NUR 256 Exam 3 – Concepts of Mental Health
Nursing – (2026) Actual Questions & Answers
(Galen College of Nursing)
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The nurse is aware that the symptoms that distinguish post-traumatic stress disorder from other
anxiety disorder would be:
A. Avoidance of situation & certain activities that resemble the stress
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B. Depression and a blunted affect when discussing the traumatic situation
C. Lack of interest in family & others
D. Re-experiencing the trauma in dreams or flashback –
Correct Answer :D. Re-experiencing the trauma in dreams or flashback
Experiencing the actual trauma in dreams or flashback is the major symptom that distinguishes post-
traumatic stress disorder from other anxiety disorder.
A nurse is communicating with a male client with substance-induced persisting dementia; the client
cannot remember facts and fills in the gaps with imaginary information.The nurse is aware that this is
typical of?
A. Flight of ideas
B. Associative looseness
C. Confabulation
D. Concretism –
Correct Answer :C. Confabulation
Confabulation or the filling in of memory gaps with imaginary facts is a defense mechanism used by
people experiencing memory deficits.
To further assess a client's suicidal potential. The nurse should be especially alert to the client
expression of:
A. Frustration & fear of death
B. Anger & resentment
C. Anxiety & loneliness
D. Helplessness & hopelessness –
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Correct Answer :D. Helplessness & hopelessness
The expression of these feeling may indicate that this client is unable to continue the struggle of life.
A 32-year-old male graduate student, who has become increasingly withdrawn and neglectful of his
work and personal hygiene, is brought to the psychiatric hospital by his parents. After detailed
assessment, a diagnosis of schizophrenia is made. It is unlikely that the client will demonstrate:
A. Low self-esteem
B. Concrete thinking
C. Effective self-boundaries
D. Weak ego –
Correct Answer :C. Effective self-boundaries
A person with this disorder would not have adequate self-boundaries.
A nurse is providing information to a community group about violence in the family. Which statement
by a group member would indicate a need to provide additional information?
A. "Abuse occurs more in low-income families"
B. "Abuser Are often jealous or self-centered"
C. "Abuser use fear and intimidation"
D. "Abuser usually have poor self-esteem" –
Correct Answer :A. "Abuse occurs more in low-income families"
Personal characteristics of abuser include low self-esteem, immaturity, dependence, insecurity and
jealousy.
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During electroconvulsive therapy (ECT) the client receives oxygen by mask via positive pressure
ventilation. The nurse assisting with this procedure knows that positive pressure ventilation is
necessary because?
A. Anesthesia is administered during the procedure
B. Decrease oxygen to the brain increases confusion and disorientation
C. Grand mal seizure activity depresses respirations
D. Muscle relaxations given to prevent injury during seizure activity depress respirations. –
Correct Answer :D. Muscle relaxations given to prevent injury during seizure activity depress
respirations.
A short-acting skeletal muscle relaxant such as succinylcholine (Anectine) is administered during this
procedure to prevent injuries during seizure.
A 48 year old male client is brought to the psychiatric emergency room after attempting to jump off a
bridge. The client's wife states that he lost his job several months ago and has been unable to find
another job. The primary nursing intervention at this time would be to assess for:
A. past history of depression
B. Current plans to commit suicide
C. The presence of marital difficulties
D. Feelings of excessive failure –
Correct Answer :B. Current plans to commit suicide
Whether there is a suicide plan is a criterion when assessing the client's determination to make
another attempt.
The most critical factor for the nurse to determine during crisis intervention would be the client's:
A. Available situational supports
B. Willingness to restructure the personality
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