NUR253 Exam 4 V3 | NUR 253 Mental
Health Nursing Exam Q&A | Galen College
of Nursing
1. A nurse is assessing a 10-year-old child for suspected Attention-Deficit/Hyperactivity
Disorder (ADHD). Which clinical manifestation should the nurse expect to observe?
A. Frequent daydreaming and slow response times
B. Inability to stay in a seat and excessive talkativeness
C. Consistent adherence to classroom rules and routines
D. High levels of organized play with peers
Answer: B
Rationale: ADHD is characterized by a persistent pattern of inattention and/or
hyperactivity-impulsivity. A child with ADHD often struggles to remain seated and may talk
excessively compared to peers. These behaviors must be present in two or more settings to
meet diagnostic criteria.
2. An older adult patient is admitted with sudden onset confusion and visual hallucinations.
What is the nurse’s priority action?
A. Administer a sedative to prevent injury
B. Perform a physical assessment to identify underlying infection
C. Request a long-term placement evaluation
,D. Encourage the patient to sleep to resolve the symptoms
Answer: B
Rationale: Sudden onset confusion in older adults often indicates delirium, which is
frequently caused by medical issues like urinary tract infections or electrolyte imbalances.
Identifying and treating the underlying cause is the clinical priority to reverse the
condition. Sedatives should be used with extreme caution as they can worsen delirium
symptoms.
3. In a community mental health setting, which activity is an example of primary prevention?
A. Leading a support group for individuals with chronic depression
B. Teaching stress-reduction techniques to high school students
C. Screening middle school students for signs of eating disorders
D. Providing vocational training for patients with schizophrenia
Answer: B
Rationale: Primary prevention focuses on preventing the initial onset of a disorder
through education and healthy habits. Teaching stress-reduction techniques to a healthy
population helps build resilience before problems occur. Screening is considered secondary
prevention, while support groups and rehabilitation are tertiary prevention.
4. A nurse case manager is working with a client who has a history of frequent psychiatric
hospitalizations. What is the primary goal of psychiatric case management?
A. To ensure the client complies with all hospital rules
, B. To coordinate services and promote community-based stabilization
C. To provide intensive one-on-one psychotherapy
D. To manage the client’s finances and legal affairs
Answer: B
Rationale: The primary goal of case management is to coordinate care across various
providers to ensure the client’s needs are met in the least restrictive environment. By
organizing community resources, the case manager helps prevent relapse and unnecessary
hospitalizations. This role focuses on advocacy and resource linkage rather than providing
direct therapy.
5. Which ethical principle is violated if a nurse threatens to put a client in restraints because
the client is being ‘annoying’?
A. Fidelity
B. Beneficence
C. Nonmaleficence
D. Veracity
Answer: C
Rationale: Nonmaleficence is the duty to do no harm to the patient. Threatening a patient
with restraints as a form of punishment or for the nurse’s convenience is an act of
Health Nursing Exam Q&A | Galen College
of Nursing
1. A nurse is assessing a 10-year-old child for suspected Attention-Deficit/Hyperactivity
Disorder (ADHD). Which clinical manifestation should the nurse expect to observe?
A. Frequent daydreaming and slow response times
B. Inability to stay in a seat and excessive talkativeness
C. Consistent adherence to classroom rules and routines
D. High levels of organized play with peers
Answer: B
Rationale: ADHD is characterized by a persistent pattern of inattention and/or
hyperactivity-impulsivity. A child with ADHD often struggles to remain seated and may talk
excessively compared to peers. These behaviors must be present in two or more settings to
meet diagnostic criteria.
2. An older adult patient is admitted with sudden onset confusion and visual hallucinations.
What is the nurse’s priority action?
A. Administer a sedative to prevent injury
B. Perform a physical assessment to identify underlying infection
C. Request a long-term placement evaluation
,D. Encourage the patient to sleep to resolve the symptoms
Answer: B
Rationale: Sudden onset confusion in older adults often indicates delirium, which is
frequently caused by medical issues like urinary tract infections or electrolyte imbalances.
Identifying and treating the underlying cause is the clinical priority to reverse the
condition. Sedatives should be used with extreme caution as they can worsen delirium
symptoms.
3. In a community mental health setting, which activity is an example of primary prevention?
A. Leading a support group for individuals with chronic depression
B. Teaching stress-reduction techniques to high school students
C. Screening middle school students for signs of eating disorders
D. Providing vocational training for patients with schizophrenia
Answer: B
Rationale: Primary prevention focuses on preventing the initial onset of a disorder
through education and healthy habits. Teaching stress-reduction techniques to a healthy
population helps build resilience before problems occur. Screening is considered secondary
prevention, while support groups and rehabilitation are tertiary prevention.
4. A nurse case manager is working with a client who has a history of frequent psychiatric
hospitalizations. What is the primary goal of psychiatric case management?
A. To ensure the client complies with all hospital rules
, B. To coordinate services and promote community-based stabilization
C. To provide intensive one-on-one psychotherapy
D. To manage the client’s finances and legal affairs
Answer: B
Rationale: The primary goal of case management is to coordinate care across various
providers to ensure the client’s needs are met in the least restrictive environment. By
organizing community resources, the case manager helps prevent relapse and unnecessary
hospitalizations. This role focuses on advocacy and resource linkage rather than providing
direct therapy.
5. Which ethical principle is violated if a nurse threatens to put a client in restraints because
the client is being ‘annoying’?
A. Fidelity
B. Beneficence
C. Nonmaleficence
D. Veracity
Answer: C
Rationale: Nonmaleficence is the duty to do no harm to the patient. Threatening a patient
with restraints as a form of punishment or for the nurse’s convenience is an act of
