GNRS584/ GNRS 584 MH FINAL EXAM Questions and Answers (100% Correct) Latest Fall 2025/26.

Risk Factors Genes — parents may pass down some personality traits to their children. Sometimes these traits are called your temperament. Environment — This includes your surroundings, events that have happened to the client and around them, and relationships and patterns of interactions with family members and others. Medications 1. When a client reports that lithium causes an upset stomach, the nurse should make which suggestion is associated with taking the medication? A. With meals B. With an antacid C. 30 minutes before meals D. 2 hours after meals 2. A client, who has been prescribed clozapine 6 weeks ago, reports flulike symptoms including a fever and a very sore throat, the nurse should initiate which nursing intervention? A. Suggest that the client take something for the fever and get extra rest. B. Advise the physician that the client should be admitted to the hospital. C. Arrange for the client to have blood drawn for a white blood cell count. D. Consider recommending a change of antipsychotic medication. 3. Which medication is FDA approved for treatment of anxiety in children? A. Sertraline B. Fluoxetine C. Clomipramine D. Duloxetine 4. A client being treated for depression has taken sertraline daily for a year. The client calls the clinic nurse and says, “I stopped taking my antidepressant 2 days ago. Now I am having nausea, nervous feelings, and I can’t sleep.” The nurse will advise the client to: (takes 2 weeks to work) A. “Go to the nearest emergency department immediately.” B. “Do not to be alarmed. Take two aspirin and drink plenty of fluids.” C. “Take a dose of your antidepressant now and come to the clinic to see the health care provider.” D. “Resume taking your antidepressants for 2 more weeks and then discontinue them again.” 5. A nurse instructs a client taking a medication that inhibits the action of monoamine oxidase (MAO) to avoid certain foods and drugs because of the risk of what? A. hypotensive shock. B. hypertensive crisis. Intense vasocontrictive C. cardiac dysrhythmia. D. cardiogenic shock. 6. A client being treated with paroxetine 50 mg po daily reports to the clinic nurse, “I took a few extra tablets earlier today and now I feel bad.” Which assessments are most critical? (Select all that apply.) serotonin syndrome A. Vital signs B. Urinary frequency C. Psychomotor retardation D. Presence of abdominal pain and diarrhea E. Hyperactivity or feelings of restlessness 7. A client diagnosed with schizophrenia had an exacerbation related to medication non adherence and was hospitalized for 5 days. The client’s thoughts are now more organized, and discharge is planned. The client’s family says, “It’s too soon for discharge. We will just go through all this again.” What action should the nurse take? A. ask the case manager to arrange a transfer to a long-term care facility. B. notify hospital security to handle the disturbance and escort the family off the unit. C. explain that the client will continue to improve if the medication is taken regularly. D. contact the healthcare provider to meet with the family and explain the discharge rationale. 8. A health care provider prescribed long acting antipsychotic (LAI-2 weeks to one month) medication injections every 3 weeks at the clinic for a client with a history of medication nonadherence. For this plan to be successful, which factor will be of critical importance? A. The attitude of significant others toward the client B. Nutrition services in the client’s neighborhood C. The level of trust between the client and nurse D. The availability of transportation to the clinic 9. A client prescribed a monoamine oxidase inhibitor (MOA) has a pass to go out to lunch. Given a choice of the following entrees, what can the client safely eat? A. avocado salad plate. B. fruit and cottage cheese plate. C. kielbasa and sauerkraut. D. liver and onion sandwich. 10. What is the first-line drug used to treat mania? A. Lithium carbonate - Mood stabilizer B. Carbamazepine C. Lamotrigine D. Clonazepam 11. Benzodiazepines are useful for treating alcohol withdrawal because they are associated with which action? A. Blocking cortisol secretion B. Increasing dopamine release C. Decreasing serotonin availability D. Exerting a calming effect (benzos bind) 12. Cells that respond to stimuli, conduct electrical impulses, and release neurotransmitters are called A. neurons.