NR 326 Exam 3 Final Exam Study Guide

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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

2. Which of the following is considered a positive symptom of schizophrenia?

A. Flat affect
B. Avolition
C. Delusions
D. Anhedonia

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

4. Which phase of schizophrenia involves prominent psychotic symptoms such as hallucinations and delusions?

A. Premorbid
B. Prodromal
C. Active psychotic
D. Residual

5. Which of the following symptoms is categorized as negative in schizophrenia?

A. Hallucinations
B. Magical thinking
C. Disorganized speech
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

7. Which antipsychotic medication is commonly used in treating schizophrenia?

A. Fluoxetine
B. Haloperidol
C. Lorazepam
D. Topiramate

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

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

10. Which medication is used to treat extrapyramidal symptoms (EPS) in schizophrenia?

A. Benztropine
B. Clozapine
C. Aripiprazole
D. Disulfiram

NR 326 Exam 3 Final Exam Study Guide

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

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

3. Which electrolyte imbalance is common in patients with bulimia nervosa?

A. Hyperkalemia
B. Hypernatremia
C. Hypokalemia
D. Hypercalcemia

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

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

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

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

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

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

5. Which of the following is a hallmark of avoidant personality disorder?

A. Grandiosity
B. Fear of rejection
C. Suspiciousness
D. Manipulation

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

2. Alzheimer’s disease is most associated with:

A. Sudden confusion
B. Progressive memory impairment
C. Hallucinations
D. Seizures

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

4. A patient suddenly becomes confused and disoriented. The nurse suspects:

A. Alzheimer’s disease
B. Parkinson’s disease
C. Delirium
D. Dementia

5. Which medication is commonly used in mild to moderate Alzheimer’s disease?

A. Haloperidol
B. Donepezil
C. Risperidone
D. Lithium

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

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

3. Which medication is commonly used to prevent alcohol relapse?

A. Fluoxetine
B. Disulfiram
C. Diazepam
D. Haloperidol

4. A sign of opioid intoxication includes:

A. Pinpoint pupils
B. Dilated pupils
C. Agitation
D. Diaphoresis

5. What is the antidote for opioid overdose?

A. Methadone
B. Naloxone
C. Diazepam
D. Flumazenil