1|Page
NSG 3450 EXAM 2 (GALEN) NEWEST 2026 ACTUAL
EXAM TEST BANK| NSG3450 MENTAL HEALTH EXAM
2 REVIEW WITH 300 REAL EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS/ ALREADY GRADED
A+ (BRAND NEW!!)
A client is diagnosed with generalized anxiety disorder. To maximize the
learning process prior to discharge teaching, which assessment should be
performed by the nurse?
A. Assessing the client's level of anxiety
B. Assessing and documenting the clients' vital signs
C. Assessing suicide risk
D. Assessing availability of support systems -Correct Answer- A.
The nurse should utilize which group function to help an extremely
withdrawn, paranoid client increases feelings of security?
A. Socialization
B. Support
C. Empowerment
D. Governance -Correct Answer- B. Support
Meditation has been shown to be an effective stress management
technique. When meditation is effective, what should a nurse expect to
assess?
pg. 1
,2|Page
A. An achieved state of relaxation
B. An achieved insight into one's feelings.
C. A demonstration of appropriate role behaviors
D. An enhanced ability to problem-solve. -Correct Answer- A. An
achieved state of relaxation
Research undertaken by Miller and Rahe in 1997 demonstrated a
correlation between the effects of life change and illness. This research
led to the development of the Recent Life Changes Questionnaire
(RLCQ). Which principle most limits the effectiveness of this tool?
A. Specific illnesses are not identified.
B. The numerical values associated with specific life events are
randomly assigned.
C. Stress is viewed as only a physiological response.
D. Personal perception of the event is excluded. -Correct Answer- D.
Personal perception of the event is excluded.
Which treatment should a nurse identify as most appropriate for clients
diagnosed with generalized anxiety disorder (GAD)?
A. Long-term treatment with diazepam (Valium)
B. Acute symptom control with citalopram (Celexa)
C. Long-term treatment with buspirone (BuSpar)
D. Acute symptom control with ziprasidone (Geodon) -Correct Answer-
C. Long-term treatment with buspirone (BuSpar)
pg. 2
,3|Page
A client diagnosed with an obsessive-compulsive disorder spends hours
bathing and grooming. During a one-on-one interaction, the client
discusses the rituals in detail but avoids any feelings that the rituals
generate. Which defense mechanism should the nurse identify?
A. Sublimation
B. Dissociation
C. Rationalization
D. Intellectualization -Correct Answer- D. Intellectualization
An inpatient client is newly diagnosed with dissociative identity disorder
(DID) stemming from severe childhood sexual abuse. Which nursing
intervention takes priority?
A. Encourage exploration of sexual abuse.
B. Encourage guided imagery.
C. Establish trust and rapport.
D. Administer antianxiety medications. -Correct Answer- C.
Based on current knowledge of neurotransmitter effects, a nurse could
anticipate that the treatment plan for a patient with memory difficulties
might include medications designed to:
A. inhibit GABA.
B. increase dopamine at receptor sites.
C. decrease dopamine at receptor sites.
D. prevent destruction of acetylcholine. -Correct Answer- D.
pg. 3
, 4|Page
The therapeutic action of monoamine oxidase inhibitors (MAOIs) blocks
neurotransmitter reuptake, causing:
A. increased concentration of neurotransmitter in the synaptic gap.
B. decreased concentration of neurotransmitters in the synaptic gap.
C. destruction of receptor sites.
D. limbic system stimulation. -Correct Answer- A.
A patient has symptoms of acute anxiety related to the death of a parent
in an automobile accident 2 hours ago. The patient will need teaching
about a drug from which group?
A. Tricyclic antidepressants
B. Antimanic drugs
C. Benzodiazepines
D. Antipsychotic drugs -Correct Answer- C. Benzodiazepines
When considering stress, what is the primary goal of making daily
entries into a personal journal?
