MENTAL HEALTH EXAM
VERSION 1
1.) A nurse is providing teaching to a client who has a new prescription for
amitriptyline. Which of the following statements by the client indicates an
understanding of the teaching?
a. “While taking this medication, I’ll need to stay out of the sun to avoid
a skin rash.”
b. “I may feel drowsy for a few weeks after starting this medication.”
c. “I cannot eat my favorite pizza with pepperoni while taking this
medication.”
d. “This medication will help me lose the weight that I have gained over
the last year.”
2.) A nurse is caring for a client who is taking phenelzine. For which of the
following adverse effects should the nurse monitor? (Select all that apply.)
a. Elevated blood glucose levels.
b. Orthostatic hypotension.
c. Priapism.
d. Headache.
e. Bruxism.
3.) A nurse is reviewing the medical record of a client who has a new
prescription for bupropion for depression. Which of the following findings is
the priority for the nurse to report to the provider?
a. The client has a family history of seasonal pattern depression.
b. The client currently smokes 1.5 packs of cigarettes per day.
c. The client had a motor vehicle crash last year and sustained a head
injury.
d. The client has a BMI of 25 and has gained 10 lb over the last year.
4.) A nurse is teaching a client who has a new prescription for imipramine how
to minimize anticholinergic effects. Which of the following instructions
should the nurse include in the teaching? (Select all that apply.)
a. Void just before taking the medication.
b. Increase the dietary intake of potassium
c. Wear sunglasses when outside.
d. Change positions slowly when getting up.
e. Chew sugarless gum.
,5.) A charge nurse is discussing mirtazapine with a newly licensed nurse.
Which of the following statements by the newly licensed nurse indicates
understanding?
a. “This medication increases the release of serotonin and
norepinephrine.”
b. “I will need to monitor the client for hyponatremia while taking this
medication.”
c. “This medication is contraindicated for clients who have an eating
disorder.”
d. “Sexual dysfunction is a common adverse effect of this medication.”
Chapter 23 Medications for Bipolar Disorders
1.) A nurse is caring for a client who is prescribed lithium therapy. The client
states that he wants to take ibuprofen for osteoarthritis pain relief. Which of
the following statements should the nurse make?
a. “That is a good choice. Ibuprofen does not interact with lithium.”
b. “Regular aspirin would be a better choice than ibuprofen.”
c. “Lithium decreases the effectiveness of ibuprofen.”
d. “The ibuprofen will make your lithium level fall too low.”
2.) A nurse is discussing early indications of toxicity with a client who has a
new prescription for lithium carbonate for bipolar disorder. The nurse should
include which of the following manifestations in the teaching? (Select all
that apply.)
a. Constipation.
b. Polyuria.
c. Rash.
d. Muscle weakness.
e. Tinnitus.
3.) A nurse is discussing routine follow-up needs with a client who has a new
prescription for valproate. The nurse should inform the client of the need for
routine monitoring of which of the following?
a. AST/ALT and LDH.
b. Creatinine and BUN.
c. WBC and granulocyte counts.
d. Serum sodium and potassium.
,4.) A nurse is caring for a client who is experiencing extreme mania due to
bipolar disorder. Prior to administration of lithium carbonate, the client’s
lithium blood level is 1.2 mEq/L. Which of the following actions should the
nurse take?
a. Administer the next dose of lithium carbonate as scheduled.
b. Prepare for administration of aminophylline.
c. Notify the provider for a possible increase in the dosage of lithium
carbonate.
Request a stat repeat of the client’s lithium blood
1.) A nurse is providing teaching for a client who is scheduled to receive ECT
for the treatment of major depressive disorder. Which of the following client
statements indicates understanding of the teaching?
a. “It is common to treat depression with ECT before trying
medications.”
b. “I can have my depression cured if I receive a series of ECT
treatments.”
c. “I should receive ECT once a week for 6 weeks.”
d. “I will receive a muscle relaxant to protect me from injury during
ECT.”
