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NSG 3450 Mental Health Nursing | Exam 4 Study Guide | 2025/2026 | Complete Review with Verified Answers – GRADE A

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This exam review for NSG 3450 offers a complete set of verified questions and answers for Exam 4, updated for the 2025/2026 academic year. It covers critical mental health nursing topics including schizophrenia, dementia, delirium, personality disorders, aggression management, abuse and trauma care, forensic nursing, and elderly mental health. It also includes key therapeutic communication strategies and medication side effects. Ideal for final exam preparation and NCLEX-style practice.

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EXAM 4: NSG3450 / NSG 3450 (LATEST 2025/ 2026 UPDATE) NURSING
PRACTICE - MENTAL HEALTH REVIEW| QUESTIONS & ANSWERS|
GRADE A| 100% CORRECT (VERIFIED SOLUTIONS)

Which statement demonstrates a well-structured attempt at limit setting? -
Answers-a. "Hitting me when you are angry is unacceptable."

Which activity is most appropriate for a child with ADHD? -
Answers-d. Tennis

Cognitive-behavioral therapy is going well when a 12-year-old patient in therapy reports
to the nurse practitioner: -
Answers-b. "I thought that everyone at school hated me.
That's not true. Most people like me and I have a friend named Todd."

What assessment question should the nurse ask when attempting to determine a
teenager's mental health resilience? Select all that apply. -
Answers-a. "How did you cope when your father deployed with the Army for a year in
Iraq?"
b. "Who did you go to for advice while your father was away for a year in Iraq?"
d. "Where do you see yourself in 10 years?"

Which factors tend to increase the difficulty of diagnosing young children who
demonstrate behaviors associated with mental illness? Select all that apply. -

Answers-a. Limited language skills
b. Level of cognitive development
c. Level of emotional development

Pam, the nurse educator, is teaching a new nurse about seclusion and restraint. Order
the following interventions from least (1) to most (5) restrictive: -

Answers-(1) a. With the patient, identify the behaviors that are unacceptable and
consequences associated with harmful behaviors
(2) d. Offering a PRN medication by mouth
(3) c. Allowing the patient to take a time-out and sit in his or her room
(4) e. Placing the patient in a locked seclusion room
(5) b. Placing the patient in physical restraints

In pediatric mental health, there is a lack of sufficient numbers of community-based
resources and providers, and there are long waiting lists for services. This has resulted
in: Select all that apply. -

Answers-a. Children of color and poor economic conditions being underserved
b. Increased stress in the family unit
d. Premature termination of services

Child protective services have removed 10-year-old Christopher from his parents' home
due to neglect. Christopher reveals to the nurse that he considers the woman next door

, his "nice" mom, that he loves school, and gets above average grades. The strongest
explanation of this response is: -
Answers-c. Resilience

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