NUR 253 MENTAL HEALTH EXAM 4 – QUESTIONS AND ANSWERS | VERIFIED AND
WELL DETAILED ANSWERS | PLUS RATIONALES | GUARANTEED PASS | LATEST
EXAM UPDATE
*Core Domains*
*1. Neurobiological Disorders*
*2. Substance Use and Addictive Disorders*
*3. Crisis Intervention and Trauma Care*
*4. Forensic Psychiatric Nursing*
*5. Ethics, Legal Rights, and Advocacy*
*6. Psychopharmacology and Somatic Therapies*
*7. Cognitive Behavioral Interventions*
*8. Family and Group Dynamics*
*Introduction*
*The purpose of this examination is to evaluate the clinical competency of nursing stu
1. A patient with a history of alcohol use disorder is admitted for detoxification. Which
medication should the nurse anticipate the provider will order to prevent Wernicke-
Korsakoff syndrome?
,A. Lorazepam
B. Thiamine
C. Naltrexone
D. Disulfiram
🟢 B. Thiamine
🔴 Explanation: Thiamine (Vitamin B1) is administered to patients with alcohol use disorders
to prevent the development of Wernicke’s encephalopathy and Korsakoff’s psychosis, which
are caused by vitamin B1 deficiency.
2. A patient in the emergency department exhibits agitation, dilated pupils, and
tachycardia after reporting "snorting something." Which substance is most likely
causing these symptoms?
A. Heroin
B. Cocaine
C. Marijuana
D. Alcohol
🟢 B. Cocaine
🔴 Explanation: Cocaine is a stimulant that causes sympathetic nervous system activation,
resulting in tachycardia, dilated pupils (mydriasis), and agitation.
3. When assessing a patient for lethality, which statement by the patient indicates the
highest risk for suicide?
,A. I feel like my life is not worth living anymore.
B. I have a plan to use my firearm tonight when my spouse leaves.
C. Sometimes I think about just going to sleep and not waking up.
D. My family would be better off without me.
🟢 B. I have a plan to use my firearm tonight when my spouse leaves.
🔴 Explanation: A specific plan combined with access to a lethal means and a clear
timeframe indicates the highest immediate risk for suicide.
4. A nurse is reviewing legal rights with a patient who has been involuntarily committed.
Which right does the patient still retain?
A. The right to leave the facility against medical advice.
B. The right to refuse all forms of treatment.
C. The right to send and receive uncensored mail.
D. The right to unrestricted contact with all visitors.
🟢 C. The right to send and receive uncensored mail.
🔴 Explanation: Involuntary commitment restricts a patient’s freedom of movement, but they
generally retain civil rights, including the right to communicate with others via mail and legal
counsel.
5. A patient with schizophrenia refuses to take oral medications. The provider orders an
involuntary intramuscular injection. Which ethical principle is the nurse upholding by
administering this medication?
, A. Autonomy
B. Veracity
C. Beneficence
D. Fidelity
🟢 C. Beneficence
🔴 Explanation: Beneficence is the duty to act in the best interest of the patient. When a
patient is unable to recognize their need for treatment, administering medication to stabilize
their condition is an act of beneficence.
6. A nurse is conducting group therapy. A member constantly interrupts others and
dominates the conversation. What is the most appropriate nursing intervention?
A. Ask the patient to leave the group immediately.
B. Ignore the behavior to avoid conflict.
C. Set limits on the behavior by addressing the group norms.
D. Privately tell the patient they are annoying the group.
🟢 C. Set limits on the behavior by addressing the group norms.
🔴 Explanation: In group therapy, the nurse must maintain the structure of the group.
Addressing behavior by referencing established group norms allows for corrective feedback
while maintaining a therapeutic environment.
7. Which symptom is a characteristic of Neuroleptic Malignant Syndrome (NMS)?
WELL DETAILED ANSWERS | PLUS RATIONALES | GUARANTEED PASS | LATEST
EXAM UPDATE
*Core Domains*
*1. Neurobiological Disorders*
*2. Substance Use and Addictive Disorders*
*3. Crisis Intervention and Trauma Care*
*4. Forensic Psychiatric Nursing*
*5. Ethics, Legal Rights, and Advocacy*
*6. Psychopharmacology and Somatic Therapies*
*7. Cognitive Behavioral Interventions*
*8. Family and Group Dynamics*
*Introduction*
*The purpose of this examination is to evaluate the clinical competency of nursing stu
1. A patient with a history of alcohol use disorder is admitted for detoxification. Which
medication should the nurse anticipate the provider will order to prevent Wernicke-
Korsakoff syndrome?
,A. Lorazepam
B. Thiamine
C. Naltrexone
D. Disulfiram
🟢 B. Thiamine
🔴 Explanation: Thiamine (Vitamin B1) is administered to patients with alcohol use disorders
to prevent the development of Wernicke’s encephalopathy and Korsakoff’s psychosis, which
are caused by vitamin B1 deficiency.
2. A patient in the emergency department exhibits agitation, dilated pupils, and
tachycardia after reporting "snorting something." Which substance is most likely
causing these symptoms?
A. Heroin
B. Cocaine
C. Marijuana
D. Alcohol
🟢 B. Cocaine
🔴 Explanation: Cocaine is a stimulant that causes sympathetic nervous system activation,
resulting in tachycardia, dilated pupils (mydriasis), and agitation.
3. When assessing a patient for lethality, which statement by the patient indicates the
highest risk for suicide?
,A. I feel like my life is not worth living anymore.
B. I have a plan to use my firearm tonight when my spouse leaves.
C. Sometimes I think about just going to sleep and not waking up.
D. My family would be better off without me.
🟢 B. I have a plan to use my firearm tonight when my spouse leaves.
🔴 Explanation: A specific plan combined with access to a lethal means and a clear
timeframe indicates the highest immediate risk for suicide.
4. A nurse is reviewing legal rights with a patient who has been involuntarily committed.
Which right does the patient still retain?
A. The right to leave the facility against medical advice.
B. The right to refuse all forms of treatment.
C. The right to send and receive uncensored mail.
D. The right to unrestricted contact with all visitors.
🟢 C. The right to send and receive uncensored mail.
🔴 Explanation: Involuntary commitment restricts a patient’s freedom of movement, but they
generally retain civil rights, including the right to communicate with others via mail and legal
counsel.
5. A patient with schizophrenia refuses to take oral medications. The provider orders an
involuntary intramuscular injection. Which ethical principle is the nurse upholding by
administering this medication?
, A. Autonomy
B. Veracity
C. Beneficence
D. Fidelity
🟢 C. Beneficence
🔴 Explanation: Beneficence is the duty to act in the best interest of the patient. When a
patient is unable to recognize their need for treatment, administering medication to stabilize
their condition is an act of beneficence.
6. A nurse is conducting group therapy. A member constantly interrupts others and
dominates the conversation. What is the most appropriate nursing intervention?
A. Ask the patient to leave the group immediately.
B. Ignore the behavior to avoid conflict.
C. Set limits on the behavior by addressing the group norms.
D. Privately tell the patient they are annoying the group.
🟢 C. Set limits on the behavior by addressing the group norms.
🔴 Explanation: In group therapy, the nurse must maintain the structure of the group.
Addressing behavior by referencing established group norms allows for corrective feedback
while maintaining a therapeutic environment.
7. Which symptom is a characteristic of Neuroleptic Malignant Syndrome (NMS)?
