NSG 3450 / NSG3450 EXAM 2: (NEW 2025/ 2026 UPDATE) NURSING PRACTICE - MENTAL HEALTH REVIEW| QUESTIONS & ANSWERS || ALREADY GRADED A+|| 100% CORRECT (VERIFIED SOLUTIONS) NEWEST VERSION

NSG 3450 / NSG3450 EXAM 2: (NEW 2025/ 2026 UPDATE) NURSING PRACTICE - MENTAL HEALTH REVIEW| QUESTIONS & ANSWERS || ALREADY GRADED A+|| 100% CORRECT (VERIFIED SOLUTIONS) NEWEST VERSION Which statement made by the nurse demonstrates the best understanding of nonverbal communication? a. "the pt.'s verbal and nonverbal communication is often different." b. "when my pt. responds to my question, I check for congruence between verbal and nonverbal communication to help validate the response." c. "is a pt. is slumped in the chair, I can be ire he's angry or depressed." d. "it's easier to understand verbal communication than nonverbal communication." - ANSWER B. "when my pt. responds to my question, I check for congruence between verbal and nonverbal communication to help validate the response." 1. Which therapeutic communication technique is being used in this nurse client interaction? Client: When I get angry, I get into a fistfight with my wife, or I take it out on the kids. Nurse: I notice that you are smiling as you talk about this physical violence. A. Encouraging comparison B. Exploring C. Formulating a plan of action D. Making observations D. Making observations We have an expert-written solution to this problem! 2. A nurse is assessing a client diagnosed with schizophrenia for the presence of hallucinations. Which therapeutic communication technique used by the nurse is an example of making observations? A. You appear to be talking to someone I do not see. B. Please describe what you are seeing. C. Why do you continually look in the corner of this room? D. If you hum a tune, the voices may not be so distracting. A. You appear to be talking to someone I do not see. AD 3. A client who frequently exhibits angry outbursts is diagnosed with antisocial personality disorder. Which appropriate feedback should a nurse provide when this client experiences an angry outburst? A. Why do you continue to alienate your peers by your angry outbursts? B. You accomplish nothing when you lose your temper like that. C. Showing your anger in that manner is very childish and insensitive. D. During the group, you raised your voice, yelled at a peer, and slammed the door. D. During the group, you raised your voice, yelled at a peer, and slammed the door. 4. Which example of a therapeutic communication technique would be effective in the planning phase of the nursing process? A. Weve discussed past coping skills. Let's see if these coping skills can be effective now. B. Please tell me in your own words what brought you to the hospital. C. This new approach worked for you. Keep it up. D. I notice that you seem to be responding to voices that I do not hear. A. Weve discussed past coping skills. LetÕs see if these coping skills can be effective now. We have an expert-written solution to this problem! 5. Which nursing statement is a good example of the therapeutic communication technique of focusing? A. Describe one of the best things that happened to you this week. B. I'm having a difficult time understanding what you mean. C. Your counseling session is in 30 minutes. I'll stay with you until then. D. You mentioned your relationship with your father. Let's discuss that further. D. You mentioned your relationship with your father. Let's discuss that further. 6. Which expected client outcome should a nurse identify as being correctly formulated? A. Client will feel happier by discharge. B. The client will demonstrate two relaxation techniques. C. Client will verbalize triggers to anger by end of session. D. Client will initiate interaction with one peer during free time within 2 days. D. Client will initiate interaction with one peer during free time within 2 days. 7. Within the nurse's scope of practice, which function is exclusive to the advanced practice psychiatric nurse? A. Teaching about the side effects of neuroleptic medications B. Using psychotherapy to improve mental health status. C. Using milieu therapy to structure a therapeutic environment. D. Providing case management to coordinate continuity of health services. B. Using psychotherapy to improve mental health status. 8. The following outcome was developed for a client: "Client will list five personal strengths by the end of day 1". Which correctly written nursing diagnostic statement most likely generated the development of this outcome? A. Altered self-esteem R/T years of emotional abuse AEB self-deprecating statements. B. Self-care deficit R/T altered thought processes. C. Disturbed body image R/T major depressive disorder AEB mood rating of 2/10 D. Risk for disturbed self-concept R/T hopelessness AEB suicide attempt A. Altered self-esteem R/T years of emotional abuse AEB self-deprecating statements. 