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NSG3450 /NSG 3450 MENTAL HEALTH EXAM 4 NEWEST 2025/2026 ACTUAL
QUESTIONS WITH DETAILED ANSWERS WITH STUDY GUIDE EXPERT VERIFIED
FOR GUARANTEED PASS/ALREADY GRADED A+
Garret's wife of 8 years is divorcing him because their marriage never developed a warm or
loving atmosphere. Garrett states in therapy, "I have always been a loner," and says that he was
never concerned about what others think. The nurse practitioner suggests that Garrett try a trial
of bupropion (Wellbutrin) to - ANSWER=c. Increase the pleasure of living
Josie, a 27-year-old patient, complains that most of the staff do not like her. She says she can tell
whether you are a caring person. Josie is unsure of what she wants to do with her life and her
"mixed-up feelings" about relationships. When you tell her that you will be on vacation next
week, she becomes very angry. Two hours later, she is found using a curling iron to burn her
underarms and explains that it "makes the numbness stop." Given this presentation, which
personality disorder would you suspect? - ANSWER=b. Borderline
Which individuals are most at risk for displaying aggressive behavior? Select all that apply. -
ANSWER=a. An adolescent embarrassed in front of friends.
b. A young male who feels rejected by the social group.
d. A middle-aged adult who feels that concerns are going unheard.
e. A patient who was discovered telling a lie.
A newly admitted male patient has a long history of aggressive behavior toward staff. Which
statement by the nurse demonstrates the need for more information about the use of restraint?
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- ANSWER=b. "I'll call the primary provider and get an as-needed (prn) seclusion/restraint
order."
Which intervention(s) should the nurse implement when helping a patient who expresses anger
in an inappropriate manner? Select all that apply. - ANSWER=a. Approach the patient in a calm,
reassuring manner.
b. Provide suggestions regarding acceptable ways of communicating anger.
d. Set limits on the angry behavior that will be tolerated.
Which guidelines should direct nursing care when deescalating an angry patient? Select all that
apply. - ANSWER=a. Intervene as quickly as possible.
b. Identify the trigger for the anger.
c. Behave calmly and respectfully.
d. Recognize the patient's need for increased personal space.
Which comorbid condition would result in cautious use of an SSRI for a patient with chronic
aggression? - ANSWER=d. Bipolar disorder
Patrick is a widower with four daughters. He enjoyed a healthy relationship with each of them
until they reached puberty. As the girls began to mature physically, he acted in an aggressive
manner, often beating them without provocation. Patrick is most likely acting on: - ANSWER=c.
Frustration of unhealthy desire
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A nurse named Darryl has been hired to work in a psychiatric intensive care unit. He has
undergone training on recognizing escalating anger. Which statement indicates that he
understands danger signs in regard to aggression? - ANSWER=b. "An obvious change in behavior
is a risk factor for aggression."
An effective method of preventing escalation in an environment with violent offenders is to
develop a level of trust through: - ANSWER=c. Brief, frequent, nonthreatening encounters
A 24-hour observation is a good choice for restraint in which of the following patients? -
ANSWER=a. An inmate with suicidal ideation on hospice care
Chronic obstructive pulmonary disease, spinal injury, seizure disorder, and pregnancy are
conditions that: - ANSWER=d. Contraindicate restraint and seclusion.
Which statement made by a new mother should be explored further by the nurse? -
ANSWER=b. "I think the baby cries just to make me angry."
Which problem is observed in children who regularly witness acts of violence in their family?
Select all that apply. - ANSWER=a. Phobias
b. Low self-esteem
c. Major depressive disorder
e. Posttraumatic stress disorder
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What situation associated with a caregiver presents the greatest risk that an older adult will
experience abuse by that caregiver? - ANSWER=b. The caregiver was neglected as a child.
What safety-related responsibility does the nurse have in any situation of suspected abuse? -
ANSWER=d. Report suspected abuse to the proper authorities.
The nurse is assisting a patient to identify safety issues that may occur now that she has left an
abusive partner. What telephone numbers should be available to the patient? Select all that
apply. - ANSWER=a. The police department
b. An abuse hotline
c. A responsible friend or family member
d. A domestic violence shelter
Secondary effects of abuse often manifest as arrested development in children due to the fact
that: - ANSWER=b. Energy for development is diverted to coping
Which statement demonstrates a well-structured attempt at limit setting? - ANSWER=a. "Hitting
me when you are angry is unacceptable."
Which activity is most appropriate for a child with ADHD? - ANSWER=d. Tennis
Cognitive-behavioral therapy is going well when a 12-year-old patient in therapy reports to the
nurse practitioner: - ANSWER=b. "I thought that everyone at school hated me. That's not true.
Most people like me and I have a friend named Todd."
