NUR208 EXAM 3 2026 ACTUAL SCRIPT
COMPLETE QUESTIONS AND ANSWERS 100%
CORRECT
◉ A manic patient has a prescription written for lithium and
olanzapine(zyprexa) the addition of the olanzapine will:
A. minimize the side effects of lithium
B. bring hyperactivity under rapid control
C. enhance the antimanic actions of lithium
D. provide long term control of hyperactivity. Answer: B. bring the
hyperactivity under rapid control
◉ The cause of bipolar disorder has not been determined but:
A. several factors, including genetics are implicated
B. brain structures were altered by trauma early in life
C. excess norepinephrine is probably a major factor
D. excess sensitivity in dopamine receptors may exist.. Answer: A.
several factors including genetics are implicated
◉ A patient experiencing mania has not eaten or slept for 3 days.
Which nursing diagnosis has priority?
A. risk for injury
,B. ineffective coping
C. impaired social interaction
D. ineffective therapeutic regimen management. Answer: A. risk for
injury
◉ a bipolar patient threatens to hit another patient, which comment
by the nurse is appropriate?
A. stop that! no one did anything to provoke an attack by you
B. if you do that one more time you will be secluded immediately
C. do not hit anyone if you are unable to control yourself we will help
you
D. you know we will not let you hit anyone. why do you continue this
behavior. Answer: C. Do not hit anyone if you are unable to control
yourself we will help you
◉ A bipolar disorder patient commands other patients, "Get me a
book. Take this stuff out of here." What do you say?
A. Distraction: "Let's go to the dining room for a snack."
B. Humor: "How much are you paying servants these days?"
C. Limit setting: "You must stop ordering other patients around."
D. Honest feedback: "Your controlling behavior is annoying others.".
Answer: A. Distraction: "Let's go to the dining room for a snack."
,◉ A nurse receives this lab result for a patient diagnosed with
bipolar disorder: lithium level 1 mEq/L. This result is:
A. within therapeutic limits
B. below therapeutic limits
C. above therapeutic limits
D. likely to be inaccurate. Answer: A. within therapeutic limits
◉ Which drug also belongs in this group? divalproex (Depakote),
carbamazepine (Tegretol), and gabapentin (Neurontin).
A. Clonazepam (Klonopin)
B. Risperidone (Risperdal)
C. Lamotrigine (Lamictal)
D. Aripiprazole (Abilify). Answer: C. Lamotrigine (Lamictal)
◉ When a hyperactive patient experiencing acute mania is
hospitalized, what initial nursing intervention is a priority?
A. Allow the patient to act out his or her feelings
B. Set limits on the patient's behavior as necessary
C. Provide verbal instructions to the patient to remain calm
D. Restrain the patient to reduce hyperactivity and aggression.
Answer: B. Set limits on the patient's behavior as necessary
, ◉ At a meeting, staff members discuss the decor for a special room
for patients experiencing mania. Select the best option
A. Extra-large window with a view of the street
B. Neutral walls with pale, simple accessories
C. Brightly colored walls and print drapes
D. Deep colors for walls and upholstery. Answer: B. Neutral walls
with pale, simple accessories
◉ A priority nursing intervention for a patient diagnosed with major
depressive disorder is:
A. distracting the patient from self-absorption
B. carefully and inconspicuously observing the patient around the
clock
C. allowing the patient to spend long periods alone in self-reflection
D. give chance for patient to have a leadership role in the therapeutic
milieu. Answer: B. carefully and inconspicuously observing the
patient around the clock
◉ When counseling patients with major depressive disorder,
negative thought patterns are addressed by using:
A. psychoanalytic therapy
B. desensitization therapy
C. cognitive behavioral therapy
COMPLETE QUESTIONS AND ANSWERS 100%
CORRECT
◉ A manic patient has a prescription written for lithium and
olanzapine(zyprexa) the addition of the olanzapine will:
A. minimize the side effects of lithium
B. bring hyperactivity under rapid control
C. enhance the antimanic actions of lithium
D. provide long term control of hyperactivity. Answer: B. bring the
hyperactivity under rapid control
◉ The cause of bipolar disorder has not been determined but:
A. several factors, including genetics are implicated
B. brain structures were altered by trauma early in life
C. excess norepinephrine is probably a major factor
D. excess sensitivity in dopamine receptors may exist.. Answer: A.
several factors including genetics are implicated
◉ A patient experiencing mania has not eaten or slept for 3 days.
Which nursing diagnosis has priority?
A. risk for injury
,B. ineffective coping
C. impaired social interaction
D. ineffective therapeutic regimen management. Answer: A. risk for
injury
◉ a bipolar patient threatens to hit another patient, which comment
by the nurse is appropriate?
A. stop that! no one did anything to provoke an attack by you
B. if you do that one more time you will be secluded immediately
C. do not hit anyone if you are unable to control yourself we will help
you
D. you know we will not let you hit anyone. why do you continue this
behavior. Answer: C. Do not hit anyone if you are unable to control
yourself we will help you
◉ A bipolar disorder patient commands other patients, "Get me a
book. Take this stuff out of here." What do you say?
A. Distraction: "Let's go to the dining room for a snack."
B. Humor: "How much are you paying servants these days?"
C. Limit setting: "You must stop ordering other patients around."
D. Honest feedback: "Your controlling behavior is annoying others.".
Answer: A. Distraction: "Let's go to the dining room for a snack."
,◉ A nurse receives this lab result for a patient diagnosed with
bipolar disorder: lithium level 1 mEq/L. This result is:
A. within therapeutic limits
B. below therapeutic limits
C. above therapeutic limits
D. likely to be inaccurate. Answer: A. within therapeutic limits
◉ Which drug also belongs in this group? divalproex (Depakote),
carbamazepine (Tegretol), and gabapentin (Neurontin).
A. Clonazepam (Klonopin)
B. Risperidone (Risperdal)
C. Lamotrigine (Lamictal)
D. Aripiprazole (Abilify). Answer: C. Lamotrigine (Lamictal)
◉ When a hyperactive patient experiencing acute mania is
hospitalized, what initial nursing intervention is a priority?
A. Allow the patient to act out his or her feelings
B. Set limits on the patient's behavior as necessary
C. Provide verbal instructions to the patient to remain calm
D. Restrain the patient to reduce hyperactivity and aggression.
Answer: B. Set limits on the patient's behavior as necessary
, ◉ At a meeting, staff members discuss the decor for a special room
for patients experiencing mania. Select the best option
A. Extra-large window with a view of the street
B. Neutral walls with pale, simple accessories
C. Brightly colored walls and print drapes
D. Deep colors for walls and upholstery. Answer: B. Neutral walls
with pale, simple accessories
◉ A priority nursing intervention for a patient diagnosed with major
depressive disorder is:
A. distracting the patient from self-absorption
B. carefully and inconspicuously observing the patient around the
clock
C. allowing the patient to spend long periods alone in self-reflection
D. give chance for patient to have a leadership role in the therapeutic
milieu. Answer: B. carefully and inconspicuously observing the
patient around the clock
◉ When counseling patients with major depressive disorder,
negative thought patterns are addressed by using:
A. psychoanalytic therapy
B. desensitization therapy
C. cognitive behavioral therapy
