Mental Health Final
Which nursing response demonstrates accurate information that should be
discussed with the female patient diagnosed with bipolar and her support
system? Select all that apply.
a. "Remember that alcohol and caffeine can trigger a relapse of your
symptoms."
b."Due to the risk of a manic episode, antidepressant therapy is never
used with bipolar disorder.
c."It's critical to let your healthcare provider know immediately if you
aren't sleeping well."
d. "Is your family prepared to be actively involved in helping manage this
disorder?"
e."The symptoms tend to come and go and so you need to be able to
recognize the early signs." correct answersa. "Remember that alcohol and
caffeine can trigger a relapse of your symptoms."
c."It's critical to let your healthcare provider know immediately if you
aren't sleeping well."
d. "Is your family prepared to be actively involved in helping manage this
disorder?"
e."The symptoms tend to come and go and so you need to be able to
recognize the early signs."
Which statement made by the patient demonstrates an understanding of
the effective use of newly prescribed lithium to manage bipolar mania?
Select all that apply.
f."I have to keep reminding myself to consistently drink six 12-ounce
glasses of fluid every day."
g. "I discussed the diuretic my cardiologist prescribed with my psychiatric
care provider."
h. "Lithium may help me lose the few extra pounds I tend to carry around."
i. "I take my lithium on an empty stomach to help with absorption."
j."I've already made arrangements for my monthly lab work." correct
answersa. "I have to keep reminding myself to consistently drink six 12-
ounce glasses of fluid every day."
b. "I discussed the diuretic my cardiologist prescribed with my psychiatric
care provider."
e. "I've already made arrangements for my monthly lab work."
The nurse is providing medication education to a patient who has been
prescribed lithium to stabilize mood. Which early signs and symptoms of
toxicity should the nurse stress to the patient? Select all that apply.
k. Increased attentiveness
l. Getting up at night to urinate
m.Improved vision
n. An upset stomach for no apparent reason
,e. Shaky hands that make holding a cup difficult correct answersd. An
upset stomach for no apparent reason
e. Shaky hands that make holding a cup difficult
A male patient calls to tell the nurse that his monthly lithium level is 1.7
mEq/L. Which nursing intervention will the nurse implement initially?
a. Reinforce that the level is considered therapeutic.
b. Instruct the patient to hold the next dose of medication and contact the
prescriber.
c. Have the patient go to the hospital emergency room immediately.
d.Alert the patient to the possibility of seizures and appropriate
precautions. correct answersb. Instruct the patient to hold the next dose
of medication and contact the prescriber.
Which intervention should the nurse implement when caring for a patient
demonstrating manic behavior? Select all that apply.
e. Monitor the patient's vital signs frequently.
f. Keep the patient distracted with group-oriented activities.
g. Provide the patient with frequent milkshakes and protein drinks.
h. Reduce the volume on the television and dim bright lights in the
environment.
i.Use a firm but calm voice to give specific concise directions to the
patient. correct answersa. Monitor the patient's vital signs frequently.
c. Provide the patient with frequent milkshakes and protein drinks.
d. Reduce the volume on the television and dim bright lights in the
environment.
e. Use a firm but calm voice to give specific concise directions to the
patient.
Substance abuse is often present in people diagnosed with bipolar
disorder. Laura, a 28-year-old with a diagnosis of bipolar disorder, drinks
alcohol instead of taking her prescribed medications. The nurse caring for
this patient recognizes that:
f. Anxiety may be present.
g. Alcohol ingestion is a form of self-medication.
h. The patient is lacking a sufficient number of neurotransmitters.
i.The patient is using alcohol because she is depressed. correct
answersb. Alcohol ingestion is a form of self-medication.
Ted, a former executive, is now unemployed due to manic episodes at work.
