NSG 3450 EXAM 2 MENTAL HEALTH GALEN
COLLEGE 2025/2026 WITH ACTUAL
CORRECT QUESTIONS AND VERIFIED
DETAILED ANSWERS |FREQUENTLY TESTED
QUESTIONS AND SOLUTIONS |ALREADY
GRADED A+|NEWEST| BRAND NEW VERSION
!!!|LATEST UPDATE
A pregnant woman is in a relationship w/ a male who routinely abuses her. Her unborn child
may engage in high-risk behavior as a tees as a result of:
a. maternal stress
b. parental nurturing
c. appropriate stress responses in the brain
d. memories of the abuse
A. maternal stress
Maggie, a child in protective custody, is found to have an imaginary friend, Holly. Her foster
family shares this information w/ the nurse. The nurse teaches the family members about
children who have suffered trauma and knows her teaching was effective when the foster
mother states:
a. "I understand that imaginary friends are abnormal"
b. "I understand that imaginary friends are a maladaptive behavior"
c. "I understand that imaginary friends are a coping mechanism"
d. "I understand that we should tell the child that imaginary friends are unacceptable"
c. "I understand that imaginary friends are a coping mechanism"
An incest survivor undergoing treatment at the mental health clinic is relieved when she learns
that her anxiety and depression are:
a. going to be eradicated w/ tx
b. normal and will soon pass
1|Page
,c. abnormal but will pass
d. a normal reaction to post traumatic events
d. a normal reaction to post traumatic events
During a routine health screening, a grieving widow whose husband died 15 months ago reports
emptiness, a loss of self, difficulty thinking of the future, and anger at her dead husband. The
nurse suggests bereavement counseling. The widow is most likely suffering from:
a. major depression
b. normal grieving
c. adjustment disorder
d. post traumatic stress disorder
c. adjustment disorder
A round child is found wandering along at a mall. A male store employee approaches and asks
where her parents are. She responds, "I don't know. Maybe you will take me home w/ you?"
This sort of response in children may be due to:
a. a lack of bonding as an infant
b. a healthy confidence in the child
c. adequate parental bonding
d. normal parenting
A. a lack of bonding as an infant
Which statement made by a 9 y/o after hitting a classmate is a typical comment associated w/
childhood conduct disorder?
a. "I'm sorry, I won't hit him again"
b. "He deserves it for being a sissy"
c. "I didn't think I hit him very hard"
d. "He hit me first. You just didn't see it"
B. "He deserves it for being a sissy"
What assessment data would support a diagnosis of conduct disorder? Select all that apply.
a. evidence of social isolation
b. arrested twice for disorderly conduct
c. expresses difficult in keeping employment
d. exhibits signs of chronic self-mutilation
A, B, C
2|Page
,Which event experienced in the pt's childhood increases the risk of the development of
behaviors associated w/ intermittent explosive disorder?
a. orphaned at age 4
b. physically abused from ages 3-10
c. born w/ a chronic congenital disorder
d. one parent was diagnosed w/ OCD
b. physically abused from ages 3-10
What is a common behavior observes in a pt diagnosed w/ intermittent explosive disorder?
