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NSG3450 Exam 4 2026/2027 Nursing Practice Mental
Health Galen Actual Exam Verified Answers Detailed
Rationales High Score Grade A
1. Assessing for which factor is the single best predictor of future violence?
A. Substance abuse
B. History of violence
C. Male gender
D. Age under 25 years
Correct Answer: B. History of violence
Rationale: A history of violence is the single best predictor of future violence. While
other factors such as substance abuse, male gender, and young age increase risk, past
violent behavior is the strongest predictor.
2. Which individuals are most at risk for displaying aggressive behavior? Select all that
apply.
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A. An adolescent embarrassed in front of friends
B. A young male who feels rejected by the social group
C. A young adult depressed after the death of a friend
D. A middle-aged adult who feels that concerns are going unheard
E. A patient who was discovered telling a lie
Correct Answer: A, B, D, E
Rationale: Risk factors for aggression include humiliation or embarrassment (A),
perceived rejection (B), feeling unheard (D), and being caught in a lie (E). Depression
alone (C) is not an immediate aggression risk factor.
3. A newly admitted male patient has a long history of aggressive behavior toward
staff. Which statement by the nurse demonstrates the need for more information
about the use of restraint?
A. "If his behavior warrants restraints, someone will stay with him the entire time he's
restrained."
B. "I'll call the primary provider and get an as needed (PRN) seclusion/restraint order."
C. "If he is restrained, be sure he is offered food and fluids regularly."
D. "Remember that physical restraints are our last resort."
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Correct Answer: B. "I'll call the primary provider and get an as needed (PRN)
seclusion/restraint order."
Rationale: Restraint and seclusion orders cannot be PRN (as needed); they must be
time-limited with specific duration. This statement indicates a need for more education
about restraint requirements.
4. Which intervention(s) should the nurse implement when helping a patient express
anger in an inappropriate manner? Select all that apply.
A. Approach the patient in a calm, reassuring manner
B. Provide suggestions regarding acceptable ways of communicating anger
C. Warn the patient that being angry is not a healthy emotional state
D. Set limits on the angry behavior that will be tolerated
E. Allow any expression of anger as long as no one is hurt
Correct Answer: A, B, D
Rationale: Interventions for inappropriate anger include calm approach (A), teaching
acceptable communication (B), and setting clear limits (D). Anger is a normal emotion (C
is incorrect), and not all expressions are acceptable even if no one is hurt (E).
NSG3450 Exam 4 2026/2027 Nursing Practice Mental
Health Galen Actual Exam Verified Answers Detailed
Rationales High Score Grade A
1. Assessing for which factor is the single best predictor of future violence?
A. Substance abuse
B. History of violence
C. Male gender
D. Age under 25 years
Correct Answer: B. History of violence
Rationale: A history of violence is the single best predictor of future violence. While
other factors such as substance abuse, male gender, and young age increase risk, past
violent behavior is the strongest predictor.
2. Which individuals are most at risk for displaying aggressive behavior? Select all that
apply.
,2|Page
A. An adolescent embarrassed in front of friends
B. A young male who feels rejected by the social group
C. A young adult depressed after the death of a friend
D. A middle-aged adult who feels that concerns are going unheard
E. A patient who was discovered telling a lie
Correct Answer: A, B, D, E
Rationale: Risk factors for aggression include humiliation or embarrassment (A),
perceived rejection (B), feeling unheard (D), and being caught in a lie (E). Depression
alone (C) is not an immediate aggression risk factor.
3. A newly admitted male patient has a long history of aggressive behavior toward
staff. Which statement by the nurse demonstrates the need for more information
about the use of restraint?
A. "If his behavior warrants restraints, someone will stay with him the entire time he's
restrained."
B. "I'll call the primary provider and get an as needed (PRN) seclusion/restraint order."
C. "If he is restrained, be sure he is offered food and fluids regularly."
D. "Remember that physical restraints are our last resort."
, 3|Page
Correct Answer: B. "I'll call the primary provider and get an as needed (PRN)
seclusion/restraint order."
Rationale: Restraint and seclusion orders cannot be PRN (as needed); they must be
time-limited with specific duration. This statement indicates a need for more education
about restraint requirements.
4. Which intervention(s) should the nurse implement when helping a patient express
anger in an inappropriate manner? Select all that apply.
A. Approach the patient in a calm, reassuring manner
B. Provide suggestions regarding acceptable ways of communicating anger
C. Warn the patient that being angry is not a healthy emotional state
D. Set limits on the angry behavior that will be tolerated
E. Allow any expression of anger as long as no one is hurt
Correct Answer: A, B, D
Rationale: Interventions for inappropriate anger include calm approach (A), teaching
acceptable communication (B), and setting clear limits (D). Anger is a normal emotion (C
is incorrect), and not all expressions are acceptable even if no one is hurt (E).
