Question 6
N3381 Exam 3 Sp 2026. Which of the following is an example of an adverse effect of a stimulant medication?
- ✅ Weight loss and insomnia
- Increased appetite and sedation
- Hypotension and bradycardia
- Urinary retention and constipation
Question 7
Which of the following neurotransmitters are enhanced by stimulant medication for Attention Deficit Hyperactivity Disorder (ADHD)?
- Serotonin and acetylcholine
- ✅ Dopamine and norepinephrine
- Gamma-aminobutyric acid (GABA) and glycine
- Histamine and glutamate N3381 Exam 3 Sp 2026
Question 8
A client diagnosed with dementia is prescribed a cholinesterase inhibitor. Cholinesterase inhibitors are prescribed for patients with dementia in order to
- decrease perseveration.
- ✅ slow the deterioration of memory.
- decrease combative behaviors.
- Accelerate the deterioration of memory.
Question 9
A patient is diagnosed with moderate to severe Alzheimer’s disease. The nurse should anticipate that the healthcare provider will prescribe which of the following NMDA antagonists?
- ✅ Memantine (Namenda)
- Donepezil (Aricept)
- Galantamine (Razadyne)
- Rivastigmine (Exelon)
Question 10
A patient is admitted to the psychiatric unit with a diagnosis of conversion disorder. Which of the following symptoms is most likely to be present?
- ✅ Paralysis
- Hallucinations
- Obsessive handwashing N3381 Exam 3 Sp 2026
- Flashbacks
Question 11
Which of the following is a primary goal of treatment for a patient with a somatic symptom disorder?
- ✅ Focusing on feelings rather than physical symptoms.
- Eliminating all physical symptoms immediately.
- Providing long-term opioid therapy for pain.
- Encouraging the patient to remain in the “sick role.”
Question 12
An adult diagnosed with attention-deficit/hyperactivity disorder (ADHD) is going to begin medication therapy. The nurse should plan to teach the family about which classification of medications?
- Monoamine oxidase inhibitors
- Anxiolytic medications
- ✅ Central nervous system stimulants
- Antipsychotic medications
Question 13
Which behavior is most characteristic of a patient diagnosed with antisocial personality disorder?
- ✅ Breaks rules and laws with little to no remorse.
- Avoids social situations due to fear of criticism.
- Displays excessive emotionality and attention-seeking.
- Experiences intense fear of being alone or abandoned.
Question 14
The nurse understands that the primary cause of somatic symptom disorder (SSD) is that
- the patient is intentionally faking symptoms for gain.
- ✅ underlying emotional distress cannot be verbalized and is expressed physically.
- there is a verifiable organic or physiological basis for every complaint.
- the patient has a high pain threshold and ignores minor injuries. N3381 Exam 3 Sp 2026
Question 15
Which of the following psychiatric disorders is most likely to occur in clients who do not recover from the trauma of rape?
- ✅ Post-traumatic stress disorder
- Borderline personality disorder
- Eating disorders
- Delirium
Question 25
A patient diagnosed with borderline personality disorder has difficulty with relationships due to a
- pervasive distrust and suspicion of the motives of others.
- ✅ fear of abandonment and unstable emotions.
- desire to be in control of people and situations.
- tendency to be overly dependent on people to make decisions for them.
Question 26
An adolescent diagnosed with an eating disorder presents to the emergency department (ED) after losing consciousness during a marching band performance. After reviewing the client’s laboratory data, which finding indicates a need for hospitalization? N3381 Exam 3 Sp 2026.
- Hypoglycemia
- Hypermagnesemia
- ✅ Hypokalemia
- Hyperphosphatemia
Question 27
The nurse suspects that a client is a victim of intimate partner violence. What should the nurse be alert to when assessing this client?
- The client believes they can make the relationship work.
- The client acknowledges use of alcohol in the home.
- ✅ The client minimizes the injury or abuse.
- The client is financially independent of the abuser.
Question 28
Which phase in the cycle of violence prevents the abused spouse (victim) from leaving the abuser (perpetrator)?
- ✅ Honeymoon stage
- Acute battering stage
- Tension building stage
- Recovery stage
Question 29
A patient diagnosed with a somatic symptom disorder has the nursing diagnosis: ‘Interrupted family processes, related to patient’s disabling symptoms as evidenced by the spouse and children assuming roles and tasks that previously belonged to patient.’ What is an appropriate goal for this patient?
- ✅ Demonstrate a resumption of former roles and tasks.
- Relies on family members to meet personal needs.
- Focuses energy on problems occurring in the family.
- Assumes roles and functions of the other family members.
Question 30
For a client who is a victim of violence, what action takes highest priority in their safety plan?
- Take enough toys to amuse the children for 2 days.
