NSG 3450 EXAM 3 MENTAL HEALTH GALEN COLLEGE NEWEST
2025/2026 COMPLETE 300 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED
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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
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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
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"
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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?
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
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e. temper tantrum occur at home and in school - ANSWER-B, C, E
When considering an eating ds, what is a physical criterion for hospital admission?
a. a daytime HR of <50bpm
b. an oral temp of 100F or more
c. 90% of ideal body weight
d. systolic BP >130mmHg - ANSWER-A
When considering the need for monitoring, which intervention should the nurse
implement for a pt w/ anorexia? Select all that apply:
a. provide scheduled portion-contolled meals and snacks
b. congratulate pt's for weight gain and behavior that promote weight gain
c. limit time spent in bathroom during periods when not under direct supervision
d. promote exercise as a method to increase appetite
e. observe pt during and after meals/snacks to ensure that adequate intake is
achieved and maintained - ANSWER-A, C, E
Which intervention will promote independence in a pt being treated for bulimia
nervosa?
a. have the pt monitor daily caloric intake and intake and output of fluids
b. encourage the pt to use behavior modification techniques to promote weight
gain behaviors
c. ask the pt to use a daily log to record feelings and circumstances r/t urges to
purge
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