,NUR 256 Final Exam Concepts of Mental Health Nursing Questions
And Answers 2026/2027 Galen College
Q1. Which finding is most characteristic of alcohol withdrawal?
A) Bradycardia and hypothermia
B) Tremors, anxiety, and autonomic hyperactivity
C) Pinpoint pupils and respiratory depression
D) Euphoria and decreased anxiety
Correct Answer: B) Tremors, anxiety, and autonomic hyperactivity
Rationale: Alcohol withdrawal commonly produces autonomic hyperactivity,
tremors, anxiety, agitation, sweating, and potentially severe complications
such as seizures or delirium tremens.
Q2. A client with opioid intoxication is most likely to demonstrate
which finding?
A) Dilated pupils and severe agitation
B) Hypertension and hyperreflexia
C) Respiratory depression and pinpoint pupils
D) Excessive energy and pressured speech
Correct Answer: C) Respiratory depression and pinpoint pupils
Rationale: Opioid intoxication commonly causes central nervous system
depression, respiratory depression, and miosis.
Q3. Which medication is used to reverse opioid-induced respiratory
depression?
A) Naloxone
B) Disulfiram
C) Acamprosate
D) Naltrexone
Correct Answer: A) Naloxone
Rationale: Naloxone is an opioid antagonist that rapidly reverses opioid
effects, particularly respiratory depression.
Q4. Which assessment finding requires the highest priority in a
client experiencing alcohol withdrawal?
A) Mild nausea
B) Insomnia
C) Fine hand tremors
D) Seizure activity
, Correct Answer: D) Seizure activity
Rationale: Alcohol-withdrawal seizures can be life-threatening and require
immediate intervention to protect the airway and prevent injury.
Q5. A client taking disulfiram should be taught to avoid which
product?
A) Foods containing calcium
B) Products containing alcohol
C) Foods containing potassium
D) Caffeine-free beverages
Correct Answer: B) Products containing alcohol
Rationale: Disulfiram causes an unpleasant reaction when alcohol is
consumed, including flushing, headache, nausea, vomiting, and
cardiovascular effects.
Q6. Which finding is most concerning in a client withdrawing from
alcohol?
A) Mild headache
B) Decreased appetite
C) Disorientation with severe agitation and hallucinations
D) Increased sleep
Correct Answer: C) Disorientation with severe agitation and hallucinations
Rationale: Severe confusion, agitation, hallucinations, and autonomic
instability can indicate delirium tremens, a medical emergency.
Q7. Which assessment finding is most consistent with opioid
withdrawal rather than opioid intoxication?
A) Diarrhea, yawning, and muscle aches
B) Respiratory depression
C) Pinpoint pupils
D) Decreased level of consciousness
Correct Answer: A) Diarrhea, yawning, and muscle aches
Rationale: Opioid withdrawal commonly causes gastrointestinal upset,
lacrimation, rhinorrhea, yawning, muscle aches, restlessness, and autonomic
symptoms.
Q8. A client with alcohol use disorder is admitted for withdrawal
management. Which intervention is most appropriate?
And Answers 2026/2027 Galen College
Q1. Which finding is most characteristic of alcohol withdrawal?
A) Bradycardia and hypothermia
B) Tremors, anxiety, and autonomic hyperactivity
C) Pinpoint pupils and respiratory depression
D) Euphoria and decreased anxiety
Correct Answer: B) Tremors, anxiety, and autonomic hyperactivity
Rationale: Alcohol withdrawal commonly produces autonomic hyperactivity,
tremors, anxiety, agitation, sweating, and potentially severe complications
such as seizures or delirium tremens.
Q2. A client with opioid intoxication is most likely to demonstrate
which finding?
A) Dilated pupils and severe agitation
B) Hypertension and hyperreflexia
C) Respiratory depression and pinpoint pupils
D) Excessive energy and pressured speech
Correct Answer: C) Respiratory depression and pinpoint pupils
Rationale: Opioid intoxication commonly causes central nervous system
depression, respiratory depression, and miosis.
Q3. Which medication is used to reverse opioid-induced respiratory
depression?
A) Naloxone
B) Disulfiram
C) Acamprosate
D) Naltrexone
Correct Answer: A) Naloxone
Rationale: Naloxone is an opioid antagonist that rapidly reverses opioid
effects, particularly respiratory depression.
Q4. Which assessment finding requires the highest priority in a
client experiencing alcohol withdrawal?
A) Mild nausea
B) Insomnia
C) Fine hand tremors
D) Seizure activity
, Correct Answer: D) Seizure activity
Rationale: Alcohol-withdrawal seizures can be life-threatening and require
immediate intervention to protect the airway and prevent injury.
Q5. A client taking disulfiram should be taught to avoid which
product?
A) Foods containing calcium
B) Products containing alcohol
C) Foods containing potassium
D) Caffeine-free beverages
Correct Answer: B) Products containing alcohol
Rationale: Disulfiram causes an unpleasant reaction when alcohol is
consumed, including flushing, headache, nausea, vomiting, and
cardiovascular effects.
Q6. Which finding is most concerning in a client withdrawing from
alcohol?
A) Mild headache
B) Decreased appetite
C) Disorientation with severe agitation and hallucinations
D) Increased sleep
Correct Answer: C) Disorientation with severe agitation and hallucinations
Rationale: Severe confusion, agitation, hallucinations, and autonomic
instability can indicate delirium tremens, a medical emergency.
Q7. Which assessment finding is most consistent with opioid
withdrawal rather than opioid intoxication?
A) Diarrhea, yawning, and muscle aches
B) Respiratory depression
C) Pinpoint pupils
D) Decreased level of consciousness
Correct Answer: A) Diarrhea, yawning, and muscle aches
Rationale: Opioid withdrawal commonly causes gastrointestinal upset,
lacrimation, rhinorrhea, yawning, muscle aches, restlessness, and autonomic
symptoms.
Q8. A client with alcohol use disorder is admitted for withdrawal
management. Which intervention is most appropriate?