He was diagnosed with bipolar I 8 years ago. Ted has a history of IV drug
abuse, which resulted in hepatitis C. He is taking his lithium exactly as
scheduled, a fact that both Ted's wife and his blood tests confirm. To reduce
Ted's mania the psychiatric nurse practitioner recommends:
j. Clonazepam (Klonopin)
k. Fluoxetine (Prozac)
l. Electroconvulsive therapy (ECT)
,d. Lurasidone (Latuda) correct answersc. Electroconvulsive therapy (ECT)
A 33-year-old female diagnosed with bipolar I disorder has been
functioning well on lithium for 11 months. At her most recent checkup,
the psychiatric nurse practitioner states, "You are ready to enter the
maintenance therapy stage, so at this time I am going to adjust your
dosage by prescribing":
a. A higher dosage
b. Once a week dosing
c. A lower dosage
d. A different drug correct answersc. A lower dosage
Tatiana has been hospitalized for an acute manic episode. On admission the
nurse suspects lithium toxicity. What assessment findings would indicate the
nurse's suspicion as correct?
e. Shortness of breath, gastrointestinal distress, chronic cough
f. Ataxia, severe hypotension, large volume of dilute urine
g. Gastrointestinal distress, thirst, nystagmus
h.Electroencephalographic changes, chest pain, dizziness correct
answersb. Ataxia, severe hypotension, large volume of dilute urine
Luc's family comes home one evening to find him extremely agitated and
they suspect in a full manic episode. The family calls emergency medical
services. While one medic is talking with Luc and his family, the other
medic is counting something on his desk.
What is the medic most likely counting?
i. Hypodermic needles
j. Fast food wrappers
k. Empty soda cans
l. Energy drink containers correct answersd. Energy drink containers
Which response by a 15-year-old demonstrates a common symptom
observed in patients diagnosed with major depressive disorder?
m."I'm so restless. I can't seem to sit still."
n. "I spend most of my time studying. I have to get into a good
college."
o. "I'm not trying to diet, but I've lost about 5 pounds in the past 5
months."
p."I go to sleep around 11 p.m. but I'm always up by 3 a.m. and can't go
back to sleep." correct answersd. "I go to sleep around 11 p.m. but I'm
always up by 3 a.m. and can't go back to sleep."
Which assessment question asked by the nurse demonstrates an
understanding of comorbid mental health conditions associated with major
depressive disorder? Select all that apply.
, a. "Do rules apply to you?"
b. "What do you do to manage anxiety?"
c. "Do you have a history of disordered eating?"
d. "Do you think that you drink too much?"
e."Have you ever been arrested for committing a crime?" correct
answersb. "What do you do to manage anxiety?"
c. "Do you have a history of disordered eating?"
d. "Do you think that you drink too much?"
Which nursing intervention focuses on managing a common
characteristic of major depressive disorder associated with the older
population?
f. Conducting routine suicide screenings at a senior center.
g. Identifying depression as a natural, but treatable result of aging.
h. Identifying males as being at a greater risk for developing depression.
i.Stressing that most individuals experience just a single episode of major
depression in a lifetime. correct answersa. Conducting routine suicide
screenings at a senior center.
Which characteristic identified during an assessment serves to support a
diagnosis of disruptive mood dysregulation disorder? Select all that apply.
j. Female
k. 7 years old
l. Comorbid autism diagnosis
m.Outbursts occur at least once a week
n. Temper tantrums occur at home and in school correct answersb. 7 years
old
c. Comorbid autism diagnosis
e. Temper tantrums occur at home and in school
Which chronic medical condition is a common trigger for major depressive
disorder?
o. Pain
p. Hypertension
q. Hypothyroidism
r. Crohn's disease correct answersa. Pain
Tammy, a 28-year-old with major depressive disorder and bulimia nervosa,
is ready for discharge from the county hospital after 2 weeks of inpatient
therapy. Tammy is taking citalopram (Celexa) and reports that it has made
her feel more hopeful. With a secondary diagnosis of bulimia nervosa, what
is an alternative antidepressant to consider?
s. Fluoxetine (Prozac)
t. Isocarboxazid (Marplan)
u. Amitriptyline
v. Duloxetine (Cymbalta) correct answersa. Fluoxetine (Prozac)
Which nursing response demonstrates accurate information that should be
discussed with the female patient diagnosed with bipolar and her support
system? Select all that apply.
