NSG 3450 NURSING PRACTICE MENTAL
HEALTH EXAM 4 2026 PRACTICE QUESTIONS
AND ANSWERS DETAILED REVIEW
◉ Side effects of light therapy. Answer: Eye strain, insomnia, headache,
irritability.
◉ Lithium. Answer: Used for treatment of bipolar disorder, especially
manic phase.
◉ Therapeutic lithium level. Answer: 0.6-1.2 mEq/L.
◉ Lithium toxicity signs. Answer: Nausea, vomiting, tremors,
confusion, seizures.
◉ Vegetative symptoms of depression. Answer: Inability to eat, speak,
or perform daily activities; lying in bed all day.
◉ Signs & symptoms of depression. Answer: Sadness, anhedonia,
fatigue, sleep changes, appetite changes, suicidal thoughts.
◉ Danger of tricyclic antidepressants. Answer: Lethal in overdose due to
cardiotoxicity.
, ◉ Items not allowed for suicidal patients. Answer: Belts, jewelry, shoe
strings, hair ties, sharp objects.
◉ Signs of lithium toxicity to monitor. Answer: GI upset, coarse tremor,
confusion, seizures.
◉ Seasonal Affective Disorder. Answer: Depression occurring in
fall/winter due to reduced sunlight.
◉ Priority concern in psychiatric care. Answer: Safety.
◉ Action when patient lashes out in group. Answer: Remove audience
first, then the patient.
◉ ECT. Answer: Used for severe or treatment-resistant depression.
◉ ECT side effects. Answer: Temporary memory loss, confusion,
headache.
◉ Therapeutic communication in bipolar disorder. Answer: Calm, firm
tone; use limit-setting; reduce stimuli.
◉ Therapeutic communication with withdrawn patient. Answer: Clear,
simple, direct language.
HEALTH EXAM 4 2026 PRACTICE QUESTIONS
AND ANSWERS DETAILED REVIEW
◉ Side effects of light therapy. Answer: Eye strain, insomnia, headache,
irritability.
◉ Lithium. Answer: Used for treatment of bipolar disorder, especially
manic phase.
◉ Therapeutic lithium level. Answer: 0.6-1.2 mEq/L.
◉ Lithium toxicity signs. Answer: Nausea, vomiting, tremors,
confusion, seizures.
◉ Vegetative symptoms of depression. Answer: Inability to eat, speak,
or perform daily activities; lying in bed all day.
◉ Signs & symptoms of depression. Answer: Sadness, anhedonia,
fatigue, sleep changes, appetite changes, suicidal thoughts.
◉ Danger of tricyclic antidepressants. Answer: Lethal in overdose due to
cardiotoxicity.
, ◉ Items not allowed for suicidal patients. Answer: Belts, jewelry, shoe
strings, hair ties, sharp objects.
◉ Signs of lithium toxicity to monitor. Answer: GI upset, coarse tremor,
confusion, seizures.
◉ Seasonal Affective Disorder. Answer: Depression occurring in
fall/winter due to reduced sunlight.
◉ Priority concern in psychiatric care. Answer: Safety.
◉ Action when patient lashes out in group. Answer: Remove audience
first, then the patient.
◉ ECT. Answer: Used for severe or treatment-resistant depression.
◉ ECT side effects. Answer: Temporary memory loss, confusion,
headache.
◉ Therapeutic communication in bipolar disorder. Answer: Calm, firm
tone; use limit-setting; reduce stimuli.
◉ Therapeutic communication with withdrawn patient. Answer: Clear,
simple, direct language.
