WGU D449 (NURS 3122) Psychiatric &
Mental Health Nursing OA EXAM STUDY
GUIDE 2026/2027 COMPLETE QUESTIONS
WITH VERIFIED CORRECT ANSWERS ||
100% GUARANTEED PASS
<NEWEST VERSION>
1. Depression - ANSWER ✔ Signs/Symptoms, Actions to Take, Monitoring
2. Sertraline - ANSWER ✔ Starting Medication
3. Acute Stress Disorder - ANSWER ✔ Symptoms expected include
flashbacks.
4. Clonazepam - ANSWER ✔ Common side effect is drowsiness.
5. Schizophrenia - ANSWER ✔ Auditory hallucinations are a symptom.
6. Paliperidone - ANSWER ✔ Advantage is extended-release formulation for
fewer doses.
7. Narcan Administration - ANSWER ✔ Priority nursing action is to monitor
for withdrawal symptoms.
,8. Methamphetamines - ANSWER ✔ Long-term health complication includes
dental issues (e.g., 'meth mouth').
9. Alcohol Withdrawal - ANSWER ✔ Crucial intervention is to administer
vitamin B1 (thiamine).
10.Signs of Abuse - ANSWER ✔ Bald spots on head may suggest physical
abuse.
11.Interventions Following Rape - ANSWER ✔ Most important first step is to
assess for physical injuries.
12.Suspected Abuse Victim - ANSWER ✔ Priority action is to engage in
private conversation with the client.
13.EPS - ANSWER ✔ Sign includes tremors.
14.What are command hallucinations? - ANSWER ✔ Hallucinations that
instruct the client to perform actions, potentially harmful.
15.What is the difference between delusions and hallucinations? - ANSWER ✔
Delusions are fixed false beliefs, while hallucinations are false sensory
perceptions.
16.What is Neuroleptic Malignant Syndrome (NMS)? - ANSWER ✔ A life-
threatening condition characterized by high fever, muscle rigidity, and
unstable blood pressure.
,17.What are the positive symptoms of schizophrenia? - ANSWER ✔
Hallucinations and delusions.
18.What are extrapyramidal symptoms (EPS)? - ANSWER ✔ Drug-induced
symptoms such as dystonia, akathisia, and parkinsonism.
19.What medication is used as an antidote for EPS? - ANSWER ✔ Benztropine
(Cogentin).
20.priority diagnosis when someone presents with confusion,
paranoia/suspiciousness, etc.. - ANSWER ✔ Most concerning: risk of harm
to self or others
- Risk for injury
- Risk for violence with delusions, hallucinations, or paranoia
- Distorted thinking process
- Risk for suicide
21.What is benztropine used for in psych patients - ANSWER ✔
anticholinergic drug that is used to treat EPS
- Also helps with Parkinsons
22.Benztropine - ANSWER ✔ restores the balance between the dopamine and
acetylcholine in the parts of the brain that control the action of muscles. This
improves the movement side effects caused by antipsychotic medications
and Parkinson's disease
23.delirium tremens - ANSWER ✔ presents with increased vitals (tachycardia,
tachypnea, agitation, aggression, sweating, delirium, hallucinations,
hyperreflexia, seizures, fever, tremors, anxiety)
- Usually occurs within 48-72 hours during alcohol withdrawal
, 24.Interventions for delirium tremens - ANSWER ✔ Benzo's (oral route
preferred, IV route if severe); monitor cardiac and respiratory function,
Thiamine administration, magnesium, possibly restraints, seizure
precautions
- Phenobarb- deadly if taken with alcohol
25.Depression in Adolescence s/s - ANSWER ✔ INCREASED risk for
suicide/siucidal thoughts (s/s: depressed mood, anhedonia, wt loss or gain,
psychomotor retardation, insomnia, anergia, feelings of worthlessness or
guilt, difficulty concentrating)
- SUICIDE risk assessment
- ESPECIALLY after beginning antidepressants (SSRIs)
26.Depression in Adolescence Tx - ANSWER ✔ ECT, CBT (cognitive
behavioral therapy), antidepressants, individual and group therapy,
pharmacotherapy, vagus nerve stimulation, exercise
27.Depression in adolescence common manifestations and causes - ANSWER
✔ present with aggression, angry, outburst & vandalism, skipping class
- Causes: many things...loss of a family member, stressful life events,
breakups, loss of job, etc.
28.How to determine if interventions for depression were effective - ANSWER
✔ using assessment questionnaires?
- Increased mood, talking about the future, etc.
