Mental Health Nursing Exam (NUR 224 Exam 6) 2026 |Galen College
1. A patient with schizophrenia states, ‘The government is tracking my thoughts
through my dental fillings.’ This is an example of which type of delusion?
A. Delusion of grandeur
B. Erotomanic delusion
C. Somatic delusion
D. Delusion of persecution
Answer: D
Rationale: Persecutory delusions involve the belief that one is being singled out for harm,
spied on, or harassed by others or groups.
2. A nurse is assessing a client for negative symptoms of schizophrenia. Which of
the following should the nurse expect to observe?
A. Avolition
B. Auditory hallucinations
C. Disorganized speech
D. Agitation
Answer: A
Rationale: Negative symptoms represent a loss or absence of normal functions, such as
avolition (lack of motivation), alogia, and flat affect.
,3. A client is prescribed Clozapine for treatment-resistant schizophrenia. Which
laboratory test must the nurse monitor closely?
A. Liver function tests
B. White blood cell count (WBC)
C. Serum creatinine
D. Thyroid stimulating hormone
Answer: B
Rationale: Clozapine carries a risk of agranulocytosis, necessitating regular monitoring of
the absolute neutrophil count and WBC count.
4. Which side effect of typical antipsychotics is characterized by a shuffling gait,
mask-like facial expression, and tremors?
A. Akathisia
B. Tardive dyskinesia
C. Pseudoparkinsonism
D. Acute dystonia
Answer: C
Rationale: Pseudoparkinsonism presents with symptoms similar to Parkinson’s disease
due to dopamine blockade in the extrapyramidal tract.
5. A nurse is caring for a client with Borderline Personality Disorder. The client
tells the day nurse she is ‘wonderful’ but calls the night nurse ‘evil.’ This
behavior is known as:
A. Projection
B. Idealization
C. Regression
D. Splitting
Answer: D
, Rationale: Splitting is a defense mechanism common in Borderline Personality Disorder
where individuals view things or people as all good or all bad.
6. Which personality disorder is characterized by a persistent pattern of
disregard for and violation of the rights of others, often starting in childhood?
A. Antisocial Personality Disorder
B. Narcissistic Personality Disorder
C. Histrionic Personality Disorder
D. Avoidant Personality Disorder
Answer: A
Rationale: Antisocial personality disorder involves lack of empathy, deceitfulness, and
disregard for laws and the rights of others.
7. A client is admitted for alcohol withdrawal. Which of the following
medications is commonly used to prevent seizures during detoxification?
A. Chlordiazepoxide
B. Disulfiram
C. Naltrexone
D. Methadone
Answer: A
Rationale: Benzodiazepines like Chlordiazepoxide or Lorazepam are first-line treatments
to manage withdrawal symptoms and prevent seizures.
8. A patient is brought to the ED with pinpoint pupils, respiratory depression,
and extreme drowsiness. Which substance overdose is suspected?
A. Cocaine
B. Amphetamines
C. Opioids
D. LSD
Answer: C
1. A patient with schizophrenia states, ‘The government is tracking my thoughts
through my dental fillings.’ This is an example of which type of delusion?
A. Delusion of grandeur
B. Erotomanic delusion
C. Somatic delusion
D. Delusion of persecution
Answer: D
Rationale: Persecutory delusions involve the belief that one is being singled out for harm,
spied on, or harassed by others or groups.
2. A nurse is assessing a client for negative symptoms of schizophrenia. Which of
the following should the nurse expect to observe?
A. Avolition
B. Auditory hallucinations
C. Disorganized speech
D. Agitation
Answer: A
Rationale: Negative symptoms represent a loss or absence of normal functions, such as
avolition (lack of motivation), alogia, and flat affect.
,3. A client is prescribed Clozapine for treatment-resistant schizophrenia. Which
laboratory test must the nurse monitor closely?
A. Liver function tests
B. White blood cell count (WBC)
C. Serum creatinine
D. Thyroid stimulating hormone
Answer: B
Rationale: Clozapine carries a risk of agranulocytosis, necessitating regular monitoring of
the absolute neutrophil count and WBC count.
4. Which side effect of typical antipsychotics is characterized by a shuffling gait,
mask-like facial expression, and tremors?
A. Akathisia
B. Tardive dyskinesia
C. Pseudoparkinsonism
D. Acute dystonia
Answer: C
Rationale: Pseudoparkinsonism presents with symptoms similar to Parkinson’s disease
due to dopamine blockade in the extrapyramidal tract.
5. A nurse is caring for a client with Borderline Personality Disorder. The client
tells the day nurse she is ‘wonderful’ but calls the night nurse ‘evil.’ This
behavior is known as:
A. Projection
B. Idealization
C. Regression
D. Splitting
Answer: D
, Rationale: Splitting is a defense mechanism common in Borderline Personality Disorder
where individuals view things or people as all good or all bad.
6. Which personality disorder is characterized by a persistent pattern of
disregard for and violation of the rights of others, often starting in childhood?
A. Antisocial Personality Disorder
B. Narcissistic Personality Disorder
C. Histrionic Personality Disorder
D. Avoidant Personality Disorder
Answer: A
Rationale: Antisocial personality disorder involves lack of empathy, deceitfulness, and
disregard for laws and the rights of others.
7. A client is admitted for alcohol withdrawal. Which of the following
medications is commonly used to prevent seizures during detoxification?
A. Chlordiazepoxide
B. Disulfiram
C. Naltrexone
D. Methadone
Answer: A
Rationale: Benzodiazepines like Chlordiazepoxide or Lorazepam are first-line treatments
to manage withdrawal symptoms and prevent seizures.
8. A patient is brought to the ED with pinpoint pupils, respiratory depression,
and extreme drowsiness. Which substance overdose is suspected?
A. Cocaine
B. Amphetamines
C. Opioids
D. LSD
Answer: C
