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NUR1220 Mental Health Spring Quiz-2

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Title : NUR1220 Mental Health Spring Quiz-2

Type : Nursing

Category : RN Nursing Exams

Subcategory : GENERAL Exams

Domain : Mental Health (RN General)

Fragment : N/A

Module : RN-NURSING

Exam Status : active

Rating : 95.00%

Attempts Allowed : 15

Exam Year : 2026

Duration : 40 minutes

Total Questions : 10

Passing Score : 90%

Difficulty : Intermediate

Instructions : Answer all questions carefully and within the allocated time, using current best practices and critical thinking.

Description : This test features high-yield, NCLEX-style Mental Health questions tailored for RN students.

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1 :
Almard, a 21-year-old man with history of schizophrenia, is taking risperidone (Risperdal), an antipsychotic medication, reports severe muscle stiffness at 10:30 AM. By noon, the client is diaphoretic, drooling, and has difficulty swallowing. By 4:00 PM, the vital signs are: Temperature: 102.8°F, Pulse: 110 bpm, Respirations: 26/min, Blood Pressure: 150/90 mm Hg. Which condition should the nurse suspect, and what is the most appropriate immediate action?

Hypertensive crisis... begin a high-protein, low-fat diet and administer antihypertensives.

Neuroleptic malignant syndrome... immediately notify the health care provider.

Tardive dyskinesia... give an IM injection of diphenhydramine (Benadryl) as ordered.

Agranulocytosis... institute reverse isolation and administer antipyretics.

Hint : 🤦‍♂️Link rigidity, fever, and autonomic changes after an antipsychotic to an emergency syndrome.

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2 :
Andrea, a 42-year-old female client with schizophrenia was recently admitted due to acute psychosis. She has been taking fluphenazine (Prolixin), 5 mg orally twice daily for 3 days. Today, during assessment, the nurse observes: shuffling, propulsive gait, masklike facial expression, drooling. Which term best describes these symptoms, and what is the expected intervention ordered by the physician?

Neuroleptic malignant syndrome... MD will prescribe bromocriptine mesylate, a dopamine agonist.

Pseudoparkinsonism... MD will lower the antipsychotic dose and add an anticholinergic agent.

Serotonin syndrome... MD will discontinue the medication.

Akathisia... MD will prescribe diazepam, a benzodiazepine.

Hint : 🧠Match shuffling gait and masklike facies to a dopamine-blockade EPS pattern.

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3 :
A 63-year-old male with history of DM, COPD, and CHF was diagnosed with Covid infection 24 hours ago. Client develops severe shortness of breath (SOB) that interferes with his ADLs. He is rushed to the emergency department and diagnosed with respiratory failure and Covid pneumonia. Two hours after admission, the client is incoherent and with marked respiratory distress, pO2 is 76%. He is intubated and mechanically ventilated. The client becomes combative and attempts to remove the ET tube. The pulmonologist orders Diprivan (Propofol) drip.
Select the best explanation for MD's order for sedation.

Based on Maslow's hierarchy of needs theory, Pulmonologists know how important it is not to disrupt unit functionality. Sedating this client will allow better nurse dynamic with the client.

Based on Maslow's hierarchy of needs theory, client respiration is compromised already, sedating him will not do much harm. It is better to sedate him to work with a calm client.

Based on Maslow's hierarchy of needs theory, client interpersonal relationship is in jeopardy, endotracheal tube removal by client might lead to better communication. Sedation is indicated to promote security and safety.

Based on Maslow's hierarchy of needs theory, client safety is in jeopardy, endotracheal tube removal by client might lead to trauma and possible death. Sedation is indicated to promote security and safety.

Hint : 🤦‍♂️Choose the option emphasizing prevention of life-threatening airway removal to maintain safety.

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4 :
A new client has been prescribed lithium for the management of bipolar disorder. Before initiating therapy, the nurse reviews the client's medical history to identify factors that could affect lithium serum levels and increase the risk of toxicity. Which element of the client's history suggests that careful monitoring of lithium levels will be particularly challenging and critical?

The client has congestive heart failure (CHF) and is taking furosemide (Lasix).

The client has psoriasis and uses topical triamcinolone.

The client has epilepsy and is receiving diazepam.

The client has arthritis and takes acetaminophen (Tylenol) for pain relief.

Hint : 👁‍🗨Look for the history that most disrupts fluid balance and renal clearance affecting lithium.

