NUR253 Exam 4 V1 | NUR 253 Mental
Health Nursing Exam Q&A | Galen College
of Nursing
1. A nurse is assessing a child with ADHD. Which of the following is a primary characteristic of
this disorder?
A. Impulsivity and hyperactivity
B. Deficits in social communication
C. Persistent violation of others’ rights
D. Consistent refusal to follow rules
Answer: A
Rationale: ADHD is primarily characterized by a persistent pattern of inattention,
hyperactivity, and impulsivity. These symptoms must interfere with functioning or
development in at least two settings, such as home and school. Nurses should focus on
behavioral interventions and potential pharmacological management to address these core
symptoms.
2. A nurse is providing teaching to parents of a child newly diagnosed with Autism Spectrum
Disorder (ASD). Which feature should the nurse highlight as a core deficit?
A. Low intellectual quotient (IQ)
B. High levels of physical aggression
,C. Impairment in social interaction
D. Excessive need for physical touch
Answer: C
Rationale: Autism Spectrum Disorder is characterized by persistent deficits in social
communication and social interaction across multiple contexts. Many individuals with ASD
also exhibit restricted, repetitive patterns of behavior, interests, or activities. Early
intervention focusing on social skills and communication is essential for improving long-
term outcomes.
3. An elderly patient is admitted with sudden confusion and fluctuating levels of
consciousness. Which condition does the nurse suspect?
A. Alzheimer’s Disease
B. Vascular Dementia
C. Major Depressive Disorder
D. Delirium
Answer: D
Rationale: Delirium is characterized by an acute onset of confusion and fluctuating levels
of consciousness. It is often secondary to an underlying medical condition, such as an
infection or electrolyte imbalance. Unlike dementia, delirium is typically reversible once
the underlying cause is identified and treated.
, 4. Which medication is a non-stimulant used in the treatment of ADHD?
A. Methylphenidate
B. Atomoxetine
C. Dextroamphetamine
D. Lisdexamfetamine
Answer: B
Rationale: Atomoxetine is a selective norepinephrine reuptake inhibitor and is classified
as a non-stimulant for ADHD treatment. It is an alternative for patients who do not tolerate
stimulants or have a history of substance abuse. The therapeutic effects of atomoxetine
may take several weeks to become fully apparent.
5. A nurse is caring for an older adult with moderate Alzheimer’s disease. Which intervention
is most appropriate to promote safety?
A. Providing complex puzzles to stimulate the mind
B. Installing locks at the top of exit doors
C. Using restraints during the night to prevent wandering
D. Limiting fluid intake to prevent nocturia
Answer: B
Rationale: Safety is a priority for patients with Alzheimer’s because they often wander and
may become lost or injured. Installing locks in non-obvious places, such as the top of doors,
Health Nursing Exam Q&A | Galen College
of Nursing
1. A nurse is assessing a child with ADHD. Which of the following is a primary characteristic of
this disorder?
A. Impulsivity and hyperactivity
B. Deficits in social communication
C. Persistent violation of others’ rights
D. Consistent refusal to follow rules
Answer: A
Rationale: ADHD is primarily characterized by a persistent pattern of inattention,
hyperactivity, and impulsivity. These symptoms must interfere with functioning or
development in at least two settings, such as home and school. Nurses should focus on
behavioral interventions and potential pharmacological management to address these core
symptoms.
2. A nurse is providing teaching to parents of a child newly diagnosed with Autism Spectrum
Disorder (ASD). Which feature should the nurse highlight as a core deficit?
A. Low intellectual quotient (IQ)
B. High levels of physical aggression
,C. Impairment in social interaction
D. Excessive need for physical touch
Answer: C
Rationale: Autism Spectrum Disorder is characterized by persistent deficits in social
communication and social interaction across multiple contexts. Many individuals with ASD
also exhibit restricted, repetitive patterns of behavior, interests, or activities. Early
intervention focusing on social skills and communication is essential for improving long-
term outcomes.
3. An elderly patient is admitted with sudden confusion and fluctuating levels of
consciousness. Which condition does the nurse suspect?
A. Alzheimer’s Disease
B. Vascular Dementia
C. Major Depressive Disorder
D. Delirium
Answer: D
Rationale: Delirium is characterized by an acute onset of confusion and fluctuating levels
of consciousness. It is often secondary to an underlying medical condition, such as an
infection or electrolyte imbalance. Unlike dementia, delirium is typically reversible once
the underlying cause is identified and treated.
, 4. Which medication is a non-stimulant used in the treatment of ADHD?
A. Methylphenidate
B. Atomoxetine
C. Dextroamphetamine
D. Lisdexamfetamine
Answer: B
Rationale: Atomoxetine is a selective norepinephrine reuptake inhibitor and is classified
as a non-stimulant for ADHD treatment. It is an alternative for patients who do not tolerate
stimulants or have a history of substance abuse. The therapeutic effects of atomoxetine
may take several weeks to become fully apparent.
5. A nurse is caring for an older adult with moderate Alzheimer’s disease. Which intervention
is most appropriate to promote safety?
A. Providing complex puzzles to stimulate the mind
B. Installing locks at the top of exit doors
C. Using restraints during the night to prevent wandering
D. Limiting fluid intake to prevent nocturia
Answer: B
Rationale: Safety is a priority for patients with Alzheimer’s because they often wander and
may become lost or injured. Installing locks in non-obvious places, such as the top of doors,
