NR 548 Exam 3 Weeks 1 to 8 Psychiatric Assessment for the
PMHNP
Complete Guide with Questions and Verified Answers
100% Correct
1. Which nursing response demonstrates accurate information that should
be discussed with the female patient diagnosed with bipolar and her
support system? SATA
A. "Remember that alcohol and caffeine can trigger a relapse of your
symp- toms."
B. "Due to the risk of a manic episode, antidepressant therapy is never
used with bipolar disorder."
C. " It'a 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."
Answer> A. "Remember that alcohol and caffeine can trigger a relapse of your
symptoms."
C. " It'a critical to let your healthcare provider know immediately if you aren't sleepin
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."
2. Which statement made by the patient demonstrates an understanding of
the effective use of newly prescribed lithium to manage bipolar mania?
SATA
A. "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."
C. "Lithium may help me lose the few extra pounds I tend to carry around."
D. "I take my lithium on an empty stomach to help with absorption."
E. "I've already made arrangements for my monthly lab work."
Answer> A. "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."
3. 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? SATA
A. Increase attentiveness
B. Getting up at night to urinate
C. Improved vision
D. An upset stomach for no apparent reason
, E. Shaky hands that make holding a cup difficult
Answer> D. An upset stomach for no apparent reason
E. Shaky hands that make holding a cup difficult
4. 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 does 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 precau-
tions.
Answer> B. Instruct the patient to hold the next does of medication and contact
the prescriber.
5. Which intervention should the nurse implement when caring for a
patient demonstrating manic behavior? SATA
A. Monitor the patient's vital signs frequently.
B. Keep the patient distracted with group-oriented activities.
C. Provide the patient with frequent milkshakes and protein drinks.
PMHNP
Complete Guide with Questions and Verified Answers
100% Correct
1. Which nursing response demonstrates accurate information that should
be discussed with the female patient diagnosed with bipolar and her
support system? SATA
A. "Remember that alcohol and caffeine can trigger a relapse of your
symp- toms."
B. "Due to the risk of a manic episode, antidepressant therapy is never
used with bipolar disorder."
C. " It'a 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."
Answer> A. "Remember that alcohol and caffeine can trigger a relapse of your
symptoms."
C. " It'a critical to let your healthcare provider know immediately if you aren't sleepin
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."
2. Which statement made by the patient demonstrates an understanding of
the effective use of newly prescribed lithium to manage bipolar mania?
SATA
A. "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."
C. "Lithium may help me lose the few extra pounds I tend to carry around."
D. "I take my lithium on an empty stomach to help with absorption."
E. "I've already made arrangements for my monthly lab work."
Answer> A. "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."
3. 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? SATA
A. Increase attentiveness
B. Getting up at night to urinate
C. Improved vision
D. An upset stomach for no apparent reason
, E. Shaky hands that make holding a cup difficult
Answer> D. An upset stomach for no apparent reason
E. Shaky hands that make holding a cup difficult
4. 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 does 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 precau-
tions.
Answer> B. Instruct the patient to hold the next does of medication and contact
the prescriber.
5. Which intervention should the nurse implement when caring for a
patient demonstrating manic behavior? SATA
A. Monitor the patient's vital signs frequently.
B. Keep the patient distracted with group-oriented activities.
C. Provide the patient with frequent milkshakes and protein drinks.
