NR 326 Mental Health Questions with
Detailed Answers & Rationales | Verified &
Graded A+ | Latest Edition
2026/2027 Frequently Most Tested Questions and
100% Accurate From Past papers | Graded A+ ,
Reviewed and Updated | 100% Guarantee Pass |
Latest Exam and Newest Version!!!
A client with schizophrenia on risperidone reports excessive salivation and drooling.
Which action is most appropriate?
a. Discontinue the medication immediately.
b. Administer a prescribed anticholinergic (e.g., benztropine).
,c. Encourage gargling with cold water.
d. Reassure the client it will resolve in a few days.
✔️ Correct Answer: B
Rationale:
Extrapyramidal side effects like drooling (pseudoparkinsonism) can be managed with
anticholinergic medications such as benztropine. These medications block the
cholinergic effects that contribute to EPS symptoms. Discontinuing the medication
abruptly (Option A) could lead to relapse. Cold water gargling (Option C) and
reassurance (Option D) do not address the underlying pathophysiology.
A client with bipolar disorder in the manic phase is hyperverbal and pacing. The
nurse's priority is to:
a. Offer large group therapy.
b. Request transfer to a quieter unit.
c. Provide a structured, low-stimulation environment.
d. Encourage spontaneous interaction with others.
✔️ Correct Answer: C
Rationale:
Decreasing stimulation helps reduce escalation and supports emotional regulation in
acute mania. Large group therapy (Option A) would overstimulate the client.
Requesting transfer (Option B) may be necessary but is not the initial intervention.
Encouraging spontaneous interaction (Option D) would worsen hyperactivity.
A client with major depressive disorder starting sertraline asks how long until
improvement. The nurse responds:
a. "You should feel better in 24 hours."
b. "It usually takes 1 to 4 weeks."
c. "You'll feel improvement after 6 months."
d. "If no effect in 3 days, stop it."
,✔️ Correct Answer: B
Rationale:
SSRIs often require several weeks to achieve full therapeutic effect due to the time
needed for neurotransmitter receptor adaptations. Option A is unrealistic. Option C
overstates the timeline. Option D is unsafe; antidepressants should not be stopped
abruptly.
A client with generalized anxiety disorder complains of muscle tension and
headaches. The nurse can teach:
a. Progressive muscle relaxation.
b. Avoid any physical activity.
c. Use stimulants to feel alert.
d. Ruminate on worries to reduce tension.
✔️ Correct Answer: A
Rationale:
Relaxation techniques are effective nonpharmacologic tools to reduce somatic anxiety
symptoms. Progressive muscle relaxation involves tensing and relaxing muscle groups
to reduce tension. Avoiding activity (Option B) increases isolation. Stimulants (Option
C) worsen anxiety. Rumination (Option D) increases tension.
A client admitted for alcohol withdrawal shows tremors, sweating, and tachycardia 12
hours after last drink. The nurse's best action is:
a. Administer lorazepam per protocol.
b. Provide orange juice only.
c. Encourage heavy physical activity.
d. Ignore because it is mild.
✔️ Correct Answer: A
Rationale:
Benzodiazepines are standard in managing alcohol withdrawal to prevent progression
, to seizures and delirium tremens. Orange juice (Option B) does not address
withdrawal. Heavy physical activity (Option C) may increase agitation. Ignoring
symptoms (Option D) is unsafe.
A client with borderline personality disorder threatens self-harm when frustrated.
Which response is most therapeutic?
a. "If you harm yourself, you'll be punished."
b. "I'll stay with you until the urge passes."
c. Ignore the statements to avoid reinforcement.
d. Leave the room to teach independence.
✔️ Correct Answer: B
Rationale:
Providing safety and support during crisis without judgment is therapeutic. Option A
is punitive. Option C ignores a safety concern. Option D abandons the client during
crisis.
A client with PTSD avoids leaving home for fear of triggers. Which goal is realistic?
a. Immediately attend large public events.
b. Begin with a short, supported outing.
c. Avoid all exposure forever.
d. Force exposure to fears abruptly.
✔️ Correct Answer: B
Rationale:
Gradual exposure in a safe context is therapeutic and sustainable. Immediate
attendance at large events (Option A) would overwhelm the client. Avoidance forever
(Option C) reinforces the fear. Forced exposure abruptly (Option D) can cause
retraumatization.
