NUR 253
Exam 3 Advanced Mental Health Nursing Concepts
Exam 3 • Practice Questions & Rationales
UPDATE
Actual Questions & Verified Answers
with Detailed Clinical Rationales
Practice Questions with Rationales
Galen College of Nursing
NUR 253
✓ 100% Verified Answers
✓ Complete Rationales Included
Exam (elaborations)
Instant PDF Download • Ready for Study
,NUR 253 Exam 3: Advanced Mental Health Nursing Concepts 2026/2027 UPDATE- Galen
1. A nurse is caring for a child with Autism Spectrum Disorder (ASD). Which intervention
should the nurse prioritize to promote a sense of security?
A. Providing a variety of new sensory activities daily
B. Using complex verbal instructions to improve language skills
C. Encouraging the child to participate in large group social games
D. Maintaining a consistent and predictable daily routine
Answer: D
Rationale: Children with ASD rely heavily on routine and predictability to manage anxiety
and sensory processing issues. Changes in routine can cause significant distress.
2. A client is admitted with a blood alcohol level of 0.25% and is now showing signs of hand
tremors and tachycardia. Which medication should the nurse anticipate administering first?
A. Disulfiram
B. Naltrexone
C. Lorazepam
D. Methadone
Answer: C
, Rationale: Benzodiazepines like Lorazepam are the gold standard for managing acute
alcohol withdrawal to prevent seizures and delirium tremens.
3. A patient with Anorexia Nervosa is being monitored for refeeding syndrome. Which serum
electrolyte imbalance is the primary indicator of this condition?
A. Hypophosphatemia
B. Hyperkalemia
C. Hypernatremia
D. Hypocalcemia
Answer: A
Rationale: Refeeding syndrome is characterized by a rapid shift of electrolytes into cells,
leading to severe hypophosphatemia, which can be fatal.
4. A client with Borderline Personality Disorder (BPD) tells a day-shift nurse, ‘The night nurse
is mean, but you are the only one who cares.’ The nurse recognizes this as:
A. Altruism
B. Reaction formation
C. Splitting
D. Sublimation
Answer: C
Exam 3 Advanced Mental Health Nursing Concepts
Exam 3 • Practice Questions & Rationales
UPDATE
Actual Questions & Verified Answers
with Detailed Clinical Rationales
Practice Questions with Rationales
Galen College of Nursing
NUR 253
✓ 100% Verified Answers
✓ Complete Rationales Included
Exam (elaborations)
Instant PDF Download • Ready for Study
,NUR 253 Exam 3: Advanced Mental Health Nursing Concepts 2026/2027 UPDATE- Galen
1. A nurse is caring for a child with Autism Spectrum Disorder (ASD). Which intervention
should the nurse prioritize to promote a sense of security?
A. Providing a variety of new sensory activities daily
B. Using complex verbal instructions to improve language skills
C. Encouraging the child to participate in large group social games
D. Maintaining a consistent and predictable daily routine
Answer: D
Rationale: Children with ASD rely heavily on routine and predictability to manage anxiety
and sensory processing issues. Changes in routine can cause significant distress.
2. A client is admitted with a blood alcohol level of 0.25% and is now showing signs of hand
tremors and tachycardia. Which medication should the nurse anticipate administering first?
A. Disulfiram
B. Naltrexone
C. Lorazepam
D. Methadone
Answer: C
, Rationale: Benzodiazepines like Lorazepam are the gold standard for managing acute
alcohol withdrawal to prevent seizures and delirium tremens.
3. A patient with Anorexia Nervosa is being monitored for refeeding syndrome. Which serum
electrolyte imbalance is the primary indicator of this condition?
A. Hypophosphatemia
B. Hyperkalemia
C. Hypernatremia
D. Hypocalcemia
Answer: A
Rationale: Refeeding syndrome is characterized by a rapid shift of electrolytes into cells,
leading to severe hypophosphatemia, which can be fatal.
4. A client with Borderline Personality Disorder (BPD) tells a day-shift nurse, ‘The night nurse
is mean, but you are the only one who cares.’ The nurse recognizes this as:
A. Altruism
B. Reaction formation
C. Splitting
D. Sublimation
Answer: C