Select all that apply
a. short attention span
b. threatens suicide
c. often purges after eating
d. uses alcohol to excess
e. states, "Everyone is out to get me"
A, B, D
When discussing oppositional defiant disorder w/ a group of parents, what information should
the nurse include about the disorder? Select all that apply:
a. classic sx include anger, irritation, and defiant behavior
b. children generally outgrow the behaviors w/o formal treatment
c. severity is considered mild when sx are present in only one setting
d. disorder is diagnosed equally in both males and females
e. argumentative and defiant are terms often used to describe the pt
A, B, C, E
Tommy, a 12 y/o boy admitted to the pediatric psychiatric unit, has recently been diagnosed w/
conduct disorder. In the activity room, the games he wanted to play were already in use. He
responded by threatening to throw furniture and to hurt his peers who had the game he
wanted. Nancy, a RN, recognizes that Tommy's therapy must include:
a. consistency in implementing the consequences of breaking rules
b. empathetic reasoning when Tommy acts out in the activity room
c. teaching Tommy the benefits of socializing
d. solitary time to that Tommy can think about his actions
A. consistency in implementing the consequences of breaking rules
Some cultures have lower rates of undiagnosed conduct disorders than observes in Western
societies. The lower rate of incidence may be contributed to:
3|Page
, a. strict parenting w/ corporal punishment
b. cultural expression of anger as normal behavior
c. parent's limited tolerance for externalizing behavior
d. widespread acceptance of conduct disorders
b. cultural expression of anger as normal behavior
Larry, a middle-aged male in a treatment facility, is loudly displaying anger in the say room w/ a
visiting family member. It is obvious to the nurse this pattern has played out before. Violence is
often escalated when family members or authority figures:
a. use a soft tone of voice to gain control of the situation
b. move away from the agitated person in fear
c. use simple words to communicate
d. engage in a power struggle
d. engage in a power struggle
The impulse control spectrum can begin in childhood and continue on into adulthood, often
morphing into criminal behaviors. Working w/ pt's diagnosed w/ these disorders, the best
examples of expressed emotion by the nursing staff are:
a. low to prevent emotional reactions
b. matched to the pt's level of emotion
c. flat w/o evidence of any emotional output
d. high expression to improve therapeutic pt emotions
a. low to prevent emotional reactions
Claude is a new nurse on the psychiatric unit. He asks a senior nurse on staff for the "best
advice" when working w/ oppositional defiant disorder. Which statement reflects advice on sold
therapeutic communication?
a. "when correcting behavior, use a loud firm tone"
b. "use language beyond the pt's education level"
c. "when setting limits, be specific and outline consequences"
d. "an aggressive body language will make the pt's respect your position"
c. "when setting limits, be specific and outline consequences"
Conversion disorder is described as an absence of a neurological diagnosis that manifests in
neurological sx. Channeling of emotions, conflicts, and stressors int physical sx is thought to be
the cause in conversion disorder. Which statement is true?
a. people w/ conversion disorder are extremely upset about often dramatic sx
b. abnormal patterns of cerebral activation have been found in individuals w/ conversation
4|Page
COLLEGE 2025/2026 WITH ACTUAL
CORRECT QUESTIONS AND VERIFIED
DETAILED ANSWERS |FREQUENTLY TESTED
QUESTIONS AND SOLUTIONS |ALREADY
GRADED A+|NEWEST| BRAND NEW VERSION
!!!|LATEST UPDATE
A pregnant woman is in a relationship w/ a male who routinely abuses her. Her unborn child
may engage in high-risk behavior as a tees as a result of:
a. maternal stress
b. parental nurturing
c. appropriate stress responses in the brain
d. memories of the abuse
A. maternal stress
Maggie, a child in protective custody, is found to have an imaginary friend, Holly. Her foster
family shares this information w/ the nurse. The nurse teaches the family members about
children who have suffered trauma and knows her teaching was effective when the foster
mother states:
a. "I understand that imaginary friends are abnormal"
b. "I understand that imaginary friends are a maladaptive behavior"
c. "I understand that imaginary friends are a coping mechanism"
d. "I understand that we should tell the child that imaginary friends are unacceptable"
c. "I understand that imaginary friends are a coping mechanism"
An incest survivor undergoing treatment at the mental health clinic is relieved when she learns
that her anxiety and depression are:
a. going to be eradicated w/ tx
b. normal and will soon pass
1|Page
,c. abnormal but will pass
d. a normal reaction to post traumatic events
d. a normal reaction to post traumatic events
During a routine health screening, a grieving widow whose husband died 15 months ago reports
emptiness, a loss of self, difficulty thinking of the future, and anger at her dead husband. The
nurse suggests bereavement counseling. The widow is most likely suffering from:
a. major depression
b. normal grieving
c. adjustment disorder
d. post traumatic stress disorder
c. adjustment disorder
A round child is found wandering along at a mall. A male store employee approaches and asks
where her parents are. She responds, "I don't know. Maybe you will take me home w/ you?"
