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NSG 3450 | MENTAL HEALTH NURSING EXAM 3
QUESTIONS & ANSWERS (LATEST 2025-2026)
When considering an eating ds, what is a physical criterion for hospital admission?
a. a daytime HR of <50bpm
b. an oral temp of 100F or more
c. 90% of ideal body weight
d. systolic BP >130mmHg
A
When considering the need for monitoring, which intervention should the nurse implement for a pt w/ anorexia? Select all that apply:
a. provide scheduled portion-contolled meals and snacks
b. congratulate pt's for weight gain and behavior that promote weight gain
c. limit time spent in bathroom during periods when not under direct supervision
d. promote exercise as a method to increase appetite
e. observe pt during and after meals/snacks to ensure that adequate intake is achieved and maintained
A, C, E
Which intervention will promote independence in a pt being treated for bulimia nervosa?
a. have the pt monitor daily caloric intake and intake and output of fluids
b. encourage the pt to use behavior modification techniques to promote weight gain behaviors
c. ask the pt to use a daily log to record feelings and circumstances r/t urges to purge
d. allow the pt to make limited choices about eating and exercise as weight gain progresses
D
Which pt statement supports the diagnosis of anorexia nervosa?
a. "I'm terrified of gaining weight."
b. "I wish I had a good friend to talk to"
c. "I've been told I drink way too much alcohol"
d. "I don't get much pleasure out of life anymore"
A
c. relationships w/ other pt's
d. weight
A, B, D
Malika has been overweight all her life. Now as an adult, she has health problems r/t her excessive weight. Seeking weight loss assistance at a primary care facility, Malika is surprised when the nurse practitioner suggests:
a. a trial of SSRI antidepressant therapy
b. mild exercise to start, increasing in intensity over time
c. removing snack foods from the home
d. medications x for HTN
A
Malika agrees to start losing weight according to the nurse practitioner's outlined plan. Additional teaching is warranted when Malika states:
a. "I am willing to admit I am depressed"
b. "psychotherapy will be part of my tx"
c. "I prefer to have a gastric bypass rather than use this plan"
d. "my comorbid conditions may improve w/ weight loss"
C
A pt w/ a hx of alcohol use disorder has been prescribed disulfiram (Antabuse). Which physical effects support the suspicion that the pt has relapsed? Select all that apply:
a. intense nausea
b. diaphoresis
c. acute paranoia
d. confusion
e. dyspnea
A, B, D, E
Which assessment data confirms the suspicion that a pt is experiencing opioid withdrawal? Select all the apply?
a. pupils are dilated
b. Pulse rate is 62 beats/min
c. slow movements
d. extreme anxiety
e. sleepy
A, D
A pt diagnosed w/ opioid use disorder has expressed a desire to enter into a rehab program. What initial nursing intervention during the early days after admission will help ensure the pt's success?
a. restrict visitors to family members only
b. manage the pt's withdrawal sx well
c. provide the pt a low stimulus environment
d. advocate for at least 3 months of tx
B
Opioid use disorder is characterized by:
a. lack of withdrawal sx
b. intoxication sx of pupillary dilation, agitation, and insomnia
c. tolerance
d. rewiring smaller amounts of the drug to achieve a high over time
C
Terry is a young male in the chemical dependency program. Recently he has become increasingly distracted and disengaged. The nurse concludes that Terry is:
a. bored
b. depressed
c. bipolar
d. not ready to change
D
Maxwell is a 30 y/o male who arrives at the ER stating, "I feel like I am having a stroke." During the intake assessment, the nurse discovers that Maxwell has been working for 36 hours straight without eating and consumes eight double espresso drinks and 12 caffeinated sodas. The nurse suspects:
a. fluid overload
b. dehydration and caffeine OD
c. benzodiazepine OD
d. sleep deprivation syndrome
B
Donald, a 49 y/o male, is admitted for inpatient alcohol detoxification. He Is cachexic, has multiple scabs on his arms and legs, and has lower extremity edema. An appropriate nursing diagnosis for Donald, along w/ an expected outcome is:
a. Risk for injury/Remains free from injury
b. Ineffective denial/ Accept responsibility for behavior
c. Nutrition: Less than body requirements/Maintains nutrient intake for metabolic needs
D. Risk for suicide/ Expresses feelings plans for the future
Which nursing intervention focuses on managing a common characteristic of major depressive disorder associated w/ the older population?
a. conducting routine suicide screenings at a senior center
b. identifying depression as a natural, but treatable result of aging
c. identifying males as being at a greater risk for developing depression
d. stressing that most individuals experience just a single episode of major depression in a lifetime
A
Which characteristic identifies during an assessment serves to support a diagnosis of disruptive mood dysregulation disorder? Select all that apply:
a. female
b. 7 y/o
c. comorbid autism diagnosis
d. outbursts occur at least once a week
e. temper tantrum occur at home and in school
B, C, E
Which chronic medical condition is a common trigger for major depressive disorder?
a. pain
b. HTN
c. hypothyroidism
d. Crohn's disease
A
Tammy, a 28 y/o w/ major depressive disorder and bulimia nervosa is ready for d/c from the county hospital after 2 weeks of inpatient therapy. Tammy is taking Citalopram (Celexa) and reports that it has made her feel more hopeful. With a secondary diagnosis of bulimia nervosa, what is an alternative antidepressant to consider?
