NUR 354
NUR 354 - Exam 4 Cumulative QUESTIONS
(Varcarolis Psych-Mental Health Nursing)
Graded A+ 2025-2026
A patient who was admitted to your psych unit has been diagnosed with both major
depressive disorder and substance abuse. What are some shared risk factors for
these two diagnoses? Select all that apply.
a. Genetic vulnerabilities
b. Adverse childhood events
c. Underlying brain defects in common areas and pathways
d. Environmental Factors
e. Risk taking behaviors
a. Genetic vulnerabilities
b. Adverse childhood events
c. Underlying brain defects in common areas and pathways
d. Environmental Factors
Genetic vulnerabilities (40% to 60% risk)
Underlying brain defects in common areas and pathways of the brain
Environmental factors, including exposure to stress or trauma during early
developmental stages.
A patient who was admitted to your psych unit has been diagnosed with both major
depressive disorder and substance abuse. What are some negative consequences
this patient may experience because of her substance abuse? Select all that apply.
a. Fetal Alcohol Syndrome
b. Crime
c. Occupational Impairment
d. Physical Health Problems
e. Domestic Abuse
b. Crime
c. Occupational Impairment
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d. Physical Health Problems
e. Domestic Abuse
Problems stemming from substance abuse and MDD include Lost productivity at
work, Crime
Health problems, Loss of employment, Failure in school, Family dysfunction with
disintegration, Domestic violence, Child abuse
For the substance abuse treatment plan to be successful, what factors should be
considered? Select all that apply.
a. Acute safety needs
b. Severity and range of symptoms
c. Motivation or readiness to change
d. Skills and strengths
e. Availability of a support system
f. Individual's cultural needs
a. Acute safety needs
b. Severity and range of symptoms
c. Motivation or readiness to change
d. Skills and strengths
e. Availability of a support system
f. Individual's cultural needs
All of these are important to be considered.
A nurse is assigned the care of four patients who are detoxifying from alcohol. The
patient with which symptom would be the nurse's highest priority?
a. Fine motor tremors
b. Diaphoresis
c. Diarrhea
d. Hallucinations and delusions
d. Hallucinations and delusions
A person has recently abused morphine. The person's pupils would most likely be:
a. Dilated
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b. Constricted
c. Asymmetrical
d. Unresponsive to light
b. Constricted
Pupils are usually constricted after the use of opioid narcotics
Which behavior indicates that a patient diagnosed with borderline personality
disorder is improving?
A. The patient cries when her roommate refuses to go to the dining room with her.
B. The patient yells at the group facilitator when he points out that she is
monopolizing the group.
C. The patient informs a staff member that she is having thoughts of harming
herself.
D. The patient tells the evening staff that the day staff excused her from group to
smoke when she got upset.
C. The patient informs a staff member that she is having thoughts of harming
herself.
Use of splitting is most associated with which personality disorder?
a. Antisocial
b. Borderline
c. Dependent
d. Schizotypal
b. Borderline
Perfectionism is a trait likely to be evident in a person with which personality
disorder?
a. Obsessive-compulsive
b. Narcissistic
c. Antisocial
d. Avoidant
a. Obsessive-compulsive
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Antisocial, obsessive-compulsive, and schizotypal personality disorders occur most
frequently in:
a. Adolescents
b. Children
c. Women
d. Men
d. Men
Sherry paraded into the party drunk and continued to drink throughout the night.
Laughing and giggling, she flirted with many of the men and to two of them
expressed her "deep affection." Twice during the evening she disappeared for
almost half an hour, each time with a different man. After a violent argument with
one of them, because he took "too long" to get her a drink, she locked herself into
the bathroom and attempted to swallow a bottle of aspirin. Her friends encouraged
her to go home, but she was afraid to be alone in her apartment. Which disorder
would most likely apply to Sherry?
a. Antisocial personality disorder
b. Borderline personality disorder
c. Major depressive disorder
d. Bipolar disorder
b. Borderline personality disorder
A 40-year-old secretary has been recently fired because of her inability to prepare
some work projects in time. According to her, they were not in the right format and
she had to revise them six times, which led to the delay. This has happened before
but she feels that she is not given enough time. This has led to her being late for
her meetings and getting yelled at by her boss. Which disorder is this woman most
likely to be diagnosed with?
