NSG 3450 EXAM 3 QUESTIONS AND ANSWERS | NSG 3450 MENTAL HEALTH
NURSING STUDY GUIDE & PRACTICE TEST 2026/2027
When considering an eating ds, what is a physical criterion for hospital admission?
a. a daytime HR of <50bpm
b. an oral temp of 100F or more
c. 90% of ideal body weight
d. systolic BP >130mmHg - correct answer ✔✔A
When considering the need for monitoring, which intervention should the nurse implement for a pt w/
anorexia? Select all that apply:
a. provide scheduled portion-controlled meals and snacks
b. congratulate pt's for weight gain and behavior that promote weight gain
c. limit time spent in bathroom during periods when not under direct supervision
d. promote exercise as a method to increase appetite
e. observe pt during and after meals/snacks to ensure that adequate intake is achieved and maintained -
correct answer ✔✔A, C, E
Which intervention will promote independence in a pt being treated for bulimia nervosa?
a. have the pt monitor daily caloric intake and intake and output of fluids
b. encourage the pt to use behavior modification techniques to promote weight gain behaviors
c. ask the pt to use a daily log to record feelings and circumstances r/t urges to purge
d. allow the pt to make limited choices about eating and exercise as weight gain progresses - correct
answer ✔✔D
Which pt statement supports the diagnosis of anorexia nervosa?
a. "I'm terrified of gaining weight."
b. "I wish I had a good friend to talk to"
c. "I've been told I drink way too much alcohol"
d. "I don't get much pleasure out of life anymore" - correct answer ✔✔A
Obesity can be the end result of a binge-eating ds. The nurse understands that the best tx option in
persons w/ a binge-eating ds promotes:
a. bariatric surgery
b. coping strategies
d. avoidance of public eating
d. appetite suppression meds - correct answer ✔✔B
Taylor, a psych RN, orients Regina, a pt w/ anorexia nervosa, to the room where she will be assigned
during her stay. after getting Regina settled, the nurse informs Regina:
a. "I need to go through the belongings you have brought w/ you"
b. "you can use the scale in the back room when you need to"
c. "you will be eating 5x a day here"
d. "the daily structure is based around your desire to eat" - correct answer ✔✔A
, Safety measures are of concern in eating-disorder treatments. Pt's w/ anorexia are supervised closely to
monitor: Select all that apply:
a. foods that are eaten
b. attempts at self-induced vomiting
c. relationships w/ other pt's
d. weight - correct answer ✔✔A, B, D
Malika has been overweight all her life. Now as an adult, she has health problems r/t her excessive
weight. Seeking weight loss assistance at a primary care facility, Malika is surprised when the nurse
practitioner suggests:
a. a trial of SSRI antidepressant therapy
b. mild exercise to start, increasing in intensity over time
c. removing snack foods from the home
d. medications x for HTN - correct answer ✔✔A
Malika agrees to start losing weight according to the nurse practitioner's outlined plan. Additional
teaching is warranted when Malika states:
a. "I am willing to admit I am depressed"
b. "psychotherapy will be part of my tx"
c. "I prefer to have a gastric bypass rather than use this plan"
d. "my comorbid conditions may improve w/ weight loss" - correct answer ✔✔C
A pt w/ a hx of alcohol use disorder has been prescribed disulfiram (Antabuse). Which physical effects
support the suspicion that the pt has relapsed? Select all that apply:
a. intense nausea
b. diaphoresis
c. acute paranoia
d. confusion
e. dyspnea - correct answer ✔✔A, B, D, E
Which assessment data confirms the suspicion that a pt is experiencing opioid withdrawal? Select all the
apply?
a. pupils are dilated
b. Pulse rate is 62 beats/min
c. slow movements
d. extreme anxiety
e. sleepy - correct answer ✔✔A, D
The nurse diagnosis "ineffective denial" is especially useful when working w/ substance use disorders
and gambling. Which statements describe the diagnosis? Select all that apply:
a. reports inability to cope
b. does not perceive danger of substance use or gambling
c. minimizes sx
d. refuses healthcare attention
e. unable to admit impact of disease on life pattern - correct answer ✔✔B, C, D, E
Which action should you take when a female staff member is demonstrating behaviors associated w/ a
substance use disorder?
