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GNRS 584 MH FINAL EXAM Questions and Answers (100% Correct) Latest Fall 2025/26., Exams of Nursing

GNRS 584 MH FINAL EXAM Questions and Answers (100% Correct) Latest Fall 2025/26.

Typology: Exams

2024/2025

Available from 05/16/2025

dennis-mburu
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Risk Factors Genes parents may pass down some personality traits to their children.
Sometimes these traits are called your temperament. Environment This includes
your surroundings, events that have happened to the client and around them, and
relationships and patterns of interactions with family members and others.
Medications
1. When a client reports that lithium causes an upset stomach, the nurse should make
which suggestion is associated with taking the medication?
A. With meals
B. With an antacid
C. 30 minutes before meals
D. 2 hours after meals
2. A client, who has been prescribed clozapine 6 weeks ago, reports flulike
symptoms including a fever and a very sore throat, the nurse should initiate
which nursing intervention?
A. Suggest that the client take something for the fever and get extra rest.
B. Advise the physician that the client should be admitted to the hospital.
C. Arrange for the client to have blood drawn for a white blood cell count.
D. Consider recommending a change of antipsychotic medication.
3. Which medication is FDA approved for treatment of anxiety in children?
A. Sertraline
B. Fluoxetine
C. Clomipramine
D. Duloxetine
4. A client being treated for depression has taken sertraline daily for a year. The
client calls the clinic nurse and says, “I stopped taking my antidepressant 2 days
ago. Now I am having nausea, nervous feelings, and I can’t sleep.” The nurse will
advise the client to: (takes 2 weeks to work)
A. “Go to the nearest emergency department immediately.”
B. “Do not to be alarmed. Take two aspirin and drink plenty of fluids.”
C. “Take a dose of your antidepressant now and come to the clinic to see the health care
provider.”
D. “Resume taking your antidepressants for 2 more weeks and then discontinue them
again.”
5. A nurse instructs a client taking a medication that inhibits the action of
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Risk Factors Genes — parents may pass down some personality traits to their children. Sometimes these traits are called your temperament. Environment — This includes your surroundings, events that have happened to the client and around them, and relationships and patterns of interactions with family members and others. Medications

  1. When a client reports that lithium causes an upset stomach, the nurse should make which suggestion is associated with taking the medication? A. With meals B. With an antacid C. 30 minutes before meals D. 2 hours after meals
  2. A client, who has been prescribed clozapine 6 weeks ago, reports flulike symptoms including a fever and a very sore throat, the nurse should initiate which nursing intervention? A. Suggest that the client take something for the fever and get extra rest. B. Advise the physician that the client should be admitted to the hospital. C. Arrange for the client to have blood drawn for a white blood cell count. D. Consider recommending a change of antipsychotic medication. 3. Which medication is FDA approved for treatment of anxiety in children? A. Sertraline B. Fluoxetine C. Clomipramine D. Duloxetine 4. A client being treated for depression has taken sertraline daily for a year. The client calls the clinic nurse and says, “I stopped taking my antidepressant 2 days ago. Now I am having nausea, nervous feelings, and I can’t sleep.” The nurse will advise the client to: (takes 2 weeks to work) A. “Go to the nearest emergency department immediately.” B. “Do not to be alarmed. Take two aspirin and drink plenty of fluids.” C. “Take a dose of your antidepressant now and come to the clinic to see the health care provider.” D. “Resume taking your antidepressants for 2 more weeks and then discontinue them again.” 5. A nurse instructs a client taking a medication that inhibits the action of

monoamine oxidase (MAO) to avoid certain foods and drugs because of the risk of what? A. hypotensive shock. B. hypertensive crisis. Intense vasocontrictive C. cardiac dysrhythmia. D. cardiogenic shock.

