NSG 3450: Mental Health- Exam 3 Unit
7 And Exam 2 All Questions Solved
Graded A+
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."
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.
A client demonstrating characteristics of acute mania relapsed after discontinuing lithium. New
orders are written to resume lithium twice daily and begin olanzapine. What is the rationale for
the addition of olanzapine to the medication regimen?
a. To minimize the side effects of lithium.
b. To bring hyperactivity under rapid control.
c. To enhance the antimanic actions of lithium.
d. To be used for long-term control of hyperactivity. - Answer b. To bring hyperactivity under
rapid control.
A client diagnosed with bipolar disorder has rapidly changing mood cycles. The health care
provider prescribes an anticonvulsant medication. To prepare teaching materials, which drug
should the nurse anticipate will be prescribed?
a. phenytoin
b. clonidine
c. risperidone
d. carbamazepine - Answer d. Carbamazepine
,While the exact cause of bipolar disorder has not been determined; however, what is consistent
for most clients?
a. several factors, including genetics, are implicated.
b. brain structures were altered by stress early in life.
c. excess sensitivity in dopamine receptors may trigger episodes.
d. inadequate norepinephrine reuptake disturbs circadian rhythms. - Answer a. several
factors, including genetics, are implicated.
The spouse of a client diagnosed with bipolar disorder asks what evidence supports the
possibility of genetic transmission of bipolar disorders. Which response should the nurse
provide?
a. "A high proportion of clients with bipolar disorders are found among creative writers."
b. "A higher rate of relatives with bipolar disorder is found among clients with bipolar disorder."
c. "Clients with bipolar disorder have higher rates of relatives who respond in an
exaggerated way to daily stress."
d. "More individuals with bipolar disorder come from high socioeconomic and educational
backgrounds." - Answer b. "A higher rate of relatives with bipolar disorder is found among
clients with bipolar disorder."
A client diagnosed with bipolar disorder commands other clients, "Get me a book. Take this
stuff out of here," and other similar demands. The nurse wants to interrupt this behavior
without entering into a power struggle. Which initial approach should the nurse select?
a. Distraction: "Let's go to the dining room for a snack."
b. Humor: "How much are you paying servants these days?"
c. Limit setting: "You must stop ordering other clients around."
d. Honest feedback: "Your controlling behavior is annoying others." - Answer a. Distraction:
"Let's go to the dining room for a snack."
The nurse receives a laboratory report indicating a client's serum level is 1 mEq/L. The client's
last dose of lithium was 8 hours ago. What does this result indicate?
a. within therapeutic limits.
b. below therapeutic limits.
c. above therapeutic limits.
d. invalid because of the time lapse since the last dose. - Answer a. within therapeutic limits.
, Consider these three anticonvulsant medications: divalproex, carbamazepine, and gabapentin.
Which medication also belongs to this classification?
a. clonazepam
b. risperidone
c. lamotrigine
d. aripiprazole - Answer c. lamotrigine
When a hyperactive client diagnosed with acute mania is hospitalized, what is the initial nursing
intervention?
a. Allow the client to act out feelings.
b. Set limits on client behavior as necessary.
c. Provide verbal instructions to the client to remain calm.
d. Restrain the client to reduce hyperactivity and aggression - Answer b. Set limits on client
behavior as necessary.
At a unit meeting, the staff discusses decor for a special room for clients with acute mania.
Which suggestion is appropriate?
a. An extra-large window with a view of the street
b. Neutral walls with pale, simple accessories
c. Brightly colored walls and print drapes
d. Deep colors for walls and upholstery - Answer b. Neutral walls with pale, simple
accessories
A client demonstrating behaviors associated with acute mania has exhausted the staff by noon.
Staff members are feeling defensive and fatigued. Which action will the staff take
initially?
a. Confer with the health care provider to consider use of seclusion for this client.
b. Hold a staff meeting to discuss consistency and limit-setting approaches.
c. Conduct a meeting with all staff and clients to discuss the behavior.
d. Explain to the client that the behavior is unacceptable - Answer b. Hold a staff meeting to
discuss consistency and limit-setting approaches.
A client experiencing acute mania undresses in the group room and dances. How should the
nurse intervene initially?