2.) A charge nurse is discussing TMS with a newly licensed nurse. Which of the
following statements by the newly licensed nurse indicates an understanding
of the teaching?
a. “TMS is indicated for clients who have schizophrenia spectrum
disorders.”
b. “I will provide postanesthesia care following TMS.”
c. “TMS treatments usually last 5 to 10 minutes.”
d. “I will schedule the client for daily TMS treatments for the first
several weeks.”
3.) A nurse is assessing a client immediately following an ECT procedure.
Which of the following findings should the nurse expect? (Select all that
apply.)
a. Hypotension.
b. Paralytic ileus.
c. Memory loss.
d. Nausea.
e. Confusion.
, 4.) A nurse is leading a peer group discussion about the indications for ECT.
Which of the following indications should the nurse include in the
discussion?
a. Borderline personality disorder.
b. Acute withdrawal related to a substance use disorder.
c. Bipolar disorder with rapid cycling.
d. Dysphoric disorder.
5.) A nurse is planning care for a client following surgical implantation of a
VNS device. The nurse should plan to monitor for which of the following
adverse effects? (Select all that apply.)
a. Voice changes.
b. Seizure activity.
c. Disorientation.
d. Dysphagia.
e. Neck pain.
Chapter 16 Personality Disorders
1.) A nurse manager is discussing the care of a client who has a personality
disorder with a newly licensed nurse. Which of the following statements by
the newly licensed nurse indicates an understanding of the teaching?
a. “I can promote my client’s sense of control by establishing a
schedule.”
b. “I should encourage clients who have a schizoid personality disorder
to increase socialization.”
c. “I should practice limit-setting to help prevent client manipulation.”
d. “I should implement assertiveness training with clients who have
antisocial personality disorder.”
2.) A nurse is caring for a client who has avoidant personality disorder. Which
of the following statements is expected from a client who has this type of
personality disorder?
a. “I’m scared that you’re going to leave me.”
b. “I’ll go to group therapy if you’ll let me smoke.”
c. “I need to feel that everyone admires me.”
d. “I sometimes feel better if I cut myself.”
VERSION 1
1.) A nurse is providing teaching to a client who has a new prescription for
amitriptyline. Which of the following statements by the client indicates an
understanding of the teaching?
a. “While taking this medication, I’ll need to stay out of the sun to avoid
a skin rash.”
b. “I may feel drowsy for a few weeks after starting this medication.”
c. “I cannot eat my favorite pizza with pepperoni while taking this
medication.”
d. “This medication will help me lose the weight that I have gained over
the last year.”
2.) A nurse is caring for a client who is taking phenelzine. For which of the
following adverse effects should the nurse monitor? (Select all that apply.)
a. Elevated blood glucose levels.
b. Orthostatic hypotension.
c. Priapism.
d. Headache.
e. Bruxism.
3.) A nurse is reviewing the medical record of a client who has a new
prescription for bupropion for depression. Which of the following findings is
the priority for the nurse to report to the provider?
a. The client has a family history of seasonal pattern depression.
b. The client currently smokes 1.5 packs of cigarettes per day.
c. The client had a motor vehicle crash last year and sustained a head
injury.
d. The client has a BMI of 25 and has gained 10 lb over the last year.
4.) A nurse is teaching a client who has a new prescription for imipramine how
to minimize anticholinergic effects. Which of the following instructions
should the nurse include in the teaching? (Select all that apply.)
a. Void just before taking the medication.
b. Increase the dietary intake of potassium
c. Wear sunglasses when outside.
d. Change positions slowly when getting up.
e. Chew sugarless gum.
,5.) A charge nurse is discussing mirtazapine with a newly licensed nurse.
Which of the following statements by the newly licensed nurse indicates
understanding?
a. “This medication increases the release of serotonin and
norepinephrine.”
b. “I will need to monitor the client for hyponatremia while taking this
medication.”
c. “This medication is contraindicated for clients who have an eating
disorder.”
d. “Sexual dysfunction is a common adverse effect of this medication.”
