Midterm Exam: NR607/ NR 607 (Latest
2025/ 2026 Update) Diagnosis &
Management in Psychiatric Mental
Health III Complete Review (Weeks 5-8)
Questions and Verified Answers| 100%
Correct | Grade A – Chamberlain
A family member asks the nurse, "I know my uncle's Alzheimer's disease has progressed, but is
there any medication that can help him now?" Which response by the nurse is best?
A. "I'm sorry, but there are no medications that can help with severe Alzheimer's disease."
B. "Alzheimer's disease sometimes stabilizes. Let's hope that happens in this situation."
C. "There are a few medications that may help. Let's discuss it with the health care provider."
D. "It sounds like you're having difficulty accepting that your uncle's disease is irreversible.
Would you like to talk about those feelings?" - ANSWER C
A young adult has reported heavy use of alcohol and prescription drugs since mid-adolescence.
This individual now has an ataxic gait and uses a cane. Which comment by the nurse presents
reality while demonstrating compassion?
A. "I know you must feel self-conscious about using a cane at your age, but it will help prevent
falls."
B. "Addiction is a fatal disease. If you continue to drink like you have done in past, you will not
live another 10 years."
C. "It's time to face your addiction. You are disappointing your family and must stop drinking for
the sake of the people you love you."
,D. "Addiction is powerful. You are young yet cannot walk without a cane. Your health has been
significantly affected by your long-term use of drugs and alcohol." - ANSWER
D
The nurse at a local clinic reviews phoned-in requests from patients for prescription refills. As
the nurse confers with the health care provider about which prescription refill requests should be
authorized, which refill request should be considered first?
A. Codeine 10 mg PO q4h PRN for an adult with a persistent cough
B. Hydroxyzine (Vistaril) 25 mg PO TID PRN for an adult who experiences uncomfortable
muscle spasms
C. Lorazepam (Ativan) 1 mg PO BID for an adult who has taken it daily for 3 years for episodes
of anxiety
D. Lomotil 2 mg PO q6h PRN for an adult experiencing severe diarrhea -
ANSWER C
A patient tells the nurse, "After many years, I finally quit smoking. Now I use e-cigarettes only."
Which is an appropriate response?
A. "Using e-cigarettes is now more socially acceptable than using traditional cigarettes."
B. "Congratulations on quitting, but e-cigarettes contain nicotine and other hazardous
chemicals."
C. "Nicotine is a powerful addiction. Quitting smoking is a big step toward adopting a healthier
lifestyle."
D. "I am glad you have quit smoking. your loved ones will no longer being exposed to the
hazards of secondhand smoke." - ANSWER B
A young adult tells the nurse, "I have a new prescription for medical marijuana. I use it several
times a day for my frequent muscle spasms." What information should the nurse provide first to
this patient?
,A. Guidance that the prescription should not be shared with peers
B. Directions to weigh self once a week and maintain a log of the results.
C. Instructions about safety issues associated with driving or operating machinery
D. Information about the potential for a motivational syndrome and memory problems -
ANSWER C
A nurse teaches a patient with alcohol use disorder about a new prescription for naltrexone
(ReVia, Vivitrol). Which comment by the patient indicates the teaching was effective?
A. "This medicine will stop my cravings for alcohol."
B. "I should take this medication only when I feel cravings to drink alcohol."
C. "This medicine is one part of a bigger treatment plan to help me stay sober."
D. "I should not use products that contain alcohol, such as cough medicine and aftershave
lotion." - ANSWER C
An emergency department nurse assesses a woman suspected of being abused by an intimate
partner. Which assessment finding most clearly confirms the suspicion?
A. Leathery facial tone
B. Injuries in a bikini pattern
C. Reluctance to be examined
D. Lack of eye contact with the nurse - ANSWER B
An emergency department nurse assesses a child with a fractured ulna. The nurse also observes
yellow and purple bruises across the Childs back and shoulders. Which comment by the parents
should prompt the nurse to consider making a report to Child Protective Services?
, A. "We do not believe in immunization for our children."
B. "This child is always creating problems for the family."
C. "Our child would rather play alone than with other children."
D. "We homeschool our children in order to include religious education." -
ANSWER B
A woman in a relationship characterized by a long history of battering and abuse tell the nurse,
"We've had a rough time lately. I admit it: He beat me last night but then he said he was sorry."
Which event would the nurse expect to occur next in this relationship?
A. Another beating by the abusive partner
B. Love, gifts, and praise from the abusive partner
C. A brief period during which the partners ignore each other
D. The abusive partner leaving the relationship for a short time - ANSWER
B
The nurse assessed an elderly person who was abused by the caregiver. Afterward, which
internal dialogue should prompt the nurse to see guidance?
A. "Sometimes I get so discouraged and frustrated with my job."
B. "It's incredible that anyone could hurt a child or elderly person."
C. "The abuser was probably a victim of abuse at some point in life."
D. "I hope the abuser gets victimized so they know what it feels like." -
ANSWER D
A university football coach invites the campus nurse to talk to the team about healthy
relationships in the community. Which topic has a priority for the nurse to include?
