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Final Exam: NSG 322/ NSG322 (Latest 2026/2027 Update) Behavioral Health Nursing Review, Exams of Nursing

Georgian Court University (GCU)Nursing

Final Exam: NSG 322/ NSG322 (Latest 2026/ 2027 Update) Behavioral Health Nursing Review | Qs & As | 100% Correct| Grade A (Verified Answers)- GCU

Typology: Exams

2025/2026

Available from 02/03/2026

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Final Exam: NSG 322/ NSG322 (Latest 2026/ 2027
Update) Behavioral Health Nursing Review | Qs & As |
100% Correct| Grade A (Verified Answers)- GCU
Description of Anxiety - ANSWER- normal response to stress
- subjective experience that includes feelings of apprehension, uneasiness,
uncertainty, or dread
- occurs as result of threat that may be misperceived or misinterpreted or threat to
identity or self-esteem
- may result when values are threatened, or preceding new experiences
Types of Anxiety - ANSWER- Normal: healthy type of anxiety
- Acute: precipitated by imminent loss or change that threatens one's sense of
security
- Chronic: persists as characteristic response to daily activities
Mild Level of Anxiety - ANSWER- associated with tense experiences that occur in
everyday life
- individual is alert
- perceptual field is increased
- can be motivating, produce growth, enhance creativity, and increase learning
Moderate Level of Anxiety - ANSWER- focus is on immediate concerns
- narrows perceptual field
- selective inattentiveness occurs
- learning and problem solving still occur
Severe Level of Anxiety - ANSWER- a feeling that something bad is going to happen
- significant narrowing in perceptual field occurs
- focus is on minute or scattered details
- learning and problem solving are not possible
- individual needs direction to focus
Panic Level of Anxiety - ANSWER- associated with dread and terror and sense of
impending doom
- personality is disorganized
- individual is unable to communicate or function effectively
- increased motor activity occurs
- loss of rational thought with distorted perception occurs
- inability to concentrate occurs
- if prolonged, can lead to exhaustion and death
Interventions: General Nursing Measures for Anxiety - ANSWER1. Recognize the
anxiety
2. Establish trust
3. Protect client
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Download Final Exam: NSG 322/ NSG322 (Latest 2026/2027 Update) Behavioral Health Nursing Review and more Exams Nursing in PDF only on Docsity!

