NUR 345 Exam 3 Practice Questions and
Correct Answers
1. 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?
1. Increased muscle tension and anxiety
2. Vegetative signs and poor grooming
3. Poor judgment and hyperactivity
4. Cognitive deficits and paranoia ✅3. Poor judgment and hyperactivity
2. A patient diagnosed with bipolar disorder is dressed in a red leotard and bright
scarves. The patient twirls and shadow boxes. The patient says gaily, "Do you like my
scarves? Here they are my gift to you." How should the nurse document the patient's
mood?
a. Euphoric
b. Irritable
c. Suspicious
d. Confident ✅a. Euphoric
3. 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 patient's plan of
care?
1. Insulting, aggressive behavior
2. Pressured speech and grandiosity
3. Hyperactivity; not eating and sleeping
4. Poor concentration and decision making ✅3. Hyperactivity; not eating and sleeping
4. A patient diagnosed with acute mania has distributed pamphlets about a new
business venture on a street corner for 2 days. Which nursing diagnosis has priority?
1. Risk for injury
2. Ineffective coping
3. Impaired social interaction
4. Ineffective therapeutic regimen management ✅1. Risk for injury
5. A patient diagnosed with bipolar disorder becomes hyperactive after discontinuing
lithium. The patient threatens to hit another patient. Which comment by the nurse is
appropriate?
1. "Stop that! No one did anything to provoke an attack by you."
2. "If you do that one more time, you will be secluded immediately."
3. "Do not hit anyone. If you are unable to control yourself, we will help you."
, 4. "You know we will not let you hit anyone. Why do you continue this behavior?" ✅3.
"Do not hit anyone. If you are unable to control yourself, we will help you."
6. This nursing diagnosis applies to a patient 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. Select an appropriate
outcome. The patient will
1. ask staff for assistance with feeding within 4 days.
2. drink six servings of a high-calorie, high-protein drink each day.
3. consistently sit with others for at least 30 minutes at mealtime within 1 week.
4. consistently wear appropriate attire for age and sex within 1 week while on the
psychiatric unit. ✅2. drink six servings of a high-calorie, high-protein drink each day.
7. A patient demonstrating characteristics of acute mania relapsed after discontinuing
lithium. New orders are written to resume lithium twice daily and begin olanzapine. What
is the rationale for the addition of olanzapine to the medication regimen? It will
1. minimize the side effects of lithium.
2. bring hyperactivity under rapid control.
3. enhance the antimanic actions of lithium.
4. be used for long-term control of hyperactivity. ✅2. bring hyperactivity under rapid
control.
8. A patient diagnosed with bipolar disorder has rapidly changing mood cycles. The
health care provider prescribes an anticonvulsant medication. To prepare teaching
materials, which drug should the nurse anticipate will be prescribed?
a. phenytoin
b. clonidine
c. risperidone
d. carbamazepine ✅d. carbamazepine
9. The exact cause of bipolar disorder has not been determined; however, for most
patients
1. several factors, including genetics, are implicated.
2. brain structures were altered by stress early in life.
3. excess sensitivity in dopamine receptors may trigger episodes.
4. inadequate norepinephrine reuptake disturbs circadian rhythms. ✅1. several factors,
including genetics, are implicated.
10. The spouse of a patient diagnosed with bipolar disorder asks what evidence
supports the possibility of genetic transmission of bipolar disorders. Which response
should the nurse provide?
1. "A high proportion of patients with bipolar disorders are found among creative
writers."
2. "A higher rate of relatives with bipolar disorder is found among patients with bipolar
disorder."
Correct Answers
1. 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?
1. Increased muscle tension and anxiety
2. Vegetative signs and poor grooming
3. Poor judgment and hyperactivity
4. Cognitive deficits and paranoia ✅3. Poor judgment and hyperactivity
2. A patient diagnosed with bipolar disorder is dressed in a red leotard and bright
scarves. The patient twirls and shadow boxes. The patient says gaily, "Do you like my
scarves? Here they are my gift to you." How should the nurse document the patient's
mood?
a. Euphoric
b. Irritable
c. Suspicious
d. Confident ✅a. Euphoric
3. 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 patient's plan of
care?
1. Insulting, aggressive behavior
2. Pressured speech and grandiosity
3. Hyperactivity; not eating and sleeping
4. Poor concentration and decision making ✅3. Hyperactivity; not eating and sleeping
4. A patient diagnosed with acute mania has distributed pamphlets about a new
business venture on a street corner for 2 days. Which nursing diagnosis has priority?
1. Risk for injury
2. Ineffective coping
3. Impaired social interaction
4. Ineffective therapeutic regimen management ✅1. Risk for injury
5. A patient diagnosed with bipolar disorder becomes hyperactive after discontinuing
lithium. The patient threatens to hit another patient. Which comment by the nurse is
appropriate?
1. "Stop that! No one did anything to provoke an attack by you."
2. "If you do that one more time, you will be secluded immediately."
3. "Do not hit anyone. If you are unable to control yourself, we will help you."
, 4. "You know we will not let you hit anyone. Why do you continue this behavior?" ✅3.
"Do not hit anyone. If you are unable to control yourself, we will help you."
6. This nursing diagnosis applies to a patient 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. Select an appropriate
outcome. The patient will
1. ask staff for assistance with feeding within 4 days.
2. drink six servings of a high-calorie, high-protein drink each day.
3. consistently sit with others for at least 30 minutes at mealtime within 1 week.
4. consistently wear appropriate attire for age and sex within 1 week while on the
psychiatric unit. ✅2. drink six servings of a high-calorie, high-protein drink each day.
7. A patient demonstrating characteristics of acute mania relapsed after discontinuing
lithium. New orders are written to resume lithium twice daily and begin olanzapine. What
is the rationale for the addition of olanzapine to the medication regimen? It will
1. minimize the side effects of lithium.
2. bring hyperactivity under rapid control.
3. enhance the antimanic actions of lithium.
4. be used for long-term control of hyperactivity. ✅2. bring hyperactivity under rapid
control.
8. A patient diagnosed with bipolar disorder has rapidly changing mood cycles. The
health care provider prescribes an anticonvulsant medication. To prepare teaching
materials, which drug should the nurse anticipate will be prescribed?
a. phenytoin
b. clonidine
c. risperidone
d. carbamazepine ✅d. carbamazepine
9. The exact cause of bipolar disorder has not been determined; however, for most
patients
1. several factors, including genetics, are implicated.
2. brain structures were altered by stress early in life.
3. excess sensitivity in dopamine receptors may trigger episodes.
4. inadequate norepinephrine reuptake disturbs circadian rhythms. ✅1. several factors,
including genetics, are implicated.
10. The spouse of a patient diagnosed with bipolar disorder asks what evidence
supports the possibility of genetic transmission of bipolar disorders. Which response
should the nurse provide?
1. "A high proportion of patients with bipolar disorders are found among creative
writers."
2. "A higher rate of relatives with bipolar disorder is found among patients with bipolar
disorder."
