NUR 3450 EXAM 4 2026 STUDY
GUIDE TEST PAPER QUESTIONS
AND SOLUTIONS GRADED A+
◉ Factors that affect mental health. Answer: Genes, trauma, family,
lifestyle, stressors, biological factors, childhood abuse, neglect, social
isolation, racism, losing someone close to you, severe long-term stress
◉ What are the 3 general adaptation syndrome. Answer: Alarm Reaction
Stage, Stage of Resistance, Stage of Exhaustion
◉ What is the alarm reaction stage. Answer: The initial reaction stage
your body experiences when under stress. Prepapres you for the flight or
fight response. Heart rate and the adrenal gland releases cortisol (stress
hormone) and a boost of adrenaline.
◉ What is the Stage of Resistance. Answer: The body begins to repair
itself. Releases a lower amount of cortisol and heart rate and blood
pressure are stabilized. Remains on high alert. Signs of resistance are
irritability, frustration, and poor concentration.
◉ What is the Stage of Exhaustion. Answer: The stage that results after
prolonged stress. Signs are fatigue, burnout, depression, anxiety,
decreased stress tolerance.
,◉ What are the 4 levels of anxiety. Answer: Mild - Anxious throughout
the day, but not all day. Some changes in concentration and sleep.
Stomach-ache and muscle tension
Moderate - Anxious most of the day. Changes in sleep appetite, and
concentration. Avoidance. Feeling panicky, headaches, and fatigue.
Severe - Anxiety all day. Feeling breathless, chest tightness, digestive
issues, unable to focus, and sensory overload. Isolation.
Panic - Sever anxiety all day. Panic attack, can't function. Obsessive
thoughts.
◉ What are the 5 stages of grief?. Answer: Denial - Denying the
situation. Usually, to numb the intensity of the situation.
Anger - Anger is hiding many of the emotions and pain that you carry
Bargaining - You may find yourself creating a lot of "what if" and "only
if" statements
Depression - Where you isolate yourself from the others in order to fully
cope with the loss
Acceptance - Accepted the situation. You understand what it meant in
your life
,◉ What is the DSM5?. Answer: The diagnostic and statistical manual of
mental disorders, DSM-5 is the current official guidebook for
categorizing and diagnosing psychiatric mental health disorders in the
United States.
◉ What are ways to check for mental status?. Answer: Level of
Consciousness - refers to the state of wakefulness of the patient and
depends both on brainstem and cortical components. Altered &
Oriented, Comatose.
Physical appearance - Manner of dress, level of cleanliness, appearance
Behavior - Level of eye contact, restless/anxious, withdrawn,
disinhibited behavior, rapport, level of motor activity
Cognitive and intellectual abilities - Patients level of orientation,
attention, memory, alertness and visuospatial functioning. The cognition
section assesses their awareness of itself, their environment, higher
cortical functioning, frontal functioning, language, mental calculation,
drawing and copying.
◉ What is a HEADSS assessment?. Answer: Home, Education,
Activities, Drugs, Sex, Suicide. Assessment is a psychosocial screening
tool designed for the adolescent population. The American Academy of
Pediatrics (AAP) and other organizaitons recommend using this
assessment in order to address risk behaviors.
, ◉ What is the MMSE. Answer: The mini mental state exam, or MMSE,
is a simple pen and paper test of cognitive function based on a total
possible score of 30 points; it includes tests of orientation, concentration,
attention, verbal memory, naming and visuospatial skills.
◉ Therapeutic strategies: What is counseling?. Answer: Process of
meeting with a therapist to resolve problematic behaviors, beliefs,
feelings, relationship issues, and/or somatic responses.
◉ Therapeutic strategies: What is milieu therapy?. Answer: Safe,
structured, group treatment method for mental health issues. Interaction
in a community setting.
◉ Therapeutic strategies: What is promotion of self-care activites?.
Answer: Meditation, exercise, get sleep, good hygiene, practice
gratitude, focus on positivity, eating healthy, socializing
◉ Therapeutic strategies: What is psychobiological interventions?.
Answer: Another psychobiological intervention is electrical stimulation
or neuromuscular electrical stimulation (NMES)
◉ Therapeutic strategies: What is Cognitive and behavioral therapies?.
Answer: Identifying specific problems or issues in your daily life.
Becoming aware of unproductive thought patterns and how they can
impact your life. Identifying negative thinking and reshaping it in a way
that changes how you feel. Learning new behaviors and putting them
into practice.
