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NSG 3450 EXAM 3 (GALEN) NEWEST 2025 ACTUAL
EXAM| NSG 3450 MENTAL HEALTH EXAM REVIEW
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) ALREADY GRADED A+|| NEW!!
A pt w/ a hx of alcohol use disorder has been prescribed disulfiram
(Antabuse). Which physical effects support the suspicion that the pt has
relapsed? Select all that apply:
a. intense nausea
b. diaphoresis
c. acute paranoia
d. confusion
e. dyspnea - Correct Answer - A, B, D, E
Which assessment data confirms the suspicion that a pt is experiencing
opioid withdrawal? Select all the apply?
a. pupils are dilated
b. Pulse rate is 62 beats/min
c. slow movements
d. extreme anxiety
e. sleepy - Correct Answer - A, D
The nurse diagnosis "ineffective denial" is especially useful when
working w/ substance use disorders and gambling. Which statements
describe the diagnosis? Select all that apply:
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a. reports inability to cope
b. does not perceive danger of substance use or gambling
c. minimizes sx
d. refuses healthcare attention
e. unable to admit impact of disease on life pattern - Correct Answer - B,
C, D, E
Which action should you take when a female staff member is
demonstrating behaviors associated w/ a substance use disorder?
a. accompany the staff member when she is giving pt care
b. offer to attend rehab counseling w/ her
c. refer her to a peer assistance program
d. confront her about your concerns and/or report your concerns to a
supervisor immediately - Correct Answer - D
A pt diagnosed w/ opioid use disorder has expressed a desire to enter
into a rehab program. What initial nursing intervention during the early
days after admission will help ensure the pt's success?
a. restrict visitors to family members only
b. manage the pt's withdrawal sx well
c. provide the pt a low stimulus environment
d. advocate for at least 3 months of tx - Correct Answer - B
Opioid use disorder is characterized by:
a. lack of withdrawal sx
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b. intoxication sx of pupillary dilation, agitation, and insomnia
c. tolerance
d. rewiring smaller amounts of the drug to achieve a high over time -
Correct Answer - C
Terry is a young male in the chemical dependency program. Recently he
has become increasingly distracted and disengaged. The nurse concludes
that Terry is:
a. bored
b. depressed
c. bipolar
d. not ready to change - Correct Answer - D
Maxwell is a 30 y/o male who arrives at the ER stating, "I feel like I am
having a stroke." During the intake assessment, the nurse discovers that
Maxwell has been working for 36 hours straight without eating and
consumes eight double espresso drinks and 12 caffeinated sodas. The
nurse suspects:
a. fluid overload
b. dehydration and caffeine OD
c. benzodiazepine OD
d. sleep deprivation syndrome - Correct Answer - B
Donald, a 49 y/o male, is admitted for inpatient alcohol detoxification.
He Is cachexic, has multiple scabs on his arms and legs, and has lower
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extremity edema. An appropriate nursing diagnosis for Donald, along w/
an expected outcome is:
a. Risk for injury/Remains free from injury
b. Ineffective denial/ Accept responsibility for behavior
c. Nutrition: Less than body requirements/Maintains nutrient intake for
metabolic needs
D. Risk for suicide/ Expresses feelings plans for the future - Correct
Answer - C
Which chronic medical condition is a common trigger for major
depressive disorder?
a. pain
b. HTN
c. hypothyroidism
d. Crohn's disease - Correct Answer - A
Tammy, a 28 y/o w/ major depressive disorder and bulimia nervosa is
ready for d/c from the county hospital after 2 weeks of inpatient therapy.
Tammy is taking Citalopram (Celexa) and reports that it has made her
feel more hopeful. With a secondary diagnosis of bulimia nervosa, what
is an alternative antidepressant to consider?
a. Fluoxetine (Prozac)
b. isocarboxazid (Marplan)
c. amitriptyline
d. Duloxetine (Cymbalta) - Correct Answer - A
pg. 4
NSG 3450 EXAM 3 (GALEN) NEWEST 2025 ACTUAL
EXAM| NSG 3450 MENTAL HEALTH EXAM REVIEW
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) ALREADY GRADED A+|| NEW!!