(answer during lecture) B. synapses. C. dendrites. D. receptors. (sending rcv messages) 13. A client who has been prescribed an antipsychotic medication comes to the clinic 3 days after a scheduled visit and demonstrates evidence of restlessness and agitation. He states, “My medicine ran out, and I didn’t remember where to get more.” The client’s case manager should initially implement which intervention to support medication adherence? A. Arrange to have the client’s nursing care plan reflect the need for a medication change B. Arrange for the client to see his psychiatrist as soon as the psychiatrist has an open appointment. C. Arrange for the client to get to the nearest emergency department for treatment. D. Arrange for a dose of the client’s medication immediately. (immediate care) 14. The nurse administers a medication that potentiates the action of ã- aminobutyric acid (GABA). Which effect would be expected? A. Reduced anxiety (reduce nuero ecit+ calms them down) B. Improved memory C. More organized thinking D. Fewer sensory perceptual alterations 15. A nurse would anticipate that treatment for a client with memory difficulties might include medications designed to do what? A. inhibit GABA. B. prevent destruction of acetylcholine. (ACH-memory=ALZ) C. reduce serotonin metabolism. D. increase dopamine activity. 16. The therapeutic action of neurotransmitter inhibitors that block reuptake bring about what response? A. decreased concentration of the blocked neurotransmitter in the central nervous system. B. increased concentration of the blocked neurotransmitter in the synaptic gap. (reupatke) C. destruction of receptor sites specific to the blocked neurotransmitter. D. limbic system stimulation. 17. A client taking medication for mental illness develops restlessness and an uncontrollable need to be in motion. Which drug action causes these symptoms to develop? A. Anticholinergic effects -dry mouth /burred vision DRY DRY DRY B. Dopamine-blocking effects (movement) C. Endocrine-stimulating effects D. Ability to stimulate spinal nerves 18. A drug causes muscarinic receptor blockade. The nurse will assess the client for what side effect? A. dry mouth. (Anticholinergic) B. gynecomastia. C. pseudoparkinsonism. D. orthostatic hypotension. 19. A client begins therapy with a phenothiazine medication. What teaching should the nurse provide related to the drug’s strong dopaminergic effect? A. Chew sugarless gum. B. Increase dietary fiber. C. Arise slowly from bed. D. Report changes in muscle movement. (phenothiazine Block dopamine) 20. A nurse can anticipate anticholinergic effects are likely when a client is prescribed which medication? -FIND ANSWER - Tricyclic antidepressant A. lithium. B. buspirone. C. imipramine. D. risperidone. 21. Which instruction has priority when teaching a client about clozapine? A. “Avoid unprotected sex.” B. “Report sore throat and fever immediately.” C. “Reduce foods high in polyunsaturated fats.” D. “Use over-the-counter preparations for rashes.” 22. The nurse will order a special diet for the client who is prescribed which medication? **Generic names parenthesis. A. (carbamazepine)tegretol B. (haloperidol.) haloperidol C. (phenelzine.) Nardil MOAI D. (trazodone.) desyrel 23. A nurse instructs a client taking a drug that inhibits monoamine oxidase (MAO) to avoid certain foods and drugs because of the risk of A. cardiac dysrhythmia. B. hypotensive shock. C. hypertensive crisis. D. hypoglycemia. 24. A nurse caring for a client taking a selective serotonin reuptake inhibitors (SSRIs) will develop outcome criteria related to what? A. coherent thought processes. B. improvement in depression. C. reduced levels of motor activity. D. decreased extrapyramidal symptoms. 25. The laboratory report for a client taking clozapine shows a white blood cell count of 3000 mm3. What is the nurse’s best action? Know normal level of WBC. A. Report the results to the health care provider immediately. (infection) B. Administer the next dose as prescribed. C. Give aspirin and force fluids. D. Repeat the laboratory test. 26. The nurse sh,ould be most alert for problems associated with fluid and electrolyte imbalance when a client is prescribed which medication? A. lithium. (salt- retains fluid) B. clozapine. C. fluoxetine. D. venlafaxine. 27. Consider these medications: carbamazepine, lamotrigine, gabapentin. Which medication below also belongs to this group? -all Mood stabilizers A. Galantamine B. Valproate C. Buspirone D. Tacrine 28. A nurse prepares to administer a second-generation antipsychotic medication to a client diagnosed with schizophrenia. Additional monitoring for adverse effects will be most important if the client has which co-morbid health problems? (Select all that apply.) A. Parkinson’s disease B. Grave’s disease C. Hyperlipidemia D. Osteoarthritis E. Diabetes 29. A child diagnosed with attention deficit hyperactivity disorder (ADHD) will begin medication therapy. The nurse should prepare a plan to teach the family about which classification of medications? A. CNS stimulants B. Tricyclic antidepressants C. Antipsychotics D. Anxiolytics 30. A nurse prepares to administer a scheduled intramuscular (IM) injection of an antipsychotic medication to an out-patient diagnosed with schizophrenia. As the nurse swabs the site, the client shouts, “Stop! I don’t want to take that medicine anymore. I hate the side effects.” What is the nurse’s best action? A. Assemble other staff for a show of force and proceed with the injection, using restraint if necessary. B. Stop the medication administration procedure and