NURS 441 PSYCH-MENTAL HEALTH
FINAL EXAM NEWEST ACTUAL EXAM
QUESTIONS AND STUDY GUIDE | A+
GRADE 2025
During the nurse's shift in the emergency department, a nurse
assess a client who is
A delusional client says to the nurse "I am the Easter bunny," and
insists that the nurse refer to them as such. The belief appears to
be fixed and unchanging. Which nursing interventions would the
nurse implement when working with this client?
-Consistently use the client's name in interactions.
-Smile at the humor of the situation.
-Agree that the client is the Easter bunny.
-Logically point out why the client could not be the Easter bunny.
-Provide an as-needed medication.
-Provide the client with structured activities. Correct Answer -
Consistently use the client's name in interactions.
-Provide the client with structured activities.
A nurse is caring for a client displaying extreme mood swings with
suicidal tendencies. A physician prescribes lithium and diagnoses
the client with bipolar disorder. When teaching the client, which
statements, verbalized by the client, indicate a good
understanding of the teaching of medication management?
-"I understand that there is a potential for addiction."
-"I need to watch for signs and symptoms of drug toxicity
including blurred vision and ringing ears."
-"I will adjust my medication depending upon my symptoms."
-"I will need to be on a low-tyramine diet."
,-"I will need to consistently monitor blood levels."
-"The therapeutic effect of the medication takes time to occur."
Correct Answer -"I need to watch for signs and symptoms of drug
toxicity including blurred vision and ringing ears."
-"I will need to consistently monitor blood levels."
-"The therapeutic effect of the medication takes time to occur."
A client is taaking medication to control schizophrenia asks the
nurse to explain the causes of the disorder. The nurse knows that
an overactive dopamine system in the rain is one of the leading
causes of schizophrenia and tells the client that excessive
dopamine activity is responsible for symptoms. Which symptoms
is the nurse referring to?
-Hallucinations
-Withdrawn behavior
-Grandiosity
-Delusional thinking
-Excessive tearfulness
-Hypotension Correct Answer -Hallucinations
-Grandiosity
-Delusional thinking
A client with a diagnosis of undifferentiated schizophrenia is
admitted to the inpatient unit after developing water intoxication.
Which nursing interventions are appropriate?
-Medicate the client at night.
-Provide gum for the client.
-Lock the unit's kitchen and bathroom.
-Weigh the client every day.
-Monitor the client's intake and output.
-Maintain a structured environment. Correct Answer -Provide gum
for the client.
-Weigh the client every day.
,-Monitor the client's intake and output.
-Maintain a structured environment.
A client is being seen in the clinic after returning from military
service abroad. The nurse documents restlessness at night with
nightmares leaving the veteran irritable and fatigued during the
day. When discussing the possibility of post traumatic stress
disorder (PTSD), which statements about PTSD are accurate?
-PTSD is a syndrome that affects only those who have
experienced traumatic episodes during war.
-PTSD is characterized by nightmares and flashbacks.
-Hypervigilance is characteristic of clients with PTSD.
-Substance abuse is a common coping mechanism used by
clients with PTSD.
-Psychotic episodes can occur in clients with PTSD.
-Clients with PTSD may complain of feeling empty inside. Correct
Answer -PTSD is characterized by nightmares and flashbacks.
-Hypervigilance is characteristic of clients with PTSD.
-Substance abuse is a common coping mechanism used by
clients with PTSD.
-Psychotic episodes can occur in clients with PTSD.
-Clients with PTSD may complain of feeling empty inside.
During the nurse's assessment of a client who has been
diagnosed with bulimia nervosa, the nurse evaluates certain
assessment findings that accompany binge eating. Which are
most applicable?
-Guilt
-Dental caries
-Self-induced vomiting
-Weight loss
-Normal weight
-Introverted behavior Correct Answer -Guilt
, -Dental caries
-Self-induced vomiting
-Normal weight
A nurse is working with a schizophrenic client who suddenly
begins experiencing auditory hallucinations. Which interactions
are appropriate at this time?
-Ask the client, "What are you experiencing right now?"
-Encourage the client to relate the history of the hallucinations.
-Tell the client, "I'd like to spend time with you to discuss your
hallucinations. Is that okay with you?"
-Ask the client if he/she has recently taken any drugs or alcohol.
-State, "Do you understand the side effects of your medication?"
-Question if the client is faking the symptoms for attention Correct
Answer -Ask the client, "What are you experiencing right now?"
-Encourage the client to relate the history of the hallucinations.
-Tell the client, "I'd like to spend time with you to discuss your
hallucinations. Is that okay with you?"
-Ask the client if he/she has recently taken any drugs or alcohol.
An 8 year old child, diagnosed with obsessive compulsive
disorder, is admitted by the nurse to a psychiatric facility. During
the admission assessment, which behaviors would be
characterized as compulsary?
-Checking and rechecking that the television is turned off before
going to school.
-Repeatedly washing the hands.
-Brushing teeth three times a day.
-Routinely climbing up and down a flight of stairs three times
before leaving the house.