a. Obsessive-Compulsive personality disorder
b. Borderline personality disorder
c. Major depressive disorder
d. Bipolar disorder
a. Obsessive-Compulsive personality disorder
NUR 354
NUR 354 - Exam 4 Cumulative QUESTIONS
(Varcarolis Psych-Mental Health Nursing)
Graded A+ 2025-2026
A patient who was admitted to your psych unit has been diagnosed with both major
depressive disorder and substance abuse. What are some shared risk factors for
these two diagnoses? Select all that apply.
a. Genetic vulnerabilities
b. Adverse childhood events
c. Underlying brain defects in common areas and pathways
d. Environmental Factors
e. Risk taking behaviors
a. Genetic vulnerabilities
b. Adverse childhood events
c. Underlying brain defects in common areas and pathways
d. Environmental Factors
Genetic vulnerabilities (40% to 60% risk)
Underlying brain defects in common areas and pathways of the brain
Environmental factors, including exposure to stress or trauma during early
developmental stages.
A patient who was admitted to your psych unit has been diagnosed with both major
depressive disorder and substance abuse. What are some negative consequences
this patient may experience because of her substance abuse? Select all that apply.
a. Fetal Alcohol Syndrome
b. Crime
c. Occupational Impairment
d. Physical Health Problems
e. Domestic Abuse
b. Crime
c. Occupational Impairment
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,NUR 354
d. Physical Health Problems
e. Domestic Abuse
Problems stemming from substance abuse and MDD include Lost productivity at
work, Crime
Health problems, Loss of employment, Failure in school, Family dysfunction with
disintegration, Domestic violence, Child abuse
For the substance abuse treatment plan to be successful, what factors should be
considered? Select all that apply.
a. Acute safety needs
b. Severity and range of symptoms
c. Motivation or readiness to change
d. Skills and strengths
e. Availability of a support system
f. Individual's cultural needs
a. Acute safety needs
b. Severity and range of symptoms
c. Motivation or readiness to change
d. Skills and strengths
e. Availability of a support system
f. Individual's cultural needs
All of these are important to be considered.
A nurse is assigned the care of four patients who are detoxifying from alcohol. The
patient with which symptom would be the nurse's highest priority?
a. Fine motor tremors
b. Diaphoresis
c. Diarrhea
d. Hallucinations and delusions
d. Hallucinations and delusions
A person has recently abused morphine. The person's pupils would most likely be:
a. Dilated
NUR 354
,NUR 354
b. Constricted
c. Asymmetrical
d. Unresponsive to light
b. Constricted
Pupils are usually constricted after the use of opioid narcotics
Which behavior indicates that a patient diagnosed with borderline personality
disorder is improving?
A. The patient cries when her roommate refuses to go to the dining room with her.
B. The patient yells at the group facilitator when he points out that she is
monopolizing the group.
C. The patient informs a staff member that she is having thoughts of harming
herself.
D. The patient tells the evening staff that the day staff excused her from group to
smoke when she got upset.
C. The patient informs a staff member that she is having thoughts of harming
herself.
Use of splitting is most associated with which personality disorder?
a. Antisocial
b. Borderline
c. Dependent
d. Schizotypal
b. Borderline
Perfectionism is a trait likely to be evident in a person with which personality
disorder?
a. Obsessive-compulsive
b. Narcissistic
c. Antisocial
d. Avoidant
a. Obsessive-compulsive
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, NUR 354
Antisocial, obsessive-compulsive, and schizotypal personality disorders occur most
frequently in:
a. Adolescents
b. Children
c. Women
d. Men
d. Men
Sherry paraded into the party drunk and continued to drink throughout the night.
Laughing and giggling, she flirted with many of the men and to two of them
expressed her "deep affection." Twice during the evening she disappeared for
almost half an hour, each time with a different man. After a violent argument with
one of them, because he took "too long" to get her a drink, she locked herself into
the bathroom and attempted to swallow a bottle of aspirin. Her friends encouraged
her to go home, but she was afraid to be alone in her apartment. Which disorder
would most likely apply to Sherry?
a. Antisocial personality disorder
b. Borderline personality disorder
c. Major depressive disorder
d. Bipolar disorder
b. Borderline personality disorder
A 40-year-old secretary has been recently fired because of her inability to prepare
some work projects in time. According to her, they were not in the right format and
she had to revise them six times, which led to the delay. This has happened before
but she feels that she is not given enough time. This has led to her being late for
her meetings and getting yelled at by her boss. Which disorder is this woman most
likely to be diagnosed with?
a. Obsessive-Compulsive personality disorder
b. Borderline personality disorder
c. Major depressive disorder
d. Bipolar disorder
a. Obsessive-Compulsive personality disorder
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