Final Exam: NSG 322/ NSG322 (Latest 202 6 / 202 7

Update) Behavioral Health Nursing Review | Qs & As |

100% Correct| Grade A (Verified Answers)- GCU

Description of Anxiety - ANSWER- normal response to stress

  • subjective experience that includes feelings of apprehension, uneasiness, uncertainty, or dread
  • occurs as result of threat that may be misperceived or misinterpreted or threat to identity or self-esteem
  • may result when values are threatened, or preceding new experiences Types of Anxiety - ANSWER- Normal: healthy type of anxiety
  • Acute: precipitated by imminent loss or change that threatens one's sense of security
  • Chronic: persists as characteristic response to daily activities Mild Level of Anxiety - ANSWER- associated with tense experiences that occur in everyday life
  • individual is alert
  • perceptual field is increased
  • can be motivating, produce growth, enhance creativity, and increase learning Moderate Level of Anxiety - ANSWER- focus is on immediate concerns
  • narrows perceptual field
  • selective inattentiveness occurs
  • learning and problem solving still occur Severe Level of Anxiety - ANSWER- a feeling that something bad is going to happen
  • significant narrowing in perceptual field occurs
  • focus is on minute or scattered details
  • learning and problem solving are not possible
  • individual needs direction to focus Panic Level of Anxiety - ANSWER- associated with dread and terror and sense of impending doom
  • personality is disorganized
  • individual is unable to communicate or function effectively
  • increased motor activity occurs
  • loss of rational thought with distorted perception occurs
  • inability to concentrate occurs
  • if prolonged, can lead to exhaustion and death Interventions: General Nursing Measures for Anxiety - ANSWER1. Recognize the anxiety
  1. Establish trust
  2. Protect client
  1. Modify environment by setting limits or limiting interaction with others
  2. Do not criticize coping mechanisms
  3. Provide creative outlets
  4. Monitor for signs of impending destructive behavior
  5. Promote relaxation techniques, such as breathing exercises or guided imagery
  6. Monitor vital signs, and administer antianxiety medications as prescribed
  7. Do not force client into situations that provoke anxiety Interventions: Mild to Moderate levels of Anxiety - ANSWER1. Help client to identify anxiety
  8. Encourage client to talk about feeling
  9. Help client to identify thoughts and feelings that occurred before solving
  10. Encourage problem solving
  11. Encourage gross motor exercise Interventions: Severe to Panic levels of Anxiety - ANSWER1. Reduce anxiety quickly
  12. Use calm manner
  13. Always remain with client
  14. Minimize environmental stimuli
  15. Provide clear, simple statements
  16. Use low-pitched voice
  17. Attend to physical needs of client
  18. Provide gross motor activity
  19. Administer antianxiety medications as prescribed Description of Generalized Anxiety Disorder - ANSWER- an unrealistic anxiety about everyday worries that persists over time and is not associated with another psychiatric or mental disorder
  • physical symptoms occur Assessment of Generalized Anxiety Disorder - ANSWER- restlessness and inability to relax
  • episodes of trembling and shakiness
  • chronic muscular tension
  • dizziness
  • inability to concentrate
  • chronic fatigue and sleep problems
  • inability to recognize connection between anxiety and physical symptoms
  • client is focused on physical discomfort Description of Unexpected and Expected Panic Attacks - ANSWER- produces sudden onset of feelings of intense apprehension and dread
  • cause usually cannot be identified
  • severe, recurrent, intermittent anxiety attacks lasting 5 to 30 minutes occur Assessment of Unexpected and Expected Panic Attacks - ANSWER- choking sensation
  • labored breathing
  • encourage client to express feelings; provide individual therapy that addresses loss of control and anger issues
  • assist client to develop adaptive coping mechanisms and to use relaxation techniques
  • encourage use of support groups
  • facilitate progressive review of trauma experience
  • encourage client to establish and reestablish relationships
  • inform client that hypnotherapy or systemic desensitization may be recommended as for of treatment Description of Specific Phobias - ANSWER- irrational fear of an object or situation that persists
  • associated with panic-level anxiety if object, situation, or activity cannot be avoided
  • defense mechanisms commonly used include repression and displacement acrophobia - ANSWERfear of heights agoraphobia - ANSWERfear of open spaces astraphobia - ANSWERfear of electrical storms claustrophobia - ANSWERfear of closed spaces hematophobia - ANSWERfear of blood hydrophobia - ANSWERfear of water monophobia - ANSWERfear of being alone mysophobia - ANSWERfear of dirt or germs nyctophobia - ANSWERfear of darkness pyrophobia - ANSWERfear of fires social phobia - ANSWER- fear of situations in which one might be embarrassed or criticized
  • fear of making fool of oneself xenophobia - ANSWERfear of strangers zoophobia - ANSWERfear of animals Interventions for Specific Phobias - ANSWER1. identify basis of anxiety
  1. allow client to verbalize feelings about anxiety-producing object or situation; talking frequently about feared object is first step in desensitization process
  1. teach relaxation techniques, such as breathing exercises, muscle relaxations exercises, and visualization of pleasant situations
  2. promote desensitization by gradually introducing individual to feared object or situation in small doses
  • Always stay with client experiencing anxiety to promote safety and security
  • Never force client to have contact with phobic object or situation Obsessions - ANSWERpreoccupation with persistently intrusive thoughts and ideas Compulsions - ANSWER- performance of rituals or repetitive behaviors designed to prevent some event, divert unacceptable thoughts, and decrease anxiety
  • obsessions and compulsions often occur together and can disrupt normal daily activities
  • anxiety occurs when one resists obsessions or compulsions and from being powerless to resist the thoughts or rituals
  • obsessive thought can involve issues of violence, aggression, sexual behavior, orderliness, or religion and uncontrollably can interrupt conscious thoughts and ability to function Disorders Related to Obsessive-Compulsive Disorder - ANSWER1. Hoarding disorder
  1. Excoriation (skin-picking) disorder
  2. Substance or medication-induced obsessive-compulsive and related disorder
  3. Obsessive-compulsive and related disorder due to another medical condition
  4. Trichotillomania Compulsive Behavior Patterns (behaviors or rituals) - ANSWER1. compulsive behavior patterns decrease anxiety
  5. patterns are associated with obsessive thoughts
  6. patterns neutralize the thought
  7. during stressful times, ritualistic behavior increases
  8. defense mechanisms include repression, displacement, and undoing Interventions for Obsessive-Compulsive and Related Disorders - ANSWER- Ensure that basic needs (food, rest, hygiene) are met
  • Identify situations that precipitate compulsive behavior; encourage client to verbalize concerns and feelings
  • Be empathetic toward client and aware of his/her need to perform compulsive behavior
  • Do not interrupt compulsive behaviors unless they jeopardize safety of client or others (provide for client safety related to behavior)
  • Allow time for client to perform compulsive behavior, but set limits on behaviors that may interfere with client's physical well-being to protect client from physical harm
  • Implement schedule for client that distracts from behaviors (structure simple activities, games, or tasks for client)
  • Establish written contract that assists client to decrease frequency of compulsive behaviors gradually

Description of Dissociative Disorder - ANSWER- disruption in integrative functions of memory, consciousness, or identity