7 And Exam 2 All Questions Solved
Graded A+
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."
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.
A client demonstrating characteristics of acute mania relapsed after discontinuing lithium. New
orders are written to resume lithium twice daily and begin olanzapine. What is the rationale for
the addition of olanzapine to the medication regimen?
a. To minimize the side effects of lithium.
b. To bring hyperactivity under rapid control.
c. To enhance the antimanic actions of lithium.
d. To be used for long-term control of hyperactivity. - Answer b. To bring hyperactivity under
rapid control.
A client diagnosed with bipolar disorder has rapidly changing mood cycles. The health care
provider prescribes an anticonvulsant medication. To prepare teaching materials, which drug
should the nurse anticipate will be prescribed?
a. phenytoin
b. clonidine
c. risperidone
d. carbamazepine - Answer d. Carbamazepine
,While the exact cause of bipolar disorder has not been determined; however, what is consistent
for most clients?
a. several factors, including genetics, are implicated.
b. brain structures were altered by stress early in life.
c. excess sensitivity in dopamine receptors may trigger episodes.
d. inadequate norepinephrine reuptake disturbs circadian rhythms. - Answer a. several
factors, including genetics, are implicated.
The spouse of a client diagnosed with bipolar disorder asks what evidence supports the
possibility of genetic transmission of bipolar disorders. Which response should the nurse
provide?
a. "A high proportion of clients with bipolar disorders are found among creative writers."
b. "A higher rate of relatives with bipolar disorder is found among clients with bipolar disorder."
c. "Clients with bipolar disorder have higher rates of relatives who respond in an
exaggerated way to daily stress."
d. "More individuals with bipolar disorder come from high socioeconomic and educational
backgrounds." - Answer b. "A higher rate of relatives with bipolar disorder is found among
clients with bipolar disorder."
A client diagnosed with bipolar disorder commands other clients, "Get me a book. Take this
stuff out of here," and other similar demands. The nurse wants to interrupt this behavior
without entering into a power struggle. Which initial approach should the nurse select?
a. Distraction: "Let's go to the dining room for a snack."
b. Humor: "How much are you paying servants these days?"
c. Limit setting: "You must stop ordering other clients around."
d. Honest feedback: "Your controlling behavior is annoying others." - Answer a. Distraction:
"Let's go to the dining room for a snack."
The nurse receives a laboratory report indicating a client's serum level is 1 mEq/L. The client's
last dose of lithium was 8 hours ago. What does this result indicate?
a. within therapeutic limits.
b. below therapeutic limits.
c. above therapeutic limits.
d. invalid because of the time lapse since the last dose. - Answer a. within therapeutic limits.
, Consider these three anticonvulsant medications: divalproex, carbamazepine, and gabapentin.
Which medication also belongs to this classification?
a. clonazepam
b. risperidone
c. lamotrigine
d. aripiprazole - Answer c. lamotrigine
When a hyperactive client diagnosed with acute mania is hospitalized, what is the initial nursing
intervention?
a. Allow the client to act out feelings.
b. Set limits on client behavior as necessary.
c. Provide verbal instructions to the client to remain calm.
d. Restrain the client to reduce hyperactivity and aggression - Answer b. Set limits on client
behavior as necessary.
At a unit meeting, the staff discusses decor for a special room for clients with acute mania.
Which suggestion is appropriate?
a. An extra-large window with a view of the street
b. Neutral walls with pale, simple accessories
c. Brightly colored walls and print drapes
d. Deep colors for walls and upholstery - Answer b. Neutral walls with pale, simple
accessories
A client demonstrating behaviors associated with acute mania has exhausted the staff by noon.
Staff members are feeling defensive and fatigued. Which action will the staff take
initially?
a. Confer with the health care provider to consider use of seclusion for this client.
b. Hold a staff meeting to discuss consistency and limit-setting approaches.
c. Conduct a meeting with all staff and clients to discuss the behavior.
d. Explain to the client that the behavior is unacceptable - Answer b. Hold a staff meeting to
discuss consistency and limit-setting approaches.
A client experiencing acute mania undresses in the group room and dances. How should the
nurse intervene initially?
