ECPI UNIVERSITY
NUR234 Mental Health Nursing
NUR 234 LATETS FINAL EXAM 2025/2026 FALL-WINTER
QUARTER MENTAL HEALTH ECPI UNIVERSITY GRADED
A+
A patient is being discharged on disulfiram (Antabuse). The patient should receive which of the
following instructions related to the use of Antabuse?
Read products labels carefully to avoid all products containing alcohol
Which of the following types of antipsychotic medications is most likely to produce EPS effects?
first-generation antipsychotic drugs
the nurse notices the client with a shuffling gait walking in the hall. which of the following would not
be included as a symptom of drug-induced parkinsonism?
tachycardia
A week after beginning therapy with thiothixene, the client demonstrates muscle rigidity, a
temperature of 103°F, an elevated serum creatinine phosphokinase level, stupor, and incontinence.
The nurse should notify the physician because these symptoms are indicative of:
NMS
a nurse has been assigned a newly admitted client. The clients report notes that the client is
demonstrating grandiosity. Which client statement is most consistent with this symptom?
"I'm the world's most astute financier."
a client with schizophrenia has returned to the clinic because of an increase in symptoms. the client
reports he has stopped taking his medication because he did not like the side effects. The nurse
educates the client about managing uncomfortable side effects. Which of the following is included in
the teaching plan? Select all that apply.
A) Suck on hard candy as desired
B) Spend at least 30 minutes outside in the sun daily
C) Use stool softeners as needed
D) Decrease the amount of daily fluid intake
E) Maintain a balanced calorie-controlled diet
,ECPI UNIVERSITY
NUR234 Mental Health Nursing
A) Suck on hard candy as desired
C) Use stool softeners as needed
E) Maintain a balanced calorie-controlled diet
A client who has schizophrenia is having a conversation with the nurse and suddenly stops talking in
the middle of a sentence.
thought blocking
A client says, "Facebook has a new tracking capacity. If i use the internet, Homeland Security will
detain me as a terrorist." Select the nurses best initial reaction.
"You are in a safe place where you will be helped"
A client is seen in the clinic with clinical manifestations of an inability to sit still and a rigid posture. As
the nurse performs the assessment, which of these side effects would be correctly identified?
Akathisia
A client has been assigned an admission diagnosis of brief psychotic disorder. Which assessment
information would alert the nurse to question the diagnosis?
The client has experienced auditory hallucinations for the past 3 hours.
A client diagnosed with schizophrenia spectrum disorder is prescribed clozapine (Clozaril). Which
client symptoms, related to the side effects of this medication, should prompt a nurse to intervene
immediately?
Sore throat, fever, and malaise
A client is talking to staff members individually and attempting to manipulate them. Which of the
following are important in the limit-setting technique to deal with manipulative behavior? Select all
that apply.
- Stating the behavioral limit
- Identifying the consequences if the limit is exceeded
- Identifying the expected or desired behavior
, ECPI UNIVERSITY
NUR234 Mental Health Nursing
One month ago, a patient diagnosed with borderline personality disorder and a history of self-
mutilation began dialectical behavior therapy. Today the patient phones to say, "I feel empty and
want to hurt myself." The nurse should
a. arrange for emergency inpatient hospitalization.
b. send the patient to the crisis intervention unit for 8 to 12 hours.
c. assist the patient to choose coping strategies for triggering situations.
d. advise the patient to take an antianxiety medication to decrease the anxiety level.
c. assist the patient to choose coping strategies for triggering situations.
when a young client is disruptive, the nurse responds, "you must take a time-out." what is the
expectation of a client during a time-out?
to sit in a designated place until able to regain self-control & review the episode
what are the primary distinguishing factors between the behavior of persons diagnosed with ODD and
those with CD? The person diagnosed with [SATA]
a. CD uses stereotypical or repetitive language
b. ODD has difficulty separating from loved ones
c. ODD tests limits & disobeys authority figures
d. ODD relives traumatic events by acting them out
e. CD often violates the rights of others
c. ODD tests limits & disobeys authority figures
e. CD often violates the rights of others
the nurse understands that when working with a child with a disruptive behavior disorder, the family
must be included in the care. What is the best way?
teach the parents age-appropriate expectations of the child
The nurse is using limit setting with a child diagnosed with conduct disorder. Which statement reflects
the most effective way for the nurse to set limits with the child?
A) "That is not allowed here. You will lose a privilege. You need to stop."
B) "Stop what you are doing. Go to your room."
C) "I would appreciate if you would not do that."
D) "Why do you do these things?"
A) "That is not allowed here. You will lose a privilege. You need to stop."
