MENTAL HEALTH FINAL EXAM 3 PRACTICE
REVIEW 2026 TESTED QUESTIONS
◉ Acute Mania. Answer: -interferes with daily functioning
-sudden onset
-usually 2-3 wks
-profanity
-flight of ideas
-grandiose behavior, inability to focus
- to busy to eat, have sex, or sleep
◉ Extreme Delirious Mania. Answer: -totally out of touch with
reality
-complete inability to function in normal society
-clang associations, delusions, hallucinations
-aggressive, aimless motor activity
-poor concentration, extremely disorganized
-high energy levels
-poor decisions (ex. financially)
◉ Labile Mood. Answer: Oscillations in mood between euphoria and
depression or anxiety.
,-mania
◉ Bipolar Mood. Answer: -labile
-in-congruent
-euphoria
-elation
-increased psycho-motor activity
-fast, pressured speech
-agitation and irritability
◉ Bipolar Thought Process. Answer: -grandiose
-delusional
-expansive, broad thoughts
-tangentiality
-sensory perceptions are altered
-flight of ideas
-clang associations
-loose associations
◉ Tangentiality. Answer: inability to get to the point of
communication due to introduction of many new topics
-mania
,◉ Clang Associations. Answer: rhythmic patterns associated with
psychotic speech
-mania
◉ Loose Associations. Answer: the tendency for one thought to be
logically unconnected, or slightly related, to the next
-mania
-schizophrenia
◉ Bipolar Nursing Interventions. Answer: -assess for suicidal
ideation
-stabilize (not eating, sleeping, drinking, etc.)
-decrease environment stimulation (structured)
-ensure self-care is being done
-set consistent limits
-recognize splitting/manipulation
◉ Bipolar Therapeutic Communication. Answer: -firm and matter-
of-fact tone, calm tone
-simple and concise explanation
-avoid jargon and sayings
-remain neutral
, -avoid power struggles
◉ Early Lithium Toxicity Levels. Answer: 1.5>
◉ Late Lithium Toxicity Levels. Answer: 2.0-2.5
◉ Early Lithium Toxicity Signs. Answer: n/v/d
thirst, polyuria
slurred speech
muscle weakness
◉ Severe Lithium Toxicity Signs. Answer: ataxia
large dilute output
clonic movements
confusion
arrhythmia
blurred vision
◉ Lithium Toxicity Treatment. Answer: -hold Lithium
-start IV
-medication (mannitol, aminophylline, urea)
REVIEW 2026 TESTED QUESTIONS
◉ Acute Mania. Answer: -interferes with daily functioning
-sudden onset
-usually 2-3 wks
-profanity
-flight of ideas
-grandiose behavior, inability to focus
- to busy to eat, have sex, or sleep
◉ Extreme Delirious Mania. Answer: -totally out of touch with
reality
-complete inability to function in normal society
-clang associations, delusions, hallucinations
-aggressive, aimless motor activity
-poor concentration, extremely disorganized
-high energy levels
-poor decisions (ex. financially)
◉ Labile Mood. Answer: Oscillations in mood between euphoria and
depression or anxiety.
,-mania
◉ Bipolar Mood. Answer: -labile
-in-congruent
-euphoria
-elation
-increased psycho-motor activity
-fast, pressured speech
-agitation and irritability
◉ Bipolar Thought Process. Answer: -grandiose
-delusional
-expansive, broad thoughts
-tangentiality
-sensory perceptions are altered
-flight of ideas
-clang associations
-loose associations
◉ Tangentiality. Answer: inability to get to the point of
communication due to introduction of many new topics
-mania
,◉ Clang Associations. Answer: rhythmic patterns associated with
psychotic speech
-mania
◉ Loose Associations. Answer: the tendency for one thought to be
logically unconnected, or slightly related, to the next
-mania
-schizophrenia
◉ Bipolar Nursing Interventions. Answer: -assess for suicidal
ideation
-stabilize (not eating, sleeping, drinking, etc.)
-decrease environment stimulation (structured)
-ensure self-care is being done
-set consistent limits
-recognize splitting/manipulation
◉ Bipolar Therapeutic Communication. Answer: -firm and matter-
of-fact tone, calm tone
-simple and concise explanation
-avoid jargon and sayings
-remain neutral
, -avoid power struggles
◉ Early Lithium Toxicity Levels. Answer: 1.5>
◉ Late Lithium Toxicity Levels. Answer: 2.0-2.5
◉ Early Lithium Toxicity Signs. Answer: n/v/d
thirst, polyuria
slurred speech
muscle weakness
◉ Severe Lithium Toxicity Signs. Answer: ataxia
large dilute output
clonic movements
confusion
arrhythmia
blurred vision
◉ Lithium Toxicity Treatment. Answer: -hold Lithium
-start IV
-medication (mannitol, aminophylline, urea)
