Maryville NR 327 Mental Health
Nursing Final Exam With Actual 120
Questions & Verified Answers,Plus
Rationales/Expert Verified For
Guaranteed Pass Graded A+/
2025/2026 /Latest Update/Instant
Download Pdf
1. A client with schizophrenia states, “I am the King of the Universe.” This is an example
of which symptom?
a. Hallucination
b. Neologism
c. Echolalia
d. Delusion of grandeur
Delusions of grandeur are false beliefs of inflated worth, power, knowledge, or
identity.
2. A nurse is assessing a client experiencing auditory hallucinations. The priority nursing
intervention is:
a. Encourage social interaction
b. Ask the client what the voices are saying
c. Distract the client with activities
d. Ignore the hallucinations
Assessing content ensures safety, as voices may instruct harmful behaviors.
3. Which medication is classified as an atypical antipsychotic?
a. Haloperidol
b. Chlorpromazine
c. Risperidone
d. Thiothixene
Risperidone is an atypical antipsychotic, effective against both positive and negative
symptoms.
,4. Which side effect is most associated with clozapine?
a. Tardive dyskinesia
b. Agranulocytosis
c. Neuroleptic malignant syndrome
d. Dystonia
Clozapine can cause life-threatening agranulocytosis; WBC monitoring is required.
5. A client with depression says, “Nothing will ever get better.” The nurse recognizes this
as:
a. Delusion
b. Hallucination
c. Hopelessness
d. Euphoria
Hopelessness is a common affective symptom of depression.
6. A client with mania is pacing and shouting at staff. The nurse’s priority is:
a. Provide diversional activities
b. Ensure safety by reducing stimuli
c. Encourage group therapy
d. Offer caffeinated beverages
Safety and decreasing stimulation are priorities in acute mania.
7. Lithium toxicity is most likely at what serum level?
a. 0.4 mEq/L
b. 0.8 mEq/L
c. 2.0 mEq/L
d. 0.6 mEq/L
Lithium toxicity occurs at 1.5 mEq/L and above; 2.0 is clearly toxic.
8. A client with panic disorder is hyperventilating. The best initial nursing action is:
a. Administer lorazepam
b. Encourage the client to breathe slowly into cupped hands
c. Call the provider
d. Use distraction techniques
Breathing into hands increases CO₂, reducing panic symptoms.
9. A client is taking sertraline. The nurse should teach the client to report:
a. Weight gain
b. Mild nausea
c. Serotonin syndrome symptoms
d. Dry mouth
Serotonin syndrome can be life-threatening; clients must report confusion, fever, or
tremors.
, 10. Which defense mechanism is used when a student fails a test and blames the
teacher?
a. Regression
b. Denial
c. Projection
d. Sublimation
Projection attributes one’s own feelings or faults to another person.
11. A client with PTSD reports nightmares and flashbacks. The nurse recognizes these as:
a. Obsessions
b. Compulsions
c. Intrusive symptoms
d. Dissociation
Intrusive symptoms include recurrent, involuntary distressing memories or dreams.
12. Which nursing intervention is most effective for a client with OCD?
a. Allow the client to avoid triggers
b. Encourage completion of rituals within set limits
c. Punish ritualistic behavior
d. Ignore obsessive thoughts
Structured exposure with response prevention helps reduce OCD behaviors safely.
13. A client on fluoxetine reports agitation, tremor, and confusion. The nurse suspects:
a. Withdrawal
b. Overdose
c. Serotonin syndrome
d. Extrapyramidal symptoms
Serotonin syndrome is a potentially life-threatening reaction to excess serotonin.
14. Which assessment finding is consistent with borderline personality disorder?
a. Depressive delusions
b. Social withdrawal
c. Fear of abandonment
d. Grandiose self-perception
Fear of abandonment is a hallmark feature of borderline personality disorder.
15. A patient with anorexia nervosa has a BMI of 15. The priority nursing intervention is:
a. Encourage psychotherapy
b. Monitor social interactions
c. Assess for cardiac complications
d. Promote body image activities
Severe malnutrition increases the risk of cardiac arrhythmias, making safety a
priority.
