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    Exam Review

    1. What is the term for anxiety that arises in response to a specific known trigger, such as a phobia?
      A)
      Free-floating anxiety
      B)
      Signal anxiety
      C)
      Somatic symptom disorder
      D)
      Malingering
    2. What intervention should a nurse prioritize when a client expresses anxiety about their unstable housing situation’s impact on mental health?
      A)
      Administer anxiolytic medication
      B)
      Refer to social services
      C)
      Monitor dietary intake
      D)
      Increase frequency of therapy sessions
      E)
      Increase frequency of therapy sessions
    3. When differentiating between somatic symptom disorder and anxiety disorders, what is the primary focus of somatic symptom disorder?
      A)
      Exaggerated physical symptoms and their impact.
      B)
      Excessive fear and worry about health.
      C)
      Intrusive thoughts and compulsive behaviors.
      D)
      Avoidance of certain situations or objects.
    4. A liquid medication for depression needs to be administered at 20 mg every 6 hours. The medication available is 10 mg/mL. How many milliliters should be administered for each dose?
      A)
      5 mL per dose
      B)
      3 mL per dose
      C)
      2 mL per dose
      D)
      1 mL per dose
    Page 1 of 12

    Exam Review

    1. Anxiety becomes classified as a disorder under which condition?
      A)
      It lasts for less than one week and responds to relaxation techniques.
      B)
      It significantly interferes with daily life and functions.
      C)
      It is developmentally expected during a life stage.
      D)
      It leads to occasional palpitations and mild distress.
    2. A patient who started on a typical antipsychotic two weeks ago presents with severe restlessness and an inability to sit still. What is the most likely diagnosis?
      A)
      Pseudoparkinsonism
      B)
      Acute dystonia
      C)
      Akathisia
      D)
      Tardive dyskinesia
    3. Which symptom might indicate pseudoparkinsonism due to antipsychotic treatment?
      A)
      Involuntary lip-smacking movements.
      B)
      Acute muscle spasms.
      C)
      Feelings of restlessness and inability to stay still.
      D)
      Muscle stiffness and shuffling gait.
    4. Which evidence-based practice is most appropriate for treating acute stress disorder?
      A)
      Cognitive-behavioral therapy (CBT)
      B)
      Exposure therapy
      C)
      Medication alone
      D)
      Long-term psychoanalysis
    Page 2 of 12

    Exam Review

    1. Which evidence-based practice is most appropriate for treating acute stress disorder?
      A)
      Cognitive-behavioral therapy (CBT)
      B)
      Exposure therapy
      C)
      Medication alone
      D)
      Long-term psychoanalysis
    2. What is a primary advantage of second-generation antipsychotics over first-generation antipsychotics?
      A)
      Lower risk of extrapyramidal symptoms (EPS)
      B)
      Reduced risk of neuroleptic malignant syndrome (NMS)
      C)
      Prevention of all anticholinergic effects
      D)
      Greater efficacy in treating psychotic disorders
    3. Which of the following scenarios could be indicative of a conversion disorder rather than an anxiety disorder?
      A)
      A client avoids social situations due to fear of scrutiny.
      B)
      A client has repetitive, intrusive thoughts about cleanliness.
      C)
      A client experiences sudden blindness without any medical explanation.
      D)
      A client experiences panic attacks without any clear trigger.
    4. A patient with schizophrenia is prescribed clozapine. What should the nurse monitor for as the most serious potential adverse effect?
      A)
      Tardive dyskinesia
      B)
      Extrapyramidal symptoms
      C)
      Serotonin syndrome
      D)
      Agranulocytosis
    Page 3 of 12

    Exam Review

    1. If a patient requests more information on therapies that involve the manipulation of the body's energy fields, which method should the nurse discuss? (Select all that apply)
      A)
      Therapeutic Touch
      B)
      Traditional Chinese Medicine
      C)
      Reiki
      D)
      Dietary analysis
      E)
      Qi Gong
    2. What physiological response is triggered when the amygdala activates the hypothalamic-pituitary-adrenal (HPA) axis in a client experiencing acute stress?
      A)
      Release of stress hormones like cortisol
      B)
      Elevation of serotonin levels
      C)
      Activation of parasympathetic nervous system
      D)
      Increased activity in the motor cortex
      E)
      Qi Gong
    3. A client with PTSD reports nightmares, flashbacks, and hypervigilance. Which treatment combination is most appropriate?
      A)
      Exposure therapy and benzodiazepines
      B)
      Psychoanalysis and antipsychotics
      C)
      Group therapy and beta-blockers
      D)
      Trauma-focused cognitive-behavioral therapy (TF-CBT) and SSRIs
    4. In assessing a client with PTSD, which of the following symptoms is indicative of the disorder?
      A)
      Obsessions that lead to repetitive behaviors
      B)
      Re-experiencing the traumatic event through flashbacks
      C)
      Consistent expressive euphoria
      D)
      Apathy towards daily activities
    Page 4 of 12

    Exam Review

    1. Which adverse effect should a nurse prioritize monitoring for in a client taking first-generation antipsychotics?
      A)
      Anticholinergic effects such as dry mouth.
      B)
      Orthostatic hypotension.
      C)
      Nausea and vomiting.
      D)
      Extrapyramidal symptoms (EPS).
    2. Which neurotransmitter is most commonly targeted to reduce symptoms in clients diagnosed with obsessive-compulsive disorder (OCD)?
      A)
      Acetylcholine
      B)
      Dopamine
      C)
      GABA
      D)
      Serotonin
    3. A client with chronic migraines wants to explore complementary therapies. Which CAM modality focuses on altering consciousness levels to enhance relaxation and pain management?
      A)
      Biofeedback
      B)
      Aromatherapy
      C)
      Reflexology
      D)
      Hypnotherapy
    4. A patient with somatic symptom disorder reports persistent body aches and has undergone several diagnostic tests with no significant findings. How should a clinician approach this type of disorder?
      A)
      Initiate a new series of tests to find other possible medical conditions
      B)
      Focus on managing and reducing the symptoms' impact on daily life
      C)
      Refer the patient immediately to a psychiatrist for further evaluation
      D)
      Reassure the patient that all tests are negative and they have nothing to worry about
    Page 5 of 12

    Exam Review

    1. A patient is prescribed an intramuscular dose of 150 mg of an antipsychotic drug. The available vial contains 200 mg/mL. How many milliliters should the nurse administer?
      A)
      0.5 mL
      B)
      0.75 mL
      C)
      1 mL
      D)
      1.5 mL
    2. Which actions should a nurse take to support a client exhibiting survivor guilt after a traumatic event? (Select all that apply)
      A)
      Encourage suppression of feelings
      B)
      Advise self-isolation until feelings pass
      C)
      Facilitate peer support groups
      D)
      Ignore irrational thoughts
      E)
      Promote open discussions about the traumatic event
      F)
      Provide information on PTSD
      G)
      Isolate client from others involved in the event
    3. Which complementary therapy is characterized by transferring energy from the practitioner to the client to enhance well-being?
      A)
      Biofeedback
      B)
      Aromatherapy
      C)
      Reiki
      D)
      Manipulative Therapy
    4. A nurse is managing a client on SSRIs for depression and first-generation antipsychotics for acute psychosis. What potential complication should the nurse prioritize?
      A)
      Akathisia
      B)
      NMS
      C)
      Serotonin syndrome
      D)
      EPS
    Page 6 of 12