NUR 3235C Clinical Reasoning: Mental Health Final Exam Review Q & A 2026 (Complete And Verified Study material) (19pages) LEARNEXAMS

1. A patient with schizophrenia is prescribed clozapine. Which of the following side effects should a nurse prioritize for monitoring? - A) Sedation - B) Weight gain - C) Agranulocytosis - D) Constipation Answer: C) Agranulocytosis Rationale: Clozapine can cause agranulocytosis, a potentially lifethreatening decrease in white blood cells, necessitating regular monitoring of the patient's blood count. 2. A nurse is caring for a patient experiencing a manic episode. Which of the following interventions is most appropriate? - A) Encouraging participation in group activities - B) Providing a quiet and structured environment - C) Challenging the patient's unrealistic beliefs - D) Promoting lengthy conversations about personal issues Answer: B) Providing a quiet and structured environment Rationale: Patients experiencing mania are easily overstimulated; thus, a quiet and structured environment can help reduce agitation and promote safety. 3. When assessing a patient with depression, which of the following symptoms would indicate a risk of suicide? - A) Hypersomnia - B) Anhedonia - C) Sudden mood improvement - D) Decreased appetite Answer: C) Sudden mood improvement Rationale: A sudden mood improvement can be a sign that a patient has made a decision to commit suicide and may appear less depressed. 4. A patient with borderline personality disorder presents with selfinflicted lacerations. What is the initial nursing action? - A) Discussing the consequences of self-harm - B) Administering antipsychotic medication - C) Assessing the wound and providing appropriate care