H360: Final Exam Study Guide Questions with Verified
Answers 2025 Update
1. Describe the differences between conversion disorder and illness anxiety
disorder and what would you assess? --CORRECT ANSWER>>
CONVERSION DISORDER – neurologic sx not seen in other neuro disease
- Acute onset associated with stress
- Deficits in involuntary motor/sensory functions
- Sx: paralysis, blindness, numbness, and hearing loss
ILLNESS ANXIETY DISORDER – fear of having serious illness despite few or no
sx and consistently negative evals
- High anxiety about health, care-seeking
2. An agitated patient is hallucinating. What nursing interventions would be
appropriate? --CORRECT ANSWER>>
- Safety – remove pt from stimulating environment
- Distraction – distract pt from their hallucinations
- Reassurance – respond calmly and ensure they know you don’t see or
hear what they do
3. When a client with substance abuse continues to relapse, what might be an
appropriate approach to treatment? --CORRECT ANSWER>>
- Increase personal therapy like halfway houses, partial hospitalization,
and relapse prevention
4. How would you assess coping skills? What would someone with marginal coping
skills look like? --CORRECT ANSWER>>
- Assess coping skills by asking how they handled stress in the past
- MARGINAL COPING SKILLS – limited coping skills mainly by
chemical-dependent pts
o Go to hospital when they need more than basic coping skills to
live
o Pts are maladaptive and rely on substances
5. Describe the difference between transference and counter-transference? --
CORRECT ANSWER>> TRANSFERANCE – pts transfer to analyst who is
linked with other relationships like love/hate for a parent
- EX: pt views nurse as being similar to mom
COUNTER-TRANSFERANCE – therapist experiences emotions d/t pt’s
transference
- EX: pt reminds nurse of their mom
, H360: Final Exam Study Guide Questions with Verified
Answers 2025 Update
6. When stimulated, describe the different responses in the sympathetic and
parasympathetic nervous systems? --CORRECT ANSWER>>
SYM – fight or flight
PARASYM – rest and digest
7. What would you include in patient teaching regarding SSRIs? --CORRECT
ANSWER>>
- Don’t stop abruptly
- No alcohol
- 2-4 weeks to start working
- Increased risk for suicide for first 2-4 weeks
8. Describe the difference between delirium and dementia and what you would
assess for in both? --CORRECT ANSWER>> What are the causes of
delirium? --CORRECT ANSWER>>
DELERIUM – sudden onset and fluctuating LOC, caused by medical conditions
or toxicity (UTIs, meds), reversible with proper tx
- 4 cardinal signs –
1. Sudden onset and fluctuating LOC
2. Reduced ability to direct, focus, shift, and sustain attention
3. Disorganized thinking
4. Disruption of consciousness
DEMENTIA – slowly, progressive, caused by Alzheimer's, vascular disease, HIV,
neurological, head trauma, and excessive alcohol use, irreversible
- Aphasia, apraxia, agnosia, agraphia, confabulation, perseveration, and
sundowning
9. When dealing with patients with a serious mental illness, how would you assess
family support/understanding and what teaching would you provide to the
families? --CORRECT ANSWER>>
- Assess perception of illness and level of support
- Teach about illness and recover bc understanding illness enhances
coping, tx adherence, and QOL
10. What are the stages of Alzheimer’s Disease and what symptoms would you
assess for to determine the stage? --CORRECT ANSWER>>
MILD – memory lapse, difficulties with recent memory, apathy, depression,
unable to remember words, short-term memory loss
MODERATE – forgetting own hx, difficulty performing tasks, wandering, visual-
spatial and language deficits, psychotic features, unexpected behaviors
SEVERE – ADL help, incontinence, difficulty with physical abilities like gait,
speaking, and swallowing
11. What are the characteristics of the three different personality clusters (A, B&C)? --
CORRECT ANSWER>>
Answers 2025 Update
1. Describe the differences between conversion disorder and illness anxiety
disorder and what would you assess? --CORRECT ANSWER>>
CONVERSION DISORDER – neurologic sx not seen in other neuro disease
- Acute onset associated with stress
- Deficits in involuntary motor/sensory functions
- Sx: paralysis, blindness, numbness, and hearing loss
ILLNESS ANXIETY DISORDER – fear of having serious illness despite few or no
sx and consistently negative evals
- High anxiety about health, care-seeking
2. An agitated patient is hallucinating. What nursing interventions would be
appropriate? --CORRECT ANSWER>>
- Safety – remove pt from stimulating environment
- Distraction – distract pt from their hallucinations
- Reassurance – respond calmly and ensure they know you don’t see or
hear what they do
3. When a client with substance abuse continues to relapse, what might be an
appropriate approach to treatment? --CORRECT ANSWER>>
- Increase personal therapy like halfway houses, partial hospitalization,
and relapse prevention
4. How would you assess coping skills? What would someone with marginal coping
skills look like? --CORRECT ANSWER>>
- Assess coping skills by asking how they handled stress in the past
- MARGINAL COPING SKILLS – limited coping skills mainly by
chemical-dependent pts
o Go to hospital when they need more than basic coping skills to
live
o Pts are maladaptive and rely on substances
5. Describe the difference between transference and counter-transference? --
CORRECT ANSWER>> TRANSFERANCE – pts transfer to analyst who is
linked with other relationships like love/hate for a parent
- EX: pt views nurse as being similar to mom
COUNTER-TRANSFERANCE – therapist experiences emotions d/t pt’s
transference
- EX: pt reminds nurse of their mom
, H360: Final Exam Study Guide Questions with Verified
Answers 2025 Update
6. When stimulated, describe the different responses in the sympathetic and
parasympathetic nervous systems? --CORRECT ANSWER>>
SYM – fight or flight
PARASYM – rest and digest
7. What would you include in patient teaching regarding SSRIs? --CORRECT
ANSWER>>
- Don’t stop abruptly
- No alcohol
- 2-4 weeks to start working
- Increased risk for suicide for first 2-4 weeks
8. Describe the difference between delirium and dementia and what you would
assess for in both? --CORRECT ANSWER>> What are the causes of
delirium? --CORRECT ANSWER>>
DELERIUM – sudden onset and fluctuating LOC, caused by medical conditions
or toxicity (UTIs, meds), reversible with proper tx
- 4 cardinal signs –
1. Sudden onset and fluctuating LOC
2. Reduced ability to direct, focus, shift, and sustain attention
3. Disorganized thinking
4. Disruption of consciousness
DEMENTIA – slowly, progressive, caused by Alzheimer's, vascular disease, HIV,
neurological, head trauma, and excessive alcohol use, irreversible
- Aphasia, apraxia, agnosia, agraphia, confabulation, perseveration, and
sundowning
9. When dealing with patients with a serious mental illness, how would you assess
family support/understanding and what teaching would you provide to the
families? --CORRECT ANSWER>>
- Assess perception of illness and level of support
- Teach about illness and recover bc understanding illness enhances
coping, tx adherence, and QOL
10. What are the stages of Alzheimer’s Disease and what symptoms would you
assess for to determine the stage? --CORRECT ANSWER>>
MILD – memory lapse, difficulties with recent memory, apathy, depression,
unable to remember words, short-term memory loss
MODERATE – forgetting own hx, difficulty performing tasks, wandering, visual-
spatial and language deficits, psychotic features, unexpected behaviors
SEVERE – ADL help, incontinence, difficulty with physical abilities like gait,
speaking, and swallowing
11. What are the characteristics of the three different personality clusters (A, B&C)? --
CORRECT ANSWER>>
