NURS 222 MENTAL HEALTH NURSING -
FINAL MASTERY QUIZ
1. A client diagnosed with Schizophrenia is experiencing auditory hallucinations telling them
to ‘hurt the nurse.’ Which action is the nurse’s priority?
A. Administer a PRN dose of Haloperidol immediately.
B. Ask the client what the voices are saying.
C. Notify the security team and initiate seclusion.
D. Instruct the client to go to their room for safety.
Answer: B
Conceptual Explanation: The priority is to assess the content of command hallucinations
to determine the risk of harm to self or others. Once the content is identified, safety
measures can be implemented.
2. A patient is prescribed Lithium Carbonate for Bipolar I Disorder. The nurse should monitor
which laboratory value most closely to prevent toxicity?
A. Serum Creatinine
B. Serum Sodium
,C. Serum Potassium
D. Serum Calcium
Answer: B
Conceptual Explanation: Lithium is a salt, and its excretion is dependent on sodium
levels. Low sodium intake or dehydration can lead to lithium retention and toxicity.
3. A nurse is caring for a client with Anorexia Nervosa who is starting refeeding. Which finding
is the most critical to report to the provider?
A. Heart rate of 62 bpm
B. Serum Phosphorus level of 2.1 mg/dL
C. Weight gain of 1 lb in two days
D. Complaints of bloating after meals
Answer: B
Conceptual Explanation: Hypophosphatemia is a hallmark sign of Refeeding Syndrome, a
potentially fatal complication involving fluid and electrolyte shifts.
4. Which antidepressant medication is most likely to cause hypertensive crisis if the client
consumes foods containing Tyramine?
A. Phenelzine
B. Sertraline
C. Amitriptyline
, D. Bupropion
Answer: A
Conceptual Explanation: Phenelzine is an MAOI. MAOIs block the breakdown of tyramine,
leading to excessive norepinephrine and high blood pressure.
5. A client is admitted for Alcohol Withdrawal. The nurse notes the client is tremulous,
tachycardic, and reports seeing ‘bugs on the wall.’ What is the primary concern?
A. Alcoholic Hallucinosis
B. Wernicke-Korsakoff Syndrome
C. Korsakoff’s Psychosis
D. Delirium Tremens (DTs)
Answer: D
Conceptual Explanation: The combination of autonomic hyperactivity (tachycardia,
tremors) and hallucinations suggests progression to Delirium Tremens, a medical
emergency.
6. A client with Borderline Personality Disorder is praising one nurse while telling another
nurse that they are ‘incompetent.’ This behavior is known as:
A. Projection
B. Splitting
C. Reaction Formation
FINAL MASTERY QUIZ
1. A client diagnosed with Schizophrenia is experiencing auditory hallucinations telling them
to ‘hurt the nurse.’ Which action is the nurse’s priority?
A. Administer a PRN dose of Haloperidol immediately.
B. Ask the client what the voices are saying.
C. Notify the security team and initiate seclusion.
D. Instruct the client to go to their room for safety.
Answer: B
Conceptual Explanation: The priority is to assess the content of command hallucinations
to determine the risk of harm to self or others. Once the content is identified, safety
measures can be implemented.
2. A patient is prescribed Lithium Carbonate for Bipolar I Disorder. The nurse should monitor
which laboratory value most closely to prevent toxicity?
A. Serum Creatinine
B. Serum Sodium
,C. Serum Potassium
D. Serum Calcium
Answer: B
Conceptual Explanation: Lithium is a salt, and its excretion is dependent on sodium
levels. Low sodium intake or dehydration can lead to lithium retention and toxicity.
3. A nurse is caring for a client with Anorexia Nervosa who is starting refeeding. Which finding
is the most critical to report to the provider?
A. Heart rate of 62 bpm
B. Serum Phosphorus level of 2.1 mg/dL
C. Weight gain of 1 lb in two days
D. Complaints of bloating after meals
Answer: B
Conceptual Explanation: Hypophosphatemia is a hallmark sign of Refeeding Syndrome, a
potentially fatal complication involving fluid and electrolyte shifts.
4. Which antidepressant medication is most likely to cause hypertensive crisis if the client
consumes foods containing Tyramine?
A. Phenelzine
B. Sertraline
C. Amitriptyline
, D. Bupropion
Answer: A
Conceptual Explanation: Phenelzine is an MAOI. MAOIs block the breakdown of tyramine,
leading to excessive norepinephrine and high blood pressure.
5. A client is admitted for Alcohol Withdrawal. The nurse notes the client is tremulous,
tachycardic, and reports seeing ‘bugs on the wall.’ What is the primary concern?
A. Alcoholic Hallucinosis
B. Wernicke-Korsakoff Syndrome
C. Korsakoff’s Psychosis
D. Delirium Tremens (DTs)
Answer: D
Conceptual Explanation: The combination of autonomic hyperactivity (tachycardia,
tremors) and hallucinations suggests progression to Delirium Tremens, a medical
emergency.
6. A client with Borderline Personality Disorder is praising one nurse while telling another
nurse that they are ‘incompetent.’ This behavior is known as:
A. Projection
B. Splitting
C. Reaction Formation
