GALEN NSG 3450 EXAM 1 MENTAL

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GALEN NSG 3450 EXAM 1 MENTAL

HEALTH WITH 400 REAL EXAM

PRACTICE QUESTIONS AND ANSWERS

2024/2025 LATEST/ NSG 3450 MENTAL

HEALTH EXAM PREP (BRAND NEW!!)

• Which findings are signs of a person who is mentally healthy? (Select all that

apply.)

• Says, "I have some weaknesses, but I feel I'm important to my family and

friends."

• Adheres strictly to religious beliefs of parents and family of origin.
• Spends all holidays alone watching old movies on television.
• Considers past experiences when deciding about the future.
• Experiences feelings of conflict related to changing jobs.

a, d, e

• A citizen at a community health fair asks the nurse, "What is the most prevalent

mental disorder in the United States?" Select the nurse's correct response.

• Schizophrenia
• Bipolar disorder
• Dissociative fugue
• Alzheimer's disease

d

• A category 5 tornado occurred in a community of 400 people. Many homes and

businesses were destroyed. In the 2 years following the disaster, 140 individuals were diagnosed with posttraumatic stress disorder (PTSD). Which term best applies to these newly diagnosed cases?

• Prevalence
• Comorbidity
• Incidence
• Parity 1 / 4

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• Which component of treatment of mental illness is specifically recognized by

Quality and Safety Education for Nurses (QSEN)?

• All genomes are unique.
• Care is centered on the patient.
• Healthy development is vital to mental health.
• Recovery occurs on a continuum from illness to health.

b A patient in the emergency department says, "Voices say someone is stalking me.They want to kill me because I developed a cure for cancer. I have a knife and will stab anyone who is a threat." Which aspects of the patient's mental health have the greatest and most immediate concern to the nurse? (Select all that apply.)

• Happiness
• Appraisal of reality
• Control over behavior
• Effectiveness in work
• Healthy self-concept

b, c, e ch 2. A parent says, "My 2-year-old child refuses toilet training and shouts 'No!' when given directions. What do you think is wrong?" Select the nurse's best reply.

• "Your child needs firmer control. It is important to set limits now."
• "This is normal for your child's age. The child is striving for independence."
• "There may be developmental problems. Most children are toilet trained by age

2."

• "Some undesirable attitudes are developing. A child psychologist can help you

develop a plan." b ch. 2 A staff nurse completes orientation to a psychiatric unit. This nurse may expect an advanced practice nurse to perform which additional intervention?

• Conduct mental health assessments.
• Prescribe psychotropic medication. 2 / 4

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• Establish therapeutic relationships.
• Individualize nursing care plans.

b

• A nursing student expresses concerns that mental health nurses "lose all their

clinical nursing skills." Select the best response by the mental health nurse.

• "Psychiatric nurses practice in safer environments than other specialties. Nurse-

to-patient ratios must be better because of the nature of the patients' problems."

• "Psychiatric nurses use complex communication skills as well as critical

thinking to solve multi-dimensional problems. I am challenged by those situations."

• "That's a misconception. Psychiatric nurses frequently use high technology

monitoring equipment and manage complex intravenous therapies."

• "Psychiatric nurses do not have to deal with as much pain and suffering as

medical-surgical nurses do. That appeals to me." b

• When a new bill introduced in Congress reduces funding for care of persons

diagnosed with mental illness, a group of nurses write letters to their elected representatives in opposition to the legislation. Which role have the nurses fulfilled?

• Recovery
• Attending
• Advocacy
• Evidence-based practice

C

• A family has a long history of conflicted relationships among the members.

Which family member's comment best reflects a mentally healthy perspective?

• "I've made mistakes but everyone else in this family has also."
• "I remember joy and mutual respect from our early years together."
• "I will make some changes in my behavior for the good of the family."
• "It's best for me to move away from my family. Things will never change."

c 3 / 4

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• Which assessment finding most clearly indicates that a patient may be

experiencing a mental illness? The patient

• reports occasional sleeplessness and anxiety.
• reports a consistently sad, discouraged, and hopeless mood.
• is able to describe the difference between "as if" and "for real."
• perceives difficulty making a decision about whether to change jobs.

b

• Which finding best indicates that the goal "Demonstrate mentally healthy

behavior" was achieved for an adult patient? The patient

• sees self as capable of achieving ideals and meeting demands.
• behaves without considering the consequences of personal actions.
• aggressively meets own needs without considering the rights of others.
• seeks help from others when assuming responsibility for major areas of own life.

a

• A nurse encounters an unfamiliar psychiatric disorder on a new patient's

admission form. Which resource should the nurse consult to determine criteria used to establish this diagnosis?

• International Statistical Classification of Diseases and Related Health Problems

(ICD-10)

• The ANA's Psychiatric-Mental Health Nursing Scope and Standards of Practice
• Diagnostic and Statistical Manual of Mental Disorders (DSM-V)
• A behavioral health reference manual

c

• A nurse wants to find a description of diagnostic criteria for anxiety disorders.

Which resource would have the most complete information?

• Nursing Outcomes Classification (NOC)
• DSM-V
• The ANA's Psychiatric-Mental Health Nursing Scope and Standards of Practice
• ICD-10
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