NSG 3450 Mental Health Exam 3, Unit 7 ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
exam with correct answers ||\\||\\ ||\\||\\ ||\\||\\
A person was online continuously for over 24 hours,
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
posting rhymes on official government websites and ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
inviting politicians to join social networks. The ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
person has not slept or eaten for 3 days. What ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
features of mania are evident? ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
a. Increased muscle tension and anxiety
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
b. Vegetative signs and poor grooming
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
c. Poor judgment and hyperactivity
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
d. Cognitive deficits and paranoia - correct answers
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
✔✔c. Poor judgment and hyperactivity ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
A client diagnosed with bipolar disorder is dressed in
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
a red leotard and bright scarves. The client twirls and
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
shadow boxes. The client says gaily, "Do you like my ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
,scarves? Here they are my gift to you." How should ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
the nurse document the client's mood?
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
a. Euphoric ||\\||\\
b. Irritable ||\\||\\
c. Suspicious ||\\||\\
d. Confident - correct answers ✔✔a. Euphoric
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
A person was directing traffic on a busy street, rapidly
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
shouting, "To work, you jerk, for perks" and making
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
obscene gestures at cars. The person has not slept or ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
eaten for 3 days. Which assessment findings will have
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
priority concern for this client's plan of care?
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
a. Insulting, aggressive behavior
||\\||\\ ||\\||\\ ||\\||\\
b. Pressured speech and grandiosity
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
c. Hyperactivity; not eating and sleeping
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
,d. Poor concentration and decision making - correct
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
answers ✔✔c. Hyperactivity; not eating and sleeping ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
A client diagnosed with acute mania has distributed
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
pamphlets about a new business venture on a street ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
corner for 2 days. Which nursing diagnosis has
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
priority?
a. Risk for injury
||\\||\\ ||\\||\\ ||\\||\\
b. Ineffective coping
||\\||\\ ||\\||\\
c. Impaired social interaction
||\\||\\ ||\\||\\ ||\\||\\
d. Ineffective therapeutic regimen management -
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
correct answers ✔✔a. Risk for injury ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
A client diagnosed with bipolar disorder becomes
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
hyperactive after discontinuing lithium. The client ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
threatens to hit another client. 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?" - correct answers ✔✔c.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
"Do not hit anyone. If you are unable to control
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
yourself, we will help you." ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
This nursing diagnosis applies to a client experiencing
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
acute mania: Imbalanced nutrition: less than body
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
requirements related to insufficient caloric intake ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
and hyperactivity as evidenced by 5-pound weight
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
loss in 4 days. What is an appropriate outcome for
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
this client? ||\\||\\
a. ask staff for assistance with feeding within 4 days.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
exam with correct answers ||\\||\\ ||\\||\\ ||\\||\\
A person was online continuously for over 24 hours,
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
posting rhymes on official government websites and ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
inviting politicians to join social networks. The ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
person has not slept or eaten for 3 days. What ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
features of mania are evident? ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
a. Increased muscle tension and anxiety
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
b. Vegetative signs and poor grooming
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
c. Poor judgment and hyperactivity
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
d. Cognitive deficits and paranoia - correct answers
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
✔✔c. Poor judgment and hyperactivity ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
A client diagnosed with bipolar disorder is dressed in
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
a red leotard and bright scarves. The client twirls and
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
shadow boxes. The client says gaily, "Do you like my ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
,scarves? Here they are my gift to you." How should ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
the nurse document the client's mood?
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
a. Euphoric ||\\||\\
b. Irritable ||\\||\\
c. Suspicious ||\\||\\
d. Confident - correct answers ✔✔a. Euphoric
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
A person was directing traffic on a busy street, rapidly
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
shouting, "To work, you jerk, for perks" and making
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
obscene gestures at cars. The person has not slept or ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
eaten for 3 days. Which assessment findings will have
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
priority concern for this client's plan of care?
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
a. Insulting, aggressive behavior
||\\||\\ ||\\||\\ ||\\||\\
b. Pressured speech and grandiosity
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
c. Hyperactivity; not eating and sleeping
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
,d. Poor concentration and decision making - correct
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
answers ✔✔c. Hyperactivity; not eating and sleeping ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
A client diagnosed with acute mania has distributed
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
pamphlets about a new business venture on a street ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
corner for 2 days. Which nursing diagnosis has
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
priority?
a. Risk for injury
||\\||\\ ||\\||\\ ||\\||\\
b. Ineffective coping
||\\||\\ ||\\||\\
c. Impaired social interaction
||\\||\\ ||\\||\\ ||\\||\\
d. Ineffective therapeutic regimen management -
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
correct answers ✔✔a. Risk for injury ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
A client diagnosed with bipolar disorder becomes
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
hyperactive after discontinuing lithium. The client ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
threatens to hit another client. 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?" - correct answers ✔✔c.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
"Do not hit anyone. If you are unable to control
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
yourself, we will help you." ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
This nursing diagnosis applies to a client experiencing
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
acute mania: Imbalanced nutrition: less than body
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
requirements related to insufficient caloric intake ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
and hyperactivity as evidenced by 5-pound weight
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
loss in 4 days. What is an appropriate outcome for
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
this client? ||\\||\\
a. ask staff for assistance with feeding within 4 days.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
