NSG 3450 Exam 4 V2 | NSG 3450 Mental
Health Guide | Actual Q&A with Rationale
(NSG3450 Exam 4) | Galen College of
Nursing
1. A client with Borderline Personality Disorder is observed trying to convince one nurse that
the other nurses are incompetent and uncaring. Which defense mechanism is the client
using?
A. Projection
B. Splitting
C. Displacement
D. Reaction Formation
Answer: B
Rationale: Splitting is a common defense mechanism in Borderline Personality Disorder
where the client views people as all good or all bad. This behavior is used to manipulate
staff and creates conflict within the treatment team. Nurses must respond with a
consistent, unified approach to minimize the effectiveness of this behavior.
2. A nurse is assessing a client for alcohol withdrawal. Which of the following symptoms
would indicate the client is experiencing Delirium Tremens (DTs)?
A. Mild tremors and anxiety
,B. Bradycardia and hypotension
C. Hallucinations and cardiac arrhythmias
D. Increased appetite and hypersomnia
Answer: C
Rationale: Delirium Tremens is the most severe form of alcohol withdrawal and includes
symptoms such as hallucinations, severe tremors, and autonomic hyperactivity. It usually
occurs 48 to 72 hours after the last drink and is considered a medical emergency.
Monitoring vital signs and administering benzodiazepines are critical nursing interventions
during this phase.
3. A client diagnosed with Anorexia Nervosa has a Body Mass Index (BMI) of 14. What is the
priority nursing diagnosis for this client?
A. Disturbed Body Image
B. Imbalanced Nutrition: Less than Body Requirements
C. Low Self-Esteem
D. Ineffective Coping
Answer: B
Rationale: Physiological safety always takes priority over psychosocial needs in acute
mental health settings. A BMI of 14 indicates severe malnutrition and places the client at
, high risk for electrolyte imbalances and cardiac failure. The nurse must focus on stabilizing
the client’s nutritional status before addressing the underlying psychological issues.
4. A child is diagnosed with Oppositional Defiant Disorder (ODD). Which behavior is most
characteristic of this diagnosis?
A. Physical cruelty to animals
B. Lack of remorse for violating the rights of others
C. Deliberately annoying others and blaming them for mistakes
D. Theft and fire setting
Answer: C
Rationale: Oppositional Defiant Disorder is characterized by a pattern of angry/irritable
mood and argumentative/defiant behavior. Unlike Conduct Disorder, ODD does not usually
involve severe aggression toward people or animals or the destruction of property.
Interventions focus on parent management training and consistent limit-setting.
5. Which medication is commonly prescribed to assist with long-term maintenance of alcohol
abstinence by causing a toxic reaction when alcohol is consumed?
A. Lorazepam
B. Disulfiram
C. Naloxone
D. Methadone
Health Guide | Actual Q&A with Rationale
(NSG3450 Exam 4) | Galen College of
Nursing
1. A client with Borderline Personality Disorder is observed trying to convince one nurse that
the other nurses are incompetent and uncaring. Which defense mechanism is the client
using?
A. Projection
B. Splitting
C. Displacement
D. Reaction Formation
Answer: B
Rationale: Splitting is a common defense mechanism in Borderline Personality Disorder
where the client views people as all good or all bad. This behavior is used to manipulate
staff and creates conflict within the treatment team. Nurses must respond with a
consistent, unified approach to minimize the effectiveness of this behavior.
2. A nurse is assessing a client for alcohol withdrawal. Which of the following symptoms
would indicate the client is experiencing Delirium Tremens (DTs)?
A. Mild tremors and anxiety
,B. Bradycardia and hypotension
C. Hallucinations and cardiac arrhythmias
D. Increased appetite and hypersomnia
Answer: C
Rationale: Delirium Tremens is the most severe form of alcohol withdrawal and includes
symptoms such as hallucinations, severe tremors, and autonomic hyperactivity. It usually
occurs 48 to 72 hours after the last drink and is considered a medical emergency.
Monitoring vital signs and administering benzodiazepines are critical nursing interventions
during this phase.
3. A client diagnosed with Anorexia Nervosa has a Body Mass Index (BMI) of 14. What is the
priority nursing diagnosis for this client?
A. Disturbed Body Image
B. Imbalanced Nutrition: Less than Body Requirements
C. Low Self-Esteem
D. Ineffective Coping
Answer: B
Rationale: Physiological safety always takes priority over psychosocial needs in acute
mental health settings. A BMI of 14 indicates severe malnutrition and places the client at
, high risk for electrolyte imbalances and cardiac failure. The nurse must focus on stabilizing
the client’s nutritional status before addressing the underlying psychological issues.
4. A child is diagnosed with Oppositional Defiant Disorder (ODD). Which behavior is most
characteristic of this diagnosis?
A. Physical cruelty to animals
B. Lack of remorse for violating the rights of others
C. Deliberately annoying others and blaming them for mistakes
D. Theft and fire setting
Answer: C
Rationale: Oppositional Defiant Disorder is characterized by a pattern of angry/irritable
mood and argumentative/defiant behavior. Unlike Conduct Disorder, ODD does not usually
involve severe aggression toward people or animals or the destruction of property.
Interventions focus on parent management training and consistent limit-setting.
5. Which medication is commonly prescribed to assist with long-term maintenance of alcohol
abstinence by causing a toxic reaction when alcohol is consumed?
A. Lorazepam
B. Disulfiram
C. Naloxone
D. Methadone