This sort of response in children may be due to:
a. a lack of bonding as an infant
b. a healthy confidence in the child
c. adequate parental bonding
d. normal parenting
A. a lack of bonding as an infant
Which statement made by a 9 y/o after hitting a classmate is a typical comment associated w/
childhood conduct disorder?
a. "I'm sorry, I won't hit him again"
b. "He deserves it for being a sissy"
c. "I didn't think I hit him very hard"
d. "He hit me first. You just didn't see it"
B. "He deserves it for being a sissy"
What assessment data would support a diagnosis of conduct disorder? Select all that apply.
a. evidence of social isolation
b. arrested twice for disorderly conduct
c. expresses difficult in keeping employment
d. exhibits signs of chronic self-mutilation
A, B, C
2|Page
,Which event experienced in the pt's childhood increases the risk of the development of
behaviors associated w/ intermittent explosive disorder?
a. orphaned at age 4
b. physically abused from ages 3-10
c. born w/ a chronic congenital disorder
d. one parent was diagnosed w/ OCD
b. physically abused from ages 3-10
What is a common behavior observes in a pt diagnosed w/ intermittent explosive disorder?
Select all that apply
a. short attention span
b. threatens suicide
c. often purges after eating
d. uses alcohol to excess
e. states, "Everyone is out to get me"
A, B, D
When discussing oppositional defiant disorder w/ a group of parents, what information should
the nurse include about the disorder? Select all that apply:
a. classic sx include anger, irritation, and defiant behavior
b. children generally outgrow the behaviors w/o formal treatment
c. severity is considered mild when sx are present in only one setting
d. disorder is diagnosed equally in both males and females
e. argumentative and defiant are terms often used to describe the pt
A, B, C, E
Tommy, a 12 y/o boy admitted to the pediatric psychiatric unit, has recently been diagnosed w/
conduct disorder. In the activity room, the games he wanted to play were already in use. He
responded by threatening to throw furniture and to hurt his peers who had the game he
wanted. Nancy, a RN, recognizes that Tommy's therapy must include:
a. consistency in implementing the consequences of breaking rules
b. empathetic reasoning when Tommy acts out in the activity room
c. teaching Tommy the benefits of socializing
d. solitary time to that Tommy can think about his actions
A. consistency in implementing the consequences of breaking rules
Some cultures have lower rates of undiagnosed conduct disorders than observes in Western
societies. The lower rate of incidence may be contributed to:
3|Page
, a. strict parenting w/ corporal punishment
b. cultural expression of anger as normal behavior
c. parent's limited tolerance for externalizing behavior
d. widespread acceptance of conduct disorders
b. cultural expression of anger as normal behavior
Larry, a middle-aged male in a treatment facility, is loudly displaying anger in the say room w/ a
visiting family member. It is obvious to the nurse this pattern has played out before. Violence is
often escalated when family members or authority figures:
a. use a soft tone of voice to gain control of the situation
b. move away from the agitated person in fear
c. use simple words to communicate
d. engage in a power struggle
d. engage in a power struggle
The impulse control spectrum can begin in childhood and continue on into adulthood, often
morphing into criminal behaviors. Working w/ pt's diagnosed w/ these disorders, the best
examples of expressed emotion by the nursing staff are:
a. low to prevent emotional reactions
b. matched to the pt's level of emotion
c. flat w/o evidence of any emotional output
d. high expression to improve therapeutic pt emotions
a. low to prevent emotional reactions
Claude is a new nurse on the psychiatric unit. He asks a senior nurse on staff for the "best
advice" when working w/ oppositional defiant disorder. Which statement reflects advice on sold
therapeutic communication?
a. "when correcting behavior, use a loud firm tone"
b. "use language beyond the pt's education level"
c. "when setting limits, be specific and outline consequences"
d. "an aggressive body language will make the pt's respect your position"
c. "when setting limits, be specific and outline consequences"
Conversion disorder is described as an absence of a neurological diagnosis that manifests in
neurological sx. Channeling of emotions, conflicts, and stressors int physical sx is thought to be
the cause in conversion disorder. Which statement is true?
a. people w/ conversion disorder are extremely upset about often dramatic sx
b. abnormal patterns of cerebral activation have been found in individuals w/ conversation
4|Page