9. A client is diagnosed with generalized anxiety disorder. To maximize the learning process prior to discharge teaching, which assessment should be performed by the nurse? A. Assessing the client's level of anxiety B. Assessing and documenting the clients' vital signs C. Assessing suicide risk D. Assessing availability of support systems A. Assessing the client's level of anxiety 10. An adolescent client has problems expressing anger appropriately. Which nursing statement would encourage the client to set realistic goals? A. What do you think needs to change about how you express anger? B. How did you feel after attending the anger management session? C. On a scale of 1 to 10, please rate your current level of anger. D. What bothers you about the actions of others when you get angry? A. What do you think needs to change about how you express anger? 11. A man diagnosed with alcohol dependence experiences his first relapse. During his AA meeting, another group member states, I relapsed three times, but now have been sober for 15 years. Which of Yalom's curative group factors does this illustrate? A. Imparting of information B. Instillation of hope C. Catharsis D. Universality B. Instillation of hope 12. The nurse should utilize which group function to help an extremely withdrawn, paranoid client increases feelings of security? A. Socialization B. Support C. Empowerment D. Governance B. Support AD 13. A 10-week, prenuptial counseling group composed of five couples is terminating. At the last group meeting, a nurse notices that the two most faithful and participative couples are absent. When considering concepts of group development, what might explain this behavior? A. They are experiencing problems with termination, leading to feelings of abandonment. B. They did not think any new material would be covered at the last session. C. They were angry with the leader for not extending the length of the group. D. They were bored with the material covered in the group. A. They are experiencing problems with termination, leading to feelings of abandonment. 14. Which of the following behavioral skills should a nurse implement when leading a group that is functioning in the orientation phase of group development? Select all that apply. A. Encouraging members to provide feedback to each other about individual progress. B. Ensuring that rules established by the group do not interfere with goal fulfillment. C. Working with group members to establish rules that will govern the group. D. Emphasizing the need for and importance of confidentiality within the group E. Helping the members to resolve conflicts and foster cohesiveness within the group. B. Ensuring that rules established by the group do not interfere with goal fulfillment. C. Working with group members to establish rules that will govern the group. D. Emphasizing the need for and importance of confidentiality within the group 15. An experienced psychiatric registered nurse has taken a new position leading groups in a day treatment program. Without further education, which group is this nurse most qualified to lead? A. A psychodrama groups. B. A psychotherapy group. C. A parenting groups. D. A family therapy group C. A parenting groups. 16. A college student who was nearly raped while jogging completes a series of appointments with a rape crisis nurse. At the final session, which client statement most clearly suggests that the goals of crisis intervention have been met? A. Youve really been helpful. Can I count on you for continued support? B. I don't work out anymore. C. I'm glad I didn't go home. It would have been hard to come back. D. I carry mace when I jog. It makes me feel safe and secure. D. I carry mace when I jog. It makes me feel safe and secure. 17. What is the best nursing rationale for holding a debriefing session with clients and staff after clients have witnessed a peer being taken down after a violent outburst? A. To reinforce unit rules with the client population B. To create protocols for the future release of tensions associated with anger. C. To process feelings and concerns related to the witnessed intervention. D. To discuss the client problems that led to inappropriate expressions of anger. C. To process feelings and concerns related to the witnessed intervention. We have an expert-written solution to this problem! 18. A nurse moving out of state speaks to a client about the need to work with a new nurse. The client states, I'm not well enough to switch to a different nurse. What does this client response indicate to the nurse? A. The client is using manipulation to receive secondary gain. B. The client is using the defense mechanism of denial. C. The client is having trouble terminating the relationship. D. The client is using splitting to remain dependent on the nurse. C. The client is having trouble terminating the relationship. 19. According to Peplau, which nursing action demonstrates the nurse's role as a resource person? A. The nurse balances a safe therapeutic environment to increase the client's sense of belonging. B. The nurse holds a group meeting with the clients on the unit to discuss common feelings about mental illness. C. The nurse monitors the administration of medications and watches for signs of cheeking. D. The nurse explains, in language the client can understand, information related to the client's health care. D. The nurse explains, in language the client can understand, information related to the client's health care. We have an expert-written solution to this problem! 