NUR 253 EXAM 4: MENTAL HEALTH
COMPREHENSIVE QUESTIONS &
VERIFIED ANSWERS (A+ GUARANTEE) |
GALEN COLLEGE OF NURSING
1. A nurse is assessing a client who is experiencing alcohol withdrawal. Which of the following
findings should the nurse expect?
A. Bradycardia and hypotension
B. Increased appetite and lethargy
C. Pinpoint pupils and somnolence
D. Hand tremors and diaphoresis
Answer: D
Conceptual Explanation: Alcohol withdrawal symptoms typically include autonomic
hyperactivity such as tremors, tachycardia, diaphoresis, and hypertension, often occurring
within 6 to 8 hours after the last drink.
2. A client is diagnosed with Alzheimer’s disease and is prescribed Donepezil. Which of the
following side effects should the nurse monitor for?
A. Tachycardia
,B. Bradycardia
C. Hypertension
D. Constipation
Answer: B
Conceptual Explanation: Donepezil is a cholinesterase inhibitor that increases
acetylcholine, which can lead to bradycardia and syncope. Other common side effects
include diarrhea and nausea.
3. A nurse is caring for an adolescent client with Anorexia Nervosa. Which laboratory finding
is most critical to report to the provider during refeeding?
A. Potassium level of 3.6 mEq/L
B. Hemoglobin level of 11.5 g/dL
C. Phosphorus level of 2.0 mg/dL
D. BUN level of 18 mg/dL
Answer: C
Conceptual Explanation: Hypophosphatemia is a hallmark sign of refeeding syndrome, a
potentially fatal complication where rapid nutritional replacement causes sudden shifts in
electrolytes.
, 4. A client with Borderline Personality Disorder is observed being overly friendly with one
nurse while criticizing another. This behavior is known as:
A. Idealization
B. Rationalization
C. Projection
D. Splitting
Answer: D
Conceptual Explanation: Splitting is a defense mechanism common in BPD where the
individual views others as all good or all bad, unable to integrate positive and negative
qualities.
5. Which of the following medications is considered a first-line treatment for the
maintenance of alcohol abstinence by reducing cravings?
A. Naloxone
B. Chlordiazepoxide
C. Naltrexone
D. Methadone
Answer: C
COMPREHENSIVE QUESTIONS &
VERIFIED ANSWERS (A+ GUARANTEE) |
GALEN COLLEGE OF NURSING
1. A nurse is assessing a client who is experiencing alcohol withdrawal. Which of the following
findings should the nurse expect?
A. Bradycardia and hypotension
B. Increased appetite and lethargy
C. Pinpoint pupils and somnolence
D. Hand tremors and diaphoresis
Answer: D
Conceptual Explanation: Alcohol withdrawal symptoms typically include autonomic
hyperactivity such as tremors, tachycardia, diaphoresis, and hypertension, often occurring
within 6 to 8 hours after the last drink.
2. A client is diagnosed with Alzheimer’s disease and is prescribed Donepezil. Which of the
following side effects should the nurse monitor for?
A. Tachycardia
,B. Bradycardia
C. Hypertension
D. Constipation
Answer: B
Conceptual Explanation: Donepezil is a cholinesterase inhibitor that increases
acetylcholine, which can lead to bradycardia and syncope. Other common side effects
include diarrhea and nausea.
3. A nurse is caring for an adolescent client with Anorexia Nervosa. Which laboratory finding
is most critical to report to the provider during refeeding?
A. Potassium level of 3.6 mEq/L
B. Hemoglobin level of 11.5 g/dL
C. Phosphorus level of 2.0 mg/dL
D. BUN level of 18 mg/dL
Answer: C
Conceptual Explanation: Hypophosphatemia is a hallmark sign of refeeding syndrome, a
potentially fatal complication where rapid nutritional replacement causes sudden shifts in
electrolytes.
, 4. A client with Borderline Personality Disorder is observed being overly friendly with one
nurse while criticizing another. This behavior is known as:
A. Idealization
B. Rationalization
C. Projection
D. Splitting
Answer: D
Conceptual Explanation: Splitting is a defense mechanism common in BPD where the
individual views others as all good or all bad, unable to integrate positive and negative
qualities.
5. Which of the following medications is considered a first-line treatment for the
maintenance of alcohol abstinence by reducing cravings?
A. Naloxone
B. Chlordiazepoxide
C. Naltrexone
D. Methadone
Answer: C