GUIDE TEST PAPER QUESTIONS
AND SOLUTIONS GRADED A+
◉ Factors that affect mental health. Answer: Genes, trauma, family,
lifestyle, stressors, biological factors, childhood abuse, neglect, social
isolation, racism, losing someone close to you, severe long-term stress
◉ What are the 3 general adaptation syndrome. Answer: Alarm Reaction
Stage, Stage of Resistance, Stage of Exhaustion
◉ What is the alarm reaction stage. Answer: The initial reaction stage
your body experiences when under stress. Prepapres you for the flight or
fight response. Heart rate and the adrenal gland releases cortisol (stress
hormone) and a boost of adrenaline.
◉ What is the Stage of Resistance. Answer: The body begins to repair
itself. Releases a lower amount of cortisol and heart rate and blood
pressure are stabilized. Remains on high alert. Signs of resistance are
irritability, frustration, and poor concentration.
◉ What is the Stage of Exhaustion. Answer: The stage that results after
prolonged stress. Signs are fatigue, burnout, depression, anxiety,
decreased stress tolerance.
,◉ What are the 4 levels of anxiety. Answer: Mild - Anxious throughout
the day, but not all day. Some changes in concentration and sleep.
Stomach-ache and muscle tension
Moderate - Anxious most of the day. Changes in sleep appetite, and
concentration. Avoidance. Feeling panicky, headaches, and fatigue.
Severe - Anxiety all day. Feeling breathless, chest tightness, digestive
issues, unable to focus, and sensory overload. Isolation.
Panic - Sever anxiety all day. Panic attack, can't function. Obsessive
thoughts.
◉ What are the 5 stages of grief?. Answer: Denial - Denying the
situation. Usually, to numb the intensity of the situation.
Anger - Anger is hiding many of the emotions and pain that you carry
Bargaining - You may find yourself creating a lot of "what if" and "only
if" statements
Depression - Where you isolate yourself from the others in order to fully
cope with the loss
Acceptance - Accepted the situation. You understand what it meant in
your life
,◉ What is the DSM5?. Answer: The diagnostic and statistical manual of
mental disorders, DSM-5 is the current official guidebook for
categorizing and diagnosing psychiatric mental health disorders in the
United States.
◉ What are ways to check for mental status?. Answer: Level of
Consciousness - refers to the state of wakefulness of the patient and
depends both on brainstem and cortical components. Altered &
Oriented, Comatose.
Physical appearance - Manner of dress, level of cleanliness, appearance
Behavior - Level of eye contact, restless/anxious, withdrawn,
disinhibited behavior, rapport, level of motor activity
Cognitive and intellectual abilities - Patients level of orientation,
attention, memory, alertness and visuospatial functioning. The cognition
section assesses their awareness of itself, their environment, higher
cortical functioning, frontal functioning, language, mental calculation,
drawing and copying.
◉ What is a HEADSS assessment?. Answer: Home, Education,
Activities, Drugs, Sex, Suicide. Assessment is a psychosocial screening
tool designed for the adolescent population. The American Academy of
Pediatrics (AAP) and other organizaitons recommend using this
assessment in order to address risk behaviors.
, ◉ What is the MMSE. Answer: The mini mental state exam, or MMSE,
is a simple pen and paper test of cognitive function based on a total
possible score of 30 points; it includes tests of orientation, concentration,
attention, verbal memory, naming and visuospatial skills.
◉ Therapeutic strategies: What is counseling?. Answer: Process of
meeting with a therapist to resolve problematic behaviors, beliefs,
feelings, relationship issues, and/or somatic responses.
◉ Therapeutic strategies: What is milieu therapy?. Answer: Safe,
structured, group treatment method for mental health issues. Interaction
in a community setting.
◉ Therapeutic strategies: What is promotion of self-care activites?.
Answer: Meditation, exercise, get sleep, good hygiene, practice
gratitude, focus on positivity, eating healthy, socializing
◉ Therapeutic strategies: What is psychobiological interventions?.
Answer: Another psychobiological intervention is electrical stimulation
or neuromuscular electrical stimulation (NMES)
◉ Therapeutic strategies: What is Cognitive and behavioral therapies?.
Answer: Identifying specific problems or issues in your daily life.
Becoming aware of unproductive thought patterns and how they can
impact your life. Identifying negative thinking and reshaping it in a way
that changes how you feel. Learning new behaviors and putting them
into practice.
