NSG 3450 EXAM 3 MENTAL HEALTH
PRACTICE EXAM 100 QUESTIONS WITH
CORRECT ANSWERS LATEST 2024/2025
GALEN COLLEGE/ GALEN NSG 3450 EXAM
3 MENTAL HEALTH PREP QS & AS
Taylor, a psychiatric registered nurse, orients Regina, a patient with anorexia
nervosa, to the room where she will be assigned during her stay. After getting
Regina settled, the nurse informs Regina of the following: - ANSWER-a. "I need
to go through the belongings you have brought with you."
Safety measures are of concern in treating eating disorders. Patients with anorexia
nervosa are supervised closely to monitor the following: Select all that apply. -
ANSWER-a. Foods that are eaten
b. Attempts at self-induced vomiting
d. Weight
Malika has been overweight all her life. Now an adult, she has health problems
related to excessive weight. Seeking weight-loss assistance at a primary care
facility, Malika is surprised when the nurse practitioner suggests the following: -
ANSWER-a. A trial of SSRI antidepressant therapy
Malika agrees to try losing weight according to the nurse practitioner's outlined
plan. Additional teaching is warranted when Malika states that - ANSWER-c. "I
prefer to have a gastric bypass rather than use this plan."
pg. 1
,Natalya, a patient with a history of alcohol use disorder, has been prescribed
disulfiram (Antabuse). Which physical effects support the suspicion that the patient
has relapsed? Select all that apply. - ANSWER-a. Intense nausea
b. Diaphoresis
d. Confusion
e. Dyspnea
Lester and Alene have always enjoyed gambling. Lately, Alene has discovered that
their savings account is down by $50,000. Alene insists that Lester undergo
therapy for his gambling behavior. The nurse recognizes that Lester is making
progress when he states: - ANSWER-b. "Gambling activates the reward pathways
in my brain."
In considering the need for monitoring, which intervention should the nurse
implement for a patient with anorexia nervosa? Select all that apply. - ANSWER-a.
Provide scheduled portion-controlled meals and snacks.
c. Limit time spent in the bathroom during periods when the patient is not under
direct supervision.
e. Observe patient during and after meals/snacks to ensure that adequate intake is
achieved and maintained.
Terry is a young male in a chemical dependency program. Recently, he has
become increasingly distracted and disengaged. The nurse concludes that Terry is:
- ANSWER-d. Not ready to change
Max is a 30-year-old male who arrives at the emergency department stating, "I feel
like I am having a stroke." During the intake assessment, the nurse discovers that
Max has been working for 36 hours straight without eating and has consumed 8
double espresso drinks and 12 caffeinated sodas. The nurse suspects: - ANSWER-
b. Dehydration and caffeine overdose
pg. 2
,Donald, a 49-year-old male, is admitted for inpatient alcohol detoxification. The
rationale for admission into this program is due to: - ANSWER-a. Heavy use of a
substance known to cause withdrawal
Which assessment data confirm the suspicion that a patient is experiencing opioid
withdrawal? Select all that apply. - ANSWER-a. Pupils are dilated
d. Extreme anxiety
The nursing diagnosis denial is especially useful when working with substance use
disorders and gambling. Which statements describe this diagnosis? Select all that
apply. - ANSWER-b. Does not perceive the danger of substance use or gambling
c. Minimizes symptoms
d. Refuses healthcare attention
e. Unable to admit the impact of disease on life pattern
What action should you take when a female staff member is demonstrating
behaviors associated with a substance use disorder? - ANSWER-d. Confront her
about your concerns and/or report your concerns to a supervisor immediately.
A patient diagnosed with opioid use disorder has expressed a desire to enter into a
rehabilitation program. What initial nursing intervention during the early days after
admission will help ensure the patient's success? - ANSWER-b. Manage the
patient's withdrawal symptoms well.
Which neurotransmitter is potentiated by benzodiazepines? - ANSWER-
Acetylcholine
pg. 3
, Which antidepressant is contraindicated in a patient diagnosed with a seizure
disorder? - ANSWER-Bupropion
Which antidepressant requires special dietary restrictions to prevent the possible
development of hypertensive crisis? - ANSWER-Phenelzine
Antagonism of which receptor contributes to orthostatic hypotension observed with
trazodone therapy? - ANSWER-Alpha-1
Which part of the brain regulates voluntary motor movements? - ANSWER-
Cerebellum
Which antidepressant is FDA approved for the treatment of postpartum
depression? - ANSWER-Brexanolone
Which mood stabilizer most commonly causes hypothyroidism with long-term
use? - ANSWER-Lithium
Which medication increases blood levels of lamotrigine, increasing Stevens-
Johnson syndrome risk? - ANSWER-Valproate
Which pathway is involved in the development of extrapyramidal symptoms
secondary to antipsychotic-induced dopamine receptor blockade? - ANSWER-
Nigrostriatal
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