NSG3450 /NSG 3450 MENTAL HEALTH EXAM 4 NEWEST 2025/2026 WITHACTUAL
160 QUESTIONS WITH DETAILED ANSWERS WITH STUDY GUIDE EXPERT VERIFIED
FOR GUARANTEED PASS/ALREADY GRADED A+
What are intoxication symptoms of opioid use? - ANSWER - psychomotor retardation,
drowsiness, slurred speech, altered mood, impaired memory/attention
Miosis (pinpoint pupils), decreased bowel sounds, low RR/BP
What are intoxication symptoms of sedative/hypnotic/anxiety use disorder? - ANSWER -
slurred speech, incoordination, unsteady gait, nystagmus, impaired thinking
coma, inappropriate aggression/sexual behavior, mood fluctuation, impaired judgment
What are intoxication symptoms of stimulants? - ANSWER - "superhuman" feeling elated,
euphoric, sociable
hypervigilant, sensitive, anxious, tense, angry
2+: chest pain, arrythmias, change in BP, respiratory depression, dilated pupils, N/V, wt
loss, chills, psychomotor agitation/retardation, weakness, seizures, coma, confusion
What are key findings for bulimia? - ANSWER - maintain a normal wt.
dental/tooth erosion
parotid swelling
muscle weakening
CV abnormalities
What are key findings for MDD? - ANSWER - -Depressed mood/anhedonia
-Affect: outward expression of internal state of being (facial expressions)
-Thought process is affected (indecisiveness, poor memory/concentration
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-Mood (anhedonia)
-Cognitive changes (helplessness is demonstrated)
-Physical behaviors
What are medications used for bulimia? - ANSWER - SSRI: Fluoxetine (Prozac)
Other SSRIs: sertraline (Zoloft), paroxetine (Paxil), citalopram (Celexa)
What are overdose symptoms of opioid use? - ANSWER - unresponsiveness, slow
respirations, coma, hypothermia, hypotension, bradycardia
3 KEY S/S: pinpoint pupils, coma, respiratory depression
What is overdose TX for sedative/hypnotic use? - ANSWER - gastric lavage
activated charcoal
VS monitoring
Should be kept awake to prevent LOC
What is RF of MDD? - ANSWER - Females
ACEs
Stressful life events
Neuroticism
Genetics (genetic markers, 1st degree family member)
Biochemical (NE & serotonin dysregulation)
Cognitive (view info in negative ways and ignore positive outlooks)
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What is s/s of anorexia nervosa? - ANSWER - dizziness/fainting
fast/gradual wt. loss
constant cold feeling
induced vomiting after eating
no menstruation
sleep disorders
hair loss
heart problems
infertility
stomach ulcer
muscle fiber breakdown
What are symptoms of overdose of caffeine? - ANSWER - fever
tachycardia/bradycardia
HTN followed by hypotension
extremely high dose: grand mal seizures & respiratory failure = death
What are symptoms of PCP intoxication? - ANSWER - belligerent, assaultive, impulsive,
unpredictable
nystagmus, HTN, tachycardia, diminished response to pain, ataxia, dysarthria, muscle
rigidity, seizures, coma, hyperacusis
What are symptoms of Wernicke encephalopathy? - ANSWER - acute/reversible condition
altered gait
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vestibular dysfunction
confusion
ocular motility abnormalities
-responds rapidly to larger doses of thiamine 2-3x daily
- Korsakoff syndrome can be treated w/thiamine for 3-12 months
What are the abnormal lab values for Anorexia Nervosa? - ANSWER - Hypokalemia: <3.5
mEq/L (from starvation)
Low triiodothyronine, thyroxine levels
low BMI
Anemia
Decreased bone density
What are the comorbidities for anorexia? - ANSWER - GI diseases
Heredity
Drug addiction
Alcoholism
Depression
PTSD
BPD
Anxiety disorder
What are the phases of recovery model (depression) - ANSWER - Acute phase:
-6-12 wks.
-directed at decreasing depression symptoms