NSG 3450 Exam 1 Mental Health Galen College
NSG 3450 EXAM 1 MENTAL HEALTH GALEN COLLEGE NEWEST
2025/2026 COMPLETE 150 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED
A+||BRAND NEW VERSION!!
A client was hospitalized for 24 hours after a reaction to a psychotropic
medication. While planning discharge, the case manager learned that the client
received a notice of eviction immediately prior to admission. What is the case
manager's most appropriate action?
a. Postpone the client's discharge from the hospital.
b. Contact the landlord who evicted the client to further discuss the situation.
c. Arrange a temporary place for the client to stay until new housing can be
arranged.
d. Determine whether the adverse medication reaction was genuine because the
client had
nowhere to live. - ANSWER-c. Arrange a temporary place for the client to stay until
new housing can be arranged.
What action is an example of tertiary prevention?
a. Helping a person diagnosed with a serious mental illness learn to manage
money
b. Restraining an agitated client who has become aggressive and assaultive
c. Teaching school-age children about the dangers of drugs and alcohol
d. Genetic counseling with a young couple expecting their first child - ANSWER-a.
Helping a person diagnosed with a serious mental illness learn to manage money
1|Page
, NSG 3450 Exam 1 Mental Health Galen College
A client diagnosed with schizophrenia had an exacerbation related to medication
nonadherence and was hospitalized for 5 days. The client's thoughts are now
more
organized, and discharge is planned. The client's family says, "It's too soon for
discharge. We will just go through all this again." What action should the nurse
take?
a. ask the case manager to arrange a transfer to a long-term care facility.
b. notify hospital security to handle the disturbance and escort the family off the
unit.
c. explain that the client will continue to improve if the medication is taken
regularly.
d. contact the health care provider to meet with the family and explain the
discharge
rationale. - ANSWER-c. explain that the client will continue to improve if the
medication is taken regularly.
A nurse inspects an inpatient psychiatric unit and finds that exits are free of
obstructions, no one is smoking, and the janitor's closet is locked. What do these
observations relate to?
a.coordinating care of clients.
b. management of milieu safety.
c. management of the interpersonal climate.
d. use of therapeutic intervention strategies. - ANSWER-b. management of milieu
safety.
2|Page
, NSG 3450 Exam 1 Mental Health Galen College
The psychiatric unit has one bed available. Which client should be admitted from
the
emergency department? The client
a. The client feeling anxiety and a sad mood after separation from a spouse of 10
years.
b. The client who self-inflicted a superficial cut on the forearm after a family
argument.
c. The client experiencing dry mouth and tremor related to taking antipsychotic
medication.
d. The client who is a new parent and hears voices saying, "Smother your baby." -
ANSWER-d. The client who is a new parent and hears voices saying, "Smother
your baby."
A suspicious, socially isolated client lives alone, eats one meal a day at a local
shelter, and spends the remaining daily food allowance on cigarettes. What is the
community psychiatric nurse's best initial action?
a. Exploring ways to help the client stop smoking.
b. Reporting the situation to the manager of the shelter.
c. Assessing the client's weight; determine foods and amounts eaten.
d. Arranging hospitalization for the client in order to formulate a new treatment
plan. - ANSWER-c. Assessing the client's weight; determine foods and amounts
eaten.
A nurse surveying medical records would find evidence suggesting which client's
rights have been violated?
3|Page
, NSG 3450 Exam 1 Mental Health Galen College
a. A client was not allowed to have visitors.
b. A client's belongings were searched at admission.
c. A client with suicidal ideation was placed on continuous observation.
d. Physical restraint was used after a client was assaultive toward a staff member. -
ANSWER-a. A client was not allowed to have visitors.
Which principle has the highest priority when addressing a behavioral crisis in an
inpatient setting?
a. Resolve the crisis with the least restrictive intervention possible.
b. Swift intervention is justified to maintain the integrity of a therapeutic milieu.
c. Rights of an individual client are superseded by the rights of the majority of
clients.
d. Clients should have opportunities to regain control without intervention if the
safety of others is not compromised. - ANSWER-a. Resolve the crisis with the least
restrictive intervention possible.
The scope of practiced for an advanced nurse practitioner would include which
intervention?
a. Conducting a mental health assessment.
b. Prescribing psychotropic medication.
c. Establishing a therapeutic relationship.
d. Individualizing a nursing care plan. - ANSWER-b. Prescribing psychotropic
medication.
