NUR 256 Exam 4 – Concepts of Mental Health
Nursing – (2026) Actual Questions & Answers
(Galen College of Nursing)
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(Solved) SCORE A
You realize that your patient who is being treated for a major depressive disorder requires
more teaching when she makes the following statement:
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a. "I have been on this antidepressant for 3 days. I realize that the full effect may not happen
for a period of weeks."
b. "I am going to ask my nurse practitioner to discontinue my Prozac today and let me start
taking a monoamine oxidase inhibitor tomorrow."
c. "I may ask to have my medication changed to Wellbutrin due to the problems I am having
being romantic with my wife."
d. "I realize that there are many antidepressants and it might take a while until we find the
one that works best for me." –
Correct Answer :b
A nurse makes a post on a social media page about his peer taking care of a patient with a
crime-related gunshot wound in the emergency department. He does not use the name of
the patient. The nurse:
a. Has not violated confidentiality laws because he did not use the patient's name.
b. Cannot be held liable for violating confidentiality laws because he was not the primary
nurse for the patient.
c. Has violated confidentiality laws and can be held liable.
d. Cannot be held liable because postings on a social media site are excluded from
confidentiality laws. –
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Correct Answer :c
Implied consent occurs when no verbal or written agreement takes place prior to a caregiver
delivering treatment. Which of the following examples represents implied consent?
a. The mother of an unconscious patient saying okay to surgery
b. Care given to a heroin overdose victim
c. Immobilizing a patient who has refused to take medication
d. Signing general intake paperwork with specific parameters –
Correct Answer :b
Based on Maslow's hierarchy of needs, physiological needs for a restrained patient include:
Select all that apply.
a. Private toileting, oral hydration
b. Checking the tightness of the restraints
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c. Therapeutic communication
d. Maintaining a patent airway –
Correct Answer :a, b, d
What assessment question is focused on identifying a long-term consequence of chronic
stress on physical health?
a. "Do you have any problems with sleeping well?"
b. "How many infections have you experienced in the past 6 months?"
c. "How much moderate exercise do you engage in on a regular basis?"
d. "What management techniques to you regularly use to manage your stress?" –
Correct Answer :b
Which nursing assessments are directed at monitoring a patient's fight-or-flight response?
Select all that apply.
a. Blood pressure
b. Heart rate
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