Nursing Final Exam With Actual 120
Questions & Verified Answers,Plus
Rationales/Expert Verified For
Guaranteed Pass Graded A+/
2025/2026 /Latest Update/Instant
Download Pdf
1. A client with schizophrenia states, “I am the King of the Universe.” This is an example
of which symptom?
a. Hallucination
b. Neologism
c. Echolalia
d. Delusion of grandeur
Delusions of grandeur are false beliefs of inflated worth, power, knowledge, or
identity.
2. A nurse is assessing a client experiencing auditory hallucinations. The priority nursing
intervention is:
a. Encourage social interaction
b. Ask the client what the voices are saying
c. Distract the client with activities
d. Ignore the hallucinations
Assessing content ensures safety, as voices may instruct harmful behaviors.
3. Which medication is classified as an atypical antipsychotic?
a. Haloperidol
b. Chlorpromazine
c. Risperidone
d. Thiothixene
Risperidone is an atypical antipsychotic, effective against both positive and negative
symptoms.
,4. Which side effect is most associated with clozapine?
a. Tardive dyskinesia
b. Agranulocytosis
c. Neuroleptic malignant syndrome
d. Dystonia
Clozapine can cause life-threatening agranulocytosis; WBC monitoring is required.
5. A client with depression says, “Nothing will ever get better.” The nurse recognizes this
as:
a. Delusion
b. Hallucination
c. Hopelessness
d. Euphoria
Hopelessness is a common affective symptom of depression.
6. A client with mania is pacing and shouting at staff. The nurse’s priority is:
a. Provide diversional activities
b. Ensure safety by reducing stimuli
c. Encourage group therapy
d. Offer caffeinated beverages
Safety and decreasing stimulation are priorities in acute mania.
7. Lithium toxicity is most likely at what serum level?
a. 0.4 mEq/L
b. 0.8 mEq/L
c. 2.0 mEq/L
d. 0.6 mEq/L
Lithium toxicity occurs at 1.5 mEq/L and above; 2.0 is clearly toxic.
8. A client with panic disorder is hyperventilating. The best initial nursing action is:
a. Administer lorazepam
b. Encourage the client to breathe slowly into cupped hands
c. Call the provider
d. Use distraction techniques
Breathing into hands increases CO₂, reducing panic symptoms.
9. A client is taking sertraline. The nurse should teach the client to report:
a. Weight gain
b. Mild nausea
c. Serotonin syndrome symptoms
d. Dry mouth
Serotonin syndrome can be life-threatening; clients must report confusion, fever, or
tremors.
, 10. Which defense mechanism is used when a student fails a test and blames the
teacher?
a. Regression
b. Denial
c. Projection
d. Sublimation
Projection attributes one’s own feelings or faults to another person.
11. A client with PTSD reports nightmares and flashbacks. The nurse recognizes these as:
a. Obsessions
b. Compulsions
c. Intrusive symptoms
d. Dissociation
Intrusive symptoms include recurrent, involuntary distressing memories or dreams.
12. Which nursing intervention is most effective for a client with OCD?
a. Allow the client to avoid triggers
b. Encourage completion of rituals within set limits
c. Punish ritualistic behavior
d. Ignore obsessive thoughts
Structured exposure with response prevention helps reduce OCD behaviors safely.
13. A client on fluoxetine reports agitation, tremor, and confusion. The nurse suspects:
a. Withdrawal
b. Overdose
c. Serotonin syndrome
d. Extrapyramidal symptoms
Serotonin syndrome is a potentially life-threatening reaction to excess serotonin.
14. Which assessment finding is consistent with borderline personality disorder?
a. Depressive delusions
b. Social withdrawal
c. Fear of abandonment
d. Grandiose self-perception
Fear of abandonment is a hallmark feature of borderline personality disorder.
15. A patient with anorexia nervosa has a BMI of 15. The priority nursing intervention is:
a. Encourage psychotherapy
b. Monitor social interactions
c. Assess for cardiac complications
d. Promote body image activities
Severe malnutrition increases the risk of cardiac arrhythmias, making safety a
priority.
