NR326 Mental Health Exam 1 Questions With Complete
Solutions
A nurse is caring for a client who has schizophrenia and exhibit
a lack of grooming and a flat affect. The nurse should expect a
prescription for which of the following medication?
A- Chlorpromazine
B- Thiothixine
C- Risperidone
D- Haloperidol
C
A nurse is caring for a client who takes the ziprasidone. The
client reports difficulty swallowing the oral medication and
becomes extremely agitated with injectable administration. The
nurse should contact the provider to discuss a change it to which
of the following medication? SATA
A- Olanzapine
B- Quetiapine
C- Aripiprazole
D- Clozapine
,E- Asenapine
A, C, D, E
A charge nurse is discussing manifestations of schizophrenia
with a newly licensed nurse. Which of the following
manifestations should the charge nurse identify as being
effectively treated by first generation antipsychotic? SATA
A- Auditory hallucinations
B- Withdrawal from social situations
C- Delusions of grandeur
D- Severe agitation
E- Anhedonia
A, C, D
A nurse is assessing a client who is currently taking
perphenazine. Which of the following findings should the nurse
identify as a EPS symptom? SATA
A- Decreased level of consciousness
B- Drooling
C- Involuntary are movement
,D-Urine retention
E- Continual pacing
B, C, E
A nurse is providing discharge teaching for a client who has
schizophrenia and a new prescription for I LOPERIDONE.
Which of the following client statements indicates
understanding of the teaching?
A- I will be able to stop taking this medication as soon as I feel
better
B- If I feel drowsy during the day I will stop taking this
medication apart call my provider
C- I will be careful not to gain too much weight while I'm taking
this medication
D- This medication is highly addictive and must be withdrawn
slowly
C
somatic symptom disorder
, A syndrome of multiple-somatic symptoms that cannot be
explained medically and associated with psychosocial distress in
a long-term seeking of assistance from healthcare professionals
-vague symptoms, dramatic
-poor insight into disorder
-Doctor shop- will find another dr until they get what they want
-chronic- manifests with anxiety/depression/SI
-Fluctuates- remission/exacerbations
-Drug abuse/dependence common
-stress increases symptoms
-dependent on meds-lorazepam
illness anxiety disorder
characterized by being consumed with thoughts about having or
developing a serious medical condition-fear of having serious
disease
-hypochondriac
-anxiety/depression/OCD common
-difficult to give up symptoms as it provides relief from anxiety
Functional Neurological Disorder
conversion disorder- so much psychological pain/stress that
body converts into paralysis/etc
-loss or change in body function that can't be medically
explained
-Can be resolved with psychiatric treatment- resolve stressors
-classic symptoms mimic Neuro disease
Solutions
A nurse is caring for a client who has schizophrenia and exhibit
a lack of grooming and a flat affect. The nurse should expect a
prescription for which of the following medication?
A- Chlorpromazine
B- Thiothixine
C- Risperidone
D- Haloperidol
C
A nurse is caring for a client who takes the ziprasidone. The
client reports difficulty swallowing the oral medication and
becomes extremely agitated with injectable administration. The
nurse should contact the provider to discuss a change it to which
of the following medication? SATA
A- Olanzapine
B- Quetiapine
C- Aripiprazole
D- Clozapine
,E- Asenapine
A, C, D, E
A charge nurse is discussing manifestations of schizophrenia
with a newly licensed nurse. Which of the following
manifestations should the charge nurse identify as being
effectively treated by first generation antipsychotic? SATA
A- Auditory hallucinations
B- Withdrawal from social situations
C- Delusions of grandeur
D- Severe agitation
E- Anhedonia
A, C, D
A nurse is assessing a client who is currently taking
perphenazine. Which of the following findings should the nurse
identify as a EPS symptom? SATA
A- Decreased level of consciousness
B- Drooling
C- Involuntary are movement
,D-Urine retention
E- Continual pacing
B, C, E
A nurse is providing discharge teaching for a client who has
schizophrenia and a new prescription for I LOPERIDONE.
Which of the following client statements indicates
understanding of the teaching?
A- I will be able to stop taking this medication as soon as I feel
better
B- If I feel drowsy during the day I will stop taking this
medication apart call my provider
C- I will be careful not to gain too much weight while I'm taking
this medication
D- This medication is highly addictive and must be withdrawn
slowly
C
somatic symptom disorder
, A syndrome of multiple-somatic symptoms that cannot be
explained medically and associated with psychosocial distress in
a long-term seeking of assistance from healthcare professionals
-vague symptoms, dramatic
-poor insight into disorder
-Doctor shop- will find another dr until they get what they want
-chronic- manifests with anxiety/depression/SI
-Fluctuates- remission/exacerbations
-Drug abuse/dependence common
-stress increases symptoms
-dependent on meds-lorazepam
illness anxiety disorder
characterized by being consumed with thoughts about having or
developing a serious medical condition-fear of having serious
disease
-hypochondriac
-anxiety/depression/OCD common
-difficult to give up symptoms as it provides relief from anxiety
Functional Neurological Disorder
conversion disorder- so much psychological pain/stress that
body converts into paralysis/etc
-loss or change in body function that can't be medically
explained
-Can be resolved with psychiatric treatment- resolve stressors
-classic symptoms mimic Neuro disease
