NUR 2459 MENTAL HEALTH NURSING
EXAM 3 COMPREHENSIVE REVIEW
(VERIFIED AND CORRECT Q & A)
SATISFACTION GUARANTEED 2026/2027
1. A client with Borderline Personality Disorder (BPD) tells a nurse, ‘The day shift nurse is an
angel, but you are mean and don’t care about me at all.’ The nurse recognizes this as which
defense mechanism?
A. Splitting
B. Projection
C. Reaction Formation
D. Sublimation
Answer: A
Conceptual Explanation: Splitting is a hallmark defense mechanism in BPD where the
individual is unable to integrate positive and negative qualities of others, viewing them as
all good or all bad.
2. Which assessment finding is a priority for a client admitted with Anorexia Nervosa who is
starting a refeeding protocol?
A. Weight gain of 1 lb per week
,B. Client report of feeling bloated
C. Presence of lanugo on the back
D. Serum phosphorus level of 1.8 mg/dL
Answer: D
Conceptual Explanation: A serum phosphorus level of 1.8 mg/dL is low
(hypophosphatemia), which is a critical indicator of Refeeding Syndrome, a potentially fatal
complication.
3. A client is admitted for alcohol detoxification. Which medication should the nurse
anticipate administering to prevent Wernicke-Korsakoff syndrome?
A. Lorazepam
B. Disulfiram
C. Naltrexone
D. Thiamine (Vitamin B1)
Answer: D
Conceptual Explanation: Thiamine is administered to clients with chronic alcohol use
disorder to prevent Wernicke-Korsakoff syndrome, which is caused by a deficiency in
Vitamin B1.
, 4. A client with Antisocial Personality Disorder is being manipulative in a group setting. Which
nursing intervention is most appropriate?
A. Allowing the client to lead the group to build self-esteem
B. Strictly enforcing consistent limits and expectations
C. Ignoring the behavior to avoid giving attention
D. Asking the client to explain why they are being manipulative
Answer: B
Conceptual Explanation: Consistency and limit-setting are essential when caring for
clients with Antisocial Personality Disorder to manage manipulative and exploitative
behaviors.
5. A nurse is assessing a client for opioid withdrawal. Which symptoms should the nurse
expect to observe?
A. Lacrimation, rhinorrhea, and dilated pupils
B. Bradycardia and somnolence
C. Hypotension and dry mouth
D. Pinpoint pupils and respiratory depression
Answer: A
EXAM 3 COMPREHENSIVE REVIEW
(VERIFIED AND CORRECT Q & A)
SATISFACTION GUARANTEED 2026/2027
1. A client with Borderline Personality Disorder (BPD) tells a nurse, ‘The day shift nurse is an
angel, but you are mean and don’t care about me at all.’ The nurse recognizes this as which
defense mechanism?
A. Splitting
B. Projection
C. Reaction Formation
D. Sublimation
Answer: A
Conceptual Explanation: Splitting is a hallmark defense mechanism in BPD where the
individual is unable to integrate positive and negative qualities of others, viewing them as
all good or all bad.
2. Which assessment finding is a priority for a client admitted with Anorexia Nervosa who is
starting a refeeding protocol?
A. Weight gain of 1 lb per week
,B. Client report of feeling bloated
C. Presence of lanugo on the back
D. Serum phosphorus level of 1.8 mg/dL
Answer: D
Conceptual Explanation: A serum phosphorus level of 1.8 mg/dL is low
(hypophosphatemia), which is a critical indicator of Refeeding Syndrome, a potentially fatal
complication.
3. A client is admitted for alcohol detoxification. Which medication should the nurse
anticipate administering to prevent Wernicke-Korsakoff syndrome?
A. Lorazepam
B. Disulfiram
C. Naltrexone
D. Thiamine (Vitamin B1)
Answer: D
Conceptual Explanation: Thiamine is administered to clients with chronic alcohol use
disorder to prevent Wernicke-Korsakoff syndrome, which is caused by a deficiency in
Vitamin B1.
, 4. A client with Antisocial Personality Disorder is being manipulative in a group setting. Which
nursing intervention is most appropriate?
A. Allowing the client to lead the group to build self-esteem
B. Strictly enforcing consistent limits and expectations
C. Ignoring the behavior to avoid giving attention
D. Asking the client to explain why they are being manipulative
Answer: B
Conceptual Explanation: Consistency and limit-setting are essential when caring for
clients with Antisocial Personality Disorder to manage manipulative and exploitative
behaviors.
5. A nurse is assessing a client for opioid withdrawal. Which symptoms should the nurse
expect to observe?
A. Lacrimation, rhinorrhea, and dilated pupils
B. Bradycardia and somnolence
C. Hypotension and dry mouth
D. Pinpoint pupils and respiratory depression
Answer: A