a. "Remember that alcohol and caffeine can trigger a relapse of your
symptoms."
b."Due to the risk of a manic episode, antidepressant therapy is never
used with bipolar disorder.
c."It's critical to let your healthcare provider know immediately if you
aren't sleeping well."
d. "Is your family prepared to be actively involved in helping manage this
disorder?"
e."The symptoms tend to come and go and so you need to be able to
recognize the early signs." correct answersa. "Remember that alcohol and
caffeine can trigger a relapse of your symptoms."
c."It's critical to let your healthcare provider know immediately if you
aren't sleeping well."
d. "Is your family prepared to be actively involved in helping manage this
disorder?"
e."The symptoms tend to come and go and so you need to be able to
recognize the early signs."
Which statement made by the patient demonstrates an understanding of
the effective use of newly prescribed lithium to manage bipolar mania?
Select all that apply.
f."I have to keep reminding myself to consistently drink six 12-ounce
glasses of fluid every day."
g. "I discussed the diuretic my cardiologist prescribed with my psychiatric
care provider."
h. "Lithium may help me lose the few extra pounds I tend to carry around."
i. "I take my lithium on an empty stomach to help with absorption."
j."I've already made arrangements for my monthly lab work." correct
answersa. "I have to keep reminding myself to consistently drink six 12-
ounce glasses of fluid every day."
b. "I discussed the diuretic my cardiologist prescribed with my psychiatric
care provider."
e. "I've already made arrangements for my monthly lab work."
The nurse is providing medication education to a patient who has been
prescribed lithium to stabilize mood. Which early signs and symptoms of
toxicity should the nurse stress to the patient? Select all that apply.
k. Increased attentiveness
l. Getting up at night to urinate
m.Improved vision
n. An upset stomach for no apparent reason
,e. Shaky hands that make holding a cup difficult correct answersd. An
upset stomach for no apparent reason
e. Shaky hands that make holding a cup difficult
A male patient calls to tell the nurse that his monthly lithium level is 1.7
mEq/L. Which nursing intervention will the nurse implement initially?
a. Reinforce that the level is considered therapeutic.
b. Instruct the patient to hold the next dose of medication and contact the
prescriber.
c. Have the patient go to the hospital emergency room immediately.
d.Alert the patient to the possibility of seizures and appropriate
precautions. correct answersb. Instruct the patient to hold the next dose
of medication and contact the prescriber.
Which intervention should the nurse implement when caring for a patient
demonstrating manic behavior? Select all that apply.
e. Monitor the patient's vital signs frequently.
f. Keep the patient distracted with group-oriented activities.
g. Provide the patient with frequent milkshakes and protein drinks.
h. Reduce the volume on the television and dim bright lights in the
environment.
i.Use a firm but calm voice to give specific concise directions to the
patient. correct answersa. Monitor the patient's vital signs frequently.
c. Provide the patient with frequent milkshakes and protein drinks.
d. Reduce the volume on the television and dim bright lights in the
environment.
e. Use a firm but calm voice to give specific concise directions to the
patient.
Substance abuse is often present in people diagnosed with bipolar
disorder. Laura, a 28-year-old with a diagnosis of bipolar disorder, drinks
alcohol instead of taking her prescribed medications. The nurse caring for
this patient recognizes that:
f. Anxiety may be present.
g. Alcohol ingestion is a form of self-medication.
h. The patient is lacking a sufficient number of neurotransmitters.
i.The patient is using alcohol because she is depressed. correct
answersb. Alcohol ingestion is a form of self-medication.
Ted, a former executive, is now unemployed due to manic episodes at work.
