NSG 322/NSG322 Exam 3 V3 | Behavioral
Health Nursing Q&A with Rationale |
Grand Canyon University
1. A client with Bipolar I Disorder is experiencing a manic episode. Which of the following
activities is most appropriate for the nurse to suggest?
A. Participating in a competitive game of basketball.
B. Walking with the nurse in a quiet hallway.
C. Attending a group therapy session about anger management.
D. Playing a complex board game with other clients.
Correct Answer: B
Expert Explanation: During a manic episode, clients are often hyperactive and easily
overstimulated by their environment. Walking with the nurse provides an outlet for
physical energy while maintaining a low-stimulus environment. Competitive or complex
activities can increase agitation and should be avoided during acute mania.
,2. A nurse is assessing a client for lithium toxicity. Which of the following findings should the
nurse identify as an early sign of toxicity?
A. Coarse tremors and ataxia.
B. Fine hand tremors and nausea.
C. Seizures and hypotension.
D. Increased urinary output and thirst.
Correct Answer: B
Expert Explanation: Early signs of lithium toxicity occur at levels between 1.5 and 2.0
mEq/L and include gastrointestinal upset and fine tremors. Coarse tremors and ataxia are
signs of advanced toxicity as levels rise higher. It is essential for the nurse to recognize
these early signs to prevent life-threatening complications.
3. Which dietary instruction is most important for a client starting a Monoamine Oxidase
Inhibitor (MAOI)?
A. Eliminate foods containing tyramine from the diet.
B. Avoid foods containing high levels of potassium.
C. Limit fluid intake to 1 liter per day.
D. Increase intake of green leafy vegetables.
Correct Answer: A
Expert Explanation: MAOIs interact with tyramine-rich foods, which can trigger a
hypertensive crisis. Common foods to avoid include aged cheeses, cured meats, and red
, wine. Patients must be educated that this restriction must be strictly followed to ensure
safety while on the medication.
4. A nurse is caring for a client with Anorexia Nervosa. Which physical assessment finding is
consistent with this diagnosis?
A. Tachycardia and hypertension.
B. Amenorrhea and lanugo.
C. Hyperkalemia and oily skin.
D. Increased bone density and warm extremities.
Correct Answer: B
Expert Explanation: Anorexia Nervosa often leads to physiological changes due to
starvation, such as the loss of menstrual cycles and the growth of fine body hair called
lanugo. Clients typically exhibit bradycardia and hypotension rather than tachycardia.
These symptoms reflect the body’s attempt to conserve energy in a severely malnourished
state.
5. A client is admitted for Alcohol Withdrawal. The nurse should expect to administer which
medication to prevent seizures?
A. Disulfiram
B. Lorazepam
C. Methadone
D. Naloxone
Correct Answer: B
Health Nursing Q&A with Rationale |
Grand Canyon University
1. A client with Bipolar I Disorder is experiencing a manic episode. Which of the following
activities is most appropriate for the nurse to suggest?
A. Participating in a competitive game of basketball.
B. Walking with the nurse in a quiet hallway.
C. Attending a group therapy session about anger management.
D. Playing a complex board game with other clients.
Correct Answer: B
Expert Explanation: During a manic episode, clients are often hyperactive and easily
overstimulated by their environment. Walking with the nurse provides an outlet for
physical energy while maintaining a low-stimulus environment. Competitive or complex
activities can increase agitation and should be avoided during acute mania.
,2. A nurse is assessing a client for lithium toxicity. Which of the following findings should the
nurse identify as an early sign of toxicity?
A. Coarse tremors and ataxia.
B. Fine hand tremors and nausea.
C. Seizures and hypotension.
D. Increased urinary output and thirst.
Correct Answer: B
Expert Explanation: Early signs of lithium toxicity occur at levels between 1.5 and 2.0
mEq/L and include gastrointestinal upset and fine tremors. Coarse tremors and ataxia are
signs of advanced toxicity as levels rise higher. It is essential for the nurse to recognize
these early signs to prevent life-threatening complications.
3. Which dietary instruction is most important for a client starting a Monoamine Oxidase
Inhibitor (MAOI)?
A. Eliminate foods containing tyramine from the diet.
B. Avoid foods containing high levels of potassium.
C. Limit fluid intake to 1 liter per day.
D. Increase intake of green leafy vegetables.
Correct Answer: A
Expert Explanation: MAOIs interact with tyramine-rich foods, which can trigger a
hypertensive crisis. Common foods to avoid include aged cheeses, cured meats, and red
, wine. Patients must be educated that this restriction must be strictly followed to ensure
safety while on the medication.
4. A nurse is caring for a client with Anorexia Nervosa. Which physical assessment finding is
consistent with this diagnosis?
A. Tachycardia and hypertension.
B. Amenorrhea and lanugo.
C. Hyperkalemia and oily skin.
D. Increased bone density and warm extremities.
Correct Answer: B
Expert Explanation: Anorexia Nervosa often leads to physiological changes due to
starvation, such as the loss of menstrual cycles and the growth of fine body hair called
lanugo. Clients typically exhibit bradycardia and hypotension rather than tachycardia.
These symptoms reflect the body’s attempt to conserve energy in a severely malnourished
state.
5. A client is admitted for Alcohol Withdrawal. The nurse should expect to administer which
medication to prevent seizures?
A. Disulfiram
B. Lorazepam
C. Methadone
D. Naloxone
Correct Answer: B
