NSG 3450 Mental Health Exam 2 – 2026/2027 Actual Questions and Detailed Correct Answers (Instant Download)

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NSG 3450 MENTAL HEALTH EXAM 2 NEWEST 2025/2026 ACTUAL
QUESTIONS WITH DETAILED ANSWERS WITH STUDY GUIDE EXPERT
VERIFIED FOR GUARANTEED PASS/ALREADY GRADED A+


Question 1
A client with generalized anxiety disorder is pacing and restless. The nurse’s priority intervention
is:
A. Ask the client to explain the cause of anxiety
B. Stay with the client and use calm communication
C. Provide detailed teaching about relaxation
D. Leave the client to pace alone
Answer: B

Question 2
Which defense mechanism is a student using when she blames her poor grade on the teacher’s
unfair exam?
A. Displacement
B. Projection
C. Rationalization
D. Denial
Answer: C

Question 3
The nurse suspects opioid intoxication when a client presents with:
A. Dilated pupils and hypertension
B. Pinpoint pupils and respiratory depression
C. Euphoria and hypervigilance
D. Hallucinations and paranoia
Answer: B

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Question 4
A client experiencing mania is most likely to demonstrate:
A. Decreased energy
B. Rapid, pressured speech
C. Social withdrawal
D. Slowed thought processes
Answer: B

Question 5
Which is the most important teaching for a client starting fluoxetine?
A. “You may notice improvement in 1–3 weeks.”
B. “You can stop the medication once you feel better.”
C. “You should restrict fluid intake.”
D. “You will have immediate relief from depression.”
Answer: A

Question 6
A nurse should suspect serotonin syndrome when a client on SSRIs develops:
A. Fever, tremors, and confusion
B. Dry mouth and constipation
C. Weight gain and drowsiness
D. Urinary retention and blurred vision
Answer: A

Question 7
Which nursing diagnosis has the highest priority for a client with major depressive disorder?
A. Disturbed sleep pattern
B. Risk for suicide
C. Social isolation
D. Chronic low self-esteem
Answer: B

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Question 8
The nurse identifies which as a positive symptom of schizophrenia?
A. Anhedonia
B. Delusions
C. Flat affect
D. Social withdrawal
Answer: B

Question 9
A client with bipolar disorder is receiving lithium. The nurse should monitor for toxicity if the
client reports:
A. Mild hand tremor
B. Excessive thirst and diarrhea
C. Increased urination
D. Weight gain
Answer: B

Question 10
Which food should be avoided by a client taking MAOIs?
A. Fresh fruit
B. Yogurt
C. Aged cheese
D. White bread
Answer: C



Question 11
A client says, “I hear voices telling me to hurt myself.” The nurse’s first action is:
A. Ask about the content of the voices
B. Distract the client with group activity
C. Tell the client the voices are not real

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D. Document the hallucination
Answer: A

Question 12
Which intervention is most appropriate for a client with dementia who wanders at night?
A. Restrain the client in bed
B. Provide a safe environment with night lights
C. Give strong sedatives every night
D. Ignore the behavior
Answer: B

Question 13
The nurse recognizes which statement as evidence of therapeutic communication?
A. “Why are you depressed?”
B. “Tell me more about how you are feeling.”
C. “Don’t worry, everything will be fine.”
D. “You should not think that way.”
Answer: B

Question 14
Which client statement indicates effective teaching about ECT?
A. “I may have short-term memory loss after treatment.”
B. “I will not need anesthesia for the procedure.”
C. “ECT causes permanent brain damage.”
D. “ECT will cure all my mental health problems.”
Answer: A

Question 15
The nurse caring for a client with alcohol withdrawal should monitor most closely for:
A. Hypertension, tremors, and seizures
B. Bradycardia and pinpoint pupils
C. Hallucinations and respiratory depression