NUR2459 MENTAL AND BEHAVIORAL HEALTH
NURSING FINAL 2026 CONCEPT BREAKDOWN
AND CLINICAL APPLICATION REVIEW
◉ Which client statement indicates knowledge deficit r/t substance
use disorder?
a) Although legal, alcohol is one of most widely used drugs
b) Tolerance to heroin develops quickly
c) ???
d) Marijuana is like smoking cigarettes, everyone does it Answer: d)
Marijuana is like smoking cigarettes, everyone does it
◉ Which term should nurse use to describe admin of CNS
depressant during substance induced disorder of alc withdrawal
Answer: Substitution therapy
◉ Client with hx heavy alcohol use Is brought to ER by fam member
who stated client had nothing to drink in last 48 hours. Which
symptom is nurse's first priority?
a) Hearing and visual impairments
b) Blood pressure 180/100
c) Mood rating of 2/10 numeric scale
d) Dehydration Answer: b) Blood pressure 180/100
,◉ Nurse holds the hand of a client who is withdrawing from alc.
What is rationale?
a) To assess for emotional strength
b) To assess for Wernicke corsicoff syndrome
c) To assess tachycardia
d) To assess for fine tremors Answer: d) To assess for fine tremors
◉ Discovers suicide note with time, place and means to commit
suicide, priority nursing action Answer: One-to-one precaution
◉ Diagnosed with major depressive episodes hears voices
demanding self-harm, priority nursing intervention Answer: One-to-
one precaution, monitor
◉ Suspected diagnosis of MDD, which client symptom rules out
diagnosis? Answer: Client maxed out charge cards and exhibits
promiscuous activities (this represents personality disorder)
◉ Nurse reviews lab data of client suspected of diagnosis of MDD,
which lab value rules out this diagnosis? Answer: TSH of 21
(hypothyroidism, causes depression)
,◉ Nurse admits older client with memory loss, apathy, confused
thinking, psychiatrist suspects a depressive disorder. What is
rationale for performing MMSE?... Answer: To rule out
neurocognitive disorder
◉ Nurse recently admitted client to inpatient unit after suicide
event, hcp orders Amitriptyline, which intervention related to this
intervention should be initiated to ensure patient safety after
discharge? Answer: Provide one week supply of amitriptyline and
refill with follow up visit
(Tyramine- Don't eat with MAOI's... Hypertensive crisis)
◉ Older client is prescribed Sertraline (Zoloft)-SSRI, client's spouse
is taking Paroxetine (Paxil)- SSRI, nurse assessing client is
experiencing tremors, restlessness, tachycardia, diaphoresis. Which
complication should nurse expect? Answer: Serotonin syndrome
caused by the ingestion of 2 SSRIs
(Neuroleptic malignant syndrome usually caused by traditional
antipsychotics)
(Serotonin syndrome could be caused by MAOI and SSRI)
◉ Client has been taking Fluvoxamine (Luvox) without significant
improvement asks a nurse, "I've heard something about an MAOI
, can't my doctor add that to my medications?" Appropriate nurse
response? Answer: A combination of MAOI and Luvox can lead to life
threatening hypertensive crisis
◉ Patient with schizoaffective disorder admitted for social skills
training, which info should be included? Answer: How to make eye
contact when communicating
◉ 16-year-old diagnosed with schizophrenia experiences
commanded hallucinations to harm others, client's parents ask
nurse where do voices come from. Appropriate nursing response?
Answer: Your child has a chemical imbalance in the brain which
leads to altered perception
◉ Parents ask nurse how they should reply when child diagnosed
with schizophrenia tells them the voices tells them to harm others...