  1. A client being treated with paroxetine 50 mg po daily reports to the clinic nurse, “I took a few extra tablets earlier today and now I feel bad.” Which assessments are most critical? ( Select all that apply. ) serotonin syndrome A. Vital signs B. Urinary frequency C. Psychomotor retardation D. Presence of abdominal pain and diarrhea E. Hyperactivity or feelings of restlessness 7. A client diagnosed with schizophrenia had an exacerbation related to medication non adherence and was hospitalized for 5 days. The client’s thoughts are now more organized, and discharge is planned. The client’s family says, “It’s too soon for discharge. We will just go through all this again.” What action should the nurse take? A. ask the case manager to arrange a transfer to a long-term care facility. B. notify hospital security to handle the disturbance and escort the family off the unit. C. explain that the client will continue to improve if the medication is taken regularly. D. contact the healthcare provider to meet with the family and explain the discharge rationale.
  2. A health care provider prescribed long acting antipsychotic (LAI-2 weeks to one month) medication injections every 3 weeks at the clinic for a client with a history of medication nonadherence. For this plan to be successful, which factor will be of critical importance? A. The attitude of significant others toward the client B. Nutrition services in the client’s neighborhood C. The level of trust between the client and nurse D. The availability of transportation to the clinic

14. The nurse administers a medication that potentiates the action of ã- aminobutyric acid (GABA). Which effect would be expected? A. Reduced anxiety (reduce nuero ecit+ calms them down) B. Improved memory C. More organized thinking D. Fewer sensory perceptual alterations 15. A nurse would anticipate that treatment for a client with memory difficulties might include medications designed to do what? A. inhibit GABA. B. prevent destruction of acetylcholine. (ACH-memory=ALZ) C. reduce serotonin metabolism. D. increase dopamine activity. 16. The therapeutic action of neurotransmitter inhibitors that block reuptake bring about what response? A. decreased concentration of the blocked neurotransmitter in the central nervous system. B. increased concentration of the blocked neurotransmitter in the synaptic gap. (reupatke) C. destruction of receptor sites specific to the blocked neurotransmitter. D. limbic system stimulation. 17. A client taking medication for mental illness develops restlessness and an uncontrollable need to be in motion. Which drug action causes these symptoms to develop? A. Anticholinergic effects - dry mouth /burred vision DRY DRY DRY B. Dopamine-blocking effects (movement) C. Endocrine-stimulating effects D. Ability to stimulate spinal nerves 18. A drug causes muscarinic receptor blockade. The nurse will assess the client for what side effect? A. dry mouth. (Anticholinergic) B. gynecomastia. C. pseudoparkinsonism. D. orthostatic hypotension. 19. A client begins therapy with a phenothiazine medication. What teaching should the nurse provide related to the drug’s strong dopaminergic effect? A. Chew sugarless gum. B. Increase dietary fiber.

C. Arise slowly from bed. D. Report changes in muscle movement. ( phenothiazine Block dopamine)

20. A nurse can anticipate anticholinergic effects are likely when a client is prescribed which medication? - FIND ANSWER - Tricyclic antidepressant A. lithium. B. buspirone. C. imipramine. D. risperidone. 21. Which instruction has priority when teaching a client about clozapine? A. “Avoid unprotected sex.” B. “Report sore throat and fever immediately.” C. “Reduce foods high in polyunsaturated fats.” D. “Use over-the-counter preparations for rashes.”

  1. The nurse will order a special diet for the client who is prescribed which **medication? Generic names parenthesis. A. (carbamazepine)tegretol B. (haloperidol.) haloperidol C. (phenelzine.) Nardil MOAI D. (trazodone.) desyrel
  2. A nurse instructs a client taking a drug that inhibits monoamine oxidase (MAO) to avoid certain foods and drugs because of the risk of A. cardiac dysrhythmia. B. hypotensive shock. C. hypertensive crisis. D. hypoglycemia.
  3. A nurse caring for a client taking a selective serotonin reuptake inhibitors (SSRIs) will develop outcome criteria related to what? A. coherent thought processes. B. improvement in depression. C. reduced levels of motor activity. D. decreased extrapyramidal symptoms. 25. The laboratory report for a client taking clozapine shows a white blood cell count of 3000 mm^3. What is the nurse’s best action? Know normal level of