20. The nurse client therapeutic relationship includes which of the following characteristics? Select all that apply. A. Meeting the psychological needs of the nurse and the client B. Ensuring therapeutic termination C. Promoting client insight into problematic behavior D. Collaborating to set appropriate goals. E. Meeting both the physical and psychological needs of the client B. Ensuring therapeutic termination C. Promoting client insight into problematic behavior D. Collaborating to set appropriate goals. E. Meeting both the physical and psychological needs of the client 21. Which client statement should alert a nurse that a client may be responding maladaptively to stress? A. I've found that avoiding contact with others helps me cope. B. I really enjoy journaling; it's my private time. C. I signed up for a yoga class this week. D. I made an appointment to meet with a therapist. A. I've found that avoiding contact with others helps me cope. 22. An unemployed college graduate is experiencing severe anxiety over not finding a teaching position and has difficulty with independent problem-solving. During a routine physical examination, the graduate confides in the clinic nurse. Which is the most appropriate nursing intervention? A. Encourage the student to use the alternative coping mechanism of relaxation exercises. B. Complete the problem-solving process for the client. C. Work through the problem-solving process with the client. D. Encourage the client to keep a journal. C. Work through the problem-solving process with the client. AD 23. Meditation has been shown to be an effective stress management technique. When meditation is effective, what should a nurse expect to assess? A. An achieved state of relaxation B. An achieved insight into one's feelings. C. A demonstration of appropriate role behaviors D. An enhanced ability to problem-solve. A. An achieved state of relaxation 24. A nursing instructor is asking students about diseases of adaptation and when they are likely to occur. Which student response indicates that learning has occurred? A. When an individual has limited experience dealing with stress B. When an individual inherits maladaptive genes C. When an individual experiences existing conditions that exacerbate stress D. When an individual's physiological and psychological resources have become depleted D. When an individual's physiological and psychological resources have become depleted 25. Research undertaken by Miller and Rahe in 1997 demonstrated a correlation between the effects of life change and illness. This research led to the development of the Recent Life Changes Questionnaire (RLCQ). Which principle most limits the effectiveness of this tool? A. Specific illnesses are not identified. B. The numerical values associated with specific life events are randomly assigned. C. Stress is viewed as only a physiological response. D. Personal perception of the event is excluded. D. Personal perception of the event is excluded. 26. How would a nurse differentiate a client diagnosed with panic disorder from a client diagnosed with generalized anxiety disorder (GAD)? A. GAD is acute in nature, and panic disorder is chronic. B. Chest pain is a common GAD symptom, whereas this symptom is absent in panic disorders. C. Hyperventilation is a common symptom in GAD and rare in panic disorder. D. Depersonalization is commonly seen in panic disorder and absent in GAD. D. Depersonalization is commonly seen in panic disorder and absent in GAD. 27. Which treatment should a nurse identify as most appropriate for clients diagnosed with generalized anxiety disorder (GAD)? A. Long-term treatment with diazepam (Valium) B. Acute symptom control with citalopram (Celexa) C. Long-term treatment with buspirone (BuSpar) D. Acute symptom control with ziprasidone (Geodon) C. Long-term treatment with buspirone (BuSpar) We have an expert-written solution to this problem! 28. A cab driver stuck in traffic is suddenly lightheaded, tremulous, and diaphoretic and experiences tachycardia and dyspnea. An extensive workup in an emergency department reveals no pathology. Which medical diagnosis is suspected, and what nursing diagnosis takes priority? A. Generalized anxiety disorder and a nursing diagnosis of fear. B. Altered sensory perception and a nursing diagnosis of panic disorder. C. Pain disorder and a nursing diagnosis of altered role performance D. Panic disorder and a nursing diagnosis of panic anxiety D. Panic disorder and a nursing diagnosis of panic anxiety We have an expert-written solution to this problem! 