NR 548 EXAM 3 -PSYCHIATRIC ASSESSMENT FOR
PMHNP |ACTUAL QUESTIONS AND VERIFIED
ANSWERS|BRAND NEW 2026-2027
UPDATE|GRADED A+
Question 1
Which nursing response demonstrates accurate information that should be discussed with
the female patient diagnosed with bipolar and her support system? SATA
A. "Remember that alcohol and caffeine can trigger a relapse of your symptoms."
B. "Due to the risk of a manic episode, antidepressant therapy is never used with bipolar
disorder."
C. " It'a critical to let your healthcare provider know immediately if you aren't sleeping well."
D. "Is your family prepared to be actively involved in helping manage this disorder?"
E. "The symptoms tend to come and go and so you need to be able to recognize the early
signs."
CORRECT ANSWER
A. "Remember that alcohol and caffeine can trigger a relapse of your symptoms."
C. " It'a critical to let your healthcare provider know immediately if you aren't sleeping
well."
D. "Is your family prepared to be actively involved in helping manage this disorder?"
1
, E. "The symptoms tend to come and go and so you need to be able to recognize the early
signs."
Question 2
Which statement made by the patient demonstrates an understanding of the effective use
of newly prescribed lithium to manage bipolar mania? SATA
A. "I have to keep reminding myself to consistently drink six 12-ounce glasses of fluid every
day."
B. "I discussed the diuretic my cardiologist prescribed with my psychiatric care provider."
C. "Lithium may help me lose the few extra pounds I tend to carry around."
D. "I take my lithium on an empty stomach to help with absorption."
E. "I've already made arrangements for my monthly lab work."
CORRECT ANSWER
A. "I have to keep reminding myself to consistently drink six 12-ounce glasses of fluid
every day."
B. "I discussed the diuretic my cardiologist prescribed with my psychiatric care provider."
E. "I've already made arrangements for my monthly lab work."
Question 3
2
,The nurse is providing medication education to a patient who has been prescribed lithium
to stabilize mood. Which early signs and symptoms of toxicity should the nurse stress to
the patient? SATA
A. Increase attentiveness
B. Getting up at night to urinate
C. Improved vision
D. An upset stomach for no apparent reason
E. Shaky hands that make holding a cup difficult
CORRECT ANSWER
D. An upset stomach for no apparent reason
E. Shaky hands that make holding a cup difficult
Question 4
A male patient calls to tell the nurse that his monthly lithium level is 1.7 mEq/L. Which
nursing intervention will the nurse implement initially?
A. Reinforce that the level is considered therapeutic.
B. Instruct the patient to hold the next does of medication and contact the prescriber.
C. Have the patient go to the hospital emergency room immediately.
D. Alert the patient to the possibility of seizures and appropriate precautions.
CORRECT ANSWER
B. Instruct the patient to hold the next does of medication and contact the prescriber.
Question 5
Which intervention should the nurse implement when caring for a patient demonstrating
manic behavior? SATA
3
, A. Monitor the patient's vital signs frequently.
B. Keep the patient distracted with group-oriented activities.
C. Provide the patient with frequent milkshakes and protein drinks.
D. Reduce the volume on the television and dim bright lights in the environment.
E. Use a firm but calm voice to give specific concise directions to the patient.
CORRECT ANSWER
A. Monitor the patient's vital signs frequently.
C. Provide the patient with frequent milkshakes and protein drinks.
D. Reduce the volume on the television and dim bright lights in the environment.
E. Use a firm but calm voice to give specific concise directions to the patient.
Question 6
Substance abuse is often present in people diagnosed with bipolar disease. Laura, a 28-
year-old with a diagnoses of bipolar disorder, drinks alcohol instead of taking her
prescribed medications. The nurse caring for this patient recognizes that:
A. Anxiety may be present.
B. Alcohol ingestion is a form of self-medication.
C. The patient is lacking a sufficient number of neurotransmiters.
D. The patient is using alcohol because she is depressed.
CORRECT ANSWER
B. Alcohol ingestion is a form of self-medication
Question 7
4
PMHNP |ACTUAL QUESTIONS AND VERIFIED
ANSWERS|BRAND NEW 2026-2027
UPDATE|GRADED A+
Question 1
Which nursing response demonstrates accurate information that should be discussed with
the female patient diagnosed with bipolar and her support system? SATA
A. "Remember that alcohol and caffeine can trigger a relapse of your symptoms."
B. "Due to the risk of a manic episode, antidepressant therapy is never used with bipolar
disorder."
