1|Page
NSG322 EXAM 3 NEWEST 2025 ACTUAL EXAM|
BEHAVIORAL HEALTH NURSING EXAM WITH 150
REAL EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) GRADED A+|
A client diagnosed with schizophrenia exhibits little spontaneous
movement and demonstrates catatonia. Which client needs are of priority
importance?
a. Self-esteem
b. Psychosocial
c. Physiological
d. Self-actualization
ANS: C
Physiological needs must be met to preserve life. A client with catatonia
must be fed by hand or tube, toileted, given range-of-motion exercises,
and so forth to preserve physiological integrity. Cattonia may also
precipitate a risk for falls; therefore, safety is a concern. Higher level
needs are of lesser concern.
A client diagnosed with schizophrenia demonstrates little spontaneous
movement and has catatonia. The client's activities of daily living are
severely compromised. What will be an appropriate outcome for this
client?
a. demonstrates increased interest in the environment by the end of week
1.
pg. 1
,2|Page
b. performs self-care activities with coaching by the end of day 3.
c. gradually takes the initiative for self-care by the end of week 2.
d. accepts tube feeding without objection by day 2.
ANS: B
Outcomes related to self-care deficit nursing diagnoses should deal with
increasing ability to perform self-care tasks independently, such as
feeding, bathing, dressing, and toileting. Performing the tasks with
coaching by nursing staff denotes improvement over the complete
inability to perform the tasks. The incorrect options are not directly
related to self-care activities, difficult to measure, and unrelated to
maintenance of nutrition.
A nurse observes a catatonic client standing immobile, facing the wall
with one arm extended in a salute. The client remains immobile in this
position for 15 minutes, moving only when the nurse gently lowers the
arm. What is the name of this phenomenon?
a. Echolalia
b. Catatonia
c. Depersonalization
d. Thought withdrawal
ANS: B
Catatonia is the ability to hold distorted postures for extended periods of
time, as though the client were molded in wax. Echolalia is a speech
pattern. Depersonalization refers to a feeling state. Thought withdrawal
refers to an alteration in thinking.
pg. 2
,3|Page
A nurse leads a psychoeducational group about first-generation
antipsychotic medications with six adult men diagnosed with
schizophrenia. The nurse will monitor for concerns regarding body
image with respect to which potential side effect of these medications?
a. Constipation
b. Gynecomastia
c. Visual changes
d. Photosensitivity
ANS: B
FGAs (first-generation antipsychotic) stimulate release of prolactin,
which can result in gynecomastia (enlargement of the breasts) as well as
other changes in sexual function. Men may experience disturbances in
body image as a result of gynecomastia. Other side effects of FGAs may
be disturbing to other aspects of the client's physical health but are not
likely to bother body image.
A client diagnosed with schizophrenia has taken fluphenazine 5 mg po
bid for 3 weeks. The nurse now observes a shuffling propulsive gait, a
mask-like face, and drooling. Which term applies to these symptoms?
a. Neuroleptic malignant syndrome
b. Hepatocellular effects
c. Pseudoparkinsonism
d. Akathisia
ANS: C
Pseudoparkinsonism induced by antipsychotic medication mimics the
symptoms of Parkinson's disease. It frequently appears within the first
month of treatment and is more common with first-generation
pg. 3
, 4|Page
antipsychotic drugs. Hepatocellular effects would produce abnormal
liver test results. Neuroleptic malignant syndrome is characterized by
autonomic instability. Akathisia produces motor restlessness.
A client diagnosed with schizophrenia is very disturbed and violent.
After several doses of haloperidol, the client is calm. Two hours later the
nurse sees the client's head rotated to one side in a stiff position, the
lower jaw thrust forward, and drooling. Which problem is most likely?
a. An acute dystonic reaction
b. Tardive dyskinesia
c. Waxy flexibility
d. Akathisia
ANS: A
Acute dystonic reactions involve painful contractions of the tongue,
face, neck, and back. Opisthotonos and oculogyric crisis may be
observed. Dystonic reactions are considered emergencies requiring
immediate intervention. Tardive dyskinesia involves involuntary
spasmodic muscular contractions that involve the tongue, fingers, toes,
neck, trunk, or pelvis. It appears after prolonged treatment. Waxy
flexibility is a symptom seen in catatonic schizophrenia. Internal and
external restlessness, pacing, and fidgeting are characteristics of
akathisia.
