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 Study Guide

Schizophrenia

1. What is the main neurotransmitter linked to schizophrenia?

   • A. Serotonin

   • B. Norepinephrine

   • C. Dopamine ✅

   • D. Acetylcholine

2. Which 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 involves pronounced psychotic symptoms such as hallucinations and delusions?

   • A. Premorbid

   • B. Prodromal

   • C. Active psychotic ✅

   • D. Residual

5. Which symptom is categorized as negative in schizophrenia?

   • A. Hallucinations

   • B. Magical thinking

   • C. Disorganized speech

   • D. Flat affect ✅

6. Which personality disorder features magical thinking and mild hallucinations without full-blown schizophrenia?

   • A. Schizoid

   • B. Paranoid

   • C. Schizotypal ✅

   • D. Borderline

7. Which antipsychotic is commonly used to treat schizophrenia?

   • A. Fluoxetine

   • B. Haloperidol ✅

   • C. Lorazepam

   • D. Topiramate

8. What should the nurse do if 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 holding a posture for a prolonged period and resisting repositioning?

   • A. Loose associations

   • B. Waxy flexibility ✅

   • C. Akathisia

   • D. Echolalia

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

    • A. Benztropine ✅

    • B. Clozapine

    • C. Aripiprazole

    • D. Disulfiram

Eating Disorders

1. Which disorder involves repeated binge eating followed by purging?

   • A. Anorexia nervosa

   • B. Pica

   • C. Bulimia nervosa ✅

   • D. Rumination disorder

2. A defining feature 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 bulimia nervosa?

   • A. Hyperkalemia

   • B. Hypernatremia

   • C. Hypokalemia ✅

   • D. Hypercalcemia

4. What is the priority nursing diagnosis for 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 bulimia nervosa?

   • A. Avoidance of food

   • B. Secretive binge eating ✅

   • C. Consistent weight gain

   • D. Excessive water consumption only

Personality Disorders

1. Which disorder is marked by disregard for others and breaking social rules?

   • A. Borderline

   • B. Narcissistic

   • C. Antisocial ✅

   • D. Avoidant

2. Which best describes borderline personality disorder?

   • A. Social withdrawal and eccentric behaviors

   • B. Instability in relationships, self-image, and mood ✅

   • C. Preoccupation with orderliness

   • D. Excessive need to be cared for

3. A patient with histrionic personality disorder is likely to:

   • A. Seek attention excessively ✅

   • B. Avoid people

   • C. Think logically

   • D. Show indifference to compliments

4. What is the most effective approach for narcissistic personality disorder?

   • A. Ignore their behavior

   • B. Set firm limits and maintain consistency ✅

   • C. Encourage dependency

   • D. Overpraise them

5. A key feature of avoidant personality disorder is:

   • A. Grandiosity

   • B. Fear of rejection ✅

   • C. Suspiciousness

   • D. Manipulation

Neurocognitive Disorders

1. Which describes delirium?

   • A. Gradual memory decline

   • B. Acute and reversible cognitive disturbance ✅

   • C. Irreversible progressive memory loss

   • D. Stable cognitive dysfunction

2. Alzheimer’s disease is primarily associated with:

   • A. Sudden confusion

   • B. Progressive memory impairment ✅

   • C. Hallucinations

   • D. Seizures

3. What is a priority nursing action for Alzheimer’s patients?

   • A. Force reality orientation

   • B. Maintain a safe environment ✅

   • C. Restrict fluids

   • D. Encourage isolation

4. A patient who suddenly becomes confused is likely experiencing:

   • A. Alzheimer’s disease

   • B. Parkinson’s disease

   • C. Delirium ✅

   • D. Dementia

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

   • A. Haloperidol

   • B. Donepezil ✅

   • C. Risperidone

   • D. Lithium

Substance Use Disorders

1. Which symptom is most common during alcohol withdrawal?

   • A. Slow pulse

   • B. Tremors and agitation ✅

   • C. Euphoria

   • D. Low blood pressure

2. What is the priority nursing intervention for alcohol withdrawal?

   • A. Encourage group therapy

   • B. Limit fluids

   • C. Prevent seizures and maintain safety ✅

   • D. Promote exercise

3. Which medication helps prevent alcohol relapse?

   • A. Fluoxetine

   • B. Disulfiram ✅

   • C. Diazepam

   • D. Haloperidol

4. A sign of opioid intoxication is:

   • 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