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EDAPT: NCLEX Readiness: Psychosocial
Integrity Part 2 Questions and Answers
Latest Update
The nurse is caring for a client diagnosed with Bipolar II disorder. The
client exhibited a negative affect for 2 days. Today, the client tells the nurse,
"I feel better now."
The nurse understands that this client is at __________ risk for __________
than when they were __________. Ans: More
Suicide
Depressed
The nurse is caring for a 27-year-old client hospitalized in a mental health
unit who is restless, agitated, and pacing in the hallway. The client starts
screaming at other clients who are in the day room and then runs down the
hallway slamming doors of other clients' rooms, yelling, and arguing with
the nurse about the need to take prescribed medication "now." The nurse
takes action to de-escalate the client. For each nursing action, click to
specify if each action is indicated or not indicated to achieve de-escalation.
Ans: Indicated:
Maintain a calm and in-control approach.
Listen closely to what the client is saying.
Set clear and enforceable limits for the client.
Provide the client with options that deal with the behavior.
© 2025 All rights reserved
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Not Indicated:
Face the client and maintain consistent eye contact.
Talk to the client when the client is yelling, in order to stop their behavior.
The nurse in the emergency department is caring for a client who suffered a
facial laceration after a physical altercation at a party. The client's husband
reports that over the past month, his wife has been more talkative, agitated,
irritable, hypersexual, and "with crazy amounts of energy." The nurse
recognizes the client may be experiencing which of the following? Ans:
Manic episode
The nurse is caring for a client diagnosed with bipolar disorder. For each
medication, click to specify if it is indicated or not indicated to treat the
client's mood and affect condition. Ans: Indicated:
Sertraline
Carbamazepine
Haloperidol
Not Indicated:
Cephalexin
Atenolol
The community nurse is assessing several clients for risk of mental health
disease. Which clients should the nurse recognize as most at risk for bipolar
disorder? Select all that apply. Ans: The client whose sibling was diagnosed
with Bipolar II disorder
The client who uses steroids to sculpt their physique
The client who lost their job and is going through a divorce
© 2025 All rights reserved
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For each characteristic, click to specify if it is consistent with Bipolar I,
Bipolar II, or cyclothymic disorder. Each characteristic may be consistent
with more than one disorder. Ans: Bipolar I:
Repeated occurrences of depressive episodes
One or more manic episodes
Repeated occurrences of hypomanic episodes
Bipolar II:
Repeated occurrences of depressive episodes
Repeated occurrences of hypomanic episodes
Cyclothymic:
Numerous occurrences of hypomanic symptoms that do not meet the
criteria for a hypomanic episode
Numerous occurrences of depressive symptoms that do not meet the
criteria for a hypomanic episode
Click to highlight the data that are risk factors for depression. Ans: Lost his
business
Family history of depression
The nurse is caring for a client experiencing hypomania. The client's spouse
reports his wife's mood has been __________. Upon assessment, the nurse
notes the client's speech is rapid and erratic and concludes she is exhibiting
__________ as she talks about the weather, and then claims she just phoned
the President of the United States. Ans: Irritable and volatile
Flight of ideas and grandiosity
© 2025 All rights reserved
, 4 | Page
The nurse is documenting assessment information that would indicate a
diagnosis of Bipolar disorder I. Highlight the assessment cues that support
Bipolar disorder I. Ans: Spends most of time walking around his room
waving arms in the air
Talkative with racing thoughts and is easily distracted
"I can fly if I jumped out this window."
The nurse is assessing a client in the active phase of schizophrenia who is
taking lithium. Drag the assessment findings that the nurse should report to
the healthcare provider to the boxes on the right. Ans: Client reports
blurred vision
Client reports diarrhea
Client reports muscle twitching
The nurse is caring for a client who is depressed and has not showered in 2
days. The nurse is promoting a therapeutic relationship. For each statement
made by the nurse, click to specify if it is indicated or not indicated to
foster a therapeutic relationship. Ans: Indicated:
"My name is Sonia. I'm your nurse today. I'm going to sit with you for a few
minutes."
"I know you feel like staying in bed, but it's time to get up for breakfast."
"Good morning. It's time to get dressed and get cleaned up."
Not Indicated:
"It all may seem bad right know, but things will get better."
"My name is Sonia. I'm your nurse today. I'm going to sit with you for a long
while."
