Mental Health Exam 3 Test Bank Exam
Questions and Answers (verified
answers)2026 RATED A+
A highly agitated client paces the unit and states, I could buy and sell this place. The clients
mood fluctuates from fits of laughter to outbursts of anger. Which is the most accurate
documentation of this clients behavior?
1. Rates mood 8/10. Exhibiting looseness of association. Euphoric.
2. Mood euthymic. Exhibiting magical thinking. Restless.
3. Mood labile. Exhibiting delusions of reference. Hyperactive.
4. Agitated and pacing. Exhibiting grandiosity. Mood labile. - CORRECT ANSWERS 4
A client diagnosed with bipolar disorder is distraught over insomnia experienced over the last
3 nights and a 12-pound weight loss over the past 2 weeks. Which should be this clients priority
nursing diagnosis?
1. Knowledge deficit R/T bipolar disorder AEB concern about symptoms
2. Altered nutrition: less than body requirements R/T hyperactivity AEB weight loss
3. Risk for suicide R/T powerlessness AEB insomnia and anorexia
4. Altered sleep patterns R/T mania AEB insomnia for the past 3 nights - CORRECT ANSWERS
2
A nurse is planning care for a client diagnosed with bipolar disorder: manic episode. In which
order should the nurse prioritize the client outcomes in the exhibit?
Client Outcomes:
1. Maintains nutritional status
,2. Interacts appropriately with peers
3. Remains free from injury
4. Sleeps 6 to 8 hours a night
1. 2, 1, 3, 4
2. 4, 1, 2, 3
3. 3, 1, 4, 2
4. 1, 4, 2, 3 - CORRECT ANSWERS 3
A client diagnosed with bipolar disorder: depressive episode intentionally overdoses on
sertraline (Zoloft). Family members report that the client has experienced anorexia, insomnia,
and recent job loss. Which nursing diagnosis should a nurse prioritize?
1. Risk for suicide R/T hopelessness
2. Anxiety: severe R/T hyperactivity
3. Imbalanced nutrition: less than body requirements R/T refusal to eat
4. Dysfunctional grieving R/T loss of employment - CORRECT ANSWERS 1
A client diagnosed with bipolar I disorder: manic episode refuses to take lithium carbonate
(Lithobid) because of excessive weight gain. In order to increase adherence, which medication
should a nurse anticipate that a physician may prescribe?
1. Sertraline (Zoloft)
2. Valproic acid (Depakote)
3. Trazodone (Desyrel)
4. Paroxetine (Paxil) - CORRECT ANSWERS 2
A client diagnosed with bipolar I disorder is exhibiting severe manic behaviors. A physician
,prescribes lithium carbonate (Eskalith) and olanzapine (Zyprexa). The clients spouse questions
the Zyprexa order. Which is the appropriate nursing response?
1. Zyprexa in combination with Eskalith cures manic symptoms.
2. Zyprexa prevents extrapyramidal side effects.
3. Zyprexa increases the effectiveness of the immune system.
4. Zyprexa calms hyperactivity until the Eskalith takes effect. - CORRECT ANSWERS 4
A client began taking lithium carbonate (Lithobid) for the treatment of bipolar disorder
approximately 1 month ago. The client asks if it is normal to have gained 12 pounds in this time
frame. Which is the appropriate nursing response?
1. Thats strange. Weight loss is the typical pattern.
2. What have you been eating? Weight gain is not usually associated with lithium.
3. Weight gain is a common, but troubling, side effect.
4. Weight gain only occurs during the first month of treatment with this drug. - CORRECT ANSWERS
3
A client diagnosed with bipolar disorder has been taking lithium carbonate (Lithobid) for one
year. The client presents in an emergency department with a temperature of 101F (38C), severe
diarrhea, blurred vision, and tinnitus. How should the nurse interpret these symptoms?
1. Symptoms indicate consumption of foods high in tyramine.
2. Symptoms indicate lithium carbonate discontinuation syndrome.
3. Symptoms indicate the development of lithium carbonate tolerance.
4. Symptoms indicate lithium carbonate toxicity. - CORRECT ANSWERS 4
What tool should a nurse use to differentiate occasional spontaneous behaviors of children
from behaviors associated with bipolar disorder?
, 1. Risky Activity tool
2. FIND tool
3. Consensus Committee tool
4. Monotherapy tool - CORRECT ANSWERS 2
A nursing instructor is discussing various challenges in the treatment of clients diagnosed
with bipolar disorder. Which student statement demonstrates an understanding of the most
critical challenge in the care of these clients?
1. Treatment is compromised when clients cant sleep.
2. Treatment is compromised when irritability interferes with social interactions.
3. Treatment is compromised when clients have no insight into their problems.
4. Treatment is compromised when clients choose not to take their medications. - CORRECT ANSWERS
4
A client is diagnosed with bipolar disorder: manic episode. Which nursing intervention
would be implemented to achieve the outcome of Client will gain 2 lb by the end of the week?
1. Provide client with high-calorie finger foods throughout the day.
2. Accompany client to cafeteria to encourage adequate dietary consumption.
3. Initiate total parenteral nutrition to meet dietary needs.
4. Teach the importance of a varied diet to meet nutritional needs. - CORRECT ANSWERS 1
A nursing instructor is teaching about bipolar disorders. Which statement differentiates the
DSM-5 diagnostic criteria of a manic episode from a hypomanic episode?
1. During a manic episode, clients may experience an inflated self-esteem or grandiosity, and
these symptoms are absent in hypomania.
