NR 326 Exam 3 Final Exam Study Guide

NR 326 Exam 3 Final Exam Study Guide

Student Name

Chamberlain University

NR-326: Mental Health Nursing

Prof. Name:

Date

NR 326 Exam 3 Final Exam Study Guide

1. What is the primary neurotransmitter associated with schizophrenia?

A. Serotonin
B. Norepinephrine
C. Dopamine
D. Acetylcholine

Correct Answer: C. Dopamine

2. Which of the following is considered a positive symptom of schizophrenia?
A. Flat affect
B. Avolition
C. Delusions
D. Anhedonia

Correct Answer: C. Delusions

3. What is the priority concern when caring for a patient with schizophrenia?
A. Nutritional intake
B. Physical activity
C. Risk for suicide
D. Cognitive stimulation

Correct Answer: C. Risk for suicide

4. Which phase of schizophrenia involves prominent psychotic symptoms such as hallucinations and delusions?
A. Premorbid
B. Prodromal
C. Active psychotic
D. Residual

Correct Answer: C. Active psychotic

5. Which of the following symptoms is categorized as negative in schizophrenia?
A. Hallucinations
B. Magical thinking
C. Disorganized speech
D. Flat affect

Correct Answer: D. Flat affect

6. Which personality disorder is characterized by magical thinking and mild hallucinations without meeting the threshold for schizophrenia?
A. Schizoid
B. Paranoid
C. Schizotypal
D. Borderline

Correct Answer: C. Schizotypal

7. Which antipsychotic medication is commonly used in treating schizophrenia?
A. Fluoxetine
B. Haloperidol
C. Lorazepam
D. Topiramate

Correct Answer: B. Haloperidol

8. What is the appropriate response by the nurse when a patient says, “I hear voices telling me to go outside”?
A. Ignore the patient
B. Tell them to stop listening to the voices
C. Acknowledge the experience and reassure safety
D. Tell them the voices are real

Correct Answer: C. Acknowledge the experience and reassure safety

9. Which term describes the patient’s behavior when they hold a posture for a long time and resist repositioning?
A. Loose associations
B. Waxy flexibility
C. Akathisia
D. Echolalia

Correct Answer: B. Waxy flexibility

10. Which medication is used to treat extrapyramidal symptoms (EPS) in schizophrenia?
A. Benztropine
B. Clozapine
C. Aripiprazole
D. Disulfiram

Correct Answer: A. Benztropine

Eating Disorders

1. Which eating disorder is characterized by recurrent episodes of binge eating followed by purging?
A. Anorexia nervosa
B. Pica
C. Bulimia nervosa
D. Rumination disorder

Correct Answer: C. Bulimia nervosa

2. A key characteristic of anorexia nervosa is:
A. Normal body weight
B. Lack of exercise
C. Intense fear of gaining weight
D. Excessive appetite

Correct Answer: C. Intense fear of gaining weight

3. Which electrolyte imbalance is common in patients with bulimia nervosa?
A. Hyperkalemia
B. Hypernatremia
C. Hypokalemia
D. Hypercalcemia

Correct Answer: C. Hypokalemia

4. What is the priority nursing diagnosis for a client with anorexia nervosa?
A. Chronic low self-esteem
B. Disturbed sleep pattern
C. Imbalanced nutrition: less than body requirements
D. Impaired memory

Correct Answer: C. Imbalanced nutrition: less than body requirements

5. Which behavior is typical in clients with bulimia nervosa?
A. Avoidance of food
B. Secretive binge eating
C. Consistent weight gain
D. Excessive water consumption only

Correct Answer: B. Secretive binge eating

Personality Disorders

1. Which personality disorder is characterized by disregard for others and violation of social norms?
A. Borderline
B. Narcissistic
C. Antisocial
D. Avoidant

Correct Answer: C. Antisocial

2. Which statement best describes borderline personality disorder?
A. Social withdrawal and eccentric behaviors
B. Instability in interpersonal relationships, self-image, and mood
C. Preoccupation with orderliness
D. Excessive need to be taken care of

Correct Answer: B. Instability in interpersonal relationships, self-image, and mood

3. A patient with histrionic personality disorder will likely exhibit:
A. Attention-seeking behavior
B. Avoidance of people
C. Logical thinking
D. Indifference to compliments

Correct Answer: A. Attention-seeking behavior

4. What is the best therapeutic approach for a patient with narcissistic personality disorder?
A. Ignore their behavior
B. Set firm limits and maintain consistency
C. Encourage dependency
D. Overpraise them

Correct Answer: B. Set firm limits and maintain consistency

5. Which of the following is a hallmark of avoidant personality disorder?
A. Grandiosity
B. Fear of rejection
C. Suspiciousness
D. Manipulation

Correct Answer: B. Fear of rejection

Neurocognitive Disorders

1. Which of the following best describes delirium?
A. Gradual decline in memory
B. Acute and reversible cognitive disturbance
C. Irreversible progressive memory loss
D. Stable cognitive dysfunction

Correct Answer: B. Acute and reversible cognitive disturbance

2. Alzheimer’s disease is most associated with:
A. Sudden confusion
B. Progressive memory impairment
C. Hallucinations
D. Seizures

Correct Answer: B. Progressive memory impairment

3. What is a priority nursing action for a client with Alzheimer’s disease?
A. Force reality orientation
B. Maintain a safe environment
C. Restrict fluids
D. Encourage isolation

Correct Answer: B. Maintain a safe environment

4. A patient suddenly becomes confused and disoriented. The nurse suspects:
A. Alzheimer’s disease
B. Parkinson’s disease
C. Delirium
D. Dementia

Correct Answer: C. Delirium

5. Which medication is commonly used in mild to moderate Alzheimer’s disease?
A. Haloperidol
B. Donepezil
C. Risperidone
D. Lithium

Correct Answer: B. Donepezil

Substance Use Disorders

1. Which symptom is most characteristic of alcohol withdrawal?
A. Slow pulse
B. Tremors and agitation
C. Euphoria
D. Decreased blood pressure

Correct Answer: B. Tremors and agitation

2. What is the priority nursing intervention during alcohol withdrawal?
A. Encourage group therapy
B. Limit fluid intake
C. Prevent seizures and maintain safety
D. Promote exercise

Correct Answer: C. Prevent seizures and maintain safety

3. Which medication is commonly used to prevent alcohol relapse?
A. Fluoxetine
B. Disulfiram
C. Diazepam
D. Haloperidol

Correct Answer: B. Disulfiram

4. A sign of opioid intoxication includes:
A. Pinpoint pupils
B. Dilated pupils
C. Agitation
D. Diaphoresis

Correct Answer: A. Pinpoint pupils

5. What is the antidote for opioid overdose?
A. Methadone
B. Naloxone
C. Diazepam
D. Flumazenil

Correct Answer: B. Naloxone

NR 326 Exam 3 Final Exam Study Guide