,NSG 3450 Exam 4 | Nursing Practice – Mental
Health (2026/2027) PDF | Nursing | Galen
1. A client with schizophrenia reports hearing voices that others do not hear.
Which symptom is the client experiencing?
A) Auditory hallucination
B) Delusion
C) Anhedonia
D) Avolition
Correct Answer: A) Auditory hallucination
Rationale: Auditory hallucinations are sensory experiences without external
stimuli and are a positive symptom of schizophrenia. A delusion is a false fixed
belief, anhedonia is inability to feel pleasure, and avolition is lack of motivation.
Hallucinations require assessment for safety.
2. Which finding is a negative symptom of schizophrenia?
A) Auditory hallucination
B) Anhedonia
C) Delusion
D) Disorganized speech
Correct Answer: B) Anhedonia
,Rationale: Negative symptoms reflect absence of normal functions, including
anhedonia, flat affect, and avolition. Auditory hallucinations, delusions, and
disorganized speech are positive symptoms. Recognizing negative symptoms
guides treatment and functional expectations.
3. A client with schizophrenia uses the word “flurbo” to describe a personal
meaning. Which term should the nurse document?
A) Echolalia
B) Clang association
C) Neologism
D) Word salad
Correct Answer: C) Neologism
Rationale: A neologism is a word with meaning only to the client. Echolalia is
repeating words, clang association is rhyming, and word salad is jumbled words.
Neologisms reflect disorganized thinking and are common in schizophrenia.
4. A client taking haloperidol develops sudden high fever, muscle rigidity, and
confusion. Which condition should the nurse suspect?
A) Serotonin syndrome
B) Tardive dyskinesia
C) Acute dystonia
D) Neuroleptic malignant syndrome
Correct Answer: D) Neuroleptic malignant syndrome
, Rationale: Neuroleptic malignant syndrome is a life-threatening reaction to
antipsychotics, especially first-generation agents like haloperidol, causing fever,
rigidity, autonomic instability, and altered consciousness. It requires immediate
discontinuation of the drug and supportive care.
5. Which side effect of antipsychotic medication is characterized by involuntary,
repetitive movements of the face and tongue?
A) Tardive dyskinesia
B) Akathisia
C) Dystonia
D) Parkinsonism
Correct Answer: A) Tardive dyskinesia
Rationale: Tardive dyskinesia involves involuntary, repetitive movements, often
of the face, tongue, and extremities, and may be irreversible. It is monitored
with the AIMS scale. Akathisia is restlessness, dystonia is muscle spasm, and
parkinsonism includes bradykinesia.
6. A nurse prepares a B-52 injection for acute agitation. Which medications are
included?
A) Benadryl, Ativan, Zyprexa
B) Benadryl, Haldol, Ativan
C) Benadryl, Valium, Haldol
D) Ativan, Benadryl, Geodon
Health (2026/2027) PDF | Nursing | Galen
1. A client with schizophrenia reports hearing voices that others do not hear.
Which symptom is the client experiencing?
A) Auditory hallucination
B) Delusion
C) Anhedonia
D) Avolition
Correct Answer: A) Auditory hallucination
Rationale: Auditory hallucinations are sensory experiences without external
stimuli and are a positive symptom of schizophrenia. A delusion is a false fixed
belief, anhedonia is inability to feel pleasure, and avolition is lack of motivation.
Hallucinations require assessment for safety.
2. Which finding is a negative symptom of schizophrenia?
A) Auditory hallucination
B) Anhedonia
C) Delusion
D) Disorganized speech
Correct Answer: B) Anhedonia
,Rationale: Negative symptoms reflect absence of normal functions, including
anhedonia, flat affect, and avolition. Auditory hallucinations, delusions, and
disorganized speech are positive symptoms. Recognizing negative symptoms
guides treatment and functional expectations.
3. A client with schizophrenia uses the word “flurbo” to describe a personal
meaning. Which term should the nurse document?
A) Echolalia
B) Clang association
C) Neologism
D) Word salad
Correct Answer: C) Neologism
Rationale: A neologism is a word with meaning only to the client. Echolalia is
repeating words, clang association is rhyming, and word salad is jumbled words.
Neologisms reflect disorganized thinking and are common in schizophrenia.
4. A client taking haloperidol develops sudden high fever, muscle rigidity, and
confusion. Which condition should the nurse suspect?
A) Serotonin syndrome
B) Tardive dyskinesia
C) Acute dystonia
D) Neuroleptic malignant syndrome
Correct Answer: D) Neuroleptic malignant syndrome
, Rationale: Neuroleptic malignant syndrome is a life-threatening reaction to
antipsychotics, especially first-generation agents like haloperidol, causing fever,
rigidity, autonomic instability, and altered consciousness. It requires immediate
discontinuation of the drug and supportive care.
5. Which side effect of antipsychotic medication is characterized by involuntary,
repetitive movements of the face and tongue?
A) Tardive dyskinesia
B) Akathisia
C) Dystonia
D) Parkinsonism
Correct Answer: A) Tardive dyskinesia
Rationale: Tardive dyskinesia involves involuntary, repetitive movements, often
of the face, tongue, and extremities, and may be irreversible. It is monitored
with the AIMS scale. Akathisia is restlessness, dystonia is muscle spasm, and
parkinsonism includes bradykinesia.
6. A nurse prepares a B-52 injection for acute agitation. Which medications are
included?
A) Benadryl, Ativan, Zyprexa
B) Benadryl, Haldol, Ativan
C) Benadryl, Valium, Haldol
D) Ativan, Benadryl, Geodon
