NUR253 Exam 4 V2 | NUR 253 Mental
Health Nursing Exam Q&A | Galen College
of Nursing
1. A nurse is caring for an adolescent with conduct disorder. Which behavior is most
characteristic of this diagnosis?
A. Excessive shyness and social withdrawal
B. Difficulties with focused attention
C. Repeated violation of the rights of others
D. Regressive behaviors such as bedwetting
Answer: C
Rationale: Conduct disorder is characterized by a persistent pattern of behavior in which
the basic rights of others or major age-appropriate societal norms or rules are violated.
2. Which intervention is a priority for a client diagnosed with moderate-stage Alzheimer’s
disease who wanders at night?
A. Installing a bed alarm or door sensors
B. Restricting fluid intake after 6:00 PM
C. Administering a sedative at bedtime
D. Leaving the bathroom light on all night
,Answer: A
Rationale: Safety is the priority for clients who wander; alarms and sensors provide
immediate notification of movement to prevent falls or elopement without using restraints.
3. In family therapy, a nurse observes a mother talking to her daughter instead of her
husband about marital problems. This is an example of:
A. Enmeshment
B. Double-bind communication
C. Scapegoating
D. Triangulation
Answer: D
Rationale: Triangulation occurs when a third person is brought into a two-person
relationship conflict to reduce tension or bypass the direct issue.
4. A school nurse is providing primary prevention for mental health. Which activity fits this
level of prevention?
A. Teaching stress management techniques to a classroom
B. Screening all students for signs of depression
C. Running a support group for students with ADHD
D. Referring a suicidal student to a crisis center
Answer: A
, Rationale: Primary prevention focuses on health promotion and preventing the onset of
disease through education and community-based interventions.
5. Which ethical principle is involved when a nurse ensures a client has all the information
needed to make a treatment decision?
A. Justice
B. Nonmaleficence
C. Autonomy
D. Fidelity
Answer: C
Rationale: Autonomy refers to the client’s right to make their own decisions. Providing
complete information supports informed consent and self-determination.
6. A 75-year-old client is admitted with sudden onset confusion and fluctuating levels of
consciousness. The nurse suspects:
A. Major Depressive Disorder
B. Dementia of the Alzheimer’s type
C. Normal age-related memory loss
D. Delirium
Answer: D
Health Nursing Exam Q&A | Galen College
of Nursing
1. A nurse is caring for an adolescent with conduct disorder. Which behavior is most
characteristic of this diagnosis?
A. Excessive shyness and social withdrawal
B. Difficulties with focused attention
C. Repeated violation of the rights of others
D. Regressive behaviors such as bedwetting
Answer: C
Rationale: Conduct disorder is characterized by a persistent pattern of behavior in which
the basic rights of others or major age-appropriate societal norms or rules are violated.
2. Which intervention is a priority for a client diagnosed with moderate-stage Alzheimer’s
disease who wanders at night?
A. Installing a bed alarm or door sensors
B. Restricting fluid intake after 6:00 PM
C. Administering a sedative at bedtime
D. Leaving the bathroom light on all night
,Answer: A
Rationale: Safety is the priority for clients who wander; alarms and sensors provide
immediate notification of movement to prevent falls or elopement without using restraints.
3. In family therapy, a nurse observes a mother talking to her daughter instead of her
husband about marital problems. This is an example of:
A. Enmeshment
B. Double-bind communication
C. Scapegoating
D. Triangulation
Answer: D
Rationale: Triangulation occurs when a third person is brought into a two-person
relationship conflict to reduce tension or bypass the direct issue.
4. A school nurse is providing primary prevention for mental health. Which activity fits this
level of prevention?
A. Teaching stress management techniques to a classroom
B. Screening all students for signs of depression
C. Running a support group for students with ADHD
D. Referring a suicidal student to a crisis center
Answer: A
, Rationale: Primary prevention focuses on health promotion and preventing the onset of
disease through education and community-based interventions.
5. Which ethical principle is involved when a nurse ensures a client has all the information
needed to make a treatment decision?
A. Justice
B. Nonmaleficence
C. Autonomy
D. Fidelity
Answer: C
Rationale: Autonomy refers to the client’s right to make their own decisions. Providing
complete information supports informed consent and self-determination.
6. A 75-year-old client is admitted with sudden onset confusion and fluctuating levels of
consciousness. The nurse suspects:
A. Major Depressive Disorder
B. Dementia of the Alzheimer’s type
C. Normal age-related memory loss
D. Delirium
Answer: D
