NSG 212 BH FINAL EXAM QUESTIONS WITH VERIFIED SOLUTIONS LATEST UPDATE 2026

NSG 212 BH FINAL EXAM QUESTIONS WITH VERIFIED SOLUTIONS LATEST UPDATE 2026 What are Adverse Childhood Experiences (ACEs)? - Answers Traumatic events occurring before age 18 that can negatively affect physical and mental health later in life. Name three examples of Adverse Childhood Experiences (ACEs). - Answers Physical abuse, emotional abuse, sexual abuse. What are some long-term risks associated with ACEs? - Answers Anxiety, depression, PTSD, substance abuse, chronic disease, suicide risk, difficulty forming relationships. List possible behavioral effects of ACEs. - Answers Aggression, withdrawal, hypervigilance, poor impulse control, risk-taking behaviors, difficulty trusting others, emotional dysregulation. What is a key nursing consideration when dealing with patients who have experienced ACEs? - Answers Use trauma-informed care: remain calm, avoid judgment, promote safety/control, and build trust. What is Electroconvulsive Therapy (ECT) used for? - Answers Severe depression, catatonia, treatment-resistant disorders. What are common side effects of Electroconvulsive Therapy (ECT)? - Answers Temporary memory loss, confusion, headache. What is Transcranial Magnetic Stimulation (TMS) used for? - Answers Depression. What is an advantage of Transcranial Magnetic Stimulation (TMS)? - Answers No anesthesia and fewer cognitive side effects. What is Vagus Nerve Stimulation (VNS)? - Answers An implanted device that stimulates the vagus nerve. What is Deep Brain Stimulation (DBS) used for? - Answers Severe movement disorders and some psychiatric disorders. Differentiate between subjective and objective data. - Answers Subjective data is what the patient says; objective data is what the nurse observes. What is the key rule regarding subjective and objective data? - Answers Subjective = symptoms; Objective = signs. What should be attempted first before using restraints or seclusion? - Answers Least restrictive alternatives such as verbal de-escalation, calm communication, and redirection. What is the priority action after applying restraints? - Answers Assess circulation and patient safety. What should be checked after applying restraints? - Answers Pulses, skin color, temperature, respiratory status, level of distress. What areas are included in a psychosocial assessment? - Answers Appearance, behavior, mood/affect, thought process, thought content, cognition. What is required for continuous monitoring during seclusion? - Answers Assess frequently for physical safety, respiratory status, hydration, elimination, circulation, and mental status. What is a B52 in emergency medication? - Answers A combination of Benadryl (diphenhydramine) 50 mg, Haldol 5 mg, and Ativan 2 mg. Why is diphenhydramine included in a B52? - Answers To reduce extrapyramidal side effects (EPS) caused by antipsychotics like Haldol. What additional effects does diphenhydramine provide? - Answers Sedation and calming. What is a quick memory tip for ACEs? - Answers "Childhood trauma affects lifelong health." What is a quick memory tip for least restrictive alternatives? - Answers "Try verbal de-escalation first." What is a quick memory tip regarding restraints? - Answers "After application → check circulation FIRST." What is a quick memory tip for the B52? - Answers "Benadryl protects against EPS." SSRIs - Answers Common medications used to treat anxiety disorders. Benzodiazepines - Answers Common medications used to treat anxiety disorders. Buspirone - Answers Common medications used to treat anxiety disorders. Avoid Alcohol - Answers Alcohol can exacerbate anxiety symptoms. Avoid Excess caffeine - Answers Caffeine can increase anxiety symptoms. Stopping medications abruptly - Answers Can lead to withdrawal symptoms. Deep breathing - Answers A stress reduction technique. Meditation - Answers A stress reduction technique. Exercise - Answers A stress reduction technique. Sleep hygiene - Answers A stress reduction technique. Journaling - Answers A stress reduction technique. Worsening anxiety - Answers When to seek help. Panic attacks - Answers When to seek help. Suicidal thoughts - Answers When to seek help. Medication side effects - Answers When to seek help. Safety FIRST - Answers Priority for caring for a client with suicidal ideations. Stay with client if actively suicidal - Answers Nursing intervention for suicidal clients. Maintain calm, nonjudgmental approach - Answers Nursing intervention for suicidal clients. Remove harmful objects - Answers Nursing intervention for suicidal clients. Assess suicide plan/intention - Answers Nursing intervention for suicidal clients. Encourage verbalization of feelings - Answers Nursing intervention for suicidal clients. Orthostatic Hypotension - Answers Important teaching for clients taking TCAs. Anticholinergic Effects - Answers May cause dry mouth, constipation, urinary retention, blurred vision. Overdose can be fatal - Answers Major safety concern for clients taking TCAs. Ensure safety of patient and others - Answers Purpose of examining the belongings of a client. Remove Potentially Harmful Items - Answers Includes sharp objects, belts/shoelaces, medications, lighters, weapons. Maintain dignity/privacy - Answers Nursing consideration when examining client belongings. Physical Symptoms of Panic-Level Anxiety - Answers Includes chest pain, hyperventilation, trembling, palpitations, diaphoresis. Psychological Symptoms of Panic-Level Anxiety - Answers Includes feeling of doom, loss of control, inability to concentrate, extreme fear, disorganized behavior. Nursing Actions for Mild Anxiety - Answers Encourage problem-solving and teach coping skills. Nursing Actions for Moderate Anxiety - Answers Use short/simple directions and reduce stimuli. Nursing Actions for Severe Anxiety - Answers Stay with client, speak calmly, minimize environment stimulation. Nursing Actions for Panic Anxiety - Answers Ensure safety, remain with client, use firm/simple communication. Selye's General Adaptation Syndrome (GAS) - Answers Includes Alarm Reaction Stage, Resistance Stage, Exhaustion Stage. Common Side Effects of Beta Blockers - Answers Includes bradycardia, hypotension, fatigue, dizziness. Monitor HR/BP - Answers Important nursing consideration for clients on beta blockers. Clients may improve mood BEFORE suicidal intent resolves - Answers Important nursing principle in suicide care. Documentation - Answers Document statements, behaviors, interventions, observation level. Understanding Dissociation - Answers Disconnection between thoughts, identity, consciousness, memory. Possible Presentations of Dissociation - Answers Includes memory gaps, feeling detached from self, 'out-of-body' feelings, identity confusion, emotional numbness. Nursing Interventions for Dissociation - Answers Maintain calm environment, use grounding techniques, promote safety/reality orientation. Delusion - Answers A false, fixed belief that is not based in reality. Persecutory Delusion - Answers Example: 'People are trying to kill me.' Grandiose Delusion - Answers Example: 'I am the president.' Somatic Delusion - Answers Example: 'Bugs are crawling under my skin.' Referential Delusion - Answers Example: 'TV messages are directed at me.' Religious Delusion - Answers False beliefs involving religion. Nursing Interventions for Delusions - Answers Do NOT argue with delusion, Present reality calmly, Focus on feelings, Maintain trust. Assertive Community Treatment (ACT) - Answers Provide intensive community-based support to reduce hospitalization. Services Included in ACT - Answers Medication management, Crisis intervention, Housing assistance, Therapy/counseling, Social support, Vocational assistance. Team Members in ACT - Answers Nurses, Social workers, Providers, Therapists. Goal of ACT - Answers Help client function safely in community.