NUR 253 EXAM / ACTUAL NUR 253 EXAM 4 MENTAL HEALTH
APPROVED EXAM 2026/2027 COMPLETE ACCURATE EXAM REAL
QUESTIONS AND CORRECT DETAILED ANSWERS (RELIABLE
ANSWERS) LATEST UPDATED VERSION 2026 EDITION
|GUARANTEED SUCCESS A+ (FULL REVISED EXAM)
1. A client with Alzheimer's disease exhibits sundowning syndrome. Which
intervention should the nurse implement first?
A. Administer PRN haloperidol
B. Provide bright light therapy in the evening
C. Maintain consistent daily routines
D. Restrict fluids after 6 PM
CORRECT ANSWER: C
2. Which neurotransmitter imbalance is most associated with Huntington's disease?
A. Decreased dopamine and increased acetylcholine
B. Decreased GABA and increased dopamine
C. Increased serotonin and decreased norepinephrine
D. Decreased glutamate and increased GABA
CORRECT ANSWER: B
3. A client with Parkinson's disease develops hallucinations. The nurse recognizes
this is most likely related to:
A. Disease progression
B. Antiparkinsonian medications
,C. Sleep deprivation
D. Dehydration
CORRECT ANSWER: B
4. Which assessment finding differentiates delirium from dementia?
A. Memory loss
B. Personality changes
C. Acute onset and fluctuating course
D. Impaired judgment
CORRECT ANSWER: C
5. The nurse is caring for a client with Wernicke-Korsakoff syndrome. Which
deficiency is the cause of this condition?
A. Vitamin B12
B. Thiamine
C. Folic acid
D. Niacin
CORRECT ANSWER: B
6. A client with dementia is at risk for injury. Which intervention is most
appropriate?
A. Apply bilateral wrist restraints
B. Place the bed in the lowest position
, C. Use a sedative to promote rest
D. Keep the client in the day room
CORRECT ANSWER: B
7. Which stage of Alzheimer's disease is characterized by incontinence and
inability to recognize family members?
A. Stage 1
B. Stage 2
C. Stage 3
D. Stage 4
CORRECT ANSWER: D
8. The nurse teaches the family of a client with dementia about communication
strategies. Which technique should be included?
A. Speak loudly and slowly
B. Use complex sentences
C. Ask open-ended questions
D. Use simple one-step directions
CORRECT ANSWER: D
9. A client with vascular dementia demonstrates which characteristic pattern?
A. Gradual progressive decline
B. Stepwise deterioration
APPROVED EXAM 2026/2027 COMPLETE ACCURATE EXAM REAL
QUESTIONS AND CORRECT DETAILED ANSWERS (RELIABLE
ANSWERS) LATEST UPDATED VERSION 2026 EDITION
|GUARANTEED SUCCESS A+ (FULL REVISED EXAM)
1. A client with Alzheimer's disease exhibits sundowning syndrome. Which
intervention should the nurse implement first?
A. Administer PRN haloperidol
B. Provide bright light therapy in the evening
C. Maintain consistent daily routines
D. Restrict fluids after 6 PM
CORRECT ANSWER: C
2. Which neurotransmitter imbalance is most associated with Huntington's disease?
A. Decreased dopamine and increased acetylcholine
B. Decreased GABA and increased dopamine
C. Increased serotonin and decreased norepinephrine
D. Decreased glutamate and increased GABA
CORRECT ANSWER: B
3. A client with Parkinson's disease develops hallucinations. The nurse recognizes
this is most likely related to:
A. Disease progression
B. Antiparkinsonian medications
,C. Sleep deprivation
D. Dehydration
CORRECT ANSWER: B
4. Which assessment finding differentiates delirium from dementia?
A. Memory loss
B. Personality changes
C. Acute onset and fluctuating course
D. Impaired judgment
CORRECT ANSWER: C
5. The nurse is caring for a client with Wernicke-Korsakoff syndrome. Which
deficiency is the cause of this condition?
A. Vitamin B12
B. Thiamine
C. Folic acid
D. Niacin
CORRECT ANSWER: B
6. A client with dementia is at risk for injury. Which intervention is most
appropriate?
A. Apply bilateral wrist restraints
B. Place the bed in the lowest position
, C. Use a sedative to promote rest
D. Keep the client in the day room
CORRECT ANSWER: B
7. Which stage of Alzheimer's disease is characterized by incontinence and
inability to recognize family members?
A. Stage 1
B. Stage 2
C. Stage 3
D. Stage 4
CORRECT ANSWER: D
8. The nurse teaches the family of a client with dementia about communication
strategies. Which technique should be included?
A. Speak loudly and slowly
B. Use complex sentences
C. Ask open-ended questions
D. Use simple one-step directions
CORRECT ANSWER: D
9. A client with vascular dementia demonstrates which characteristic pattern?
A. Gradual progressive decline
B. Stepwise deterioration
