NUR208 Mental Health Exam 3 2025 Update) Questions and Verified Answers| 100%
Correct
A bipolar patient is directing traffic, shouting and making obscene gestures at cars. Describe these
features of mania
A. increased muscle tension
B. vegetative signs and poor grooming
C. poor judgement and hyperactivity
D. Cognitive deficit and sad mood - (answer)C. poor judgement and hyperactivity
A manic patient has a prescription written for lithium and olanzapine(zyprexa) the addition of the
olanzapine will:
A. minimize the side effects of lithium
B. bring hyperactivity under rapid control
C. enhance the antimanic actions of lithium
D. provide long term control of hyperactivity - (answer)B. bring the hyperactivity under rapid control
The cause of bipolar disorder has not been determined but:
A. several factors, including genetics are implicated
B. brain structures were altered by trauma early in life
C. excess norepinephrine is probably a major factor
D. excess sensitivity in dopamine receptors may exist. - (answer)A. several factors including genetics are
implicated
A patient experiencing mania has not eaten or slept for 3 days. Which nursing diagnosis has priority?
A. risk for injury
B. ineffective coping
C. impaired social interaction
D. ineffective therapeutic regimen management - (answer)A. risk for injury
a bipolar patient threatens to hit another patient, which comment by the nurse is appropriate?
,NUR208 Mental Health Exam 3 2025 Update) Questions and Verified Answers| 100%
Correct
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 - (answer)C. Do not hit
anyone if you are unable to control yourself we will help you
A bipolar disorder patient commands other patients, "Get me a book. Take this stuff out of here." What
do you say?
A. Distraction: "Let's go to the dining room for a snack."
B. Humor: "How much are you paying servants these days?"
C. Limit setting: "You must stop ordering other patients around."
D. Honest feedback: "Your controlling behavior is annoying others." - (answer)A. Distraction: "Let's go to
the dining room for a snack."
A nurse receives this lab result for a patient diagnosed with bipolar disorder: lithium level 1 mEq/L. This
result is:
A. within therapeutic limits
B. below therapeutic limits
C. above therapeutic limits
D. likely to be inaccurate - (answer)A. within therapeutic limits
Which drug also belongs in this group? divalproex (Depakote), carbamazepine (Tegretol), and
gabapentin (Neurontin).
A. Clonazepam (Klonopin)
B. Risperidone (Risperdal)
C. Lamotrigine (Lamictal)
D. Aripiprazole (Abilify) - (answer)C. Lamotrigine (Lamictal)
, NUR208 Mental Health Exam 3 2025 Update) Questions and Verified Answers| 100%
Correct
When a hyperactive patient experiencing acute mania is hospitalized, what initial nursing intervention is
a priority?
A. Allow the patient to act out his or her feelings
B. Set limits on the patient's behavior as necessary
C. Provide verbal instructions to the patient to remain calm
D. Restrain the patient to reduce hyperactivity and aggression - (answer)B. Set limits on the patient's
behavior as necessary
At a meeting, staff members discuss the decor for a special room for patients experiencing mania. Select
the best option
A. Extra-large window with a view of the street
B. Neutral walls with pale, simple accessories
C. Brightly colored walls and print drapes
D. Deep colors for walls and upholstery - (answer)B. Neutral walls with pale, simple accessories
A priority nursing intervention for a patient diagnosed with major depressive disorder is:
A. distracting the patient from self-absorption
B. carefully and inconspicuously observing the patient around the clock
C. allowing the patient to spend long periods alone in self-reflection
D. give chance for patient to have a leadership role in the therapeutic milieu - (answer)B. carefully and
inconspicuously observing the patient around the clock
When counseling patients with major depressive disorder, negative thought patterns are addressed by
using:
A. psychoanalytic therapy
B. desensitization therapy
C. cognitive behavioral therapy
D. alternative and complementary therapies - (answer)C. cognitive behavioral therapy
Correct
A bipolar patient is directing traffic, shouting and making obscene gestures at cars. Describe these
features of mania
A. increased muscle tension
B. vegetative signs and poor grooming
C. poor judgement and hyperactivity
D. Cognitive deficit and sad mood - (answer)C. poor judgement and hyperactivity
A manic patient has a prescription written for lithium and olanzapine(zyprexa) the addition of the
olanzapine will:
A. minimize the side effects of lithium
B. bring hyperactivity under rapid control
C. enhance the antimanic actions of lithium
D. provide long term control of hyperactivity - (answer)B. bring the hyperactivity under rapid control
The cause of bipolar disorder has not been determined but:
A. several factors, including genetics are implicated
B. brain structures were altered by trauma early in life
C. excess norepinephrine is probably a major factor
D. excess sensitivity in dopamine receptors may exist. - (answer)A. several factors including genetics are
implicated
A patient experiencing mania has not eaten or slept for 3 days. Which nursing diagnosis has priority?
A. risk for injury
B. ineffective coping
C. impaired social interaction
D. ineffective therapeutic regimen management - (answer)A. risk for injury
a bipolar patient threatens to hit another patient, which comment by the nurse is appropriate?
,NUR208 Mental Health Exam 3 2025 Update) Questions and Verified Answers| 100%
Correct
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 - (answer)C. Do not hit
anyone if you are unable to control yourself we will help you
A bipolar disorder patient commands other patients, "Get me a book. Take this stuff out of here." What
do you say?
A. Distraction: "Let's go to the dining room for a snack."
B. Humor: "How much are you paying servants these days?"
C. Limit setting: "You must stop ordering other patients around."
D. Honest feedback: "Your controlling behavior is annoying others." - (answer)A. Distraction: "Let's go to
the dining room for a snack."
A nurse receives this lab result for a patient diagnosed with bipolar disorder: lithium level 1 mEq/L. This
result is:
A. within therapeutic limits
B. below therapeutic limits
C. above therapeutic limits
D. likely to be inaccurate - (answer)A. within therapeutic limits
Which drug also belongs in this group? divalproex (Depakote), carbamazepine (Tegretol), and
gabapentin (Neurontin).
A. Clonazepam (Klonopin)
B. Risperidone (Risperdal)
C. Lamotrigine (Lamictal)
D. Aripiprazole (Abilify) - (answer)C. Lamotrigine (Lamictal)
, NUR208 Mental Health Exam 3 2025 Update) Questions and Verified Answers| 100%
Correct
When a hyperactive patient experiencing acute mania is hospitalized, what initial nursing intervention is
a priority?
A. Allow the patient to act out his or her feelings
B. Set limits on the patient's behavior as necessary
C. Provide verbal instructions to the patient to remain calm
D. Restrain the patient to reduce hyperactivity and aggression - (answer)B. Set limits on the patient's
behavior as necessary
At a meeting, staff members discuss the decor for a special room for patients experiencing mania. Select
the best option
A. Extra-large window with a view of the street
B. Neutral walls with pale, simple accessories
C. Brightly colored walls and print drapes
D. Deep colors for walls and upholstery - (answer)B. Neutral walls with pale, simple accessories
A priority nursing intervention for a patient diagnosed with major depressive disorder is:
A. distracting the patient from self-absorption
B. carefully and inconspicuously observing the patient around the clock
C. allowing the patient to spend long periods alone in self-reflection
D. give chance for patient to have a leadership role in the therapeutic milieu - (answer)B. carefully and
inconspicuously observing the patient around the clock
When counseling patients with major depressive disorder, negative thought patterns are addressed by
using:
A. psychoanalytic therapy
B. desensitization therapy
C. cognitive behavioral therapy
D. alternative and complementary therapies - (answer)C. cognitive behavioral therapy
