating one's thoughts or actions. Persecutory delusions involve fear of
harm, somatic involve body, and grandiose involve inflated self-importance.
3. The nurse is assessing a patient with schizophrenia. Which symptom is
considered a positive symptom?
A) Flat affect
B) Social withdrawal
C) Auditory hallucinations
D) Anhedonia
Correct Answer: Auditory hallucinations
Rationale: Positive symptoms add experiences such as hallucinations, delusions,
and disorganized speech. Flat affect, social withdrawal, and anhedonia are
negative symptoms reflecting a loss of normal function.
4. A patient with schizophrenia sits motionless for hours and resists being
moved. The nurse documents this as:
A) Akathisia
B) Catatonia
C) Dystonia
D) Parkinsonism
Correct Answer: Catatonia
, Rationale: Catatonia involves motor abnormalities, including immobility, waxy
flexibility, or excessive purposeless movement. Akathisia is restlessness,
dystonia is muscle spasms, and parkinsonism mimics Parkinson's disease.
5. A patient states, "My thoughts are being broadcast so everyone can hear
them." The nurse identifies this as:
A) Thought insertion
B) Thought broadcasting
C) Thought withdrawal
D) Thought blocking
Correct Answer: Thought broadcasting
Rationale: Thought broadcasting is the belief that one's thoughts are being
transmitted to others. Thought insertion is the belief that thoughts are being
placed into one's mind; withdrawal is the belief they are being removed.
6. A patient with schizophrenia is started on risperidone. The nurse should
monitor for which metabolic side effect?
A) Hypoglycemia
B) Weight gain and hyperglycemia
C) Hyperthyroidism
D) Hypokalemia
Correct Answer: Weight gain and hyperglycemia
Concepts (2026) Q&A | Galen College
1. A patient with schizophrenia reports hearing voices that no one else can hear.
The nurse documents this as a(n):
A) Delusion
B) Illusion
C) Hallucination
D) Obsession
Correct Answer: Hallucination
Rationale: Hallucinations are false sensory perceptions without an external
stimulus. Auditory hallucinations are common in schizophrenia. Delusions are
fixed false beliefs, illusions are misinterpretations of real stimuli, and obsessions
are intrusive thoughts.
2. A patient believes that the CIA is controlling his thoughts through a radio
transmitter implanted in his brain. This is an example of a:
A) Persecutory delusion
B) Somatic delusion
C) Delusion of control
D) Grandiose delusion
Correct Answer: Delusion of control
,Rationale: A delusion of control involves the false belief that external forces are
manipulating one's thoughts or actions. Persecutory delusions involve fear of
harm, somatic involve body, and grandiose involve inflated self-importance.
3. The nurse is assessing a patient with schizophrenia. Which symptom is
considered a positive symptom?
A) Flat affect
B) Social withdrawal
C) Auditory hallucinations
D) Anhedonia
Correct Answer: Auditory hallucinations
Rationale: Positive symptoms add experiences such as hallucinations, delusions,
and disorganized speech. Flat affect, social withdrawal, and anhedonia are
negative symptoms reflecting a loss of normal function.
4. A patient with schizophrenia sits motionless for hours and resists being
moved. The nurse documents this as:
A) Akathisia
B) Catatonia
C) Dystonia
D) Parkinsonism
Correct Answer: Catatonia
, Rationale: Catatonia involves motor abnormalities, including immobility, waxy
flexibility, or excessive purposeless movement. Akathisia is restlessness,
dystonia is muscle spasms, and parkinsonism mimics Parkinson's disease.
5. A patient states, "My thoughts are being broadcast so everyone can hear
them." The nurse identifies this as:
A) Thought insertion
B) Thought broadcasting
C) Thought withdrawal
D) Thought blocking
Correct Answer: Thought broadcasting
Rationale: Thought broadcasting is the belief that one's thoughts are being
transmitted to others. Thought insertion is the belief that thoughts are being
placed into one's mind; withdrawal is the belief they are being removed.
6. A patient with schizophrenia is started on risperidone. The nurse should
monitor for which metabolic side effect?
A) Hypoglycemia
B) Weight gain and hyperglycemia
C) Hyperthyroidism
D) Hypokalemia
Correct Answer: Weight gain and hyperglycemia