4|Page
NSG 3450 EXAM 1 MENTAL HEALTH GALEN COLLEGE NEWEST
2025/2026 COMPLETE 150 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED
A+||BRAND NEW VERSION!!
A client was hospitalized for 24 hours after a reaction to a psychotropic
medication. While planning discharge, the case manager learned that the client
received a notice of eviction immediately prior to admission. What is the case
manager's most appropriate action?
a. Postpone the client's discharge from the hospital.
b. Contact the landlord who evicted the client to further discuss the situation.
c. Arrange a temporary place for the client to stay until new housing can be
arranged.
d. Determine whether the adverse medication reaction was genuine because the
client had
nowhere to live. - ANSWER-c. Arrange a temporary place for the client to stay until
new housing can be arranged.
What action is an example of tertiary prevention?
a. Helping a person diagnosed with a serious mental illness learn to manage
money
b. Restraining an agitated client who has become aggressive and assaultive
c. Teaching school-age children about the dangers of drugs and alcohol
d. Genetic counseling with a young couple expecting their first child - ANSWER-a.
Helping a person diagnosed with a serious mental illness learn to manage money
1|Page
, NSG 3450 Exam 1 Mental Health Galen College
A client diagnosed with schizophrenia had an exacerbation related to medication
nonadherence and was hospitalized for 5 days. The client's thoughts are now
more
organized, and discharge is planned. The client's family says, "It's too soon for
discharge. We will just go through all this again." What action should the nurse
take?
a. ask the case manager to arrange a transfer to a long-term care facility.
b. notify hospital security to handle the disturbance and escort the family off the
unit.
c. explain that the client will continue to improve if the medication is taken
regularly.
d. contact the health care provider to meet with the family and explain the
discharge
rationale. - ANSWER-c. explain that the client will continue to improve if the
medication is taken regularly.
A nurse inspects an inpatient psychiatric unit and finds that exits are free of
obstructions, no one is smoking, and the janitor's closet is locked. What do these
observations relate to?
a.coordinating care of clients.
b. management of milieu safety.
c. management of the interpersonal climate.
d. use of therapeutic intervention strategies. - ANSWER-b. management of milieu
safety.
2|Page
, NSG 3450 Exam 1 Mental Health Galen College
The psychiatric unit has one bed available. Which client should be admitted from
the
emergency department? The client
a. The client feeling anxiety and a sad mood after separation from a spouse of 10
years.
b. The client who self-inflicted a superficial cut on the forearm after a family
argument.
c. The client experiencing dry mouth and tremor related to taking antipsychotic
medication.
d. The client who is a new parent and hears voices saying, "Smother your baby." -
ANSWER-d. The client who is a new parent and hears voices saying, "Smother
your baby."
A suspicious, socially isolated client lives alone, eats one meal a day at a local
shelter, and spends the remaining daily food allowance on cigarettes. What is the
community psychiatric nurse's best initial action?
a. Exploring ways to help the client stop smoking.
b. Reporting the situation to the manager of the shelter.
c. Assessing the client's weight; determine foods and amounts eaten.
d. Arranging hospitalization for the client in order to formulate a new treatment
plan. - ANSWER-c. Assessing the client's weight; determine foods and amounts
eaten.
A nurse surveying medical records would find evidence suggesting which client's
rights have been violated?
3|Page
, NSG 3450 Exam 1 Mental Health Galen College
a. A client was not allowed to have visitors.
b. A client's belongings were searched at admission.
c. A client with suicidal ideation was placed on continuous observation.
d. Physical restraint was used after a client was assaultive toward a staff member. -
ANSWER-a. A client was not allowed to have visitors.
Which principle has the highest priority when addressing a behavioral crisis in an
inpatient setting?
a. Resolve the crisis with the least restrictive intervention possible.
b. Swift intervention is justified to maintain the integrity of a therapeutic milieu.
c. Rights of an individual client are superseded by the rights of the majority of
clients.
d. Clients should have opportunities to regain control without intervention if the
safety of others is not compromised. - ANSWER-a. Resolve the crisis with the least
restrictive intervention possible.
The scope of practiced for an advanced nurse practitioner would include which
intervention?
a. Conducting a mental health assessment.
b. Prescribing psychotropic medication.
c. Establishing a therapeutic relationship.
d. Individualizing a nursing care plan. - ANSWER-b. Prescribing psychotropic
medication.
4|Page
