NSG 221 MENTAL HEALTH EXAM 2 2026/2027 |
60 VERIFIED QUESTIONS & ANSWERS
Introduction
This NSG 221 Mental Health Exam Two review provides a comprehensive overview of essential
psychiatric nursing concepts. Master the critical topics of grief and loss—including cultural rituals and
the models of Kubler-Ross and Engel—and gain expertise in managing anger, aggression, and
substance use disorders. This guide covers the frequently tested stages of crisis, cultural considerations
after death, and pharmacological interventions, providing a complete toolkit for exam success and
clinical practice.
Diagnoses Associated with Anger - CORRECT ANSWER ✔✔- Diagnoses Associated
with Anger:
Aggressive behavior is also seen in clients with dementia, delirium, head injuries,
intoxication with alcohol or other drugs, and antisocial and borderline personality
disorders. Violent patients tend to be more symptomatic, have poorer
functioning, and show a marked lack of insight compared with nonviolent
patients. Some clients with depression have anger attacks. These sudden intense
spells of anger typically occur in situations in which the depressed person feels
emotionally trapped.
Intermittent explosive disorder (IED)is a rare psychiatric diagnosis characterized
by discrete episodes of aggressive impulses that result in serious assaults or
destruction of property. The aggressive behavior the person displays is grossly
disproportionate to any provocation or precipitating factor
Name of Each of the 5 Stages of Escalation - CORRECT ANSWER ✔✔- Triggering
Escalation
Crisis
Pg. 1
, Recovery
Postcrisis
Stages of Escalation: Triggering - CORRECT ANSWER ✔✔- Triggering: An event or
circumstances in the environment initiates the client's response, which is often
anger or hostility. Restlessness, anxiety, irritability, pacing, muscle tension, rapid
breathing, perspiration, loud voice, anger
Stages of Escalation: Escalation - CORRECT ANSWER ✔✔- Escalation: The client's
responses represent escalating behaviors that indicate movement toward a loss
of control. Pale or flushed face, yelling, swearing, agitation, threatening,
demanding, clenched fists, threatening gestures, hostility, loss of ability to solve
the problem or think clearly
Stages of Escalation: Crisis - CORRECT ANSWER ✔✔- Crisis: During an emotional
and physical crisis, the client loses control. Loss of emotional and physical control,
throwing objects, kicking, hitting, spitting, biting, scratching, shrieking, screaming,
inability to communicate clearly
Stages of Escalation: Recovery - CORRECT ANSWER ✔✔- Recovery: The client
regains physical and emotional control. Lowering of voice; decreased muscle
tension; clearer, more rational communication; physical relaxation
Stages of Escalation: Postcrisis - CORRECT ANSWER ✔✔- Postcrisis: The client
attempts reconciliation with others and returns to the level of functioning before
the aggressive incident and its antecedents. Remorse; apologies; crying; quiet,
withdrawn behavior
Pg. 2
60 VERIFIED QUESTIONS & ANSWERS
Introduction
This NSG 221 Mental Health Exam Two review provides a comprehensive overview of essential
psychiatric nursing concepts. Master the critical topics of grief and loss—including cultural rituals and
the models of Kubler-Ross and Engel—and gain expertise in managing anger, aggression, and
substance use disorders. This guide covers the frequently tested stages of crisis, cultural considerations
after death, and pharmacological interventions, providing a complete toolkit for exam success and
clinical practice.
Diagnoses Associated with Anger - CORRECT ANSWER ✔✔- Diagnoses Associated
with Anger:
Aggressive behavior is also seen in clients with dementia, delirium, head injuries,
intoxication with alcohol or other drugs, and antisocial and borderline personality
disorders. Violent patients tend to be more symptomatic, have poorer
functioning, and show a marked lack of insight compared with nonviolent
patients. Some clients with depression have anger attacks. These sudden intense
spells of anger typically occur in situations in which the depressed person feels
emotionally trapped.
Intermittent explosive disorder (IED)is a rare psychiatric diagnosis characterized
by discrete episodes of aggressive impulses that result in serious assaults or
destruction of property. The aggressive behavior the person displays is grossly
disproportionate to any provocation or precipitating factor
Name of Each of the 5 Stages of Escalation - CORRECT ANSWER ✔✔- Triggering
Escalation
Crisis
Pg. 1
, Recovery
Postcrisis
Stages of Escalation: Triggering - CORRECT ANSWER ✔✔- Triggering: An event or
circumstances in the environment initiates the client's response, which is often
anger or hostility. Restlessness, anxiety, irritability, pacing, muscle tension, rapid
breathing, perspiration, loud voice, anger
Stages of Escalation: Escalation - CORRECT ANSWER ✔✔- Escalation: The client's
responses represent escalating behaviors that indicate movement toward a loss
of control. Pale or flushed face, yelling, swearing, agitation, threatening,
demanding, clenched fists, threatening gestures, hostility, loss of ability to solve
the problem or think clearly
Stages of Escalation: Crisis - CORRECT ANSWER ✔✔- Crisis: During an emotional
and physical crisis, the client loses control. Loss of emotional and physical control,
throwing objects, kicking, hitting, spitting, biting, scratching, shrieking, screaming,
inability to communicate clearly
Stages of Escalation: Recovery - CORRECT ANSWER ✔✔- Recovery: The client
regains physical and emotional control. Lowering of voice; decreased muscle
tension; clearer, more rational communication; physical relaxation
Stages of Escalation: Postcrisis - CORRECT ANSWER ✔✔- Postcrisis: The client
attempts reconciliation with others and returns to the level of functioning before
the aggressive incident and its antecedents. Remorse; apologies; crying; quiet,
withdrawn behavior
Pg. 2