say to the client, “Tell me more about the side effects you’ve been having.” C. Proceed with the injection but explain to the client that there are medications that will help reduce the unpleasant side effects. D. Say to the client, “Since I’ve already drawn the medication in the syringe, I’m required to give it, but let’s talk to the doctor about delaying next month’s dose.” 31. An older adult is prescribed digoxin and hydrochlorothiazide daily as well as lorazepam as needed for anxiety. Over 2 days, the client developed confusion, slurred speech, an unsteady gait, and fluctuating levels of orientation. What is the most likely reason for the client’s change in mental status? A. Drug actions and interactions B. Benzodiazepine withdrawal C. Hypotensive episodes D. Renal failure 32. What action should the nurse take on learning that a manic client’s serum lithium level is 1.8 mEq/L? A. Withhold medication and notify the physician. B. Continue to administer medication as ordered. C. Advise the client to limit fluids for 12 hours. D. Advise the client to curtail salt intake for 24 hours. Questions from Class: 1. A nurse is discussing the three clusters of personality disorders. Which of the following personality disorders is part of cluster C? 2. A nurse is educating a newly licensed nurse about comorbidities associated with cluster B personality disorders. The nurse should identify which of the following disorders as a comorbidity of histrionic personality disorder? 3. A nurse is caring for a client who has obsessive compulsive disorder. Which of the following core morbidities should the nurse anticipate when reviewing the client's medical record? 4. A nurse is teaching a group of newly licensed nurses about personality disorders which of the following information should be included 5. A nurse is reviewing the documentation for a newly admitted client and notes the following client verbalizes the use of coping mechanisms when experiencing stress. Which of the following can the nurse expect when interacting with this client? 6. A nurse on a mental health unit caring for a client who refuses to follow instructions and states that the unit rules do not apply to them. The nurse should identify that these findings are manifestations of which of the following personality disorders? 7. A nurse is in an emergency department and is assessing a client who has a personality disorder and reports that they recently used illicit drugs. Which of the following screening tools should the nurse use to determine if the client has recently use an illicit drug? 8. A nurse is caring for a client who screams “I can read your mind!”. The nurse should identify this finding as manifestations of which of the following personality disorders. 9. A nurse is caring for a client who states “I have no interest in sexual activity or finding a partner,” the nurse should identify that the state statement is consistent with which of the following personality disorders? 10. A nurse is caring for a client who is unable to make any decisions for themselves and needs constant reassurance. The nurse should identify that these are manifestations of which of the following personality disorders? 11. A nurse is assessing a client who has paranoid personality disorder, which of the following findings should the nurse expect? 12. A nurse is planning care for several clients. The nurse knows that which of the following findings are common in clients who have dependent personality disorder? 13. A nurse is caring for a client who has avoidant personality disorder. Which of the following types of therapy should the nurse anticipate for the client? 14. A nurse is teaching the family of a client who has a diagnosis of borderline personality disorder about the disorder. Which of the following information should be the nurse’s priority? 15. A nurse is caring for a client who has borderline personality disorder. Which of the following defense mechanisms is commonly used by clients who have this disorder and has the potential to create division among the healthcare team? 16. A nurse in a mental health unit is caring for a client who has a new diagnosis a borderline personality disorder. The client states “I will just see my regular doctor at my annual check up after I am discharged” which of the following responses should the nurse make? 17. A nurse is planning care for a client who has been brought to the inpatient mental health unit by law-enforcement officers, after becoming aggressive at a local bar. The nurse should identify that this finding is consistent with which of the following disorders? 18. A nurse is providing discharge teaching to a client who has borderline personality disorder. The client reports being a single parent caring for two toddlers. Which of the following actions should the nurse take? 19. A nurse is discussing borderline personality disorder and the risk for self harm with a newly licensed nurse. Which of the following situations should the nurse identify as the highest risk for self harm?