Chapter 23 Medications for Bipolar Disorders
1.) A nurse is caring for a client who is prescribed lithium therapy. The client
states that he wants to take ibuprofen for osteoarthritis pain relief. Which of
the following statements should the nurse make?
a. “That is a good choice. Ibuprofen does not interact with lithium.”
b. “Regular aspirin would be a better choice than ibuprofen.”
c. “Lithium decreases the effectiveness of ibuprofen.”
d. “The ibuprofen will make your lithium level fall too low.”
2.) A nurse is discussing early indications of toxicity with a client who has a
new prescription for lithium carbonate for bipolar disorder. The nurse should
include which of the following manifestations in the teaching? (Select all
that apply.)
a. Constipation.
b. Polyuria.
c. Rash.
d. Muscle weakness.
e. Tinnitus.
3.) A nurse is discussing routine follow-up needs with a client who has a new
prescription for valproate. The nurse should inform the client of the need for
routine monitoring of which of the following?
a. AST/ALT and LDH.
b. Creatinine and BUN.
c. WBC and granulocyte counts.
d. Serum sodium and potassium.
,4.) A nurse is caring for a client who is experiencing extreme mania due to
bipolar disorder. Prior to administration of lithium carbonate, the client’s
lithium blood level is 1.2 mEq/L. Which of the following actions should the
nurse take?
a. Administer the next dose of lithium carbonate as scheduled.
b. Prepare for administration of aminophylline.
c. Notify the provider for a possible increase in the dosage of lithium
carbonate.
Request a stat repeat of the client’s lithium blood
1.) A nurse is providing teaching for a client who is scheduled to receive ECT
for the treatment of major depressive disorder. Which of the following client
statements indicates understanding of the teaching?
a. “It is common to treat depression with ECT before trying
medications.”
b. “I can have my depression cured if I receive a series of ECT
treatments.”
c. “I should receive ECT once a week for 6 weeks.”
d. “I will receive a muscle relaxant to protect me from injury during
ECT.”
2.) A charge nurse is discussing TMS with a newly licensed nurse. Which of the
following statements by the newly licensed nurse indicates an understanding
of the teaching?
a. “TMS is indicated for clients who have schizophrenia spectrum
disorders.”
b. “I will provide postanesthesia care following TMS.”
c. “TMS treatments usually last 5 to 10 minutes.”
d. “I will schedule the client for daily TMS treatments for the first
several weeks.”
3.) A nurse is assessing a client immediately following an ECT procedure.
Which of the following findings should the nurse expect? (Select all that
apply.)
a. Hypotension.
b. Paralytic ileus.
c. Memory loss.
d. Nausea.
e. Confusion.
, 4.) A nurse is leading a peer group discussion about the indications for ECT.
Which of the following indications should the nurse include in the
discussion?
a. Borderline personality disorder.
b. Acute withdrawal related to a substance use disorder.
c. Bipolar disorder with rapid cycling.
d. Dysphoric disorder.
5.) A nurse is planning care for a client following surgical implantation of a
VNS device. The nurse should plan to monitor for which of the following
adverse effects? (Select all that apply.)
a. Voice changes.
b. Seizure activity.
c. Disorientation.
d. Dysphagia.
e. Neck pain.
Chapter 16 Personality Disorders
1.) A nurse manager is discussing the care of a client who has a personality
disorder with a newly licensed nurse. Which of the following statements by
the newly licensed nurse indicates an understanding of the teaching?
a. “I can promote my client’s sense of control by establishing a
schedule.”
b. “I should encourage clients who have a schizoid personality disorder
to increase socialization.”
c. “I should practice limit-setting to help prevent client manipulation.”
d. “I should implement assertiveness training with clients who have
antisocial personality disorder.”
2.) A nurse is caring for a client who has avoidant personality disorder. Which
of the following statements is expected from a client who has this type of
personality disorder?
a. “I’m scared that you’re going to leave me.”
b. “I’ll go to group therapy if you’ll let me smoke.”
c. “I need to feel that everyone admires me.”
d. “I sometimes feel better if I cut myself.”
