NURS 256 MENTAL HEALTH EXAM 3 LATEST
2024-2025 COMPLETE EXAM 50 QUESTIONS
AND CORRECT DETAILED ANSWER ALREADY
GRADED A+
1st gen vs 2nd gen - CORRECT ANSWER: 1st gen - more likely to show side effects
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? a. Vital signs
b. Urinary frequency
c. Psychomotor retardation
d. Presence of abdominal pain and diarrhea
e. Hyperactivity or feelings of restlessness - CORRECT ANSWER: Serotonin syndrome
must be considered. Symptoms include abdominal pain, diarrhea, tachycardia, elevated
blood pressure, hyperpyrexia, increased motor activity, and muscle spasms. Serotonin
syndrome may progress to a full medical emergency if not treated early. The client may
have urinary retention, not frequency
A, D, E
(FLU LIKE SYMPTOMS)
A client checks and rechecks electrical cords related to an obsessive thought that the
house may burn down. The nurse and client explore the likelihood of an actual fire. The
client states this event is not likely. This counseling demonstrates what appropriate
principle of therapy?
a. flooding. b. desensitization. c. relaxation technique. d. cognitive restructuring -
CORRECT ANSWER: d.
, A client diagnosed with depression confidently tells the nurse, "I've been supplementing
my prescribed antidepressant with St. John's wort. It has helped a great deal." What is
the nurse's priority action?
a. Assess changes in the client's level of depression.
b. Remind the client to use a secondary form of birth control.
c. Educate the client about the risks of selective serotonin syndrome.
d. Suggest adding valerian to the treatment regimen to further improve results -
CORRECT ANSWER: C.
A client diagnosed with schizophrenia begins to talks about "macnabs" hiding in the
warehouse at work. The client's use of "macnabs" should be documented using what
term?
a. neologism. b. concrete thinking. c. thought insertion. d. an idea of reference. -
CORRECT ANSWER: A
A client diagnosed with schizophrenia says, "Contagious bacteria are everywhere.
When they get in your body, you will be locked up with other infected people." Which
problem is evident?
a. Loose Associations
b. Concrete thinking
c. Neologisms
d. Paranoia - CORRECT ANSWER: D
A client diagnosed with schizophrenia says, "It's beat. Time to eat. No room for the cat."
What type of verbalization is evident?
a. Neologism
b. Word Salad
c. Thought broadcasting
d. Associative looseness - CORRECT ANSWER: D
2024-2025 COMPLETE EXAM 50 QUESTIONS
AND CORRECT DETAILED ANSWER ALREADY
GRADED A+
1st gen vs 2nd gen - CORRECT ANSWER: 1st gen - more likely to show side effects
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? a. Vital signs
b. Urinary frequency
c. Psychomotor retardation
d. Presence of abdominal pain and diarrhea
e. Hyperactivity or feelings of restlessness - CORRECT ANSWER: Serotonin syndrome
must be considered. Symptoms include abdominal pain, diarrhea, tachycardia, elevated
blood pressure, hyperpyrexia, increased motor activity, and muscle spasms. Serotonin
syndrome may progress to a full medical emergency if not treated early. The client may
have urinary retention, not frequency
A, D, E
(FLU LIKE SYMPTOMS)
A client checks and rechecks electrical cords related to an obsessive thought that the
house may burn down. The nurse and client explore the likelihood of an actual fire. The
client states this event is not likely. This counseling demonstrates what appropriate
principle of therapy?
a. flooding. b. desensitization. c. relaxation technique. d. cognitive restructuring -
CORRECT ANSWER: d.
, A client diagnosed with depression confidently tells the nurse, "I've been supplementing
my prescribed antidepressant with St. John's wort. It has helped a great deal." What is
the nurse's priority action?
a. Assess changes in the client's level of depression.
b. Remind the client to use a secondary form of birth control.
c. Educate the client about the risks of selective serotonin syndrome.
d. Suggest adding valerian to the treatment regimen to further improve results -
CORRECT ANSWER: C.
A client diagnosed with schizophrenia begins to talks about "macnabs" hiding in the
warehouse at work. The client's use of "macnabs" should be documented using what
term?
a. neologism. b. concrete thinking. c. thought insertion. d. an idea of reference. -
CORRECT ANSWER: A
A client diagnosed with schizophrenia says, "Contagious bacteria are everywhere.
When they get in your body, you will be locked up with other infected people." Which
problem is evident?
a. Loose Associations
b. Concrete thinking
c. Neologisms
d. Paranoia - CORRECT ANSWER: D
A client diagnosed with schizophrenia says, "It's beat. Time to eat. No room for the cat."
What type of verbalization is evident?
a. Neologism
b. Word Salad
c. Thought broadcasting
d. Associative looseness - CORRECT ANSWER: D