30. A nurse prepares to administer a scheduled intramuscular (IM) injection of an antipsychotic medication to an out-patient diagnosed with schizophrenia. As the nurse swabs the site, the client shouts, “Stop! I don’t want to take that medicine anymore. I hate the side effects.” What is the nurse’s best action? A. Assemble other staff for a show of force and proceed with the injection, using restraint if necessary. B. Stop the medication administration procedure and say to the client, “Tell me more about the side effects you’ve been having.” C. Proceed with the injection but explain to the client that there are medications that will help reduce the unpleasant side effects. D. Say to the client, “Since I’ve already drawn the medication in the syringe, I’m required to give it, but let’s talk to the doctor about delaying next month’s dose.” 31. An older adult is prescribed digoxin and hydrochlorothiazide daily as well as lorazepam as needed for anxiety. Over 2 days, the client developed confusion, slurred speech, an unsteady gait, and fluctuating levels of orientation. What is the most likely reason for the client’s change in mental status? A. Drug actions and interactions B. Benzodiazepine withdrawal C. Hypotensive episodes D. Renal failure 32. What action should the nurse take on learning that a manic client’s serum lithium level is 1.8 mEq/L? A. Withhold medication and notify the physician. B. Continue to administer medication as ordered. C. Advise the client to limit fluids for 12 hours. D. Advise the client to curtail salt intake for 24 hours. Questions from Class:

  1. A nurse is discussing the three clusters of personality disorders. Which of the following personality disorders is part of cluster C?
  • Dependency personality disorder
  1. A nurse is educating a newly licensed nurse about comorbidities associated with cluster B personality disorders. The nurse should identify which of the following disorders as a comorbidity of histrionic personality disorder?
  • General Anxiety Disorder
  1. A nurse is caring for a client who has obsessive compulsive disorder. Which of the

following core morbidities should the nurse anticipate when reviewing the client's medical record?

  • Anorexia Nervosa
  1. A nurse is teaching a group of newly licensed nurses about personality disorders which of the following information should be included
  • Personality disorder often manifest from childhood emotional trauma
  1. A nurse is reviewing the documentation for a newly admitted client and notes the following client verbalizes the use of coping mechanisms when experiencing stress. Which of the following can the nurse expect when interacting with this client?
  • The client adapts well to change
  1. A nurse on a mental health unit caring for a client who refuses to follow instructions and states that the unit rules do not apply to them. The nurse should identify that these findings are manifestations of which of the following personality disorders?
  • Antisocial personality disorder
  1. A nurse is in an emergency department and is assessing a client who has a personality disorder and reports that they recently used illicit drugs. Which of the following screening tools should the nurse use to determine if the client has recently use an illicit drug?
  • Toxicology test
  1. A nurse is caring for a client who screams “I can read your mind!”. The nurse should identify this finding as manifestations of which of the following personality disorders.
  • Schizotypal personality disorder
  1. A nurse is caring for a client who states “I have no interest in sexual activity or finding a partner,” the nurse should identify that the state statement is consistent with which of the following personality disorders?
  • Schizoid personality disorder
  1. A nurse is caring for a client who is unable to make any decisions for themselves and needs constant reassurance. The nurse should identify that these are manifestations of which of the following personality disorders?
  • Dependency personality disorder
  1. A nurse is assessing a client who has paranoid personality disorder, which of the following findings should the nurse expect?
  • Suspiciousness of others
  1. A nurse is planning care for several clients. The nurse knows that which of the following findings are common in clients who have dependent personality disorder?
  • Clients are fearful of making decisions.
  1. A nurse is caring for a client who has avoidant personality disorder. Which of the following types of therapy should the nurse anticipate for the client?