- ✅ Secure a supply of current medications for self and children.
- Prepare a list of telephone numbers for local restaurants.
- Hide money with which to buy new clothes.
Question 31
What are the consequences of ageism?
- The development of public policy that favors programs for older adults
- That perception that older adults have better medical treatment options
- ✅ The failure of older adults to receive necessary medical information
- The perception that older adults consume a small share of medical resources N3381 Exam 3 Sp 2026
Question 32
An 80-year-old patient has difficulty walking because of arthritis and says, “It’s awful to be old. Every day is a struggle. No one cares about old people.” Which is the nurse’s most therapeutic response?
- ✅ “It sounds like you’re having a difficult time. Tell me about it.”
- “Let’s not focus on the negative. Tell me something good.”
- “You are still able to get around, and your mind is alert.”
- “Everyone here cares about old people. That’s why we work here.”
Question 33
When differentiating between depression or dementia as the cause of a patient’s confusion, what information would be most important for the nurse to consider?
- Early morning agitation and hyperactivity occur in dementia.
- A patient who is depressed is preoccupied with somatic symptoms.
- The patient with dementia is persistently angry and hostile.
- ✅ Confusion seems to worsen at night when dementia is present.
Question 34
A patient asks the nurse, “I already signed advanced directives, why should I also have a durable power of attorney for health care?” The nurse should provide which of the following answers about durable power of attorney?
- It can be used only if you have a terminal illness and become incapacitated.
- ✅ It gives your agent the authority to make health care decisions if you are unable to during an illness.
- It authorizes your physician to make decisions about your care that are in your best interest.
- It can be given only to a relative, usually the next of kin, who has your best interests at heart. N3381 Exam 3 Sp 2026
Question 35
Which is the best statement for a nurse to use when approaching and beginning an assessment with an older adult patient?
- ✅ “Hello. My name is [nurse’s name]. I am your nurse. Please tell me how you would like to be addressed.”
- “Hello, [call patient by first name]. I am going to ask you some questions to get to know you better.”
- “I am going to ask you some questions about yourself. I would like to call you by your first name if you don’t mind.”
- “You look as though you are comfortable and ready to participate in an admission interview. Shall we get started?” N3381 Exam 3 Sp 2026.
Question 36
An adult diagnosed with attention-deficit/hyperactivity disorder (ADHD) says, “I’ve always been stupid. I never had friends when I was a child… Now, I can’t keep a job.” The nurse managing care should consider suggesting what intervention?
- ✅ Cognitive therapy to help address negative beliefs.
- Aversion therapy to extinguish negative behaviors.
- Group therapy to allow comparison of feelings with others.
- Vocational counseling to identify needed occupational skills.
Question 38
How does the behavior of children diagnosed with oppositional defiant disorder (ODD) differ from those diagnosed with conduct disorder (CD)?
- Children with conduct disorder use stereotypical or repetitive language.
- Children with conduct disorder have difficulty separating from the parents.
- Children with oppositional defiant disorder often violate the rights of others.
- ✅ Children with oppositional defiant disorder test limits and disobey authority figures.
Question 39
A child diagnosed with attention-deficit/hyperactivity disorder (ADHD) is going to begin medication therapy. The nurse should plan to teach the family about which classification of medications?
- Monoamine oxidase inhibitors
- Anxiolytic medications
- ✅ Central nervous system stimulants N3381 Exam 3 Sp 2026
- Antipsychotic medications
Question 40
During morning care of a patient diagnosed with moderate dementia and confined to a long-term care facility, the nurse asks, “How was your night?” The patient replies, “It was lovely. I went out to dinner and a movie with my friend.” Which term applies to the patient’s response?
- Perseveration
- Sundown syndrome
- Delirium
- ✅ Confabulation
Question 41
The nurse documents that a client is exhibiting agnosia when the client is unable to N3381 Exam 3 Sp 2026.
- button a blouse.
- find words to describe the client’s daughter’s appearance.
- ✅ identify a picture of a car.
- open juice and insert a straw into the container.
Question 42
Which three elements are necessary to legally define rape?
- Nonconsent of victim, bruising or swelling of perineum, lack of duress
- Use of force, consent of victim, oral penetration
- ✅ Use of force; vaginal, oral, or anal penetration; nonconsent of victim
- Use of gun or weapon, nonconsent of victim, victim unaware of assault
Question 43
A client admitted to the emergency department (ED) with tactile hallucinations, disorientation, and agitation had his last drink 72 hours ago. His vital signs are: blood pressure 170/100, temperature 103F, pulse 110, and respirations are 24. The nurse recognizes that the client is experiencing
- Alcohol Withdrawal
- Wernicke’s Encephalopathy
- ✅ Alcohol Withdrawal Delirium
- Korsakoff’s Psychosis
