N172 FINAL EXAM QUESTIONS
AND VERIFIED ANSWERS
Is the following statement true or false?
A person with schizoaffective disorder experiences the symptoms of
schizophrenia and an anxiety disorder. - ANSWER False.
Schizoaffective disorder has symptoms of both schizophrenia and mood
disorders.
Which medication would most likely be prescribed first for a patient with
schizoaffective disorder?
A. Mood stabilizer
B. Atypical antipsychotic
C. Antidepressant
D. Antianxiety agent - ANSWER B. Atypical antipsychotic
Atypical antipsychotic agents are generally prescribed because of their
efficacy and safe side effect profile. If depressive symptoms persist with
antipsychotic agents, then an antidepressant can be used. Mood
stabilizers can be an alternative for mood states associated with bipolar
type. Antianxiety agents are prescribed only occasionally.
A patient states, "I am a special messenger from heaven." This is an
example of which subtype of delusion?
A. Erotomanic
B. Jealous
C. Grandiose
D. Somatic - ANSWER C. Grandiose
The patient's statement reflects a grandiose delusion reflecting the
person's belief that he or she has a great unrecognized talent or have
made an important discovery. Erotomanic delusions are characterized
by the belief that the patient is loved intensely by another of higher
status. Jealous delusions are characterized by unfaithfulness or infidelity
of a spouse or lover. Somatic delusions involve bodily functions or
sensations.
,Is the following statement true or false?
A patient with a delusional disorder experiences a significant change in
mental status. - ANSWER False.
The mental status of a patient with delusional disorder usually is not
affected.
Is the following statement true or false?
Hallucinations are considered positive symptoms, but delusions are
considered negative symptoms. - ANSWER False.
Hallucinations and delusions are considered positive symptoms.
Is the following statement true or false?
Social theories abound about the causes of schizophrenia. - ANSWER
False.
There are not accepted psychosocial theories for the development of
schizophrenia.
Which of the following would the nurse expect to assess in a patient
experiencing akathisia?
A. Resting tremor
B. Motor restlessness
C. Masklike face
D. Shuffling gait - ANSWER B.
Akathisia is manifested by obvious motor restlessness such as rocking,
pacing, or shifting from foot to foot. Resting tremor, masklike face, and a
shuffling gait would characterize Parkinsonism.
Which of the following would the nurse be least likely to assess in a
patient experiencing neuroleptic malignant syndrome?
A. Diaphoresis
B. Muscle rigidity
C. Incontinence
D. Unreactive dilated pupils - ANSWER D.
Unreactive dilated pupils would suggest anticholinergic crisis.
Diaphoresis, muscle rigidity, and incontinence would be associated with
neuroleptic malignant syndrome.
, Is the following statement true or false?
With co-occurring disorders, marijuana is the most commonly used
substance. - ANSWER False.
With co-occurring disorders, alcohol is the most commonly used
substance followed by marijuana and cocaine.
When an individual experiences cocaine intoxication, which of the
following occurs first?
A. Depression
B. Anxiety
C. Craving
D. Mental alertness - ANSWER D.
Initially, the person experiences CNS stimulation with a sudden burst of
mental alertness and energy. After 10 to 20 minutes, the individual then
experiences an intense letdown effect with irritability and depression.
Anxiety and craving occur with withdrawal.
Which of the following is used to treat a patient with an overdose of
heroin?
A. Methadone
B. L-acetyl-a-methadol
C. Naloxone
D. Buprenorphine - ANSWER C.
Naloxone is used to treat a heroin (opioid) overdose. Methadone is
typically used as maintenance therapy. Other drugs used for
maintenance treatment include L-acetyl-a-methadol and buprenorphine.
Is the following statement true or false?
Inhalants are considered a central nervous system stimulant. - ANSWER
False.
Inhalants depress the central nervous system and thus are considered
central nervous system depressants.
Is the following statement true or false?
A person with antisocial disorder typically must be older than the age of
18 years and have shown some evidence of a conduct disorder. -
ANSWER True.
