NSRG 126 Exam 2 V1 | NSRG 126 Mental
Health Nursing | Actual Q&A with
Rationale (NSRG126 Exam 2) | Ivy Tech
1. A client diagnosed with Generalized Anxiety Disorder (GAD) is prescribed Buspirone. Which
statement by the nurse best explains the pharmacological profile of this medication to the
client?
A. It works immediately to stop acute panic attacks.
B. It should be taken only on an as-needed basis for high-stress events.
C. It does not cause physical dependence or CNS depression like benzodiazepines.
D. Avoid all aged cheeses and cured meats while taking this drug.
E. Weight gain is the most common side effect reported by patients.
Correct Answer: C
Buspirone is a non-benzodiazepine anxiolytic that is effective for long-term management
of GAD. Unlike benzodiazepines, it does not have addictive potential and does not cause
significant sedation. The nurse must educate the client that it may take 2 to 4 weeks for the
full therapeutic effect to be achieved.
2. A nurse is caring for a client in the manic phase of Bipolar I Disorder. Which of the
following nursing interventions should be prioritized to maintain safety and stability?
A. Encourage the client to lead a group exercise session.
,B. Engage the client in a long, detailed discussion about their behavior.
C. Provide high-calorie, portable finger foods for the client.
D. Place the client in a room near the nurses’ station with a roommate.
Correct Answer: C
Clients in a manic state often have difficulty sitting down to eat, leading to nutritional
deficits and exhaustion. Providing finger foods allows them to maintain caloric intake while
remaining mobile. This intervention supports physical health during a period of extreme
hyperactivity.
3. A client is admitted to the psychiatric unit with a diagnosis of Major Depressive Disorder
(MDD). The nurse notes the client has stopped performing activities of daily living (ADLs).
Which approach is most therapeutic?
A. ‘You will feel much better if you just get up and shower.’
B. ‘I will give you more time, let me know when you are ready.’
C. ‘It is time to get dressed. I will help you pick out your clothes.’
D. ‘Why are you not taking care of yourself today?’
Correct Answer: C
Depressed clients often experience psychomotor retardation and extreme indecisiveness.
Using a firm, direct, and supportive approach helps the client complete necessary tasks
, without overwhelming them with choices. This technique reduces the cognitive load on a
client struggling with severe depression.
4. A client who recently started taking Fluoxetine for depression reports feeling ‘jittery’ and
having ‘muscle twitches’ along with a high fever. What is the nurse’s priority action?
A. Administer the next dose of Fluoxetine as scheduled.
B. Reassure the client that these are common side effects that will pass.
C. Withhold the medication and notify the healthcare provider immediately.
D. Instruct the client to take an over-the-counter antipyretic for the fever.
Correct Answer: C
The client is exhibiting signs of Serotonin Syndrome, a potentially life-threatening
condition caused by excessive serotonin. Symptoms include agitation, muscle rigidity,
fever, and tachycardia. Immediate cessation of the causative agent and medical
intervention are required to prevent complications.
5. A client with Obsessive-Compulsive Disorder (OCD) spends two hours daily arranging
objects on their bedside table. How should the nurse initially manage this behavior?
A. Remove the objects from the room to prevent the ritual.
B. Tell the client they must stop the behavior immediately.
C. Allow the client extra time to perform the ritual in the early stages of treatment.
D. Distract the client with a complex group activity during the ritual time.
Health Nursing | Actual Q&A with
Rationale (NSRG126 Exam 2) | Ivy Tech
1. A client diagnosed with Generalized Anxiety Disorder (GAD) is prescribed Buspirone. Which
statement by the nurse best explains the pharmacological profile of this medication to the
client?
A. It works immediately to stop acute panic attacks.
B. It should be taken only on an as-needed basis for high-stress events.
C. It does not cause physical dependence or CNS depression like benzodiazepines.
D. Avoid all aged cheeses and cured meats while taking this drug.
E. Weight gain is the most common side effect reported by patients.
Correct Answer: C
Buspirone is a non-benzodiazepine anxiolytic that is effective for long-term management
of GAD. Unlike benzodiazepines, it does not have addictive potential and does not cause
significant sedation. The nurse must educate the client that it may take 2 to 4 weeks for the
full therapeutic effect to be achieved.
2. A nurse is caring for a client in the manic phase of Bipolar I Disorder. Which of the
following nursing interventions should be prioritized to maintain safety and stability?
A. Encourage the client to lead a group exercise session.
,B. Engage the client in a long, detailed discussion about their behavior.
C. Provide high-calorie, portable finger foods for the client.
D. Place the client in a room near the nurses’ station with a roommate.
Correct Answer: C
Clients in a manic state often have difficulty sitting down to eat, leading to nutritional
deficits and exhaustion. Providing finger foods allows them to maintain caloric intake while
remaining mobile. This intervention supports physical health during a period of extreme
hyperactivity.
3. A client is admitted to the psychiatric unit with a diagnosis of Major Depressive Disorder
(MDD). The nurse notes the client has stopped performing activities of daily living (ADLs).
Which approach is most therapeutic?
A. ‘You will feel much better if you just get up and shower.’
B. ‘I will give you more time, let me know when you are ready.’
C. ‘It is time to get dressed. I will help you pick out your clothes.’
D. ‘Why are you not taking care of yourself today?’
Correct Answer: C
Depressed clients often experience psychomotor retardation and extreme indecisiveness.
Using a firm, direct, and supportive approach helps the client complete necessary tasks
, without overwhelming them with choices. This technique reduces the cognitive load on a
client struggling with severe depression.
4. A client who recently started taking Fluoxetine for depression reports feeling ‘jittery’ and
having ‘muscle twitches’ along with a high fever. What is the nurse’s priority action?
A. Administer the next dose of Fluoxetine as scheduled.
B. Reassure the client that these are common side effects that will pass.
C. Withhold the medication and notify the healthcare provider immediately.
D. Instruct the client to take an over-the-counter antipyretic for the fever.
Correct Answer: C
The client is exhibiting signs of Serotonin Syndrome, a potentially life-threatening
condition caused by excessive serotonin. Symptoms include agitation, muscle rigidity,
fever, and tachycardia. Immediate cessation of the causative agent and medical
intervention are required to prevent complications.
5. A client with Obsessive-Compulsive Disorder (OCD) spends two hours daily arranging
objects on their bedside table. How should the nurse initially manage this behavior?
A. Remove the objects from the room to prevent the ritual.
B. Tell the client they must stop the behavior immediately.
C. Allow the client extra time to perform the ritual in the early stages of treatment.
D. Distract the client with a complex group activity during the ritual time.