29. A family member is seeking advice about an elderly parent who seems to worry unnecessarily about everything. The family member states, Should I seek psychiatric help for my mother? Which is an appropriate nursing reply? A. My mother also worries unnecessarily. I think it is part of the aging process. B. Anxiety is considered abnormal when it is out of proportion to the stimulus causing it and when it impairs functioning. C. From what you have told me, you should get her to a psychiatrist as soon as possible. D. Anxiety is a complex phenomenon and is effectively treated only with psychotropic medications. B. Anxiety is considered abnormal when it is out of proportion to the stimulus causing it and when it impairs functioning. 30. A client living on the beachfront seeks help with an extreme fear of crossing bridges, which interferes with daily life. A psychiatric nurse practitioner decides to try systematic desensitization. Which explanation of this therapy should the nurse convey to the client? A. Using your imagination, we will attempt to achieve a state of relaxation that you can replicate when faced with crossing a bridge. B. Because anxiety and relaxation are mutually exclusive states, we can attempt to substitute a relaxation response for the anxiety response. C. Through a series of increasingly anxiety-provoking steps, we will gradually increase your tolerance to anxiety. D. In one intense session, you will be exposed to a maximum level of anxiety that you will learn to tolerate. C. Through a series of increasingly anxiety-provoking steps, we will gradually increase your tolerance to anxiety. 31. A client diagnosed with an obsessive-compulsive disorder spends hours bathing and grooming. During a one-on-one interaction, the client discusses the rituals in detail but avoids any feelings that the rituals generate. Which defense mechanism should the nurse identify? A. Sublimation B. Dissociation C. Rationalization D. Intellectualization D. Intellectualization 32. Mother brings her son to the Emergency Department and tells the nurse that her son must have PTSD, b/c 2 days ago he witnessed a car accident in which there were fatalities. She is convinced that her son has PTSD b/c he has been crying when he talks about the incident. She believes that boys are at greater risk for PTSD b/c they don't typically cry. She read on the internet that PTSD can have dangerous consequences, so she wants her son to get some medication to cure PTSD before it gets too bad. Which of these statements by nurse would accurately correct this mother's misunderstanding about PTSD? SATA A. There are no long-term or dangerous consequences from PTSD. B. Women appear to be at greater risk of this disorder than men. C. Medications have been found to be effective in treating symptoms of depression or anxiety but do not represent a cure for the disorder. D. Fewer than 10% of trauma victims develop PTSD. B. Women appear to be at greater risk of this disorder than men. C. Medications have been found to be effective in treating symptoms of depression or anxiety but do not represent a cure for the disorder. D. Fewer than 10% of trauma victims develop PTSD. AD 33. A patient who is being seen in the community mental health center for PTSD is being considered for EMDR (Eye Movement Desensitization and Reprocessing) therapy. The nurse is being asked to conduct an assessment to validate the patient's appropriateness for this treatment. Which of the following pieces of data, collected by the nurse, are most important to document when determining appropriateness for treatment with EMDR? Select all that apply. A. The patient has a history of seizure disorder. B. The patient has a history of ECT. C. The patient reports suicidal ideation with a plan. D. The patient has been using alcohol in increasing quantities over the last 3 months. A. The patient has a history of seizure disorder. C. The patient reports suicidal ideation with a plan. D. The patient has been using alcohol in increasing quantities over the last 3 months. 34. Studies have suggested that re-experiencing a traumatic event can become an addiction of sorts. The evidence suggests that the reason for this is: A. People with PTSD often have addictive personalities. B. Perpetuating the traumatic experience yields secondary gains. C. The re-experiencing of trauma enhances production of endogenous opioid peptides. D. People with PTSD often have concurrent substance abuse issues. C. The re-experiencing of trauma enhances production of endogenous opioid peptides. 35. A military vet who recently returned from active duty in a Middle Eastern country and suffers from PTSD states he will not allow the lab tech, who is Iranian, to draw his blood. The patient states Hell probably use a contaminated needle on me. Which of these is the most appropriate response by the nurse? A. Let me see if I can arrange for a different technician to draw your blood. B. Let me help you overcome your cultural bias by letting him draw your blood. C. There is no other technician, so you're just going to have to let him draw your blood. D. I don't think the technician is Middle Eastern. A. Let me see if I can arrange for a different technician to draw your blood.