A pt w/ a hx of alcohol use disorder has been prescribed disulfiram
(Antabuse). Which physical effects support the suspicion that the pt has
relapsed? Select all that apply:
a. intense nausea
b. diaphoresis
c. acute paranoia
d. confusion
e. dyspnea - Correct Answer - A, B, D, E
Which assessment data confirms the suspicion that a pt is experiencing
opioid withdrawal? Select all the apply?
a. pupils are dilated
b. Pulse rate is 62 beats/min
c. slow movements
d. extreme anxiety
e. sleepy - Correct Answer - A, D
The nurse diagnosis "ineffective denial" is especially useful when
working w/ substance use disorders and gambling. Which statements
describe the diagnosis? Select all that apply:
pg. 1
,2|Page
a. reports inability to cope
b. does not perceive danger of substance use or gambling
c. minimizes sx
d. refuses healthcare attention
e. unable to admit impact of disease on life pattern - Correct Answer - B,
C, D, E
Which action should you take when a female staff member is
demonstrating behaviors associated w/ a substance use disorder?
a. accompany the staff member when she is giving pt care
b. offer to attend rehab counseling w/ her
c. refer her to a peer assistance program
d. confront her about your concerns and/or report your concerns to a
supervisor immediately - Correct Answer - D
A pt diagnosed w/ opioid use disorder has expressed a desire to enter
into a rehab program. What initial nursing intervention during the early
days after admission will help ensure the pt's success?
a. restrict visitors to family members only
b. manage the pt's withdrawal sx well
c. provide the pt a low stimulus environment
d. advocate for at least 3 months of tx - Correct Answer - B
Opioid use disorder is characterized by:
a. lack of withdrawal sx
pg. 2
,3|Page
b. intoxication sx of pupillary dilation, agitation, and insomnia
c. tolerance
d. rewiring smaller amounts of the drug to achieve a high over time -
Correct Answer - C
Terry is a young male in the chemical dependency program. Recently he
has become increasingly distracted and disengaged. The nurse concludes
that Terry is:
a. bored
b. depressed
c. bipolar
d. not ready to change - Correct Answer - D
Maxwell is a 30 y/o male who arrives at the ER stating, "I feel like I am
having a stroke." During the intake assessment, the nurse discovers that
Maxwell has been working for 36 hours straight without eating and
consumes eight double espresso drinks and 12 caffeinated sodas. The
nurse suspects:
a. fluid overload
b. dehydration and caffeine OD
c. benzodiazepine OD
d. sleep deprivation syndrome - Correct Answer - B
Donald, a 49 y/o male, is admitted for inpatient alcohol detoxification.
He Is cachexic, has multiple scabs on his arms and legs, and has lower
pg. 3
, 4|Page
extremity edema. An appropriate nursing diagnosis for Donald, along w/
an expected outcome is:
a. Risk for injury/Remains free from injury
b. Ineffective denial/ Accept responsibility for behavior
c. Nutrition: Less than body requirements/Maintains nutrient intake for
metabolic needs
D. Risk for suicide/ Expresses feelings plans for the future - Correct
Answer - C
Which chronic medical condition is a common trigger for major
depressive disorder?
a. pain
b. HTN
c. hypothyroidism
d. Crohn's disease - Correct Answer - A
Tammy, a 28 y/o w/ major depressive disorder and bulimia nervosa is
ready for d/c from the county hospital after 2 weeks of inpatient therapy.
Tammy is taking Citalopram (Celexa) and reports that it has made her
feel more hopeful. With a secondary diagnosis of bulimia nervosa, what
is an alternative antidepressant to consider?
a. Fluoxetine (Prozac)
b. isocarboxazid (Marplan)
c. amitriptyline
d. Duloxetine (Cymbalta) - Correct Answer - A
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