NSG3450 /NSG 3450 MENTAL HEALTH EXAM 4 NEWEST 2025/2026 ACTUAL
QUESTIONS WITH DETAILED ANSWERS WITH STUDY GUIDE EXPERT VERIFIED
FOR GUARANTEED PASS/ALREADY GRADED A+
Garret's wife of 8 years is divorcing him because their marriage never developed a warm or
loving atmosphere. Garrett states in therapy, "I have always been a loner," and says that he was
never concerned about what others think. The nurse practitioner suggests that Garrett try a trial
of bupropion (Wellbutrin) to - ANSWER=c. Increase the pleasure of living
Josie, a 27-year-old patient, complains that most of the staff do not like her. She says she can tell
whether you are a caring person. Josie is unsure of what she wants to do with her life and her
"mixed-up feelings" about relationships. When you tell her that you will be on vacation next
week, she becomes very angry. Two hours later, she is found using a curling iron to burn her
underarms and explains that it "makes the numbness stop." Given this presentation, which
personality disorder would you suspect? - ANSWER=b. Borderline
Which individuals are most at risk for displaying aggressive behavior? Select all that apply. -
ANSWER=a. An adolescent embarrassed in front of friends.
b. A young male who feels rejected by the social group.
d. A middle-aged adult who feels that concerns are going unheard.
e. A patient who was discovered telling a lie.
A newly admitted male patient has a long history of aggressive behavior toward staff. Which
statement by the nurse demonstrates the need for more information about the use of restraint?
,2|Page
- ANSWER=b. "I'll call the primary provider and get an as-needed (prn) seclusion/restraint
order."
Which intervention(s) should the nurse implement when helping a patient who expresses anger
in an inappropriate manner? Select all that apply. - ANSWER=a. Approach the patient in a calm,
reassuring manner.
b. Provide suggestions regarding acceptable ways of communicating anger.
d. Set limits on the angry behavior that will be tolerated.
Which guidelines should direct nursing care when deescalating an angry patient? Select all that
apply. - ANSWER=a. Intervene as quickly as possible.
b. Identify the trigger for the anger.
c. Behave calmly and respectfully.
d. Recognize the patient's need for increased personal space.
Which comorbid condition would result in cautious use of an SSRI for a patient with chronic
aggression? - ANSWER=d. Bipolar disorder
Patrick is a widower with four daughters. He enjoyed a healthy relationship with each of them
until they reached puberty. As the girls began to mature physically, he acted in an aggressive
manner, often beating them without provocation. Patrick is most likely acting on: - ANSWER=c.
Frustration of unhealthy desire
,3|Page
A nurse named Darryl has been hired to work in a psychiatric intensive care unit. He has
undergone training on recognizing escalating anger. Which statement indicates that he
understands danger signs in regard to aggression? - ANSWER=b. "An obvious change in behavior
is a risk factor for aggression."
An effective method of preventing escalation in an environment with violent offenders is to
develop a level of trust through: - ANSWER=c. Brief, frequent, nonthreatening encounters
A 24-hour observation is a good choice for restraint in which of the following patients? -
ANSWER=a. An inmate with suicidal ideation on hospice care
Chronic obstructive pulmonary disease, spinal injury, seizure disorder, and pregnancy are
conditions that: - ANSWER=d. Contraindicate restraint and seclusion.
Which statement made by a new mother should be explored further by the nurse? -
ANSWER=b. "I think the baby cries just to make me angry."
Which problem is observed in children who regularly witness acts of violence in their family?
Select all that apply. - ANSWER=a. Phobias
b. Low self-esteem
c. Major depressive disorder
e. Posttraumatic stress disorder
, 4|Page
What situation associated with a caregiver presents the greatest risk that an older adult will
experience abuse by that caregiver? - ANSWER=b. The caregiver was neglected as a child.
What safety-related responsibility does the nurse have in any situation of suspected abuse? -
ANSWER=d. Report suspected abuse to the proper authorities.
The nurse is assisting a patient to identify safety issues that may occur now that she has left an
abusive partner. What telephone numbers should be available to the patient? Select all that
apply. - ANSWER=a. The police department
b. An abuse hotline
c. A responsible friend or family member
d. A domestic violence shelter
Secondary effects of abuse often manifest as arrested development in children due to the fact
that: - ANSWER=b. Energy for development is diverted to coping
Which statement demonstrates a well-structured attempt at limit setting? - ANSWER=a. "Hitting
me when you are angry is unacceptable."
Which activity is most appropriate for a child with ADHD? - ANSWER=d. Tennis
Cognitive-behavioral therapy is going well when a 12-year-old patient in therapy reports to the
nurse practitioner: - ANSWER=b. "I thought that everyone at school hated me. That's not true.
Most people like me and I have a friend named Todd."