2. During a manic episode, clients may experience a decreased need for sleep, and this symptom
Questions and Answers (verified
answers)2026 RATED A+
A highly agitated client paces the unit and states, I could buy and sell this place. The clients
mood fluctuates from fits of laughter to outbursts of anger. Which is the most accurate
documentation of this clients behavior?
1. Rates mood 8/10. Exhibiting looseness of association. Euphoric.
2. Mood euthymic. Exhibiting magical thinking. Restless.
3. Mood labile. Exhibiting delusions of reference. Hyperactive.
4. Agitated and pacing. Exhibiting grandiosity. Mood labile. - CORRECT ANSWERS 4
A client diagnosed with bipolar disorder is distraught over insomnia experienced over the last
3 nights and a 12-pound weight loss over the past 2 weeks. Which should be this clients priority
nursing diagnosis?
1. Knowledge deficit R/T bipolar disorder AEB concern about symptoms
2. Altered nutrition: less than body requirements R/T hyperactivity AEB weight loss
3. Risk for suicide R/T powerlessness AEB insomnia and anorexia
4. Altered sleep patterns R/T mania AEB insomnia for the past 3 nights - CORRECT ANSWERS
2
A nurse is planning care for a client diagnosed with bipolar disorder: manic episode. In which
order should the nurse prioritize the client outcomes in the exhibit?
Client Outcomes:
1. Maintains nutritional status
,2. Interacts appropriately with peers
3. Remains free from injury
4. Sleeps 6 to 8 hours a night
1. 2, 1, 3, 4
2. 4, 1, 2, 3
3. 3, 1, 4, 2
4. 1, 4, 2, 3 - CORRECT ANSWERS 3
A client diagnosed with bipolar disorder: depressive episode intentionally overdoses on
sertraline (Zoloft). Family members report that the client has experienced anorexia, insomnia,
and recent job loss. Which nursing diagnosis should a nurse prioritize?
1. Risk for suicide R/T hopelessness
2. Anxiety: severe R/T hyperactivity
3. Imbalanced nutrition: less than body requirements R/T refusal to eat
4. Dysfunctional grieving R/T loss of employment - CORRECT ANSWERS 1
A client diagnosed with bipolar I disorder: manic episode refuses to take lithium carbonate
(Lithobid) because of excessive weight gain. In order to increase adherence, which medication
should a nurse anticipate that a physician may prescribe?
1. Sertraline (Zoloft)
2. Valproic acid (Depakote)
3. Trazodone (Desyrel)
4. Paroxetine (Paxil) - CORRECT ANSWERS 2
A client diagnosed with bipolar I disorder is exhibiting severe manic behaviors. A physician
,prescribes lithium carbonate (Eskalith) and olanzapine (Zyprexa). The clients spouse questions
the Zyprexa order. Which is the appropriate nursing response?
1. Zyprexa in combination with Eskalith cures manic symptoms.
2. Zyprexa prevents extrapyramidal side effects.
3. Zyprexa increases the effectiveness of the immune system.
4. Zyprexa calms hyperactivity until the Eskalith takes effect. - CORRECT ANSWERS 4
A client began taking lithium carbonate (Lithobid) for the treatment of bipolar disorder
approximately 1 month ago. The client asks if it is normal to have gained 12 pounds in this time
frame. Which is the appropriate nursing response?
1. Thats strange. Weight loss is the typical pattern.
2. What have you been eating? Weight gain is not usually associated with lithium.
3. Weight gain is a common, but troubling, side effect.
4. Weight gain only occurs during the first month of treatment with this drug. - CORRECT ANSWERS
3
A client diagnosed with bipolar disorder has been taking lithium carbonate (Lithobid) for one
year. The client presents in an emergency department with a temperature of 101F (38C), severe
diarrhea, blurred vision, and tinnitus. How should the nurse interpret these symptoms?
1. Symptoms indicate consumption of foods high in tyramine.
2. Symptoms indicate lithium carbonate discontinuation syndrome.
3. Symptoms indicate the development of lithium carbonate tolerance.
4. Symptoms indicate lithium carbonate toxicity. - CORRECT ANSWERS 4
What tool should a nurse use to differentiate occasional spontaneous behaviors of children
from behaviors associated with bipolar disorder?
, 1. Risky Activity tool
2. FIND tool
3. Consensus Committee tool
4. Monotherapy tool - CORRECT ANSWERS 2
A nursing instructor is discussing various challenges in the treatment of clients diagnosed
with bipolar disorder. Which student statement demonstrates an understanding of the most
critical challenge in the care of these clients?
1. Treatment is compromised when clients cant sleep.
2. Treatment is compromised when irritability interferes with social interactions.
3. Treatment is compromised when clients have no insight into their problems.
4. Treatment is compromised when clients choose not to take their medications. - CORRECT ANSWERS
4
A client is diagnosed with bipolar disorder: manic episode. Which nursing intervention
would be implemented to achieve the outcome of Client will gain 2 lb by the end of the week?
1. Provide client with high-calorie finger foods throughout the day.
2. Accompany client to cafeteria to encourage adequate dietary consumption.
3. Initiate total parenteral nutrition to meet dietary needs.
4. Teach the importance of a varied diet to meet nutritional needs. - CORRECT ANSWERS 1
A nursing instructor is teaching about bipolar disorders. Which statement differentiates the
DSM-5 diagnostic criteria of a manic episode from a hypomanic episode?
1. During a manic episode, clients may experience an inflated self-esteem or grandiosity, and
these symptoms are absent in hypomania.
2. During a manic episode, clients may experience a decreased need for sleep, and this symptom
