NR326 TEST PAPER QUESTIONS AND
SOLUTIONS COMPLETE REVIEW MATERIAL
●● How are sensory perception disturbances manifested in
schizophrenia?
Answer: Through hallucinations or illusions.
●● How is affect disturbance characterized in psychiatric clients?
Answer: Flat, labile, or inappropriate emotional expression.
●● What are the two priority nursing actions for active hallucinations?
Answer: Assess safety (command voices) and calmly state reality while
reducing stimuli.
●● What key medication instruction should be given to parents of a
client with schizophrenia?
Answer: Ensure they take medications and keep all follow-up
appointments.
●● What relapse signs should a parent monitor in schizophrenia?
Answer: Poor sleep, social withdrawal, paranoia, or hearing voices.
●● How should a caregiver respond to a client's delusions?
, Answer: Do not argue; focus on feelings and safety instead.
●● Which psychiatric behaviors require immediate clinical intervention?
Answer: Suicidal/homicidal ideation, aggression, command
hallucinations, delirium, or severe drug reactions.
●● Which psychiatric behaviors can be addressed later rather than
immediately?
Answer: Poor hygiene, mild withdrawal, and non-dangerous delusions.
●● Haloperidol calculation: Order 7.5 mg IM, available 5 mg/mL. Dose
in mL?
Answer: 1.5 mL.
●● What findings indicate clinical improvement in schizophrenia?
Answer: Fewer hallucinations/delusions, organized speech, and
improved self-care.
●● What are the five stages of grief?
Answer: Denial, anger, bargaining, depression, and acceptance.
●● What are the priority nursing actions for a grieving client?
Answer: Listen actively, support their feelings, and assess safety.
SOLUTIONS COMPLETE REVIEW MATERIAL
●● How are sensory perception disturbances manifested in
schizophrenia?
Answer: Through hallucinations or illusions.
●● How is affect disturbance characterized in psychiatric clients?
Answer: Flat, labile, or inappropriate emotional expression.
●● What are the two priority nursing actions for active hallucinations?
Answer: Assess safety (command voices) and calmly state reality while
reducing stimuli.
●● What key medication instruction should be given to parents of a
client with schizophrenia?
Answer: Ensure they take medications and keep all follow-up
appointments.
●● What relapse signs should a parent monitor in schizophrenia?
Answer: Poor sleep, social withdrawal, paranoia, or hearing voices.
●● How should a caregiver respond to a client's delusions?
, Answer: Do not argue; focus on feelings and safety instead.
●● Which psychiatric behaviors require immediate clinical intervention?
Answer: Suicidal/homicidal ideation, aggression, command
hallucinations, delirium, or severe drug reactions.
●● Which psychiatric behaviors can be addressed later rather than
immediately?
Answer: Poor hygiene, mild withdrawal, and non-dangerous delusions.
●● Haloperidol calculation: Order 7.5 mg IM, available 5 mg/mL. Dose
in mL?
Answer: 1.5 mL.
●● What findings indicate clinical improvement in schizophrenia?
Answer: Fewer hallucinations/delusions, organized speech, and
improved self-care.
●● What are the five stages of grief?
Answer: Denial, anger, bargaining, depression, and acceptance.
●● What are the priority nursing actions for a grieving client?
Answer: Listen actively, support their feelings, and assess safety.