a. Fluoxetine (Prozac)
b. isocarboxazid (Marplan)
c. amitriptyline
d. Duloxetine (Cymbalta)
A
Cabot has multiple sx of depression including mood reactivity, social phobia, anxiety, and overeating. With a hx of mild HTN, which classification of antidepressants dispensed as a transdermal patch would be a safe med?
a. Tricyclic antidepressants
B
Two months ago, Natasha's husband died suddenly and she has been overwhelmed w/ grief. When Natasha is subsequently diagnosed w/ major depressive disorder, her daughter, Nadia, makes which true statement?
a. "depression often begins after a major loss. Losing dad was a major loss"
b. "bereavement and depression are the same problem:
c. "mourning is pathological and not normal behavior"
d. "antidepressant meds will not help this type of depression"
A
Which pt statement does not demonstrate an understanding of a suicide safety plan?
a. "I know that when I start thinking about my dad, I'm going to start thinking about killing myself"
b. "going for a really long, hard run helps clear my mind and stops the suicidal thoughts"
c. "my sister is always there for me when I start getting suicidal"
d. "I keep the suicide prevention phone number in my wallet"
B
Which interventions will help make the environment on the unit safer for suicidal pt's? Select all that apply:
a. all windows are kept locked
b. every shower has a breakaway shower rod
c. eating utensils are counted when trays are collected
d. pt doors are kept open
e. staying within listening distance of the pt
A, B, C, D
What are the nursing responsibilities to a pt expressing suicidal thoughts? Select all that apply:
a. instituting one-to-one observation
b. documenting the pt's whereabouts and mood every 15-30mins
c. ensuring that the pt has no contact w/ glass or metal utensils
d. ensuring the pt has swallowed each individual dose of med
e. discussing triggers of depression
A, B, C, D
b. "he did not want to think about he pain he would cause you"
c. "he was not able to think clearly due to his emotional pain"
d. "he thought you may think it was an accident if there was no note"
C
Martin is a 23y/o male w/ a new diagnosis of schizophrenia, and his family is receiving info from a home health nurse. The topic of education is suicide prevention, and the nurse recognizes effective teaching when the mother says:
a. "persons w/ schizophrenia rarely commit suicide"
b. "suicide risk is greater in the first few years after diagnosis"
c. "suicide is not common in schizophrenia due to confusion"
d. "most persons diagnosed w/ schizophrenia die of suicide"
B
Sigmund Freud, Karl Menninger, and Aaron Beck theorized that hopelessness was an integral part of why a person commits suicide. A more recent theory suggest suicide results from:
a. elevated serotonin levels
b. the diathesis-stress model
c. outward aggression turned inward
d. a lack of perfectionism
B
Which person is at the highest risk for suicide?
a. a 50 y/o married white male w/ depression who has a plan to OD if circumstances at work do not improve
b. a 45 y/o married white female who recently lost her parents, suffers from bipolar disorder, and attempted suicide once as a teen
c. a young single white male who is alcohol dependent, hopeless, impulsive, has just been rejected by his girlfriend, and has ready access to a gun he has hidden
d. an older Hispanic male who is Catholic, is living w/ a debilitating chronic illness, is recently widowed, and who states, "I wish that God would take me too"
C
Kara is a 23 y/o pt admitted w/ depression and suicide ideation. Which intervention(s) would be therapeutic for Kara? Select all that apply:
a. focus primarily on developing solutions to the problems leading the pt to feel suicidal
b. assess the pt thoroughly and reassess the pt at regular intervals as levels of risk fluctuate
c. avoid talking about the suicidal ideation as this may increase the pt's risk for suicidal behavior
d. meet regularly w/ the pt to provide opportunities for the pt to express and explore feelings
b. assisted death violates the oath to "do no harm" and destroys trust between pt and nurse
c. there is equal protection under the law that allows the right to refuse or withdraw tx and to commit suicide
d. every competent person has the right to make decisions based on personal convictions
e. him beings are the stewards but not the absolute masters of the gift of life
A, B
Which statement made by a pt demonstrated acceptance of criteria required of hospice care?
a. "I want my family to be with me"
b. "there is no cure for my illness. I have accepted that"
c. "it's important to me that I die in my own home"
d. "I don't want my family to bear the burden of caring for me"
B
Which statement made by a widow demonstrates that her grief work has been effective? Select all that apply:
a. "I can remember how much my deceased husband loved chocolate chip ice cream"
b. "painting is my new passion, and I really enjoy learning the various strokes"
c. "Jim could be very stubborn when he thought he was right"
d. "I don't know why he had to die"
e. "I just can't believe he's gone"
A, B, C
Which factor has the greatest influence on the hospice nurse's ability to provide respectful professional care?
a. acceptance that death Is a natural part of life
b. possession of excellent care giving nursing skills
c. the existence of a healthy, well-balanced personal life
d. the desire to work w/ both the pt and the family
C
There is conflict surrounding the dying experience in modern medicine. The medical model of treatment in the U.S. has traditionally been focused on the prolongation of life. What intrinsic factor plays into this medical model?
a. healthcare workers do not want their pt's to die
b. medicare is a fee-for-service model
c. palliative care is expensive to administer
d. keeping people alive as long as possible is the ethical thing to do
D
