NSG3450 /NSG 3450 MENTAL HEALTH EXAM 3 NEWEST 2025/2026 ACTUAL
QUESTIONS WITH DETAILED ANSWERS WITH STUDY GUIDE EXPERT VERIFIED
FOR GUARANTEED PASS/ALREADY GRADED A+
Question 1
A nurse is caring for a patient experiencing severe anxiety. Which is the most appropriate initial
nursing action?
A. Provide detailed education on relaxation techniques
B. Remain with the patient in a calm environment
C. Encourage the patient to explore reasons for anxiety
D. Ask the patient to write in a journal
Answer: B
Question 2
Which defense mechanism is a client demonstrating when he denies the seriousness of a new
cancer diagnosis?
A. Rationalization
B. Regression
C. Denial
D. Projection
Answer: C
Question 3
A client reports, “I feel numb and detached since the accident.” The nurse recognizes this as a
symptom of:
A. Panic disorder
B. Post-traumatic stress disorder
C. Generalized anxiety disorder
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D. Obsessive-compulsive disorder
Answer: B
Question 4
A nurse should suspect benzodiazepine overdose when a client presents with:
A. Dilated pupils and hallucinations
B. Hypertension and tachycardia
C. Respiratory depression and drowsiness
D. Tremors and diaphoresis
Answer: C
Question 5
The nurse caring for a client with major depressive disorder should prioritize which
intervention?
A. Encourage the client to attend group therapy
B. Provide frequent opportunities for decision-making
C. Assess the client for suicidal ideation
D. Teach coping strategies for stress
Answer: C
Question 6
When a client with schizophrenia believes that the government is spying through the TV, this is
an example of:
A. Illusion
B. Delusion of persecution
C. Hallucination
D. Disorganized thought
Answer: B
Question 7
The nurse should monitor which laboratory value most closely in a client taking valproic acid?
A. Serum potassium
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B. White blood cell count
C. Liver function tests
D. Thyroid function tests
Answer: C
Question 8
A nurse is caring for a client in acute mania. Which activity is most appropriate?
A. Reading a long book quietly
B. Playing a competitive card game
C. Walking with staff in the hallway
D. Watching a 2-hour movie
Answer: C
Question 9
A patient with alcohol use disorder is admitted for detoxification. Which medication is most
likely ordered?
A. Naltrexone
B. Diazepam
C. Disulfiram
D. Fluoxetine
Answer: B
Question 10
Which nursing diagnosis has the highest priority for a client with command hallucinations?
A. Impaired social interaction
B. Risk for violence
C. Chronic low self-esteem
D. Disturbed sleep pattern
Answer: B
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Question 11
A nurse caring for a client with obsessive-compulsive disorder should:
A. Limit rituals immediately
B. Allow time for rituals while setting gradual limits
C. Ignore compulsive behaviors
D. Confront the client harshly about the behavior
Answer: B
Question 12
Which intervention should be included in the care plan for a client with bulimia nervosa?
A. Monitor bathroom use after meals
B. Weigh the client once a week only
C. Allow the client free choice of food
D. Restrict fluid intake
Answer: A
Question 13
Which symptom is most concerning in a client taking clozapine?
A. Drowsiness
B. Weight gain
C. Sore throat and fever
D. Increased appetite
Answer: C
Question 14
A nurse should identify which behavior as a negative symptom of schizophrenia?
A. Hallucinations
B. Delusions
C. Flat affect
D. Disorganized speech
Answer: C