He was diagnosed with bipolar I 8 years ago. Ted has a history of IV drug
abuse, which resulted in hepatitis C. He is taking his lithium exactly as
scheduled, a fact that both Ted's wife and his blood tests confirm. To reduce
Ted's mania the psychiatric nurse practitioner recommends:
j. Clonazepam (Klonopin)
k. Fluoxetine (Prozac)
l. Electroconvulsive therapy (ECT)
,d. Lurasidone (Latuda) correct answersc. Electroconvulsive therapy (ECT)
A 33-year-old female diagnosed with bipolar I disorder has been
functioning well on lithium for 11 months. At her most recent checkup,
the psychiatric nurse practitioner states, "You are ready to enter the
maintenance therapy stage, so at this time I am going to adjust your
dosage by prescribing":
a. A higher dosage
b. Once a week dosing
c. A lower dosage
d. A different drug correct answersc. A lower dosage
Tatiana has been hospitalized for an acute manic episode. On admission the
nurse suspects lithium toxicity. What assessment findings would indicate the
nurse's suspicion as correct?
e. Shortness of breath, gastrointestinal distress, chronic cough
f. Ataxia, severe hypotension, large volume of dilute urine
g. Gastrointestinal distress, thirst, nystagmus
h.Electroencephalographic changes, chest pain, dizziness correct
answersb. Ataxia, severe hypotension, large volume of dilute urine
Luc's family comes home one evening to find him extremely agitated and
they suspect in a full manic episode. The family calls emergency medical
services. While one medic is talking with Luc and his family, the other
medic is counting something on his desk.
What is the medic most likely counting?
i. Hypodermic needles
j. Fast food wrappers
k. Empty soda cans
l. Energy drink containers correct answersd. Energy drink containers
Which response by a 15-year-old demonstrates a common symptom
observed in patients diagnosed with major depressive disorder?
m."I'm so restless. I can't seem to sit still."
n. "I spend most of my time studying. I have to get into a good
college."
o. "I'm not trying to diet, but I've lost about 5 pounds in the past 5
months."
p."I go to sleep around 11 p.m. but I'm always up by 3 a.m. and can't go
back to sleep." correct answersd. "I go to sleep around 11 p.m. but I'm
always up by 3 a.m. and can't go back to sleep."
Which assessment question asked by the nurse demonstrates an
understanding of comorbid mental health conditions associated with major
depressive disorder? Select all that apply.
, a. "Do rules apply to you?"
b. "What do you do to manage anxiety?"
c. "Do you have a history of disordered eating?"
d. "Do you think that you drink too much?"
e."Have you ever been arrested for committing a crime?" correct
answersb. "What do you do to manage anxiety?"
c. "Do you have a history of disordered eating?"
d. "Do you think that you drink too much?"
Which nursing intervention focuses on managing a common
characteristic of major depressive disorder associated with the older
population?
f. Conducting routine suicide screenings at a senior center.
g. Identifying depression as a natural, but treatable result of aging.
h. Identifying males as being at a greater risk for developing depression.
i.Stressing that most individuals experience just a single episode of major
depression in a lifetime. correct answersa. Conducting routine suicide
screenings at a senior center.
Which characteristic identified during an assessment serves to support a
diagnosis of disruptive mood dysregulation disorder? Select all that apply.
j. Female
k. 7 years old
l. Comorbid autism diagnosis
m.Outbursts occur at least once a week
n. Temper tantrums occur at home and in school correct answersb. 7 years
old
c. Comorbid autism diagnosis
e. Temper tantrums occur at home and in school
Which chronic medical condition is a common trigger for major depressive
disorder?
o. Pain
p. Hypertension
q. Hypothyroidism
r. Crohn's disease correct answersa. Pain
Tammy, a 28-year-old with major depressive disorder and bulimia nervosa,
is ready for discharge from the county hospital after 2 weeks of inpatient
therapy. Tammy is taking citalopram (Celexa) and reports that it has made
her feel more hopeful. With a secondary diagnosis of bulimia nervosa, what
is an alternative antidepressant to consider?
s. Fluoxetine (Prozac)
t. Isocarboxazid (Marplan)
u. Amitriptyline
v. Duloxetine (Cymbalta) correct answersa. Fluoxetine (Prozac)
