NSG 3450 – Exam 4 Mental Health Nursing | Galen College | 2025–
2026 | COVERING THE MOST TESTED QUESTIONS ACTUAL EXAM
WITH 100+ CORRECT VERIFIED ANSWERS | GRADED A+
This NSG 3450 Exam 4 study guide for 2024/2025 from Galen College includes
actual exam questions with verified correct answers, focusing on mental health
nursing, crisis intervention, pharmacologic therapies, therapeutic
communication, and psychiatric disorders such as schizophrenia, bipolar
disorder, and depression. Designed to reflect Galen’s current curriculum
standards, this resource supports mastery of advanced mental health nursing
concepts and clinical judgment. Ideal for students preparing for the final
mental health module or comprehensive course exam.
Which statement demonstrates a well-structured attempt at limit setting? - CORRECT ANSWER-a.
"Hitting me when you are angry is unacceptable."
Assessing for _________ is the single best predictor of future violence - CORRECT ANSWER-Hx of
violence
Which individuals are most at risk for displaying aggressive behavior? Select all that apply:
a. an adolescent embarrassed in front of friends
b. a young male who feels rejected by the social group
c. a young adult depressed after the death of a friend
d. a middle-aged adult who feels that concerns are going unheard
e. a pt who was discovered telling a lie - CORRECT ANSWER-a, b, d, e
A newly admitted male pt has a long hx of aggressive behavior toward staff. Which statement by the
nurse demonstrates the need for more info about the use of restraint?
a. "if his behavior warrants restraints, someone will stay with him the entire time he's restrained"
b. "I'll call the primary provider and get an as needed (prn) seclusion/restraint order."
c. "if he is restrained, be sure he is offered food and fluids regularly"
d. "remember that physical restraints are our last resort" - CORRECT ANSWER-B
,Which intervention(s) should the nurse implement when helping a pt expresses anger in an
inappropriate manner? Select all that apply:
a. approach the pt in a calm, reassuring manner
b. provide suggestions regarding acceptable ways of communicating anger
c. warn the pt that being angry is not a health emotional state
d. set limits on the angry behavior the will be tolerated
e. allow any expression of anger as long as no one is hurt - CORRECT ANSWER-a, b, d
Which guidelines should direct nursing care when deescalating an angry pt? Select all that apply:
a. intervene as quickly as possible
b. identify the trigger for the anger
c. behave calmly and respectfully
d. recognize the pt's need for increased personal space
e. demands are agreed to as long as they won't result in harm to anyone - CORRECT ANSWER-a, b, c,
d
Which comorbid condition would result in cautious use of a selective serotonin reuptake inhibitors
for a pt with chronic aggression?
a. asthma
b. anxiety ds
c. glaucoma
d. bipolar ds - CORRECT ANSWER-D
John Patrick is a widower with four daughters. He has enjoyed a healthy relationship with all of them
until they reached puberty. As each girl began to mature physically, he acted in an aggressive
manner, beating her without provocation. John Patrick is most likely acting on:
a. self-protective measures
b. stress of raising four daughters
c. frustration on unhealthy desire
d. motivating his daughters to be chaste - CORRECT ANSWER-C
,A nurse named Darryl has been hired to work in a psychiatric intensive care unit. He has undergone
training on recognizing escalating anger. Which statement indicates that he understands danger
signs in regard to aggression?
a. "I need to be aware of pt's who are withdrawn and sitting alone"
b. "an obvious change in behavior is a risk factor for aggression"
c. "pt's who seek constant attention are most likely to be violent"
d. "pt's who talk to themselves are the most dangerous" - CORRECT ANSWER-B
An effective method of preventing escalation in an environment with violent offenders is to develop
a level of trust through:
a. a causal authoritative demeanor
b. keeping pt's busy
c. brief, frequent, nonthreatening encounters
d. threats of seclusion of punishment - CORRECT ANSWER-C
Twenty-four hour observation is a good choice for restraint in which of the following pt's?
a. an inmate with suicidal ideation on hospice care
b. a sex offender in the psychiatric intensive care unit
c. an aggressive female with antisocial personality ds
d. an inmate diagnosed with paranoid schizophrenia - CORRECT ANSWER-A
Chronic obstructive pulmonary disease, spinal injury seizure ds, and pregnancy are conditions that:
a. frequency result in out of control behavior
b. respond well to therapeutic holding
c. necessitate the use of only 2-point restraint
d. contraindicated restraint and seclusion - CORRECT ANSWER-D
Which info from a pt's record would indicate marginal coping skills and the need for careful
assessment of the risk for violence? A history of
a. academic problems
b. family involvement
c. childhood trauma
, d. substance abuse - CORRECT ANSWER-D
Which central nervous system structures are most associated with anger and aggression? Select all
that apply:
a. amygdala
b. cerebellum
c. basal ganglia
d. temporal lobe
e. prefrontal cortex - CORRECT ANSWER-a, d, e
Children are most likely to be abused if they are younger than ____ years of age - CORRECT
ANSWER-4
Females between the ages ______ experience the highest rate of intimate partner violence -
CORRECT ANSWER-18-34
The most common form of child abuse is ___________ - CORRECT ANSWER-neglect
Which statement made by a new mother should be explore further by the nurse?
a. "I have 3 children, that's enough"
b. "I think the baby cries just to make me angry"
c. "I wish my husband could help more with he baby"
d. "babies are a blessing, but they are a lot of work" - CORRECT ANSWER-B
Which problem is observed in children who regularly witness acts of violence in their family? Select
all that apply:
a. phobias
b. low self-esteem
c. major depressive ds
d. narcissistic personality ds
e. PTSD - CORRECT ANSWER-A, B, C, E
2026 | COVERING THE MOST TESTED QUESTIONS ACTUAL EXAM
WITH 100+ CORRECT VERIFIED ANSWERS | GRADED A+
This NSG 3450 Exam 4 study guide for 2024/2025 from Galen College includes
actual exam questions with verified correct answers, focusing on mental health
nursing, crisis intervention, pharmacologic therapies, therapeutic
communication, and psychiatric disorders such as schizophrenia, bipolar
disorder, and depression. Designed to reflect Galen’s current curriculum
standards, this resource supports mastery of advanced mental health nursing
concepts and clinical judgment. Ideal for students preparing for the final
mental health module or comprehensive course exam.
