NSG 221
Mental Health Nursing
Final Exam Review (Qns & Ans)
2025
1. Which neurotransmitter imbalance is most commonly
associated with schizophrenia?
- A. Serotonin
- B. Dopamine
- C. Norepinephrine
- D. GABA
- ANS: B. Dopamine
- Rationale: An excess of dopamine activity is believed to
contribute to the symptoms of schizophrenia.
©2025
,2. Which of the following medications is a common first-line
treatment for generalized anxiety disorder?
- A. Fluoxetine
- B. Alprazolam
- C. Clozapine
- D. Lithium
- ANS: A. Fluoxetine
- Rationale: Fluoxetine, a selective serotonin reuptake
inhibitor (SSRI), is commonly used as a first-line treatment for
generalized anxiety disorder.
Fill-in-the-Blank Questions
3. _________ is a therapeutic approach that involves helping
clients understand and change their maladaptive thoughts and
behaviors.
- ANS: Cognitive-behavioral therapy
- Rationale: Cognitive-behavioral therapy (CBT) focuses on
altering maladaptive thoughts and behaviors to improve mental
health outcomes.
©2025
,4. The phenomenon where a person experiences simultaneous
conflicting feelings towards a person or object is called
__________.
- ANS: Ambivalence
- Rationale: Ambivalence refers to having mixed or
contradictory feelings about something or someone.
True/False Questions
5. True or False: Electroconvulsive therapy (ECT) is primarily
used to treat severe depression that has not responded to other
treatments.
- ANS: True
- Rationale: ECT is often used to treat severe, treatment-
resistant depression.
6. True or False: Delirium is a chronic and irreversible
condition.
- ANS: False
- Rationale: Delirium is an acute and potentially reversible
condition, often caused by underlying medical issues or substance
use.
Multiple Response Questions
©2025
, 7. Which of the following are common symptoms of major
depressive disorder? (Select all that apply)
- A. Insomnia
- B. Hyperactivity
- C. Feelings of worthlessness
- D. Increased energy
- ANS: A. Insomnia, C. Feelings of worthlessness
- Rationale: Common symptoms of major depressive disorder
include insomnia, feelings of worthlessness, and decreased
energy. Hyperactivity and increased energy are not typical
symptoms.
8. Which interventions are essential for managing a patient with
bipolar disorder? (Select all that apply)
- A. Medication adherence
- B. Psychoeducation
- C. Isolation from social activities
- D. Cognitive-behavioral therapy
- ANS: A. Medication adherence, B. Psychoeducation, D.
Cognitive-behavioral therapy
©2025
Mental Health Nursing
Final Exam Review (Qns & Ans)
2025
1. Which neurotransmitter imbalance is most commonly
associated with schizophrenia?
- A. Serotonin
- B. Dopamine
- C. Norepinephrine
- D. GABA
- ANS: B. Dopamine
- Rationale: An excess of dopamine activity is believed to
contribute to the symptoms of schizophrenia.
©2025
,2. Which of the following medications is a common first-line
treatment for generalized anxiety disorder?
- A. Fluoxetine
- B. Alprazolam
- C. Clozapine
- D. Lithium
- ANS: A. Fluoxetine
- Rationale: Fluoxetine, a selective serotonin reuptake
inhibitor (SSRI), is commonly used as a first-line treatment for
generalized anxiety disorder.
Fill-in-the-Blank Questions
3. _________ is a therapeutic approach that involves helping
clients understand and change their maladaptive thoughts and
behaviors.
- ANS: Cognitive-behavioral therapy
- Rationale: Cognitive-behavioral therapy (CBT) focuses on
altering maladaptive thoughts and behaviors to improve mental
health outcomes.
©2025
,4. The phenomenon where a person experiences simultaneous
conflicting feelings towards a person or object is called
__________.
- ANS: Ambivalence
- Rationale: Ambivalence refers to having mixed or
contradictory feelings about something or someone.
True/False Questions
5. True or False: Electroconvulsive therapy (ECT) is primarily
used to treat severe depression that has not responded to other
treatments.
- ANS: True
- Rationale: ECT is often used to treat severe, treatment-
resistant depression.
6. True or False: Delirium is a chronic and irreversible
condition.
- ANS: False
- Rationale: Delirium is an acute and potentially reversible
condition, often caused by underlying medical issues or substance
use.
Multiple Response Questions
©2025
, 7. Which of the following are common symptoms of major
depressive disorder? (Select all that apply)
- A. Insomnia
- B. Hyperactivity
- C. Feelings of worthlessness
- D. Increased energy
- ANS: A. Insomnia, C. Feelings of worthlessness
- Rationale: Common symptoms of major depressive disorder
include insomnia, feelings of worthlessness, and decreased
energy. Hyperactivity and increased energy are not typical
symptoms.
8. Which interventions are essential for managing a patient with
bipolar disorder? (Select all that apply)
- A. Medication adherence
- B. Psychoeducation
- C. Isolation from social activities
- D. Cognitive-behavioral therapy
- ANS: A. Medication adherence, B. Psychoeducation, D.
Cognitive-behavioral therapy
©2025