  • associated with exposure to extremely traumatic event Description of Dissociative Identity Disorder (DID), formerly called Multiple Personality Disorder - ANSWER1. two or more fully developed, distinct, and unique personalities exist within client
  1. host is primary personality, and other personalities are referred to as alters
  2. alter personalities may take full control of client, one at a time, and may or may not be aware of one another
  3. alters may be aware of host, but host is not usually aware of alters Assessment of Dissociative Identity Disorder (DID), formerly called Multiple Personality Disorder - ANSWER1. Client may have inability to recall important information (unrelated to ordinary forgetfulness)
  4. Transition from one personality to other is related to stress or traumatic event and is sudden
  5. Dissociation is used as method of distancing and defending one's self from anxiety and traumatizing experiences Description of Dissociative Amnesia - ANSWER1. inability to recall important personal information because it provokes anxiety
  6. memory impairment may range from partial to almost complete
  7. client may assume new identity in new environment, drift from place to place, develop few relationships, and then return home unable to remember amnesia Assessment of Dissociative Amnesia - ANSWER1. Localized: client blocks out all memories about specified period
  8. Selective: client recalls some but not all memories about specified period
  9. Generalized: client has loss of all memory about past life Description of Depersonalization/Derealization Disorder - ANSWERan altered self- perception in which one's own reality is temporarily lost or changed Assessment of Depersonalization/Derealization Disorder - ANSWER1. feelings of detachment
  10. intact reality testing Interventions for Dissociative Disorder - ANSWER1. Orient the client
  11. Develop trusting relationship with client
  12. Encourage verbal expression of painful experiences, anxieties, and concerns
  13. Explore methods of coping
  14. Identify sources of conflict
  15. Focus on client's strengths and skills
  16. Provide nondemanding, simple routines
  17. Allow client to progress at his/her own pace
  1. Implement stress reduction techniques
  2. Plan for individual, group, or family psychotherapy to integrate dissociated aspects of personality or memory and expand self-awareness Uses for Electroconvulsive Therapy (ECT) - ANSWER1. clients with sever depressive and bipolar depressive disorders, especially when psychotic symptoms are present, such as delusions of guilt, somatic delusions, and delusions of infidelity
  3. clients who have depression with marked psychomotor retardation and stupor
  4. manic clients whose conditions are resistant to lithium and antipsychotic medications and clients who are rapid cyclers (client with bipolar disorder who has many episodes of mood swings close together)
  5. clients with schizophrenia (especially catatonia), clients with schizoaffective syndromes, and psychotic clients Preprocedure for Electroconvulsive Therapy (ECT) - ANSWER1. explain procedure to client
  6. encourage client to discuss feelings, including myths regarding ECT
  7. teach client and family what to expect
  8. informed consent must be obtained when voluntary clients are being treated
  9. for involuntary clients, when informed consent cannot be obtained, permission may be obtained from next of kin, although in some states permission for ECT must be obtained from court
  10. maintain NPO status after midnight or at least 4 hours before treatment as prescribed
  11. baseline vital signs are taken
  12. client is requested to void
  13. harpins, contact lenses, and dentures are removed
  14. administer preprocedure medication as prescribed During Electroconvulsive Therapy (ECT) Procedure - ANSWER1. as intravenous line is inserted, electroencephalographic and electrocardiographic electrodes are attached
  15. blood pressure, pulse, and oxygen saturation are monitored throughout treatment
  16. blood pressure cuff is placed around 1 ankle and inflated to block medication from entering foot. when procedure begins, seizure activity can be monitored by watching for movement in foot
  17. medications administered may include short-acting anesthetic and muscle relaxant
  18. oxygen is administered by face mask
  19. airway or mouth guard is placed to prevent client from biting tongue
  20. electrical stimulus is administed; brief seizure occurs Electroconvulsive Therapy (ECT) Postprocedure - ANSWER1. client is transported to recovery area with blood pressure cuff and oximeter in place, where oxygen, suction, and other emergency equipment are available
  21. when client is awake, talk to client and take vital signs
  22. client may be confused; provide frequent orientation (brief, distinct, and simple) and reassurance

Assessment of Affective Disturbances with Schizophrenia - ANSWER1. flat or incongruent affect or inappropriate affect