© 2025 All rights reserved
EDAPT: NCLEX Readiness: Psychosocial
Integrity Part 2 Questions and Answers
Latest Update
The nurse is caring for a client diagnosed with Bipolar II disorder. The
client exhibited a negative affect for 2 days. Today, the client tells the nurse,
"I feel better now."
The nurse understands that this client is at __________ risk for __________
than when they were __________. Ans: More
Suicide
Depressed
The nurse is caring for a 27-year-old client hospitalized in a mental health
unit who is restless, agitated, and pacing in the hallway. The client starts
screaming at other clients who are in the day room and then runs down the
hallway slamming doors of other clients' rooms, yelling, and arguing with
the nurse about the need to take prescribed medication "now." The nurse
takes action to de-escalate the client. For each nursing action, click to
specify if each action is indicated or not indicated to achieve de-escalation.
Ans: Indicated:
Maintain a calm and in-control approach.
Listen closely to what the client is saying.
Set clear and enforceable limits for the client.
Provide the client with options that deal with the behavior.
© 2025 All rights reserved
, 2 | Page
Not Indicated:
Face the client and maintain consistent eye contact.
Talk to the client when the client is yelling, in order to stop their behavior.
The nurse in the emergency department is caring for a client who suffered a
facial laceration after a physical altercation at a party. The client's husband
reports that over the past month, his wife has been more talkative, agitated,
irritable, hypersexual, and "with crazy amounts of energy." The nurse
recognizes the client may be experiencing which of the following? Ans:
Manic episode
The nurse is caring for a client diagnosed with bipolar disorder. For each
medication, click to specify if it is indicated or not indicated to treat the
client's mood and affect condition. Ans: Indicated:
Sertraline
Carbamazepine
Haloperidol
Not Indicated:
Cephalexin
Atenolol
The community nurse is assessing several clients for risk of mental health
disease. Which clients should the nurse recognize as most at risk for bipolar
disorder? Select all that apply. Ans: The client whose sibling was diagnosed
with Bipolar II disorder
The client who uses steroids to sculpt their physique
The client who lost their job and is going through a divorce
© 2025 All rights reserved
, 3 | Page
For each characteristic, click to specify if it is consistent with Bipolar I,
Bipolar II, or cyclothymic disorder. Each characteristic may be consistent
with more than one disorder. Ans: Bipolar I:
Repeated occurrences of depressive episodes
One or more manic episodes
Repeated occurrences of hypomanic episodes
Bipolar II:
Repeated occurrences of depressive episodes
Repeated occurrences of hypomanic episodes
Cyclothymic:
Numerous occurrences of hypomanic symptoms that do not meet the
criteria for a hypomanic episode
Numerous occurrences of depressive symptoms that do not meet the
criteria for a hypomanic episode
Click to highlight the data that are risk factors for depression. Ans: Lost his
business
Family history of depression
The nurse is caring for a client experiencing hypomania. The client's spouse
reports his wife's mood has been __________. Upon assessment, the nurse
notes the client's speech is rapid and erratic and concludes she is exhibiting
__________ as she talks about the weather, and then claims she just phoned
the President of the United States. Ans: Irritable and volatile
Flight of ideas and grandiosity
© 2025 All rights reserved
, 4 | Page
The nurse is documenting assessment information that would indicate a
diagnosis of Bipolar disorder I. Highlight the assessment cues that support
Bipolar disorder I. Ans: Spends most of time walking around his room
waving arms in the air
Talkative with racing thoughts and is easily distracted
"I can fly if I jumped out this window."
The nurse is assessing a client in the active phase of schizophrenia who is
taking lithium. Drag the assessment findings that the nurse should report to
the healthcare provider to the boxes on the right. Ans: Client reports
blurred vision
Client reports diarrhea
Client reports muscle twitching
The nurse is caring for a client who is depressed and has not showered in 2
days. The nurse is promoting a therapeutic relationship. For each statement
made by the nurse, click to specify if it is indicated or not indicated to
foster a therapeutic relationship. Ans: Indicated:
"My name is Sonia. I'm your nurse today. I'm going to sit with you for a few
minutes."
"I know you feel like staying in bed, but it's time to get up for breakfast."
"Good morning. It's time to get dressed and get cleaned up."
Not Indicated:
"It all may seem bad right know, but things will get better."
"My name is Sonia. I'm your nurse today. I'm going to sit with you for a long
while."
© 2025 All rights reserved
