NURS 328 COMPREHENSIVE REVIEW
(EXAMS 1, 2 & FINAL) QUESTIONS AND
ANSWERS
1. A client is admitted to the psychiatric unit with a diagnosis of Schizophrenia. Which of the
following is considered a ‘negative symptom’ of this disorder?
A. Flat affect
B. Delusions of grandeur
C. Auditory hallucinations
D. Disorganized speech
Answer: A
Conceptual Explanation: Negative symptoms refer to a decrease or loss of normal
functions, such as flat affect, alogia, avolition, and anhedonia. Hallucinations and delusions
are positive symptoms.
2. A nurse is caring for a client taking Lithium Carbonate for Bipolar Disorder. Which serum
lithium level should the nurse recognize as being within the therapeutic range?
A. 0.2 mEq/L
B. 1.6 mEq/L
,C. 0.8 mEq/L
D. 2.5 mEq/L
Answer: C
Conceptual Explanation: The therapeutic range for lithium is generally 0.6 to 1.2 mEq/L
for maintenance. 1.6 mEq/L is considered toxic.
3. Which of the following foods should a client avoid while taking a Monoamine Oxidase
Inhibitor (MAOI)?
A. Fresh green beans
B. Cottage cheese
C. Apple juice
D. Aged cheddar cheese
Answer: D
Conceptual Explanation: MAOIs interact with tyramine-rich foods like aged cheeses,
cured meats, and fermented products, potentially causing a hypertensive crisis.
4. A nurse is assessing a client for Serotonin Syndrome. Which of the following symptoms is
characteristic of this condition?
A. Hyporeflexia and bradycardia
B. Weight gain and sedation
C. Hypotension and urinary retention
, D. Muscle rigidity, fever, and tachycardia
Answer: D
Conceptual Explanation: Serotonin syndrome presents with autonomic instability
(tachycardia, hyperthermia), neuromuscular hyperactivity (tremor, rigidity), and mental
status changes.
5. A client is experiencing an acute manic episode. What is the priority nursing intervention?
A. Encouraging group therapy participation
B. Providing a high-calorie, finger-food diet
C. Engaging the client in competitive games
D. Restricting all fluid intake
Answer: B
Conceptual Explanation: Clients in a manic state often cannot sit still to eat. High-calorie
finger foods help maintain nutrition while they are on the move.
6. The nurse recognizes which defense mechanism when a client who is angry at their boss
comes home and yells at their spouse?
A. Displacement
B. Projection
C. Sublimation
D. Rationalization
(EXAMS 1, 2 & FINAL) QUESTIONS AND
ANSWERS
1. A client is admitted to the psychiatric unit with a diagnosis of Schizophrenia. Which of the
following is considered a ‘negative symptom’ of this disorder?
A. Flat affect
B. Delusions of grandeur
C. Auditory hallucinations
D. Disorganized speech
Answer: A
Conceptual Explanation: Negative symptoms refer to a decrease or loss of normal
functions, such as flat affect, alogia, avolition, and anhedonia. Hallucinations and delusions
are positive symptoms.
2. A nurse is caring for a client taking Lithium Carbonate for Bipolar Disorder. Which serum
lithium level should the nurse recognize as being within the therapeutic range?
A. 0.2 mEq/L
B. 1.6 mEq/L
,C. 0.8 mEq/L
D. 2.5 mEq/L
Answer: C
Conceptual Explanation: The therapeutic range for lithium is generally 0.6 to 1.2 mEq/L
for maintenance. 1.6 mEq/L is considered toxic.
3. Which of the following foods should a client avoid while taking a Monoamine Oxidase
Inhibitor (MAOI)?
A. Fresh green beans
B. Cottage cheese
C. Apple juice
D. Aged cheddar cheese
Answer: D
Conceptual Explanation: MAOIs interact with tyramine-rich foods like aged cheeses,
cured meats, and fermented products, potentially causing a hypertensive crisis.
4. A nurse is assessing a client for Serotonin Syndrome. Which of the following symptoms is
characteristic of this condition?
A. Hyporeflexia and bradycardia
B. Weight gain and sedation
C. Hypotension and urinary retention
, D. Muscle rigidity, fever, and tachycardia
Answer: D
Conceptual Explanation: Serotonin syndrome presents with autonomic instability
(tachycardia, hyperthermia), neuromuscular hyperactivity (tremor, rigidity), and mental
status changes.
5. A client is experiencing an acute manic episode. What is the priority nursing intervention?
A. Encouraging group therapy participation
B. Providing a high-calorie, finger-food diet
C. Engaging the client in competitive games
D. Restricting all fluid intake
Answer: B
Conceptual Explanation: Clients in a manic state often cannot sit still to eat. High-calorie
finger foods help maintain nutrition while they are on the move.
6. The nurse recognizes which defense mechanism when a client who is angry at their boss
comes home and yells at their spouse?
A. Displacement
B. Projection
C. Sublimation
D. Rationalization
