NSG 3450 EXAM 3 VERSION 1 AND 2/NSG 3450 MENTAL HEALTH
EXAM 4 NEWEST 2025 COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)|ALREADY GRADED A+
Which assessment data confirms the suspicion that a pt is experiencing opioid withdrawal?
Select all the apply?
a. pupils are dilated
b. Pulse rate is 62 beats/min
c. slow movements
d. extreme anxiety
e. sleepy - ANSWER-A, D
The nurse diagnosis "ineffective denial" is especially useful when working w/ substance use
disorders and gambling. Which statements describe the diagnosis? Select all that apply:
a. reports inability to cope
b. does not perceive danger of substance use or gambling
c. minimizes sx
d. refuses healthcare attention
e. unable to admit impact of disease on life pattern - ANSWER-B, C, D, E
Which action should you take when a female staff member is demonstrating behaviors
associated w/ a substance use disorder?
a. accompany the staff member when she is giving pt care
b. offer to attend rehab counseling w/ her
c. refer her to a peer assistance program
d. confront her about your concerns and/or report your concerns to a supervisor immediately -
ANSWER-D
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A pt diagnosed w/ opioid use disorder has expressed a desire to enter into a rehab program.
What initial nursing intervention during the early days after admission will help ensure the pt's
success?
a. restrict visitors to family members only
b. manage the pt's withdrawal sx well
c. provide the pt a low stimulus environment
d. advocate for at least 3 months of tx - ANSWER-B
Opioid use disorder is characterized by:
a. lack of withdrawal sx
b. intoxication sx of pupillary dilation, agitation, and insomnia
c. tolerance
d. rewiring smaller amounts of the drug to achieve a high over time - ANSWER-C
Terry is a young male in the chemical dependency program. Recently he has become
increasingly distracted and disengaged. The nurse concludes that Terry is:
a. bored
b. depressed
c. bipolar
d. not ready to change - ANSWER-D
Maxwell is a 30 y/o male who arrives at the ER stating, "I feel like I am having a stroke." During
the intake assessment, the nurse discovers that Maxwell has been working for 36 hours straight
without eating and consumes eight double espresso drinks and 12 caffeinated sodas. The nurse
suspects:
a. fluid overload
b. dehydration and caffeine OD
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c. benzodiazepine OD
d. sleep deprivation syndrome - ANSWER-B
Donald, a 49 y/o male, is admitted for inpatient alcohol detoxification. He Is cachexic, has
multiple scabs on his arms and legs, and has lower extremity edema. An appropriate nursing
diagnosis for Donald, along w/ an expected outcome is:
a. Risk for injury/Remains free from injury
b. Ineffective denial/ Accept responsibility for behavior
c. Nutrition: Less than body requirements/Maintains nutrient intake for metabolic needs
D. Risk for suicide/ Expresses feelings plans for the future - ANSWER-C
Which response by a 15 y/o demonstrated a common sx observed in pt's diagnoses w/ major
depressive disorder?
a. "I'm so restless. I can't seem to sit still"
b. "I spend most of my time studying. I have to get into a good college."
c. "I'm not trying to diet, but i've lost about 5lbs in the past month"
d. "I go to sleep around 11pm, but i'm always up by 3am and can't go back to sleep" - ANSWER-
D
Which assessment question ask by the nurse demonstrated an understanding of comorbid
mental health conditions associated w/ major depressive disorder? Select all that apply:
a. "do rules apply to you"
b. "what do you do to manage anxiety?
c. "do you have a hx of disordered eating?"
d. "have you every been arrested for committing a crime?" - ANSWER-B, C, D
Which nursing intervention focuses on managing a common characteristic of major depressive
disorder associated w/ the older population?
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a. conducting routine suicide screenings at a senior center
b. identifying depression as a natural, but treatable result of aging
c. identifying males as being at a greater risk for developing depression
d. stressing that most individuals experience just a single episode of major depression in a
lifetime - ANSWER-A
Which characteristic identifies during an assessment serves to support a diagnosis of disruptive
mood dysregulation disorder? Select all that apply:
a. female
b. 7 y/o
c. comorbid autism diagnosis
d. outbursts occur at least once a week
e. temper tantrum occur at home and in school - ANSWER-B, C, E
Which chronic medical condition is a common trigger for major depressive disorder?
a. pain
b. HTN
c. hypothyroidism
d. Crohn's disease - ANSWER-A
Tammy, a 28 y/o w/ major depressive disorder and bulimia nervosa is ready for d/c from the
county hospital after 2 weeks of inpatient therapy. Tammy is taking Citalopram (Celexa) and
reports that it has made her feel more hopeful. With a secondary diagnosis of bulimia nervosa,
what is an alternative antidepressant to consider?
a. Fluoxetine (Prozac)
b. isocarboxazid (Marplan)
c. amitriptyline
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