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NUR 256 MENTAL HEALTH EXAM 4 GALEN COLLEGE EXAM LATEST 2026-2027
ACTUAL EXAM WITH COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (100% VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED|| ||BRANDNEW!!!||
A patient being seen in the emergency department immediately
after being sexually assaulted appears calm and controlled. The
nurse analyzes this behavior as indicating which defense
mechanism? - ANSWER-Denial
You are working in the emergency department when a patient
with a history of anorexia nervosa comes in. This patient appears
confused, weak and irritable. Their extremities are cool and
mottled, and their skin is coated with fine hair (lanugo). What is
the most likely underlying cause of these symptoms? - ANSWER-
starvation/nutritional deficits
You are the day shift R.N. and you receive report that you have
several potentially aggressive clients. You have a bipolar client
that is talking constantly and aggravating the other clients. You
have a depressed client that is staring silently and angrily at the
floor. You have a paranoid schizophrenic client that is responding
to internal stimuli and is pacing rapidly, grimacing and clenching
his fists. You have a client that had arrived involuntarily for
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suicidal thoughts but now is intermittently yelling out that they
want to go home. Which client would you address as the greatest
potential to escalate? - ANSWER-paranoid schizophrenic client
A patient with multi-infarct dementia lashes out and kicks at
people who walk past in the hall of a skilled nursing facility.
Intervention by the nurse should begin by - ANSWER-saying to
the patient, "This is a safe place."
A confused older adult patient in a skilled nursing facility was
asleep when unlicensed assistive personnel (UAP) entered the
room quietly and touched the bed to see if it was wet. The patient
awakened and hit the UAP in the face. Which statement best
explains the patient's action? - ANSWER-The patient interpreted
the UAP's behavior as potentially harmful.
A patient is pacing the hall near the nurses' station, swearing
loudly. An appropriate initial intervention for the nurse would be to
address the patient by name and say: - ANSWER-"I'd like to talk
with you about how you're feeling right now."
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A new patient acts out so aggressively that seclusion is required
before the admission assessment is completed or orders written.
Immediately after safely secluding the patient, which action is the
nurse's priority? - ANSWER-Notify the health care provider to
obtain a seclusion order.
An older woman diagnosed with Alzheimer's disease lives with
family and attends day care. After observing poor hygiene, the
nurse talked with the caregiver. This caregiver became defensive
and said, "It takes all my energy to care for my mother. She's
awake all night. I never get any sleep." Which nursing intervention
has priority? - ANSWER-Secure additional resources for the
mother's evening and night care.
A young adult has recently had multiple absences from work. After
each absence, this adult returned to work wearing dark glasses
and long-sleeved shirts. During an interview with the occupational
health nurse, this adult says, "My partner beat me, but it was
because I did not do the laundry." What is the nurse's next action?
- ANSWER-Document injuries with a body map.
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An older adult with Lewy body dementia lives with family. After
observing multiple bruises, the home health nurse talked with the
daughter, who became defensive and said, "My mother often
wanders at night. Last night she fell down the stairs." Which
nursing diagnosis has priority? - ANSWER-Risk for injury related
to poor judgment, cognitive impairments, and inadequate
supervision
Which rationale best explains why a nurse should be aware of
personal feelings while working with a family experiencing family
violence? - ANSWER-Strong negative feelings interfere with
assessment and judgment.
Which information from a patient's record would indicate marginal
coping skills and the need for careful assessment of the risk for
violence? A history of - ANSWER-substance abuse.
After treatment for a detached retina, a survivor of intimate
partner abuse says, "My partner only abuses me when I make
mistakes. I've considered leaving, but I was brought up to believe
you stay together, no matter what happens." Which diagnosis
NUR 256 MENTAL HEALTH EXAM 4 GALEN COLLEGE EXAM LATEST 2026-2027
ACTUAL EXAM WITH COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (100% VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED|| ||BRANDNEW!!!||
A patient being seen in the emergency department immediately
after being sexually assaulted appears calm and controlled. The
nurse analyzes this behavior as indicating which defense
mechanism? - ANSWER-Denial
You are working in the emergency department when a patient
with a history of anorexia nervosa comes in. This patient appears
confused, weak and irritable. Their extremities are cool and
mottled, and their skin is coated with fine hair (lanugo). What is
the most likely underlying cause of these symptoms? - ANSWER-
starvation/nutritional deficits
You are the day shift R.N. and you receive report that you have
several potentially aggressive clients. You have a bipolar client
that is talking constantly and aggravating the other clients. You
have a depressed client that is staring silently and angrily at the
floor. You have a paranoid schizophrenic client that is responding
to internal stimuli and is pacing rapidly, grimacing and clenching
his fists. You have a client that had arrived involuntarily for
,2|Page
suicidal thoughts but now is intermittently yelling out that they
want to go home. Which client would you address as the greatest
potential to escalate? - ANSWER-paranoid schizophrenic client
A patient with multi-infarct dementia lashes out and kicks at
people who walk past in the hall of a skilled nursing facility.
Intervention by the nurse should begin by - ANSWER-saying to
the patient, "This is a safe place."
A confused older adult patient in a skilled nursing facility was
asleep when unlicensed assistive personnel (UAP) entered the
room quietly and touched the bed to see if it was wet. The patient
awakened and hit the UAP in the face. Which statement best
explains the patient's action? - ANSWER-The patient interpreted
the UAP's behavior as potentially harmful.
A patient is pacing the hall near the nurses' station, swearing
loudly. An appropriate initial intervention for the nurse would be to
address the patient by name and say: - ANSWER-"I'd like to talk
with you about how you're feeling right now."
,3|Page
A new patient acts out so aggressively that seclusion is required
before the admission assessment is completed or orders written.
Immediately after safely secluding the patient, which action is the
nurse's priority? - ANSWER-Notify the health care provider to
obtain a seclusion order.
An older woman diagnosed with Alzheimer's disease lives with
family and attends day care. After observing poor hygiene, the
nurse talked with the caregiver. This caregiver became defensive
and said, "It takes all my energy to care for my mother. She's
awake all night. I never get any sleep." Which nursing intervention
has priority? - ANSWER-Secure additional resources for the
mother's evening and night care.
A young adult has recently had multiple absences from work. After
each absence, this adult returned to work wearing dark glasses
and long-sleeved shirts. During an interview with the occupational
health nurse, this adult says, "My partner beat me, but it was
because I did not do the laundry." What is the nurse's next action?
- ANSWER-Document injuries with a body map.
, 4|Page
An older adult with Lewy body dementia lives with family. After
observing multiple bruises, the home health nurse talked with the
daughter, who became defensive and said, "My mother often
wanders at night. Last night she fell down the stairs." Which
nursing diagnosis has priority? - ANSWER-Risk for injury related
to poor judgment, cognitive impairments, and inadequate
supervision
Which rationale best explains why a nurse should be aware of
personal feelings while working with a family experiencing family
violence? - ANSWER-Strong negative feelings interfere with
assessment and judgment.
Which information from a patient's record would indicate marginal
coping skills and the need for careful assessment of the risk for
violence? A history of - ANSWER-substance abuse.
After treatment for a detached retina, a survivor of intimate
partner abuse says, "My partner only abuses me when I make
mistakes. I've considered leaving, but I was brought up to believe
you stay together, no matter what happens." Which diagnosis