Which statement demonstrates a well-structured attempt at limit setting? - CORRECT ANSWER-a.
"Hitting me when you are angry is unacceptable."
Assessing for _________ is the single best predictor of future violence - CORRECT ANSWER-Hx of
violence
Which individuals are most at risk for displaying aggressive behavior? Select all that apply:
a. an adolescent embarrassed in front of friends
b. a young male who feels rejected by the social group
c. a young adult depressed after the death of a friend
d. a middle-aged adult who feels that concerns are going unheard
e. a pt who was discovered telling a lie - CORRECT ANSWER-a, b, d, e
A newly admitted male pt has a long hx of aggressive behavior toward staff. Which statement by the
nurse demonstrates the need for more info about the use of restraint?
a. "if his behavior warrants restraints, someone will stay with him the entire time he's restrained"
b. "I'll call the primary provider and get an as needed (prn) seclusion/restraint order."
c. "if he is restrained, be sure he is offered food and fluids regularly"
d. "remember that physical restraints are our last resort" - CORRECT ANSWER-B
,Which intervention(s) should the nurse implement when helping a pt expresses anger in an
inappropriate manner? Select all that apply:
a. approach the pt in a calm, reassuring manner
b. provide suggestions regarding acceptable ways of communicating anger
c. warn the pt that being angry is not a health emotional state
d. set limits on the angry behavior the will be tolerated
e. allow any expression of anger as long as no one is hurt - CORRECT ANSWER-a, b, d
Which guidelines should direct nursing care when deescalating an angry pt? Select all that apply:
a. intervene as quickly as possible
b. identify the trigger for the anger
c. behave calmly and respectfully
d. recognize the pt's need for increased personal space
e. demands are agreed to as long as they won't result in harm to anyone - CORRECT ANSWER-a, b, c,
d
Which comorbid condition would result in cautious use of a selective serotonin reuptake inhibitors
for a pt with chronic aggression?
a. asthma
b. anxiety ds
c. glaucoma
d. bipolar ds - CORRECT ANSWER-D
John Patrick is a widower with four daughters. He has enjoyed a healthy relationship with all of them
until they reached puberty. As each girl began to mature physically, he acted in an aggressive
manner, beating her without provocation. John Patrick is most likely acting on:
a. self-protective measures
b. stress of raising four daughters
c. frustration on unhealthy desire
d. motivating his daughters to be chaste - CORRECT ANSWER-C
,A nurse named Darryl has been hired to work in a psychiatric intensive care unit. He has undergone
training on recognizing escalating anger. Which statement indicates that he understands danger
signs in regard to aggression?
a. "I need to be aware of pt's who are withdrawn and sitting alone"
b. "an obvious change in behavior is a risk factor for aggression"
c. "pt's who seek constant attention are most likely to be violent"
d. "pt's who talk to themselves are the most dangerous" - CORRECT ANSWER-B
An effective method of preventing escalation in an environment with violent offenders is to develop
a level of trust through:
a. a causal authoritative demeanor
b. keeping pt's busy
c. brief, frequent, nonthreatening encounters
d. threats of seclusion of punishment - CORRECT ANSWER-C
Twenty-four hour observation is a good choice for restraint in which of the following pt's?
a. an inmate with suicidal ideation on hospice care
b. a sex offender in the psychiatric intensive care unit
c. an aggressive female with antisocial personality ds
d. an inmate diagnosed with paranoid schizophrenia - CORRECT ANSWER-A
Chronic obstructive pulmonary disease, spinal injury seizure ds, and pregnancy are conditions that:
a. frequency result in out of control behavior
b. respond well to therapeutic holding
c. necessitate the use of only 2-point restraint
d. contraindicated restraint and seclusion - CORRECT ANSWER-D
Which info from a pt's record would indicate marginal coping skills and the need for careful
assessment of the risk for violence? A history of
a. academic problems
b. family involvement
c. childhood trauma
, d. substance abuse - CORRECT ANSWER-D
Which central nervous system structures are most associated with anger and aggression? Select all
that apply:
a. amygdala
b. cerebellum
c. basal ganglia
d. temporal lobe
e. prefrontal cortex - CORRECT ANSWER-a, d, e
Children are most likely to be abused if they are younger than ____ years of age - CORRECT
ANSWER-4
Females between the ages ______ experience the highest rate of intimate partner violence -
CORRECT ANSWER-18-34
The most common form of child abuse is ___________ - CORRECT ANSWER-neglect
Which statement made by a new mother should be explore further by the nurse?
a. "I have 3 children, that's enough"
b. "I think the baby cries just to make me angry"
c. "I wish my husband could help more with he baby"
d. "babies are a blessing, but they are a lot of work" - CORRECT ANSWER-B
Which problem is observed in children who regularly witness acts of violence in their family? Select
all that apply:
a. phobias
b. low self-esteem
c. major depressive ds
d. narcissistic personality ds
e. PTSD - CORRECT ANSWER-A, B, C, E
