Chamberlain
NR-326 Mental-Health Nursing
NR 326 LATEST FINAL EXAM 2025 COMPLETE QUESTION
AND ANSWER 100% ACCURATE FALL-SPRING GRADED
A+
A client with schizophrenia is speaking made-up words that have no meaning to other
people. What term should the nurse use to document these verbalizations?
Neologisms
A client tells the nurse, "I'm a terrible, evil person. The voices are telling me that God needs
to punish me." What is the most therapeutic initial response by the nurse?
Tell me what you're thinking about yourself."
A client with schizophrenia is given an antipsychotic drug. The nurse recalls all the
extrapyramidal effects associated with this type of medication and anticipates that the drug
will be discontinued if which occurs?
ardive dyskinesia
A client who has been admitted with a diagnosis of schizophrenia says to the nurse, "Yes, it's
March. March is Little Women. That's literal, you know." What do these statements
illustrate?
Loosening of associations
A nurse is caring for a male client who was admitted to the mental health unit with the
diagnosis of schizophrenia. The client is hostile and experiencing auditory hallucinations and
states that the voices are saying that they are going to poison him because he is bad. What
type of schizophrenic behavior does the nurse identify?
Paranoid
,Chamberlain
NR-326 Mental-Health Nursing
Despite repeated nursing interventions to improve reality orientation, a client insists that he
is the commander of an alien spaceship. What is the client experiencing?
Delusion
Which client condition is contraindicated for prescribing clozapine?
Bone marrow depression
Which adverse effect is least likely to occur in a client who is prescribed clozapine?
Myocarditis
Clozapine is a second-generation antipsychotic drug. Myocarditis is a very rare side effect
caused by clozapine. Seizures, sedation, and akathisia are common side effects of clozapine.
A client has been taking 3 mg of risperidone twice a day for the past 8 days. At the follow-up
appointment, the client reports tremors, shortness of breath, a fever, and sweating. What
will the nurse do?
Take the client's vital signs and arrange for immediate transfer to a hospital.
While speaking with a client with schizophrenia, the nurse notes that the client keeps
interjecting sentences that have nothing to do with the main thoughts being expressed. The
client asks whether the nurse understands. What is the best response by the nurse?
"I'd like to understand what you're saying, but I'm having difficulty following you."
A client with the diagnosis of schizophrenia who has been hospitalized on a mental health
unit for 2 weeks is to be discharged home. The client is vacillating between being happy and
sad about going home. What term best describes these conflicting emotions?
Ambivalence
, Chamberlain
NR-326 Mental-Health Nursing
Which drug would the nurse administer transdermally to treat a client with major
depression?
Selegine
When being admitted to a mental health facility, a young male adult tells the nurse that the
voices he hears frighten him. The nurse knows that clients tend to hallucinate more vividly at
what point in their routine?
After going to bed
A client with schizophrenia who is being admitted to a psychiatric hospital for evaluation
refuses to remove dirty clothing. What should the nurse do to best meet the client's needs?
Allow the client to undress when ready to help maintain identity.
On the afternoon of admission to a psychiatric unit, an adolescent boy with the diagnosis of
schizophrenia exposes his genitals to a female nurse. What should the nurse's immediate
therapeutic response be?
Stating that this behavior is unacceptable
What is most important for the nurse to do when caring for a client who is experiencing a
paranoid delusion?
Maintain eye contact when talking with the client
Which food should be avoided by a client who is prescribed monoamine oxidase inhibitors
(MAOIs)?
Bologna
NR-326 Mental-Health Nursing
NR 326 LATEST FINAL EXAM 2025 COMPLETE QUESTION
AND ANSWER 100% ACCURATE FALL-SPRING GRADED
A+
A client with schizophrenia is speaking made-up words that have no meaning to other
people. What term should the nurse use to document these verbalizations?
Neologisms
A client tells the nurse, "I'm a terrible, evil person. The voices are telling me that God needs
to punish me." What is the most therapeutic initial response by the nurse?
Tell me what you're thinking about yourself."
A client with schizophrenia is given an antipsychotic drug. The nurse recalls all the
extrapyramidal effects associated with this type of medication and anticipates that the drug
will be discontinued if which occurs?
ardive dyskinesia
A client who has been admitted with a diagnosis of schizophrenia says to the nurse, "Yes, it's
March. March is Little Women. That's literal, you know." What do these statements
illustrate?
Loosening of associations
A nurse is caring for a male client who was admitted to the mental health unit with the
diagnosis of schizophrenia. The client is hostile and experiencing auditory hallucinations and
states that the voices are saying that they are going to poison him because he is bad. What
type of schizophrenic behavior does the nurse identify?
Paranoid
,Chamberlain
NR-326 Mental-Health Nursing
Despite repeated nursing interventions to improve reality orientation, a client insists that he
is the commander of an alien spaceship. What is the client experiencing?
Delusion
Which client condition is contraindicated for prescribing clozapine?
Bone marrow depression
Which adverse effect is least likely to occur in a client who is prescribed clozapine?
Myocarditis
Clozapine is a second-generation antipsychotic drug. Myocarditis is a very rare side effect
caused by clozapine. Seizures, sedation, and akathisia are common side effects of clozapine.
A client has been taking 3 mg of risperidone twice a day for the past 8 days. At the follow-up
appointment, the client reports tremors, shortness of breath, a fever, and sweating. What
will the nurse do?
Take the client's vital signs and arrange for immediate transfer to a hospital.
While speaking with a client with schizophrenia, the nurse notes that the client keeps
interjecting sentences that have nothing to do with the main thoughts being expressed. The
client asks whether the nurse understands. What is the best response by the nurse?
"I'd like to understand what you're saying, but I'm having difficulty following you."
A client with the diagnosis of schizophrenia who has been hospitalized on a mental health
unit for 2 weeks is to be discharged home. The client is vacillating between being happy and
sad about going home. What term best describes these conflicting emotions?
Ambivalence
, Chamberlain
NR-326 Mental-Health Nursing
Which drug would the nurse administer transdermally to treat a client with major
depression?
Selegine
When being admitted to a mental health facility, a young male adult tells the nurse that the
voices he hears frighten him. The nurse knows that clients tend to hallucinate more vividly at
what point in their routine?
After going to bed
A client with schizophrenia who is being admitted to a psychiatric hospital for evaluation
refuses to remove dirty clothing. What should the nurse do to best meet the client's needs?
Allow the client to undress when ready to help maintain identity.
On the afternoon of admission to a psychiatric unit, an adolescent boy with the diagnosis of
schizophrenia exposes his genitals to a female nurse. What should the nurse's immediate
therapeutic response be?
Stating that this behavior is unacceptable
What is most important for the nurse to do when caring for a client who is experiencing a
paranoid delusion?
Maintain eye contact when talking with the client
Which food should be avoided by a client who is prescribed monoamine oxidase inhibitors
(MAOIs)?
Bologna
