NURS 450 Exam I 2026/2027 | Practice Questions, Answers and
Nursing Exam Review
A client is in need of a family-like environment with a high level of support. Which would be most
appropriate?
Therapeutic foster care
Board-and-care home
Personal care home
Supervised apartment - Correct answer✅✅ Therapeutic foster care
During milieu therapy, nurses offer positive feedback and praise for appropriate behaviors. These
actions are essential to which concept of milieu therapy?
Containment
Support
Validation
Structure - Correct answer✅✅ Support
Dorothea Dix's solution to gain humane treatment for the mentally ill population included what?
Community centers
Asylums
State hospitals
Locked wards - Correct answer✅✅ State hospitals
Who was the first to introduce the concept of interpersonal relations and the therapeutic relationship?
,Mary Nutting
Florence Nightingale
Hildegard Peplau
Linda Richards - Correct answer✅✅ Hildegard Peplau
The application of psychiatric mental health nursing theory to promote holistic client care in the
therapeutic relationship is grounded in the work of which historical figure?
Benner
Peplau
Freud
Dix - Correct answer✅✅ Peplau
One of the primary reforms accomplished by Dorothea Lynde Dix was the ...
establishment of "commitment" laws in state legislatures.
establishment or enlargement of state hospitals.
use of music to treat mentally ill clients.
use of exercise therapy to treat mentally ill clients. - Correct answer✅✅ establishment or enlargement
of state hospitals
A client is referred to a psychosocial rehabilitation program. When explaining this type of care to the
client, what would the nurse emphasize?
Intensive treatment that prepares the client to live in the community
Services that promote the client's reintegration into the community
Detoxification services for alcohol and drugs in an outpatient setting
Frequent monitoring within a therapeutic milieu for relapse prevention - Correct answer✅✅ Services
that promote the client's reintegration into the community
, When describing the various neurotransmitters, which would a nurse identify as the primary cholinergic
neurotransmitter?
dopamine
acetylcholine
norepinephrine
serotonin - Correct answer✅✅ acetylcholine
A nurse observes an older adult client who has been taking antipsychotic medications for 8 months. The
nurse sees the client's lips smacking and eyes blinking rapidly. The nurse also observes a protruding
tongue. Which action by the nurse would be most appropriate?
Ask whether the client has been experiencing side effects.
Contact the client's physician for a different medication order.
Document the client's symptoms of tardive dyskinesia.
Instruct the client to begin tapering the medication. - Correct answer✅✅ Document the client's
symptoms of tar dive dyskinesia
A hospitalized male client who has been taking an antipsychotic medication for 2 weeks begins pacing
and walking throughout the unit. He tells the nurse that he "cannot sit still." The nurse documents this
finding as:
akinesia
dystonia
pseudoparkinsonism
akathisia. - Correct answer✅✅ Akathisia
A nurse is planning an educational program for families with a mentally ill relative. Which goal is
consistent with the current objectives of family education?
Fewer hospital admissions
Nursing Exam Review
A client is in need of a family-like environment with a high level of support. Which would be most
appropriate?
Therapeutic foster care
Board-and-care home
Personal care home
Supervised apartment - Correct answer✅✅ Therapeutic foster care
During milieu therapy, nurses offer positive feedback and praise for appropriate behaviors. These
actions are essential to which concept of milieu therapy?
Containment
Support
Validation
Structure - Correct answer✅✅ Support
Dorothea Dix's solution to gain humane treatment for the mentally ill population included what?
Community centers
Asylums
State hospitals
Locked wards - Correct answer✅✅ State hospitals
Who was the first to introduce the concept of interpersonal relations and the therapeutic relationship?
,Mary Nutting
Florence Nightingale
Hildegard Peplau
Linda Richards - Correct answer✅✅ Hildegard Peplau
The application of psychiatric mental health nursing theory to promote holistic client care in the
therapeutic relationship is grounded in the work of which historical figure?
Benner
Peplau
Freud
Dix - Correct answer✅✅ Peplau
One of the primary reforms accomplished by Dorothea Lynde Dix was the ...
establishment of "commitment" laws in state legislatures.
establishment or enlargement of state hospitals.
use of music to treat mentally ill clients.
use of exercise therapy to treat mentally ill clients. - Correct answer✅✅ establishment or enlargement
of state hospitals
A client is referred to a psychosocial rehabilitation program. When explaining this type of care to the
client, what would the nurse emphasize?
Intensive treatment that prepares the client to live in the community
Services that promote the client's reintegration into the community
Detoxification services for alcohol and drugs in an outpatient setting
Frequent monitoring within a therapeutic milieu for relapse prevention - Correct answer✅✅ Services
that promote the client's reintegration into the community
, When describing the various neurotransmitters, which would a nurse identify as the primary cholinergic
neurotransmitter?
dopamine
acetylcholine
norepinephrine
serotonin - Correct answer✅✅ acetylcholine
A nurse observes an older adult client who has been taking antipsychotic medications for 8 months. The
nurse sees the client's lips smacking and eyes blinking rapidly. The nurse also observes a protruding
tongue. Which action by the nurse would be most appropriate?
Ask whether the client has been experiencing side effects.
Contact the client's physician for a different medication order.
Document the client's symptoms of tardive dyskinesia.
Instruct the client to begin tapering the medication. - Correct answer✅✅ Document the client's
symptoms of tar dive dyskinesia
A hospitalized male client who has been taking an antipsychotic medication for 2 weeks begins pacing
and walking throughout the unit. He tells the nurse that he "cannot sit still." The nurse documents this
finding as:
akinesia
dystonia
pseudoparkinsonism
akathisia. - Correct answer✅✅ Akathisia
A nurse is planning an educational program for families with a mentally ill relative. Which goal is
consistent with the current objectives of family education?
Fewer hospital admissions