AND VERIFIED ANSWERS
Is the following statement true or false?
A person with schizoaffective disorder experiences the symptoms of
schizophrenia and an anxiety disorder. - ANSWER False.
Schizoaffective disorder has symptoms of both schizophrenia and mood
disorders.
Which medication would most likely be prescribed first for a patient with
schizoaffective disorder?
A. Mood stabilizer
B. Atypical antipsychotic
C. Antidepressant
D. Antianxiety agent - ANSWER B. Atypical antipsychotic
Atypical antipsychotic agents are generally prescribed because of their
efficacy and safe side effect profile. If depressive symptoms persist with
antipsychotic agents, then an antidepressant can be used. Mood
stabilizers can be an alternative for mood states associated with bipolar
type. Antianxiety agents are prescribed only occasionally.
A patient states, "I am a special messenger from heaven." This is an
example of which subtype of delusion?
A. Erotomanic
B. Jealous
C. Grandiose
D. Somatic - ANSWER C. Grandiose
The patient's statement reflects a grandiose delusion reflecting the
person's belief that he or she has a great unrecognized talent or have
made an important discovery. Erotomanic delusions are characterized
by the belief that the patient is loved intensely by another of higher
status. Jealous delusions are characterized by unfaithfulness or infidelity
of a spouse or lover. Somatic delusions involve bodily functions or
sensations.
,Is the following statement true or false?
A patient with a delusional disorder experiences a significant change in
mental status. - ANSWER False.
The mental status of a patient with delusional disorder usually is not
affected.
Is the following statement true or false?
Hallucinations are considered positive symptoms, but delusions are
considered negative symptoms. - ANSWER False.
Hallucinations and delusions are considered positive symptoms.
Is the following statement true or false?
Social theories abound about the causes of schizophrenia. - ANSWER
False.
There are not accepted psychosocial theories for the development of
schizophrenia.
Which of the following would the nurse expect to assess in a patient
experiencing akathisia?
A. Resting tremor
B. Motor restlessness
C. Masklike face
D. Shuffling gait - ANSWER B.
Akathisia is manifested by obvious motor restlessness such as rocking,
pacing, or shifting from foot to foot. Resting tremor, masklike face, and a
shuffling gait would characterize Parkinsonism.
Which of the following would the nurse be least likely to assess in a
patient experiencing neuroleptic malignant syndrome?
A. Diaphoresis
B. Muscle rigidity
C. Incontinence
D. Unreactive dilated pupils - ANSWER D.
Unreactive dilated pupils would suggest anticholinergic crisis.
Diaphoresis, muscle rigidity, and incontinence would be associated with
neuroleptic malignant syndrome.
, Is the following statement true or false?
With co-occurring disorders, marijuana is the most commonly used
substance. - ANSWER False.
With co-occurring disorders, alcohol is the most commonly used
substance followed by marijuana and cocaine.
When an individual experiences cocaine intoxication, which of the
following occurs first?
A. Depression
B. Anxiety
C. Craving
D. Mental alertness - ANSWER D.
Initially, the person experiences CNS stimulation with a sudden burst of
mental alertness and energy. After 10 to 20 minutes, the individual then
experiences an intense letdown effect with irritability and depression.
Anxiety and craving occur with withdrawal.
Which of the following is used to treat a patient with an overdose of
heroin?
A. Methadone
B. L-acetyl-a-methadol
C. Naloxone
D. Buprenorphine - ANSWER C.
Naloxone is used to treat a heroin (opioid) overdose. Methadone is
typically used as maintenance therapy. Other drugs used for
maintenance treatment include L-acetyl-a-methadol and buprenorphine.
Is the following statement true or false?
Inhalants are considered a central nervous system stimulant. - ANSWER
False.
Inhalants depress the central nervous system and thus are considered
central nervous system depressants.
Is the following statement true or false?
A person with antisocial disorder typically must be older than the age of
18 years and have shown some evidence of a conduct disorder. -
ANSWER True.