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5 :
A nurse assesses that a client is suspicious and frequently manipulates others to satisfy his own desires. Using Freudian theory, these traits are related to which psychosexual stage?

Anal

Phallic

Oral

Genital

Hint : 🤦‍♂️Think about the stage most associated with control and interpersonal power struggles.

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6 :
"In today's society many people behave immaturely when they say, "I want it, and I want it now!". The truth is people cannot always have what they want, when they want it. Those who behave like this are seen as spoiled, out-of-self-control, or hedonistic (self-indulgent). People have to make healthy choices for themselves. This sometimes means fighting impulses and doing things they may not want to do, but need to do. Only then they will be able to make positive choices and build self-control and willpower." Using Erikson's theory, which psychosocial crisis explains and supports the previous statements?

Autonomy versus Shame and Doubt

Trust versus Mistrust

Initiative versus Guilt

Industry versus Inferiority

Hint : 🤦‍♂️Choose the Erikson stage most tied to self-control and managing impulses.

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7 :
A client underwent psychotherapy weekly for 3 years. The therapist used free association, dream analysis to investigate the interaction of conscious and unconscious elements in the mind, and facilitated transference to help the client understand unconscious processes and foster personality changes. Which type of therapy was used?

Behavioral therapy

Psychoanalysis

Interpersonal Therapy

Cognitive therapy

Hint : 🤦‍♂️Identify the therapy known for dream analysis and transference work.

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8 :
A 38-year-old man with a 10-year history of schizophrenia has been receiving maintenance fluphenazine decanoate (Prolixin Decanoate) 25 mg IM every 2 weeks for the past 2 years. The clinic nurse observes that he is making involuntary facial movements, grimacing, and constant lip-smacking. At the next visit, his neck and shoulders twist in a slow, snakelike motion. The nurse should suspect the presence of and should.

Tardive dyskinesia... administer the prescribed Diphenhydramine (Benadryl).

Agranulocytosis... check the client's complete blood count for changes.

Anticholinergic effects... consult the physician about possible medication changes.

Tourette's syndrome... consult the client's physician about a neurological evaluation.

Hint : 👀Look for the complication associated with long-term antipsychotic use causing involuntary mouth and face movements.

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9 :
A 48-year-old client presents with significant difficulty regulating emotions, reporting sudden and unpredictable outbursts of anger, periods of excessive crying, and episodes of inappropriate laughter. The client also reports challenges with short-term and long-term memory. Neuropsychological testing confirms impairments in emotional regulation, motivation, and memory processing. Based on this clinical presentation, a neuroimaging study would most likely reveal dysfunction in which area of the brain?

Prefrontal Cortex

Cerebellum

Temporal Lobe

Limbic System

Hint : 🤦‍♂️Choose the brain region most associated with emotion regulation and memory together.

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10 :
A 36-year-old client has recently been prescribed sertraline (Zoloft), a selective serotonin reuptake inhibitor (SSRI), for the treatment of major depressive disorder. During visiting hours, the client's partner asks, "Can you explain to me how SSRIs actually work to improve depression?"

"SSRIs increase the production of serotonin within the presynaptic neuron."

"SSRIs block muscarinic and alpha-1 norepinephrine receptors to improve mood."

"SSRIs cause an increase in the number of serotonin receptors at the postsynaptic terminal."

"SSRIs increase serotonin concentration, making more serotonin available in the synaptic cleft."

Hint : 💁‍♂️Focus on the antidepressant class that blocks reuptake to raise synaptic serotonin.

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Ans

NUR1220 Mental Health Spring Quiz-2

No.

5 : A nurse assesses that a client is suspicious and frequently manipulates others to satisfy his own desires. Using Freudian theory, these traits are related to which psychosexual stage?

10 : A 36-year-old client has recently been prescribed sertraline (Zoloft), a selective serotonin reuptake inhibitor (SSRI), for the treatment of major depressive disorder. During visiting hours, the client's partner asks, "Can you explain to me how SSRIs actually work to improve depression?"

5 :
A nurse assesses that a client is suspicious and frequently manipulates others to satisfy his own desires. Using Freudian theory, these traits are related to which psychosexual stage?

10 :
A 36-year-old client has recently been prescribed sertraline (Zoloft), a selective serotonin reuptake inhibitor (SSRI), for the treatment of major depressive disorder. During visiting hours, the client's partner asks, "Can you explain to me how SSRIs actually work to improve depression?"