NURS 222 | MENTAL
HEALTH/PSYCHIATRIC NURSING:
WEEK 8 ADVANCED COMPREHENSIVE
QUIZ
1. A patient with Bipolar I Disorder is prescribed Lithium Carbonate. Which laboratory result
would indicate to the nurse that the patient is experiencing severe toxicity?
A. Lithium level of 1.2 mEq/L
B. Lithium level of 2.6 mEq/L
C. Lithium level of 0.8 mEq/L
D. Lithium level of 1.5 mEq/L
Answer: B
Conceptual Explanation: Severe lithium toxicity occurs at levels above 2.5 mEq/L and
involves multisystem failure, seizures, and potentially coma or death. The therapeutic
range is 0.6-1.2 mEq/L.
2. A client diagnosed with Borderline Personality Disorder frequently ‘splits’ the staff, praising
one nurse while demeaning another. What is the most appropriate nursing intervention?
A. Confront the client immediately about their manipulative behavior.
,B. Hold a staff meeting to ensure a consistent, unified approach to care.
C. Allow the client to work only with the nurse they currently like.
D. Restrict the client to their room until they can act appropriately.
Answer: B
Conceptual Explanation: Consistency and limit-setting are vital for clients who use
splitting as a defense mechanism. A unified team approach prevents the client from playing
staff members against each other.
3. When assessing a client with Anorexia Nervosa, the nurse observes fine, downy hair on the
client’s back and arms. How should the nurse document this finding?
A. Alopecia
B. Hirsutism
C. Acanthosis nigricans
D. Lanugo
Answer: D
Conceptual Explanation: Lanugo is the growth of fine, downy hair on the body, a
physiological response to malnutrition and loss of body fat seen in severe anorexia
nervosa.
, 4. A client is admitted for Alcohol Detoxification. On day three, the client becomes agitated,
hallucinates, and has a heart rate of 120 bpm. Which condition is the client likely
experiencing?
A. Wernicke-Korsakoff Syndrome
B. Alcoholic Encephalopathy
C. Delirium Tremens
D. Mild Alcohol Withdrawal
Answer: C
Conceptual Explanation: Delirium Tremens (DTs) is a medical emergency characterized
by autonomic hyperactivity (tachycardia, hypertension), agitation, and sensory
hallucinations, typically occurring 48-72 hours after the last drink.
5. A nurse is caring for a client starting Clozapine for treatment-resistant schizophrenia.
Which lab value must be monitored weekly per protocol?
A. Serum Potassium
B. Platelet Count
C. Blood Urea Nitrogen (BUN)
D. Absolute Neutrophil Count (ANC)
Answer: D
HEALTH/PSYCHIATRIC NURSING:
WEEK 8 ADVANCED COMPREHENSIVE
QUIZ
1. A patient with Bipolar I Disorder is prescribed Lithium Carbonate. Which laboratory result
would indicate to the nurse that the patient is experiencing severe toxicity?
A. Lithium level of 1.2 mEq/L
B. Lithium level of 2.6 mEq/L
C. Lithium level of 0.8 mEq/L
D. Lithium level of 1.5 mEq/L
Answer: B
Conceptual Explanation: Severe lithium toxicity occurs at levels above 2.5 mEq/L and
involves multisystem failure, seizures, and potentially coma or death. The therapeutic
range is 0.6-1.2 mEq/L.
2. A client diagnosed with Borderline Personality Disorder frequently ‘splits’ the staff, praising
one nurse while demeaning another. What is the most appropriate nursing intervention?
A. Confront the client immediately about their manipulative behavior.
,B. Hold a staff meeting to ensure a consistent, unified approach to care.
C. Allow the client to work only with the nurse they currently like.
D. Restrict the client to their room until they can act appropriately.
Answer: B
Conceptual Explanation: Consistency and limit-setting are vital for clients who use
splitting as a defense mechanism. A unified team approach prevents the client from playing
staff members against each other.
3. When assessing a client with Anorexia Nervosa, the nurse observes fine, downy hair on the
client’s back and arms. How should the nurse document this finding?
A. Alopecia
B. Hirsutism
C. Acanthosis nigricans
D. Lanugo
Answer: D
Conceptual Explanation: Lanugo is the growth of fine, downy hair on the body, a
physiological response to malnutrition and loss of body fat seen in severe anorexia
nervosa.
, 4. A client is admitted for Alcohol Detoxification. On day three, the client becomes agitated,
hallucinates, and has a heart rate of 120 bpm. Which condition is the client likely
experiencing?
A. Wernicke-Korsakoff Syndrome
B. Alcoholic Encephalopathy
C. Delirium Tremens
D. Mild Alcohol Withdrawal
Answer: C
Conceptual Explanation: Delirium Tremens (DTs) is a medical emergency characterized
by autonomic hyperactivity (tachycardia, hypertension), agitation, and sensory
hallucinations, typically occurring 48-72 hours after the last drink.
5. A nurse is caring for a client starting Clozapine for treatment-resistant schizophrenia.
Which lab value must be monitored weekly per protocol?
A. Serum Potassium
B. Platelet Count
C. Blood Urea Nitrogen (BUN)
D. Absolute Neutrophil Count (ANC)
Answer: D
