NUR2459 MENTAL AND BEHAVIORAL HEALTH
NURSING FINAL 2026 MASTER REVISION
NOTES AND PRACTICE SET
◉ A widow of 23 years has not removed any of her husband's
possessions, including the slippers by their bed. Which pathological
grief response is exhibited by this client?
A. Inhibited grief response
B. Prolonged grief response
C. Delayed grief response
D. Distorted grief response Answer: B. Prolonged grief response
◉ Assessing a client with occasional feelings of sadness because of
the recent death of a pet, appetite sleep pattern & daily routine has
not changed... Answer: No functional impairment
◉ At what point should the nurse determine the client is at risk for
developing mental illness? Answer: When maladaptive responses to
stress are coupled with interference in daily functioning.
◉ During an intake assessment, the nurses asks physiological and
psychosocial questions. Client angrily responds, "I'm here for my
heart, not my head problems." What is the nurse's best response?
,Answer: Psychological factors such as excessive stress have been
found to affect medical conditions.
◉ When under stress, client routinely uses alcohol to destress.
Which statement exhibits denial? Answer: Client says to husband, "I
don't drink too much."
◉ A depressed client states, "I have a chemical imbalance in my
brain I have no control over my actions. Medications are my only
hope." What is the nurse's best response? Answer: Medications only
address biological factors, environment and interpersonal factors
must be addressed too.
◉ An instructor is teaching nursing student about
neurotransmitters. Which term best explains the process of how
neurotransmitters released in the synaptic cleft may return to the
presynaptic neuron? Answer: Reuptake
◉ Restless, agitated client is manifesting fight-or-flight, associated
with which neurotransmitter? Answer: Norepinephrine
◉ Client diagnosed with MDD asks, "what part of my brain controls
my emotions?" What is the nurse's best response? Answer: The
limbic system is responsible for one's emotional state.
,◉ Increased dopamine activity may play a significant role in
developing which mental disorder? Answer: Schizophrenia--too
much dopamine
Antipsychotics: block dopamine receptor sites
Parkinson's--not enough dopamine, if you give too many
antipsychotics to pt with schizophrenia: parkinsonian's syndrome
◉ Client admitted with catatonic schizophrenia. Which
neurotransmitter should the nurse expect to be elevated? Answer:
Dopamine
◉ Symptoms associated with development of increased levels of
TSH... Answer: Depression, hypothyroidism
Decreased TSH: anxiety, hyperthyroidism.
◉ Without authorization, nurse administers extra dose of narcotic
tranquilizer to agitated patient, coworker sees but takes no action...
Answer: Taking no action is still considered an unethical action by
the coworker.
◉ Group therapy is strongly encouraged but not mandatory in
inpatient psych unit. Unit manager's policy preserves what ethical
principle? Answer: Autonomy
, ◉ Which potential client should the nurse identify as a candidate for
involuntary commitment? Answer: Client threatening to commit
suicide
(takes 2 physicians for involuntary commitment; only condition for
involuntary commitment is danger to self or others)
◉ Client is dx with schizophrenia & refuses to take medications,
citing right of autonomy. When can nurse give the patient
medications involuntarily? Answer: Client physically attacks another
client (danger to others)
◉ Psych nurse working on inpatient unit receives a call asking if a
person has been a patient in the facility. What is the appropriate
nursing response? Answer: Nurse refuses to give information to the
caller, citing confidentiality.
◉ Client requests info on medications, nurse should provide info to
facilitate which ethical principle? Answer: Autonomy (the person's
right to information)
◉ Diagnosed with schizophrenia receives Fluphenazine deaconate
(Prolix-traditional antipsychotic, injectable: good for a month) from
a community home health nurse. The client refused meds on a
regular home visit. What is the nurse's appropriate response?
Answer: Allow client to refuse the medication and document it.
NURSING FINAL 2026 MASTER REVISION
NOTES AND PRACTICE SET
◉ A widow of 23 years has not removed any of her husband's
possessions, including the slippers by their bed. Which pathological
grief response is exhibited by this client?
A. Inhibited grief response
B. Prolonged grief response
C. Delayed grief response
D. Distorted grief response Answer: B. Prolonged grief response
◉ Assessing a client with occasional feelings of sadness because of
the recent death of a pet, appetite sleep pattern & daily routine has
not changed... Answer: No functional impairment
◉ At what point should the nurse determine the client is at risk for
developing mental illness? Answer: When maladaptive responses to
stress are coupled with interference in daily functioning.
◉ During an intake assessment, the nurses asks physiological and
psychosocial questions. Client angrily responds, "I'm here for my
heart, not my head problems." What is the nurse's best response?
,Answer: Psychological factors such as excessive stress have been
found to affect medical conditions.
◉ When under stress, client routinely uses alcohol to destress.
Which statement exhibits denial? Answer: Client says to husband, "I
don't drink too much."
◉ A depressed client states, "I have a chemical imbalance in my
brain I have no control over my actions. Medications are my only
hope." What is the nurse's best response? Answer: Medications only
address biological factors, environment and interpersonal factors
must be addressed too.
◉ An instructor is teaching nursing student about
neurotransmitters. Which term best explains the process of how
neurotransmitters released in the synaptic cleft may return to the
presynaptic neuron? Answer: Reuptake
◉ Restless, agitated client is manifesting fight-or-flight, associated
with which neurotransmitter? Answer: Norepinephrine
◉ Client diagnosed with MDD asks, "what part of my brain controls
my emotions?" What is the nurse's best response? Answer: The
limbic system is responsible for one's emotional state.
,◉ Increased dopamine activity may play a significant role in
developing which mental disorder? Answer: Schizophrenia--too
much dopamine
Antipsychotics: block dopamine receptor sites
Parkinson's--not enough dopamine, if you give too many
antipsychotics to pt with schizophrenia: parkinsonian's syndrome
◉ Client admitted with catatonic schizophrenia. Which
neurotransmitter should the nurse expect to be elevated? Answer:
Dopamine
◉ Symptoms associated with development of increased levels of
TSH... Answer: Depression, hypothyroidism
Decreased TSH: anxiety, hyperthyroidism.
◉ Without authorization, nurse administers extra dose of narcotic
tranquilizer to agitated patient, coworker sees but takes no action...
Answer: Taking no action is still considered an unethical action by
the coworker.
◉ Group therapy is strongly encouraged but not mandatory in
inpatient psych unit. Unit manager's policy preserves what ethical
principle? Answer: Autonomy
, ◉ Which potential client should the nurse identify as a candidate for
involuntary commitment? Answer: Client threatening to commit
suicide
(takes 2 physicians for involuntary commitment; only condition for
involuntary commitment is danger to self or others)
◉ Client is dx with schizophrenia & refuses to take medications,
citing right of autonomy. When can nurse give the patient
medications involuntarily? Answer: Client physically attacks another
client (danger to others)
◉ Psych nurse working on inpatient unit receives a call asking if a
person has been a patient in the facility. What is the appropriate
nursing response? Answer: Nurse refuses to give information to the
caller, citing confidentiality.
◉ Client requests info on medications, nurse should provide info to
facilitate which ethical principle? Answer: Autonomy (the person's
right to information)
◉ Diagnosed with schizophrenia receives Fluphenazine deaconate
(Prolix-traditional antipsychotic, injectable: good for a month) from
a community home health nurse. The client refused meds on a
regular home visit. What is the nurse's appropriate response?
Answer: Allow client to refuse the medication and document it.