A. providing a distraction from the daily stress
B. expressing emotions to manage stress
C. identifying stress triggers
D. focusing on one's stress - Correct Answer -C. identifying stress
triggers
pg. 4
NSG 3450 EXAM 2 (GALEN) NEWEST 2026 ACTUAL
EXAM TEST BANK| NSG3450 MENTAL HEALTH EXAM
2 REVIEW WITH 300 REAL EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS/ ALREADY GRADED
A+ (BRAND NEW!!)
A client is diagnosed with generalized anxiety disorder. To maximize the
learning process prior to discharge teaching, which assessment should be
performed by the nurse?
A. Assessing the client's level of anxiety
B. Assessing and documenting the clients' vital signs
C. Assessing suicide risk
D. Assessing availability of support systems -Correct Answer- A.
The nurse should utilize which group function to help an extremely
withdrawn, paranoid client increases feelings of security?
A. Socialization
B. Support
C. Empowerment
D. Governance -Correct Answer- B. Support
Meditation has been shown to be an effective stress management
technique. When meditation is effective, what should a nurse expect to
assess?
pg. 1
,2|Page
A. An achieved state of relaxation
B. An achieved insight into one's feelings.
C. A demonstration of appropriate role behaviors
D. An enhanced ability to problem-solve. -Correct Answer- A. An
achieved state of relaxation
Research undertaken by Miller and Rahe in 1997 demonstrated a
correlation between the effects of life change and illness. This research
led to the development of the Recent Life Changes Questionnaire
(RLCQ). Which principle most limits the effectiveness of this tool?
A. Specific illnesses are not identified.
B. The numerical values associated with specific life events are
randomly assigned.
C. Stress is viewed as only a physiological response.
D. Personal perception of the event is excluded. -Correct Answer- D.
Personal perception of the event is excluded.
Which treatment should a nurse identify as most appropriate for clients
diagnosed with generalized anxiety disorder (GAD)?
A. Long-term treatment with diazepam (Valium)
B. Acute symptom control with citalopram (Celexa)
C. Long-term treatment with buspirone (BuSpar)
D. Acute symptom control with ziprasidone (Geodon) -Correct Answer-
C. Long-term treatment with buspirone (BuSpar)
pg. 2
,3|Page
A client diagnosed with an obsessive-compulsive disorder spends hours
bathing and grooming. During a one-on-one interaction, the client
discusses the rituals in detail but avoids any feelings that the rituals
generate. Which defense mechanism should the nurse identify?
A. Sublimation
B. Dissociation
C. Rationalization
D. Intellectualization -Correct Answer- D. Intellectualization
An inpatient client is newly diagnosed with dissociative identity disorder
(DID) stemming from severe childhood sexual abuse. Which nursing
intervention takes priority?
A. Encourage exploration of sexual abuse.
B. Encourage guided imagery.
C. Establish trust and rapport.
D. Administer antianxiety medications. -Correct Answer- C.
Based on current knowledge of neurotransmitter effects, a nurse could
anticipate that the treatment plan for a patient with memory difficulties
might include medications designed to:
A. inhibit GABA.
B. increase dopamine at receptor sites.
C. decrease dopamine at receptor sites.
D. prevent destruction of acetylcholine. -Correct Answer- D.
pg. 3
, 4|Page
The therapeutic action of monoamine oxidase inhibitors (MAOIs) blocks
neurotransmitter reuptake, causing:
A. increased concentration of neurotransmitter in the synaptic gap.
B. decreased concentration of neurotransmitters in the synaptic gap.
C. destruction of receptor sites.
D. limbic system stimulation. -Correct Answer- A.
A patient has symptoms of acute anxiety related to the death of a parent
in an automobile accident 2 hours ago. The patient will need teaching
about a drug from which group?
A. Tricyclic antidepressants
B. Antimanic drugs
C. Benzodiazepines
D. Antipsychotic drugs -Correct Answer- C. Benzodiazepines
When considering stress, what is the primary goal of making daily
entries into a personal journal?
A. providing a distraction from the daily stress
B. expressing emotions to manage stress
C. identifying stress triggers
D. focusing on one's stress - Correct Answer -C. identifying stress
triggers
pg. 4