An acutely violent client diagnosed with schizophrenia received several
doses of haloperidol. Two hours later the nurse notices the client's head
rotated to one side in a stiffly fixed position, the lower jaw thrust
forward, and drooling. Which intervention by the nurse is indicated?
pg. 4
NSG322 EXAM 3 NEWEST 2025 ACTUAL EXAM|
BEHAVIORAL HEALTH NURSING EXAM WITH 150
REAL EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) GRADED A+|
A client diagnosed with schizophrenia exhibits little spontaneous
movement and demonstrates catatonia. Which client needs are of priority
importance?
a. Self-esteem
b. Psychosocial
c. Physiological
d. Self-actualization
ANS: C
Physiological needs must be met to preserve life. A client with catatonia
must be fed by hand or tube, toileted, given range-of-motion exercises,
and so forth to preserve physiological integrity. Cattonia may also
precipitate a risk for falls; therefore, safety is a concern. Higher level
needs are of lesser concern.
A client diagnosed with schizophrenia demonstrates little spontaneous
movement and has catatonia. The client's activities of daily living are
severely compromised. What will be an appropriate outcome for this
client?
a. demonstrates increased interest in the environment by the end of week
1.
pg. 1
,2|Page
b. performs self-care activities with coaching by the end of day 3.
c. gradually takes the initiative for self-care by the end of week 2.
d. accepts tube feeding without objection by day 2.
ANS: B
Outcomes related to self-care deficit nursing diagnoses should deal with
increasing ability to perform self-care tasks independently, such as
feeding, bathing, dressing, and toileting. Performing the tasks with
coaching by nursing staff denotes improvement over the complete
inability to perform the tasks. The incorrect options are not directly
related to self-care activities, difficult to measure, and unrelated to
maintenance of nutrition.
A nurse observes a catatonic client standing immobile, facing the wall
with one arm extended in a salute. The client remains immobile in this
position for 15 minutes, moving only when the nurse gently lowers the
arm. What is the name of this phenomenon?
a. Echolalia
b. Catatonia
c. Depersonalization
d. Thought withdrawal
ANS: B
Catatonia is the ability to hold distorted postures for extended periods of
time, as though the client were molded in wax. Echolalia is a speech
pattern. Depersonalization refers to a feeling state. Thought withdrawal
refers to an alteration in thinking.
pg. 2
,3|Page
A nurse leads a psychoeducational group about first-generation
antipsychotic medications with six adult men diagnosed with
schizophrenia. The nurse will monitor for concerns regarding body
image with respect to which potential side effect of these medications?
a. Constipation
b. Gynecomastia
c. Visual changes
d. Photosensitivity
ANS: B
FGAs (first-generation antipsychotic) stimulate release of prolactin,
which can result in gynecomastia (enlargement of the breasts) as well as
other changes in sexual function. Men may experience disturbances in
body image as a result of gynecomastia. Other side effects of FGAs may
be disturbing to other aspects of the client's physical health but are not
likely to bother body image.
A client diagnosed with schizophrenia has taken fluphenazine 5 mg po
bid for 3 weeks. The nurse now observes a shuffling propulsive gait, a
mask-like face, and drooling. Which term applies to these symptoms?
a. Neuroleptic malignant syndrome
b. Hepatocellular effects
c. Pseudoparkinsonism
d. Akathisia
ANS: C
Pseudoparkinsonism induced by antipsychotic medication mimics the
symptoms of Parkinson's disease. It frequently appears within the first
month of treatment and is more common with first-generation
pg. 3
, 4|Page
antipsychotic drugs. Hepatocellular effects would produce abnormal
liver test results. Neuroleptic malignant syndrome is characterized by
autonomic instability. Akathisia produces motor restlessness.
A client diagnosed with schizophrenia is very disturbed and violent.
After several doses of haloperidol, the client is calm. Two hours later the
nurse sees the client's head rotated to one side in a stiff position, the
lower jaw thrust forward, and drooling. Which problem is most likely?
a. An acute dystonic reaction
b. Tardive dyskinesia
c. Waxy flexibility
d. Akathisia
ANS: A
Acute dystonic reactions involve painful contractions of the tongue,
face, neck, and back. Opisthotonos and oculogyric crisis may be
observed. Dystonic reactions are considered emergencies requiring
immediate intervention. Tardive dyskinesia involves involuntary
spasmodic muscular contractions that involve the tongue, fingers, toes,
neck, trunk, or pelvis. It appears after prolonged treatment. Waxy
flexibility is a symptom seen in catatonic schizophrenia. Internal and
external restlessness, pacing, and fidgeting are characteristics of
akathisia.
An acutely violent client diagnosed with schizophrenia received several
doses of haloperidol. Two hours later the nurse notices the client's head
rotated to one side in a stiffly fixed position, the lower jaw thrust
forward, and drooling. Which intervention by the nurse is indicated?
pg. 4