29.Major concerns with antisocial personality disorder - ANSWER ✔ Major
concerns: pt's don't show guilt or remorse, reckless disregard for safety of
self and others, lack of empathy or concern when others get hurt, take
advantage of other people
Mental Health Nursing OA EXAM STUDY
GUIDE 2026/2027 COMPLETE QUESTIONS
WITH VERIFIED CORRECT ANSWERS ||
100% GUARANTEED PASS
<NEWEST VERSION>
1. Depression - ANSWER ✔ Signs/Symptoms, Actions to Take, Monitoring
2. Sertraline - ANSWER ✔ Starting Medication
3. Acute Stress Disorder - ANSWER ✔ Symptoms expected include
flashbacks.
4. Clonazepam - ANSWER ✔ Common side effect is drowsiness.
5. Schizophrenia - ANSWER ✔ Auditory hallucinations are a symptom.
6. Paliperidone - ANSWER ✔ Advantage is extended-release formulation for
fewer doses.
7. Narcan Administration - ANSWER ✔ Priority nursing action is to monitor
for withdrawal symptoms.
,8. Methamphetamines - ANSWER ✔ Long-term health complication includes
dental issues (e.g., 'meth mouth').
9. Alcohol Withdrawal - ANSWER ✔ Crucial intervention is to administer
vitamin B1 (thiamine).
10.Signs of Abuse - ANSWER ✔ Bald spots on head may suggest physical
abuse.
11.Interventions Following Rape - ANSWER ✔ Most important first step is to
assess for physical injuries.
12.Suspected Abuse Victim - ANSWER ✔ Priority action is to engage in
private conversation with the client.
13.EPS - ANSWER ✔ Sign includes tremors.
14.What are command hallucinations? - ANSWER ✔ Hallucinations that
instruct the client to perform actions, potentially harmful.
15.What is the difference between delusions and hallucinations? - ANSWER ✔
Delusions are fixed false beliefs, while hallucinations are false sensory
perceptions.
16.What is Neuroleptic Malignant Syndrome (NMS)? - ANSWER ✔ A life-
threatening condition characterized by high fever, muscle rigidity, and
unstable blood pressure.
,17.What are the positive symptoms of schizophrenia? - ANSWER ✔
Hallucinations and delusions.
18.What are extrapyramidal symptoms (EPS)? - ANSWER ✔ Drug-induced
symptoms such as dystonia, akathisia, and parkinsonism.
19.What medication is used as an antidote for EPS? - ANSWER ✔ Benztropine
(Cogentin).
20.priority diagnosis when someone presents with confusion,
paranoia/suspiciousness, etc.. - ANSWER ✔ Most concerning: risk of harm
to self or others
- Risk for injury
- Risk for violence with delusions, hallucinations, or paranoia
- Distorted thinking process
- Risk for suicide
21.What is benztropine used for in psych patients - ANSWER ✔
anticholinergic drug that is used to treat EPS
- Also helps with Parkinsons
22.Benztropine - ANSWER ✔ restores the balance between the dopamine and
acetylcholine in the parts of the brain that control the action of muscles. This
improves the movement side effects caused by antipsychotic medications
and Parkinson's disease
23.delirium tremens - ANSWER ✔ presents with increased vitals (tachycardia,
tachypnea, agitation, aggression, sweating, delirium, hallucinations,
hyperreflexia, seizures, fever, tremors, anxiety)
- Usually occurs within 48-72 hours during alcohol withdrawal
, 24.Interventions for delirium tremens - ANSWER ✔ Benzo's (oral route
preferred, IV route if severe); monitor cardiac and respiratory function,
Thiamine administration, magnesium, possibly restraints, seizure
precautions
- Phenobarb- deadly if taken with alcohol
25.Depression in Adolescence s/s - ANSWER ✔ INCREASED risk for
suicide/siucidal thoughts (s/s: depressed mood, anhedonia, wt loss or gain,
psychomotor retardation, insomnia, anergia, feelings of worthlessness or
guilt, difficulty concentrating)
- SUICIDE risk assessment
- ESPECIALLY after beginning antidepressants (SSRIs)
26.Depression in Adolescence Tx - ANSWER ✔ ECT, CBT (cognitive
behavioral therapy), antidepressants, individual and group therapy,
pharmacotherapy, vagus nerve stimulation, exercise
27.Depression in adolescence common manifestations and causes - ANSWER
✔ present with aggression, angry, outburst & vandalism, skipping class
- Causes: many things...loss of a family member, stressful life events,
breakups, loss of job, etc.
28.How to determine if interventions for depression were effective - ANSWER
✔ using assessment questionnaires?
- Increased mood, talking about the future, etc.
29.Major concerns with antisocial personality disorder - ANSWER ✔ Major
concerns: pt's don't show guilt or remorse, reckless disregard for safety of
self and others, lack of empathy or concern when others get hurt, take
advantage of other people