C. " It'a critical to let your healthcare provider know immediately if you aren't sleeping well."
D. "Is your family prepared to be actively involved in helping manage this disorder?"
E. "The symptoms tend to come and go and so you need to be able to recognize the early
signs."
CORRECT ANSWER
A. "Remember that alcohol and caffeine can trigger a relapse of your symptoms."
C. " It'a critical to let your healthcare provider know immediately if you aren't sleeping
well."
D. "Is your family prepared to be actively involved in helping manage this disorder?"
1
, E. "The symptoms tend to come and go and so you need to be able to recognize the early
signs."
Question 2
Which statement made by the patient demonstrates an understanding of the effective use
of newly prescribed lithium to manage bipolar mania? SATA
A. "I have to keep reminding myself to consistently drink six 12-ounce glasses of fluid every
day."
B. "I discussed the diuretic my cardiologist prescribed with my psychiatric care provider."
C. "Lithium may help me lose the few extra pounds I tend to carry around."
D. "I take my lithium on an empty stomach to help with absorption."
E. "I've already made arrangements for my monthly lab work."
CORRECT ANSWER
A. "I have to keep reminding myself to consistently drink six 12-ounce glasses of fluid
every day."
B. "I discussed the diuretic my cardiologist prescribed with my psychiatric care provider."
E. "I've already made arrangements for my monthly lab work."
Question 3
2
,The nurse is providing medication education to a patient who has been prescribed lithium
to stabilize mood. Which early signs and symptoms of toxicity should the nurse stress to
the patient? SATA
A. Increase attentiveness
B. Getting up at night to urinate
C. Improved vision
D. An upset stomach for no apparent reason
E. Shaky hands that make holding a cup difficult
CORRECT ANSWER
D. An upset stomach for no apparent reason
E. Shaky hands that make holding a cup difficult
Question 4
A male patient calls to tell the nurse that his monthly lithium level is 1.7 mEq/L. Which
nursing intervention will the nurse implement initially?
A. Reinforce that the level is considered therapeutic.
B. Instruct the patient to hold the next does of medication and contact the prescriber.
C. Have the patient go to the hospital emergency room immediately.
D. Alert the patient to the possibility of seizures and appropriate precautions.
CORRECT ANSWER
B. Instruct the patient to hold the next does of medication and contact the prescriber.
Question 5
Which intervention should the nurse implement when caring for a patient demonstrating
manic behavior? SATA
3
, A. Monitor the patient's vital signs frequently.
B. Keep the patient distracted with group-oriented activities.
C. Provide the patient with frequent milkshakes and protein drinks.
D. Reduce the volume on the television and dim bright lights in the environment.
E. Use a firm but calm voice to give specific concise directions to the patient.
CORRECT ANSWER
A. Monitor the patient's vital signs frequently.
C. Provide the patient with frequent milkshakes and protein drinks.
D. Reduce the volume on the television and dim bright lights in the environment.
E. Use a firm but calm voice to give specific concise directions to the patient.
Question 6
Substance abuse is often present in people diagnosed with bipolar disease. Laura, a 28-
year-old with a diagnoses of bipolar disorder, drinks alcohol instead of taking her
prescribed medications. The nurse caring for this patient recognizes that:
A. Anxiety may be present.
B. Alcohol ingestion is a form of self-medication.
C. The patient is lacking a sufficient number of neurotransmiters.
D. The patient is using alcohol because she is depressed.
CORRECT ANSWER
B. Alcohol ingestion is a form of self-medication
Question 7
4
