NSG 3450 Exam 4 Mental Health Galen College
NSG 3450 EXAM 4 MENTAL HEALTH GALEN COLLEGE NEWEST
2025/2026 COMPLETE 100 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED
A+||BRAND NEW VERSION!!
A patient receiving risperidone (Risperdal) reports severe muscle stiffness at 1030.
By 1200, the patient has difficulty swallowing and is drooling. By 1600, vital signs
are 102.8° F; pulse 110; respirations 26; 150/90. The patient is diaphoretic. Select
the nurse's best analysis and action.
a. agranulocytosis; institue reverse isolation
b. tardive dyskinesia; withhold the next dose of medication
c. Cholestatic jaundice; begin a high-protein, high-cholesterol diet
d. Neuroleptic malignant syndrome; notify a health care provider stat - ANSWER-D
Which statement made by the psychiatric nurse demonstrates an accurate
understanding of the facts that affect an individuals personality?
a. "therapy will help her identify that her problems are personality related"
b. "I'll need to learn more about this pt's cultural beliefs"
c. "It's encouraging to know that personality disorders respond well to tx"
d. "a person's personality is fluid and adjusts to current social situations" -
ANSWER-B
When assessing a pt diagnosed with borderline PD, which statement by the pt
warrants immediate attention?
a. "my mother died 10 yrs ago"
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, NSG 3450 Exam 4 Mental Health Galen College
b. "I haven't needed medication in weeks"
c. "My dad never loved me"
d. "I'd really like to hurt her for hurting me" - ANSWER-D
What is the current accepted professional view of the effect of culture on the
development of a personality disorder?
a. there aren't sufficient studies to confirm the role that ethnicity and race have
on the prevalence of personality disorders
b. the North American and Australian cultures produce higher incidences of
personality disorders amount their populations
c. neither culture nor ethnic background is generally considered in the
development of personality disorders
d. personality disorders have been found to be primarily the products of genetic
factors, not cultural factors - ANSWER-A
Which personality disorders are generally associated with behaviors as "odd or
eccentric"? Select all that apply"
a. paranoid
b. schizoid
c. histrionic
d. obsessvie-compulsive
e. avoidant - ANSWER-a, b
Which behaviors are examples of primitive defense mechanism often relied upon
by those diagnosed with a personality disorder? Select all that apply:
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, NSG 3450 Exam 4 Mental Health Galen College
a. regularly attempts to split the staff
b. attempts to undo feelings of anger by offering to do favors
c. regresses to rocking and humming to sooth themselves when fearful
d. lashes out verbally when confronted with criticism
e. destroys another person's belonging when angry - ANSWER-a, b, c,
Personality disorders often co-occur with mood and eating disorders. A young
woman Is undergoing treatment at an eating disorders clinic and her nurse
suspects the pt may also have a cluster B personality disorder due to the young
woman's:
a. desire to avoid eating
b. dramatic response to frustration
c. excessive exercise routine
d. morose personality traits - ANSWER-B
Larry is from a small town and began displaying aggressive and manipulative traits
while still a teenager. Now at 40 y/o, Larry is serving a life sentence for the
murders of his wife and her brother. John, the prison psychiatric nurse
Practitioner, recognizes that Larry's treatment will most likely:
a. transforms Larry to a model prisoner
b. not improve Larry's coping skills
c. reaffirm Larry's high-risk behaviors
d. manifest as small incremental changes - ANSWER-D
3|Page
NSG 3450 EXAM 4 MENTAL HEALTH GALEN COLLEGE NEWEST
2025/2026 COMPLETE 100 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED
A+||BRAND NEW VERSION!!
A patient receiving risperidone (Risperdal) reports severe muscle stiffness at 1030.
By 1200, the patient has difficulty swallowing and is drooling. By 1600, vital signs
are 102.8° F; pulse 110; respirations 26; 150/90. The patient is diaphoretic. Select
the nurse's best analysis and action.
a. agranulocytosis; institue reverse isolation
b. tardive dyskinesia; withhold the next dose of medication
c. Cholestatic jaundice; begin a high-protein, high-cholesterol diet
d. Neuroleptic malignant syndrome; notify a health care provider stat - ANSWER-D
Which statement made by the psychiatric nurse demonstrates an accurate
understanding of the facts that affect an individuals personality?
a. "therapy will help her identify that her problems are personality related"
b. "I'll need to learn more about this pt's cultural beliefs"
c. "It's encouraging to know that personality disorders respond well to tx"
d. "a person's personality is fluid and adjusts to current social situations" -
ANSWER-B
When assessing a pt diagnosed with borderline PD, which statement by the pt
warrants immediate attention?
a. "my mother died 10 yrs ago"
1|Page
, NSG 3450 Exam 4 Mental Health Galen College
b. "I haven't needed medication in weeks"
c. "My dad never loved me"
d. "I'd really like to hurt her for hurting me" - ANSWER-D
What is the current accepted professional view of the effect of culture on the
development of a personality disorder?
a. there aren't sufficient studies to confirm the role that ethnicity and race have
on the prevalence of personality disorders
b. the North American and Australian cultures produce higher incidences of
personality disorders amount their populations
c. neither culture nor ethnic background is generally considered in the
development of personality disorders
d. personality disorders have been found to be primarily the products of genetic
factors, not cultural factors - ANSWER-A
Which personality disorders are generally associated with behaviors as "odd or
eccentric"? Select all that apply"
a. paranoid
b. schizoid
c. histrionic
d. obsessvie-compulsive
e. avoidant - ANSWER-a, b
Which behaviors are examples of primitive defense mechanism often relied upon
by those diagnosed with a personality disorder? Select all that apply:
2|Page
, NSG 3450 Exam 4 Mental Health Galen College
a. regularly attempts to split the staff
b. attempts to undo feelings of anger by offering to do favors
c. regresses to rocking and humming to sooth themselves when fearful
d. lashes out verbally when confronted with criticism
e. destroys another person's belonging when angry - ANSWER-a, b, c,
Personality disorders often co-occur with mood and eating disorders. A young
woman Is undergoing treatment at an eating disorders clinic and her nurse
suspects the pt may also have a cluster B personality disorder due to the young
woman's:
a. desire to avoid eating
b. dramatic response to frustration
c. excessive exercise routine
d. morose personality traits - ANSWER-B
Larry is from a small town and began displaying aggressive and manipulative traits
while still a teenager. Now at 40 y/o, Larry is serving a life sentence for the
murders of his wife and her brother. John, the prison psychiatric nurse
Practitioner, recognizes that Larry's treatment will most likely:
a. transforms Larry to a model prisoner
b. not improve Larry's coping skills
c. reaffirm Larry's high-risk behaviors
d. manifest as small incremental changes - ANSWER-D
3|Page