NUR234 Mental Health Nursing
NUR 234 LATETS FINAL EXAM 2025/2026 FALL-WINTER
QUARTER MENTAL HEALTH ECPI UNIVERSITY GRADED
A+
A patient is being discharged on disulfiram (Antabuse). The patient should receive which of the
following instructions related to the use of Antabuse?
Read products labels carefully to avoid all products containing alcohol
Which of the following types of antipsychotic medications is most likely to produce EPS effects?
first-generation antipsychotic drugs
the nurse notices the client with a shuffling gait walking in the hall. which of the following would not
be included as a symptom of drug-induced parkinsonism?
tachycardia
A week after beginning therapy with thiothixene, the client demonstrates muscle rigidity, a
temperature of 103°F, an elevated serum creatinine phosphokinase level, stupor, and incontinence.
The nurse should notify the physician because these symptoms are indicative of:
NMS
a nurse has been assigned a newly admitted client. The clients report notes that the client is
demonstrating grandiosity. Which client statement is most consistent with this symptom?
"I'm the world's most astute financier."
a client with schizophrenia has returned to the clinic because of an increase in symptoms. the client
reports he has stopped taking his medication because he did not like the side effects. The nurse
educates the client about managing uncomfortable side effects. Which of the following is included in
the teaching plan? Select all that apply.
A) Suck on hard candy as desired
B) Spend at least 30 minutes outside in the sun daily
C) Use stool softeners as needed
D) Decrease the amount of daily fluid intake
E) Maintain a balanced calorie-controlled diet
,ECPI UNIVERSITY
NUR234 Mental Health Nursing
A) Suck on hard candy as desired
C) Use stool softeners as needed
E) Maintain a balanced calorie-controlled diet
A client who has schizophrenia is having a conversation with the nurse and suddenly stops talking in
the middle of a sentence.
thought blocking
A client says, "Facebook has a new tracking capacity. If i use the internet, Homeland Security will
detain me as a terrorist." Select the nurses best initial reaction.
"You are in a safe place where you will be helped"
A client is seen in the clinic with clinical manifestations of an inability to sit still and a rigid posture. As
the nurse performs the assessment, which of these side effects would be correctly identified?
Akathisia
A client has been assigned an admission diagnosis of brief psychotic disorder. Which assessment
information would alert the nurse to question the diagnosis?
The client has experienced auditory hallucinations for the past 3 hours.
A client diagnosed with schizophrenia spectrum disorder is prescribed clozapine (Clozaril). Which
client symptoms, related to the side effects of this medication, should prompt a nurse to intervene
immediately?
Sore throat, fever, and malaise
A client is talking to staff members individually and attempting to manipulate them. Which of the
following are important in the limit-setting technique to deal with manipulative behavior? Select all
that apply.
- Stating the behavioral limit
- Identifying the consequences if the limit is exceeded
- Identifying the expected or desired behavior
, ECPI UNIVERSITY
NUR234 Mental Health Nursing
One month ago, a patient diagnosed with borderline personality disorder and a history of self-
mutilation began dialectical behavior therapy. Today the patient phones to say, "I feel empty and
want to hurt myself." The nurse should
a. arrange for emergency inpatient hospitalization.
b. send the patient to the crisis intervention unit for 8 to 12 hours.
c. assist the patient to choose coping strategies for triggering situations.
d. advise the patient to take an antianxiety medication to decrease the anxiety level.
c. assist the patient to choose coping strategies for triggering situations.
when a young client is disruptive, the nurse responds, "you must take a time-out." what is the
expectation of a client during a time-out?
to sit in a designated place until able to regain self-control & review the episode
what are the primary distinguishing factors between the behavior of persons diagnosed with ODD and
those with CD? The person diagnosed with [SATA]
a. CD uses stereotypical or repetitive language
b. ODD has difficulty separating from loved ones
c. ODD tests limits & disobeys authority figures
d. ODD relives traumatic events by acting them out
e. CD often violates the rights of others
c. ODD tests limits & disobeys authority figures
e. CD often violates the rights of others
the nurse understands that when working with a child with a disruptive behavior disorder, the family
must be included in the care. What is the best way?
teach the parents age-appropriate expectations of the child
The nurse is using limit setting with a child diagnosed with conduct disorder. Which statement reflects
the most effective way for the nurse to set limits with the child?
A) "That is not allowed here. You will lose a privilege. You need to stop."
B) "Stop what you are doing. Go to your room."
C) "I would appreciate if you would not do that."
D) "Why do you do these things?"
A) "That is not allowed here. You will lose a privilege. You need to stop."
