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NSG 3450/ NSG3450 Final Exam – Mental Health Guide| Galen (Latest 2026/ 2027 Update) 100% Verified Questions & Answers | Grade A

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NSG 3450/ NSG3450 Final Exam – Mental Health Guide| Galen (Latest 2026/ 2027 Update) 100% Verified Questions & Answers | Grade A QUESTION Indications for Restraints Answer: To protect the patient from self-harm. To protect the patient from assaulting others. QUESTION Legal Requirements for Restraints Answer: Multidisciplinary involvement Appropriate healthcare provider's signature according to state law Patient advocate or relative notification Seclusion/restraint discontinued as soon as possible QUESTION Documenting Restraints Answer: Patient's behavior leading to restraint/seclusion Least-restrictive measures used before restraint Interventions used and patient's response to interventions Plan of care for restraint/seclusion use implemented Ongoing evaluations by nursing staff and appropriate healthcare providers QUESTION Patients in Restraints Answer: Staff in constant attendance Complete written record every 15 min Monitor vital signs Assess ROM Observe blood flow in hands/feet Observe that restraints aren't rubbing Provide for nutrition, hydration, and elimination QUESTION Indicators for Family Violence Answer: Recurrent ED visits for injuries of being "accident prone" Signs of high anxiety and chronic stress: - Hyperventilation and panic attacks - GI disturbances - Hypertension - Physical injuries QUESTION Types of Child Abuse Answer: Physical Sexual Psychological Neglect QUESTION Types of Elder Abuse Answer: Physical Sexual Physical Neglect Exploitation QUESTION Acts of Commission Answer: Deliberate and intentional. Includes physical, sexual, and emotional abuse. QUESTION Acts of Omission Answer: Neglect; occurs when a child's basic physical, emotional, or educational needs are not or when a child is not protected by harm. QUESTION Tension Building Stage Answer: Minor incidents such as pushing and verbal abuse. Victim often accepts blame. Abusers think their behavior is appropriate. Abuser may use drugs and victim may make excuses. QUESTION Acute Battering Stage Answer: The abuser releases the built-up tension by brutal beatings, which can result in serious injuries. The victim may try to cover up the injury or may look for help. QUESTION Honeymoon Phase Answer: Abuser becomes loving, promises to change, and is sorry for behavior. Victim becomes more trusting, believes abuser will change and fulfill promises.

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NSGl 3450/l NSG3450l Finall Examl –l
Mentall Healthl Guide|l Galenl (Latestl
2026/l 2027l Update)l 100%l Verifiedl
Questionsl &l Answersl |l Gradel A
Q:l Indicationsl forl Restraints
Answer:
Tol protectl thel patientl froml self-harm.

Tol protectl thel patientl froml assaultingl others.



Q:l Legall Requirementsl forl Restraints
Answer:
Multidisciplinaryl involvement

Appropriatel healthcarel provider'sl signaturel accordingl tol statel law

Patientl advocatel orl relativel notification

Seclusion/restraintl discontinuedl asl soonl asl possible



Q:l Documentingl Restraints
Answer:
Patient'sl behaviorl leadingl tol restraint/seclusion

Least-restrictivel measuresl usedl beforel restraint

Interventionsl usedl andl patient'sl responsel tol interventions

Planl ofl carel forl restraint/seclusionl usel implemented

,Ongoingl evaluationsl byl nursingl staffl andl appropriatel healthcarel providers



Q:l Patientsl inl Restraints
Answer:
Staffl inl constantl attendance

Completel writtenl recordl everyl 15l min

Monitorl vitall signs

Assessl ROM

Observel bloodl flowl inl hands/feet

Observel thatl restraintsl aren'tl rubbing

Providel forl nutrition,l hydration,l andl elimination



Q:l Indicatorsl forl Familyl Violence
Answer:
Recurrentl EDl visitsl forl injuriesl ofl beingl "accidentl prone"

Signsl ofl highl anxietyl andl chronicl stress:
l -l Hyperventilationl andl panicl attacks
l -l GIl disturbances
l -l Hypertension
l -l Physicall injuries



Q:l Typesl ofl Childl Abuse
Answer:
Physical

,Sexual

Psychologicall

Neglect



Q:l Typesl ofl Elderl Abuse
Answer:
Physical

Sexual

Physicall

Neglect

Exploitation



Q:l Actsl ofl Commission
Answer:
Deliberatel andl intentional.

Includesl physical,l sexual,l andl emotionall abuse.



Q:l Actsl ofl Omission
Answer:
Neglect;l occursl whenl al child'sl basicl physical,l emotional,l orl educationall needsl arel notl
orl whenl al childl isl notl protectedl byl harm.



Q:l Tensionl Buildingl Stage

, Answer:
Minorl incidentsl suchl asl pushingl andl verball abuse.

Victiml oftenl acceptsl blame.

Abusersl thinkl theirl behaviorl isl appropriate.

Abuserl mayl usel drugsl andl victiml mayl makel excuses.



Q:l Acutel Batteringl Stage
Answer:
Thel abuserl releasesl thel built-upl tensionl byl brutall beatings,l whichl canl resultl inl seriousl
injuries.

Thel victiml mayl tryl tol coverl upl thel injuryl orl mayl lookl forl help.



Q:l Honeymoonl Phase
Answer:
Abuserl becomesl loving,l promisesl tol change,l andl isl sorryl forl behavior.

Victiml becomesl morel trusting,l believesl abuserl willl changel andl fulfilll promises.



Q:l Characteristicsl ofl Abusivel Parents
Answer:
Historyl ofl childhood/neglect

Familyl authoritarianism;l harshl punishments

Lowl self-esteem,l sociall isolation,l poorl copingl skills,l lowl frustrationl tolerance

Experiencingl al crisis

Unrealisticl expectationsl ofl thel child

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