NU 674 (Psychiatric Mental Healthcare II) Midterm Exam Review 2026 (With Solutions)

NU 674

Psychiatric Mental Healthcare II


Midterm Exam Review


(With Solutions)



2026




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, 1. Case: A 45-year-old patient with schizophrenia presents with
tardive dyskinesia after long-term antipsychotic use.
Question: Which medication is most appropriate to manage tardive
dyskinesia?
- A. Clozapine
- B. Haloperidol
- C. Valbenazine
- D. Lithium
Answer: C. Valbenazine
Rationale: Valbenazine is FDA-approved for tardive dyskinesia.
Clozapine may reduce risk but does not treat established TD.

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2. Case: A patient with bipolar disorder is in a manic episode with
psychotic features.
Question: Which combination is most effective?
- A. Lithium + SSRI
- B. Lithium + Antipsychotic
- C. SSRI + Benzodiazepine
- D. Antipsychotic alone
Answer: B. Lithium + Antipsychotic
Rationale: Mood stabilizer plus antipsychotic is evidence-based for
acute mania with psychosis.

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3. Case: A 70-year-old with dementia exhibits sundowning agitation.
Question: Best first-line nonpharmacological intervention?
- A. Benzodiazepine at bedtime
- B. Bright light therapy in evening
- C. Structured daytime activities
- D. Antipsychotic PRN
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