NURSING STUDY GUIDE & PRACTICE TEST 2026/2027
When considering an eating ds, what is a physical criterion for hospital admission?
a. a daytime HR of <50bpm
b. an oral temp of 100F or more
c. 90% of ideal body weight
d. systolic BP >130mmHg - correct answer ✔✔A
When considering the need for monitoring, which intervention should the nurse implement for a pt w/
anorexia? Select all that apply:
a. provide scheduled portion-controlled meals and snacks
b. congratulate pt's for weight gain and behavior that promote weight gain
c. limit time spent in bathroom during periods when not under direct supervision
d. promote exercise as a method to increase appetite
e. observe pt during and after meals/snacks to ensure that adequate intake is achieved and maintained -
correct answer ✔✔A, C, E
Which intervention will promote independence in a pt being treated for bulimia nervosa?
a. have the pt monitor daily caloric intake and intake and output of fluids
b. encourage the pt to use behavior modification techniques to promote weight gain behaviors
c. ask the pt to use a daily log to record feelings and circumstances r/t urges to purge
d. allow the pt to make limited choices about eating and exercise as weight gain progresses - correct
answer ✔✔D
Which pt statement supports the diagnosis of anorexia nervosa?
a. "I'm terrified of gaining weight."
b. "I wish I had a good friend to talk to"
c. "I've been told I drink way too much alcohol"
d. "I don't get much pleasure out of life anymore" - correct answer ✔✔A
Obesity can be the end result of a binge-eating ds. The nurse understands that the best tx option in
persons w/ a binge-eating ds promotes:
a. bariatric surgery
b. coping strategies
d. avoidance of public eating
d. appetite suppression meds - correct answer ✔✔B
Taylor, a psych RN, orients Regina, a pt w/ anorexia nervosa, to the room where she will be assigned
during her stay. after getting Regina settled, the nurse informs Regina:
a. "I need to go through the belongings you have brought w/ you"
b. "you can use the scale in the back room when you need to"
c. "you will be eating 5x a day here"
d. "the daily structure is based around your desire to eat" - correct answer ✔✔A
, Safety measures are of concern in eating-disorder treatments. Pt's w/ anorexia are supervised closely to
monitor: Select all that apply:
a. foods that are eaten
b. attempts at self-induced vomiting
c. relationships w/ other pt's
d. weight - correct answer ✔✔A, B, D
Malika has been overweight all her life. Now as an adult, she has health problems r/t her excessive
weight. Seeking weight loss assistance at a primary care facility, Malika is surprised when the nurse
practitioner suggests:
a. a trial of SSRI antidepressant therapy
b. mild exercise to start, increasing in intensity over time
c. removing snack foods from the home
d. medications x for HTN - correct answer ✔✔A
Malika agrees to start losing weight according to the nurse practitioner's outlined plan. Additional
teaching is warranted when Malika states:
a. "I am willing to admit I am depressed"
b. "psychotherapy will be part of my tx"
c. "I prefer to have a gastric bypass rather than use this plan"
d. "my comorbid conditions may improve w/ weight loss" - correct answer ✔✔C
A pt w/ a hx of alcohol use disorder has been prescribed disulfiram (Antabuse). Which physical effects
support the suspicion that the pt has relapsed? Select all that apply:
a. intense nausea
b. diaphoresis
c. acute paranoia
d. confusion
e. dyspnea - correct answer ✔✔A, B, D, E
Which assessment data confirms the suspicion that a pt is experiencing opioid withdrawal? Select all the
apply?
a. pupils are dilated
b. Pulse rate is 62 beats/min
c. slow movements
d. extreme anxiety
e. sleepy - correct answer ✔✔A, D
The nurse diagnosis "ineffective denial" is especially useful when working w/ substance use disorders
and gambling. Which statements describe the diagnosis? Select all that apply:
a. reports inability to cope
b. does not perceive danger of substance use or gambling
c. minimizes sx
d. refuses healthcare attention
e. unable to admit impact of disease on life pattern - correct answer ✔✔B, C, D, E
Which action should you take when a female staff member is demonstrating behaviors associated w/ a
substance use disorder?