-Feeding the dog the same meal every day.
FINAL EXAM NEWEST ACTUAL EXAM
QUESTIONS AND STUDY GUIDE | A+
GRADE 2025
During the nurse's shift in the emergency department, a nurse
assess a client who is
A delusional client says to the nurse "I am the Easter bunny," and
insists that the nurse refer to them as such. The belief appears to
be fixed and unchanging. Which nursing interventions would the
nurse implement when working with this client?
-Consistently use the client's name in interactions.
-Smile at the humor of the situation.
-Agree that the client is the Easter bunny.
-Logically point out why the client could not be the Easter bunny.
-Provide an as-needed medication.
-Provide the client with structured activities. Correct Answer -
Consistently use the client's name in interactions.
-Provide the client with structured activities.
A nurse is caring for a client displaying extreme mood swings with
suicidal tendencies. A physician prescribes lithium and diagnoses
the client with bipolar disorder. When teaching the client, which
statements, verbalized by the client, indicate a good
understanding of the teaching of medication management?
-"I understand that there is a potential for addiction."
-"I need to watch for signs and symptoms of drug toxicity
including blurred vision and ringing ears."
-"I will adjust my medication depending upon my symptoms."
-"I will need to be on a low-tyramine diet."
,-"I will need to consistently monitor blood levels."
-"The therapeutic effect of the medication takes time to occur."
Correct Answer -"I need to watch for signs and symptoms of drug
toxicity including blurred vision and ringing ears."
-"I will need to consistently monitor blood levels."
-"The therapeutic effect of the medication takes time to occur."
A client is taaking medication to control schizophrenia asks the
nurse to explain the causes of the disorder. The nurse knows that
an overactive dopamine system in the rain is one of the leading
causes of schizophrenia and tells the client that excessive
dopamine activity is responsible for symptoms. Which symptoms
is the nurse referring to?
-Hallucinations
-Withdrawn behavior
-Grandiosity
-Delusional thinking
-Excessive tearfulness
-Hypotension Correct Answer -Hallucinations
-Grandiosity
-Delusional thinking
A client with a diagnosis of undifferentiated schizophrenia is
admitted to the inpatient unit after developing water intoxication.
Which nursing interventions are appropriate?
-Medicate the client at night.
-Provide gum for the client.
-Lock the unit's kitchen and bathroom.
-Weigh the client every day.
-Monitor the client's intake and output.
-Maintain a structured environment. Correct Answer -Provide gum
for the client.
-Weigh the client every day.
,-Monitor the client's intake and output.
-Maintain a structured environment.
A client is being seen in the clinic after returning from military
service abroad. The nurse documents restlessness at night with
nightmares leaving the veteran irritable and fatigued during the
day. When discussing the possibility of post traumatic stress
disorder (PTSD), which statements about PTSD are accurate?
-PTSD is a syndrome that affects only those who have
experienced traumatic episodes during war.
-PTSD is characterized by nightmares and flashbacks.
-Hypervigilance is characteristic of clients with PTSD.
-Substance abuse is a common coping mechanism used by
clients with PTSD.
-Psychotic episodes can occur in clients with PTSD.
-Clients with PTSD may complain of feeling empty inside. Correct
Answer -PTSD is characterized by nightmares and flashbacks.
-Hypervigilance is characteristic of clients with PTSD.
-Substance abuse is a common coping mechanism used by
clients with PTSD.
-Psychotic episodes can occur in clients with PTSD.
-Clients with PTSD may complain of feeling empty inside.
During the nurse's assessment of a client who has been
diagnosed with bulimia nervosa, the nurse evaluates certain
assessment findings that accompany binge eating. Which are
most applicable?
-Guilt
-Dental caries
-Self-induced vomiting
-Weight loss
-Normal weight
-Introverted behavior Correct Answer -Guilt
, -Dental caries
-Self-induced vomiting
-Normal weight
A nurse is working with a schizophrenic client who suddenly
begins experiencing auditory hallucinations. Which interactions
are appropriate at this time?
-Ask the client, "What are you experiencing right now?"
-Encourage the client to relate the history of the hallucinations.
-Tell the client, "I'd like to spend time with you to discuss your
hallucinations. Is that okay with you?"
-Ask the client if he/she has recently taken any drugs or alcohol.
-State, "Do you understand the side effects of your medication?"
-Question if the client is faking the symptoms for attention Correct
Answer -Ask the client, "What are you experiencing right now?"
-Encourage the client to relate the history of the hallucinations.
-Tell the client, "I'd like to spend time with you to discuss your
hallucinations. Is that okay with you?"
-Ask the client if he/she has recently taken any drugs or alcohol.
An 8 year old child, diagnosed with obsessive compulsive
disorder, is admitted by the nurse to a psychiatric facility. During
the admission assessment, which behaviors would be
characterized as compulsary?
-Checking and rechecking that the television is turned off before
going to school.
-Repeatedly washing the hands.
-Brushing teeth three times a day.
-Routinely climbing up and down a flight of stairs three times
before leaving the house.
-Feeding the dog the same meal every day.
