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NSG 3450 Mental Health Exam 3 Unit 7 Review | 80+ NCLEX-Style Questions & Answers on Bipolar Disorder, Mania, Depression & Mood Stabilizers | Galen College of Nursing

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This comprehensive NSG 3450 Mental Health Exam 3 Unit 7 review document for Galen College of Nursing contains more than 80 detailed NCLEX-style psychiatric nursing questions with verified answers focused on bipolar disorder, acute mania, major depressive disorder, antidepressant therapy, lithium management, electroconvulsive therapy (ECT), and therapeutic psychiatric nursing interventions. The material is specifically designed to support nursing students preparing for university psychiatric nursing examinations, ATI Mental Health assessments, HESI psychiatric nursing testing, and NCLEX-RN preparation. The study guide provides in-depth coverage of manic episodes, euphoric mood, hyperactivity, pressured speech, grandiosity, sleep deprivation, lithium toxicity, mood stabilizers, anticonvulsant medications, depressive disorders, suicidal ideation, anhedonia, psychomotor retardation, vegetative symptoms, and evidence-based nursing interventions for mood disorders. Students will also review therapeutic communication strategies, client safety interventions, medication management, psychoeducation, relapse prevention, nutritional support during manic episodes, and clinical decision-making for psychiatric emergencies. Key psychiatric nursing concepts emphasized throughout the document include lithium carbonate monitoring, therapeutic serum lithium levels, antidepressant side effects, SSRI discontinuation syndrome, MAOI dietary restrictions, tyramine-restricted diets, postural hypotension, cognitive-behavioral therapy (CBT), transcranial magnetic stimulation (TMS), electroconvulsive therapy (ECT), suicide precautions, psychomotor agitation, mood regulation, and management of depressive cognitive distortions. The practice questions mirror the structure and complexity of modern BSN and ADN nursing examinations while strengthening critical thinking, prioritization, pharmacology knowledge, and psychiatric nursing assessment skills. This resource aligns with major psychiatric nursing references and evidence-based practice standards, including: Varcarolis’ Foundations of Psychiatric Mental Health Nursing Townsend’s Psychiatric Mental Health Nursing: Concepts of Care DSM-5-TR (Diagnostic and Statistical Manual of Mental Disorders) American Psychiatric Association (APA) guidelines Substance Abuse and Mental Health Services Administration (SAMHSA) recommendations Research from the Journal of Psychiatric and Mental Health Nursing and Archives of Psychiatric Nursing This study guide is highly relevant for: Galen College of Nursing students BSN nursing students ADN nursing students Psychiatric mental health nursing students NCLEX-RN candidates ATI Mental Health exam preparation HESI psychiatric nursing review Behavioral health clinical rotation students Nursing remediation and tutoring programs Mental health nursing instructors and educators Students preparing for psychiatric pharmacology examinations Keywords NSG 3450, NSG 3450 Mental Health Exam 3, psychiatric mental health nursing, bipolar disorder nursing, mania nursing care, acute mania, lithium toxicity, lithium nursing interventions, mood stabilizers, antidepressants, major depressive disorder, depression nursing care, psychomotor retardation, psychomotor agitation, anhedonia, vegetative symptoms, suicide precautions, psychiatric pharmacology, SSRI discontinuation syndrome, MAOI diet, tyramine restricted diet, electroconvulsive therapy, ECT nursing care, transcranial magnetic stimulation, cognitive behavioral therapy, psychiatric nursing questions and answers, psychiatric nursing exam review, ATI Mental Health, HESI psychiatric nursing, NCLEX psychiatric nursing, behavioral health nursing, Galen College of Nursing

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NSG 3450 Mental Health Exam
3, Unit 7. 2026 Exam Questions
and Answers | 100% Pass



A person was online continuously for over 24 hours, posting rhymes on

official government websites and inviting politicians to join social

networks. The person has not slept or eaten for 3 days. What features of

mania are evident?




a. Increased muscle tension and anxiety

b. Vegetative signs and poor grooming

,c. Poor judgment and hyperactivity


d. Cognitive deficits and paranoia - ANSWER ✔✔c. Poor judgment

and hyperactivity

A client diagnosed with bipolar disorder is dressed in a red leotard and

bright scarves. The client twirls and shadow boxes. The client says gaily,

"Do you like my scarves? Here they are my gift to you." How should the

nurse document the client's mood?




a. Euphoric

b. Irritable

c. Suspicious


d. Confident - ANSWER ✔✔a. Euphoric


A person was directing traffic on a busy street, rapidly shouting, "To

work, you jerk, for perks" and making obscene gestures at cars. The

person has not slept or eaten for 3 days. Which assessment findings will

have priority concern for this client's plan of care?




a. Insulting, aggressive behavior

,b. Pressured speech and grandiosity

c. Hyperactivity; not eating and sleeping


d. Poor concentration and decision making - ANSWER ✔✔c.

Hyperactivity; not eating and sleeping

A client diagnosed with acute mania has distributed pamphlets about a

new business venture on a street corner for 2 days. Which nursing

diagnosis has priority?




a. Risk for injury

b. Ineffective coping

c. Impaired social interaction


d. Ineffective therapeutic regimen management - ANSWER ✔✔a.

Risk for injury

A client diagnosed with bipolar disorder becomes hyperactive after

discontinuing lithium. The client threatens to hit another client. Which

comment by the nurse is appropriate?




a. "Stop that! No one did anything to provoke an attack by you."



COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
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, b. "If you do that one more time, you will be secluded immediately."

c. "Do not hit anyone. If you are unable to control yourself, we will help

you."

d. "You know we will not let you hit anyone. Why do you continue this

behavior?" - ANSWER ✔✔c. "Do not hit anyone. If you are unable to

control yourself, we will help you."

This nursing diagnosis applies to a client experiencing acute mania:

Imbalanced nutrition: less than body requirements related to insufficient

caloric intake and hyperactivity as evidenced by 5-pound weight loss in 4

days. What is an appropriate outcome for this client?

a. ask staff for assistance with feeding within 4 days.

b. drink six servings of a high-calorie, high-protein drink each day.

c. consistently sit with others for at least 30 minutes at mealtime within 1

week.

d. consistently wear appropriate attire for age and sex within 1 week

while on the


psychiatric unit. - ANSWER ✔✔b. drink six servings of a high-calorie,

high-protein drink each day.

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