Answer: Focus on feelings generated by the hallucinations and
present reality
◉ Nurse assessing patient diagnosed with schizophrenia, nurse asks
do you receive special messages from certain sources like radio,
assessing for what? Answer: Delusions of reference
◉ Patient with schizophrenia says, "Can't you hear him, it's the devil
telling me to go to hell!" What's the most appropriate nurse
NURSING FINAL 2026 CONCEPT BREAKDOWN
AND CLINICAL APPLICATION REVIEW
◉ Which client statement indicates knowledge deficit r/t substance
use disorder?
a) Although legal, alcohol is one of most widely used drugs
b) Tolerance to heroin develops quickly
c) ???
d) Marijuana is like smoking cigarettes, everyone does it Answer: d)
Marijuana is like smoking cigarettes, everyone does it
◉ Which term should nurse use to describe admin of CNS
depressant during substance induced disorder of alc withdrawal
Answer: Substitution therapy
◉ Client with hx heavy alcohol use Is brought to ER by fam member
who stated client had nothing to drink in last 48 hours. Which
symptom is nurse's first priority?
a) Hearing and visual impairments
b) Blood pressure 180/100
c) Mood rating of 2/10 numeric scale
d) Dehydration Answer: b) Blood pressure 180/100
,◉ Nurse holds the hand of a client who is withdrawing from alc.
What is rationale?
a) To assess for emotional strength
b) To assess for Wernicke corsicoff syndrome
c) To assess tachycardia
d) To assess for fine tremors Answer: d) To assess for fine tremors
◉ Discovers suicide note with time, place and means to commit
suicide, priority nursing action Answer: One-to-one precaution
◉ Diagnosed with major depressive episodes hears voices
demanding self-harm, priority nursing intervention Answer: One-to-
one precaution, monitor
◉ Suspected diagnosis of MDD, which client symptom rules out
diagnosis? Answer: Client maxed out charge cards and exhibits
promiscuous activities (this represents personality disorder)
◉ Nurse reviews lab data of client suspected of diagnosis of MDD,
which lab value rules out this diagnosis? Answer: TSH of 21
(hypothyroidism, causes depression)
,◉ Nurse admits older client with memory loss, apathy, confused
thinking, psychiatrist suspects a depressive disorder. What is
rationale for performing MMSE?... Answer: To rule out
neurocognitive disorder
◉ Nurse recently admitted client to inpatient unit after suicide
event, hcp orders Amitriptyline, which intervention related to this
intervention should be initiated to ensure patient safety after
discharge? Answer: Provide one week supply of amitriptyline and
refill with follow up visit
(Tyramine- Don't eat with MAOI's... Hypertensive crisis)
◉ Older client is prescribed Sertraline (Zoloft)-SSRI, client's spouse
is taking Paroxetine (Paxil)- SSRI, nurse assessing client is
experiencing tremors, restlessness, tachycardia, diaphoresis. Which
complication should nurse expect? Answer: Serotonin syndrome
caused by the ingestion of 2 SSRIs
(Neuroleptic malignant syndrome usually caused by traditional
antipsychotics)
(Serotonin syndrome could be caused by MAOI and SSRI)
◉ Client has been taking Fluvoxamine (Luvox) without significant
improvement asks a nurse, "I've heard something about an MAOI
, can't my doctor add that to my medications?" Appropriate nurse
response? Answer: A combination of MAOI and Luvox can lead to life
threatening hypertensive crisis
◉ Patient with schizoaffective disorder admitted for social skills
training, which info should be included? Answer: How to make eye
contact when communicating
◉ 16-year-old diagnosed with schizophrenia experiences
commanded hallucinations to harm others, client's parents ask
nurse where do voices come from. Appropriate nursing response?
Answer: Your child has a chemical imbalance in the brain which
leads to altered perception
◉ Parents ask nurse how they should reply when child diagnosed
with schizophrenia tells them the voices tells them to harm others...
Answer: Focus on feelings generated by the hallucinations and
present reality
◉ Nurse assessing patient diagnosed with schizophrenia, nurse asks
do you receive special messages from certain sources like radio,
assessing for what? Answer: Delusions of reference
◉ Patient with schizophrenia says, "Can't you hear him, it's the devil
telling me to go to hell!" What's the most appropriate nurse