Detailed Answers & Rationales | Verified &
Graded A+ | Latest Edition
2026/2027 Frequently Most Tested Questions and
100% Accurate From Past papers | Graded A+ ,
Reviewed and Updated | 100% Guarantee Pass |
Latest Exam and Newest Version!!!
A client with schizophrenia on risperidone reports excessive salivation and drooling.
Which action is most appropriate?
a. Discontinue the medication immediately.
b. Administer a prescribed anticholinergic (e.g., benztropine).
,c. Encourage gargling with cold water.
d. Reassure the client it will resolve in a few days.
✔️ Correct Answer: B
Rationale:
Extrapyramidal side effects like drooling (pseudoparkinsonism) can be managed with
anticholinergic medications such as benztropine. These medications block the
cholinergic effects that contribute to EPS symptoms. Discontinuing the medication
abruptly (Option A) could lead to relapse. Cold water gargling (Option C) and
reassurance (Option D) do not address the underlying pathophysiology.
A client with bipolar disorder in the manic phase is hyperverbal and pacing. The
nurse's priority is to:
a. Offer large group therapy.
b. Request transfer to a quieter unit.
c. Provide a structured, low-stimulation environment.
d. Encourage spontaneous interaction with others.
✔️ Correct Answer: C
Rationale:
Decreasing stimulation helps reduce escalation and supports emotional regulation in
acute mania. Large group therapy (Option A) would overstimulate the client.
Requesting transfer (Option B) may be necessary but is not the initial intervention.
Encouraging spontaneous interaction (Option D) would worsen hyperactivity.
A client with major depressive disorder starting sertraline asks how long until
improvement. The nurse responds:
a. "You should feel better in 24 hours."
b. "It usually takes 1 to 4 weeks."
c. "You'll feel improvement after 6 months."
d. "If no effect in 3 days, stop it."
,✔️ Correct Answer: B
Rationale:
SSRIs often require several weeks to achieve full therapeutic effect due to the time
needed for neurotransmitter receptor adaptations. Option A is unrealistic. Option C
overstates the timeline. Option D is unsafe; antidepressants should not be stopped
abruptly.
A client with generalized anxiety disorder complains of muscle tension and
headaches. The nurse can teach:
a. Progressive muscle relaxation.
b. Avoid any physical activity.
c. Use stimulants to feel alert.
d. Ruminate on worries to reduce tension.
✔️ Correct Answer: A
Rationale:
Relaxation techniques are effective nonpharmacologic tools to reduce somatic anxiety
symptoms. Progressive muscle relaxation involves tensing and relaxing muscle groups
to reduce tension. Avoiding activity (Option B) increases isolation. Stimulants (Option
C) worsen anxiety. Rumination (Option D) increases tension.
A client admitted for alcohol withdrawal shows tremors, sweating, and tachycardia 12
hours after last drink. The nurse's best action is:
a. Administer lorazepam per protocol.
b. Provide orange juice only.
c. Encourage heavy physical activity.
d. Ignore because it is mild.
✔️ Correct Answer: A
Rationale:
Benzodiazepines are standard in managing alcohol withdrawal to prevent progression
, to seizures and delirium tremens. Orange juice (Option B) does not address
withdrawal. Heavy physical activity (Option C) may increase agitation. Ignoring
symptoms (Option D) is unsafe.
A client with borderline personality disorder threatens self-harm when frustrated.
Which response is most therapeutic?
a. "If you harm yourself, you'll be punished."
b. "I'll stay with you until the urge passes."
c. Ignore the statements to avoid reinforcement.
d. Leave the room to teach independence.
✔️ Correct Answer: B
Rationale:
Providing safety and support during crisis without judgment is therapeutic. Option A
is punitive. Option C ignores a safety concern. Option D abandons the client during
crisis.
A client with PTSD avoids leaving home for fear of triggers. Which goal is realistic?
a. Immediately attend large public events.
b. Begin with a short, supported outing.
c. Avoid all exposure forever.
d. Force exposure to fears abruptly.
✔️ Correct Answer: B
Rationale:
Gradual exposure in a safe context is therapeutic and sustainable. Immediate
attendance at large events (Option A) would overwhelm the client. Avoidance forever
(Option C) reinforces the fear. Forced exposure abruptly (Option D) can cause
retraumatization.