  1. altered though processes Assessment of Abnormal Thought Processes of Schizophrenia - ANSWER1. impaired reality testing
  2. fragmentation of thoughts
  3. loose associations
  4. echolalia
  5. distorted perception of environment
  6. neologisms
  7. magical thinking
  8. inability to conceptualize meaning in words or thoughts
  9. inability to organize facts logically
  10. delusions associated with thought processes or content Assessment: Types of Delusions with Schizophrenia - ANSWER1. loss of reference: client believes that certain events, situations, or interactions are related directly to self
  11. delusions of perception: client believes that he/she is being threatened or persecuted by some powerful force
  12. delusions of grandeur: client attaches special significance to self in relation to others or the universe and has exaggerated sense of self that has no basis in reality
  13. somatic delusions: client believes that his/her body is changing or responding in unusual way, which has no basis in reality Assessment of Perceptual Distortions with Schizophrenia - ANSWER1. illusions,which may be brief experiences with misinterpretation or misperception of reality
  14. hallucinations (5 senses) with no basis in reality, such as perceiving objects, sensations, or images Assessment of Language and Communication Disturbances with Schizophrenia - ANSWER1. related to disorders in thought process
  15. inability to organize language
  16. difficulty communicating clearly
  17. inappropriate responses to situation
  18. single word or phrase may represent whole meaning of conversation such that client may feel that he/she has communicated adequately
  19. development of private language Interventions for Schizophrenia - ANSWER- Assess client's physical needs
  • Set limits on client's behavior if client unable to do so, especially when it interferes with others and becomes disruptive
  • Maintain safe environment
  • Initiate one-on-one interaction and progress to small groups as tolerated
  • Spend time with client, even if client is unable to respond
  • Monitor for altered thought processes
  • Maintain ego boundaries and avoid touching client
  • Do not make promises to client that cannot be kept
  • Establish daily routine
  • Assist client to improve grooming and accept responsibility for personal care
  • Sit with client in silence if necessary
  • Provide brief, frequent contact with client; limit time of interaction with client
  • Tell client when you are leaving
  • Tell client when you do not understand what he/she is saying
  • Do not "go along" with client's delusions or hallucinations
  • Provide simple, concrete activities, such as puzzles or word games
  • Reorient client as necessary
  • Help client to establish what is real and unreal
  • Stay with client if he/she is frightened
  • Speak to client in simple, direct, and concise manner
  • Reassure client that environment is safe
  • Remove client from group situations if client's behavior is too bizarre, disturbing, or dagerous to others
  • Set realistic goals
  • Initially, do not offer choices to client; then gradually assist in making his/her own decisions
  • Use canned or packaged food, especially with paranoid schizophrenic client
  • Provide radio or tape player at night for insomnia
  • Decrease excessive stimuli in environment
  • Monitor for suicide risk
  • Assist client to use alternative means to express feelings, such as through music, art therapy, or writing Interventions: Active Hallucinations with Schizophrenia - ANSWER1. monitor for hallucination cues and assess content of hallucinations
  1. Intervene with one-on-one contact
  2. Decrease stimuli or move client to another area
  3. Avoid conveying to client that others also are experiencing the hallucination
  4. Respond verbally to anything real that client talks about
  5. Avoid touching client
  6. Encourage client to express feelings
  7. During hallucination, attempt to engage client's attention through concrete activity
  8. Accept and do not joke about or judge client's behavior
  9. Provide easy activities and structured environment with routine activities of daily living
  10. Monitor for signs of increasing fear, anxiety, or agitation
  11. Decrease stimuli as needed
  12. Administer medications as prescribed ** Safety is first priority; ensure client does not have auditory command telling him/her to harm self or others ** Interventions: Delusions with Schizophrenia - ANSWER1. Interact based on reality
  • Flight of Ideas: constant flow of speech in which client jumps from 1 topic to another in rapid succession; connection between topics exists, although it is sometimes difficult to identify; seen in manic states
  • Looseness of Association: haphazard, illogical, and confused thinking and interrupted connections in thought; seen mostly in schizophrenic disorders
  • Neologisms: client makes up words that have meaning only to the individual; often part of delusional system
  • Thought Blocking: sudden cessation of thought in middle of sentence; client unable to continue train of thought; often, sudden new thoughts unrelated to topic come up
  • Word Salad: mixture of words and phrases that has no meaning Types of Delusions - ANSWER- Grandeur: false belief that one is powerful and importan person
  • Jealousy: false belief that one's partner or mate is going out with other persons
  • Persecution: thought that one is being singled out for harm by others Types of Hallucinations - ANSWER- Auditory: hearing voices when none are present
  • Gustatory: Experiencing taste in absence of stimuli
  • Olfactory: smelling smells that do not exist
  • Tactile: feeling touch sensations in absence of stimuli
  • Visual: seeing things that are not there Types of Language and Communication Disturbances - ANSWER- Clang Association: repetition of words or phrases that are similar in sound but in no other way
  • Echolalia: repetition of words or phrases heard from another person
  • Mutism: absence of verbal speech
  • Neologism: newly devised word that has special meaning only to client
  • Pressured Speech: speaking as if words are being forced out quickly
  • Verbigeration: purposeless repetition of words or phrases
  • Word Salad: form of speech in which words or phrases are connected meaninglessly