2025/ 2026 Update) Diagnosis &
Management in Psychiatric Mental
Health III Complete Review (Weeks 5-8)
Questions and Verified Answers| 100%
Correct | Grade A – Chamberlain
A family member asks the nurse, "I know my uncle's Alzheimer's disease has progressed, but is
there any medication that can help him now?" Which response by the nurse is best?
A. "I'm sorry, but there are no medications that can help with severe Alzheimer's disease."
B. "Alzheimer's disease sometimes stabilizes. Let's hope that happens in this situation."
C. "There are a few medications that may help. Let's discuss it with the health care provider."
D. "It sounds like you're having difficulty accepting that your uncle's disease is irreversible.
Would you like to talk about those feelings?" - ANSWER C
A young adult has reported heavy use of alcohol and prescription drugs since mid-adolescence.
This individual now has an ataxic gait and uses a cane. Which comment by the nurse presents
reality while demonstrating compassion?
A. "I know you must feel self-conscious about using a cane at your age, but it will help prevent
falls."
B. "Addiction is a fatal disease. If you continue to drink like you have done in past, you will not
live another 10 years."
C. "It's time to face your addiction. You are disappointing your family and must stop drinking for
the sake of the people you love you."
,D. "Addiction is powerful. You are young yet cannot walk without a cane. Your health has been
significantly affected by your long-term use of drugs and alcohol." - ANSWER
D
The nurse at a local clinic reviews phoned-in requests from patients for prescription refills. As
the nurse confers with the health care provider about which prescription refill requests should be
authorized, which refill request should be considered first?
A. Codeine 10 mg PO q4h PRN for an adult with a persistent cough
B. Hydroxyzine (Vistaril) 25 mg PO TID PRN for an adult who experiences uncomfortable
muscle spasms
C. Lorazepam (Ativan) 1 mg PO BID for an adult who has taken it daily for 3 years for episodes
of anxiety
D. Lomotil 2 mg PO q6h PRN for an adult experiencing severe diarrhea -
ANSWER C
A patient tells the nurse, "After many years, I finally quit smoking. Now I use e-cigarettes only."
Which is an appropriate response?
A. "Using e-cigarettes is now more socially acceptable than using traditional cigarettes."
B. "Congratulations on quitting, but e-cigarettes contain nicotine and other hazardous
chemicals."
C. "Nicotine is a powerful addiction. Quitting smoking is a big step toward adopting a healthier
lifestyle."
D. "I am glad you have quit smoking. your loved ones will no longer being exposed to the
hazards of secondhand smoke." - ANSWER B
A young adult tells the nurse, "I have a new prescription for medical marijuana. I use it several
times a day for my frequent muscle spasms." What information should the nurse provide first to
this patient?
,A. Guidance that the prescription should not be shared with peers
B. Directions to weigh self once a week and maintain a log of the results.
C. Instructions about safety issues associated with driving or operating machinery
D. Information about the potential for a motivational syndrome and memory problems -
ANSWER C
A nurse teaches a patient with alcohol use disorder about a new prescription for naltrexone
(ReVia, Vivitrol). Which comment by the patient indicates the teaching was effective?
A. "This medicine will stop my cravings for alcohol."
B. "I should take this medication only when I feel cravings to drink alcohol."
C. "This medicine is one part of a bigger treatment plan to help me stay sober."
D. "I should not use products that contain alcohol, such as cough medicine and aftershave
lotion." - ANSWER C
An emergency department nurse assesses a woman suspected of being abused by an intimate
partner. Which assessment finding most clearly confirms the suspicion?
A. Leathery facial tone
B. Injuries in a bikini pattern
C. Reluctance to be examined
D. Lack of eye contact with the nurse - ANSWER B
An emergency department nurse assesses a child with a fractured ulna. The nurse also observes
yellow and purple bruises across the Childs back and shoulders. Which comment by the parents
should prompt the nurse to consider making a report to Child Protective Services?
, A. "We do not believe in immunization for our children."
B. "This child is always creating problems for the family."
C. "Our child would rather play alone than with other children."
D. "We homeschool our children in order to include religious education." -
ANSWER B
A woman in a relationship characterized by a long history of battering and abuse tell the nurse,
"We've had a rough time lately. I admit it: He beat me last night but then he said he was sorry."
Which event would the nurse expect to occur next in this relationship?
A. Another beating by the abusive partner
B. Love, gifts, and praise from the abusive partner
C. A brief period during which the partners ignore each other
D. The abusive partner leaving the relationship for a short time - ANSWER
B
The nurse assessed an elderly person who was abused by the caregiver. Afterward, which
internal dialogue should prompt the nurse to see guidance?
A. "Sometimes I get so discouraged and frustrated with my job."
B. "It's incredible that anyone could hurt a child or elderly person."
C. "The abuser was probably a victim of abuse at some point in life."
D. "I hope the abuser gets victimized so they know what it feels like." -
ANSWER D
A university football coach invites the campus nurse to talk to the team about healthy
relationships in the community. Which topic has a priority for the nurse to include?
