NSG 3450, Mental Health Exam 3, Unit
7questions with the only passed
correct answers already graded A+
c. Poor judgment and hyperactivity - 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
a. Euphoric - answers✔✔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
,c. Hyperactivity; not eating and sleeping - answers✔✔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
a. Risk for injury - answers✔✔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
c. "Do not hit anyone. If you are unable to control yourself, we will help you." - answers✔✔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?"
, b. drink six servings of a high-calorie, high-protein drink each day. - answers✔✔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.
b. drink six servings of a high-calorie, high-protein drink each day.
c. consistently sit with others for at least 30 minutes at mealtime within 1 week.
d. consistently wear appropriate attire for age and sex within 1 week while on the
psychiatric unit.
b. To bring hyperactivity under rapid control. - answers✔✔A client 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?
a. To minimize the side effects of lithium.
b. To bring hyperactivity under rapid control.
c. To enhance the antimanic actions of lithium.
d. To be used for long-term control of hyperactivity.
d. Carbamazepine - answers✔✔A client 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
7questions with the only passed
correct answers already graded A+
c. Poor judgment and hyperactivity - 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
a. Euphoric - answers✔✔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
,c. Hyperactivity; not eating and sleeping - answers✔✔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
a. Risk for injury - answers✔✔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
c. "Do not hit anyone. If you are unable to control yourself, we will help you." - answers✔✔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?"
, b. drink six servings of a high-calorie, high-protein drink each day. - answers✔✔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.
b. drink six servings of a high-calorie, high-protein drink each day.
c. consistently sit with others for at least 30 minutes at mealtime within 1 week.
d. consistently wear appropriate attire for age and sex within 1 week while on the
psychiatric unit.
b. To bring hyperactivity under rapid control. - answers✔✔A client 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?
a. To minimize the side effects of lithium.
b. To bring hyperactivity under rapid control.
c. To enhance the antimanic actions of lithium.
d. To be used for long-term control of hyperactivity.
d. Carbamazepine - answers✔✔A client 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
