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NSG 3450_ Mental Health Exam 3, Unit 7 Questions and Correct Answers from Actual Exam 2026. A + SCORE.THE ULTIMATE STUDY GUIDE.pdf

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NSG 3450_ Mental Health Exam 3, Unit 7 Questions and Correct Answers from Actual Exam 2026. A + SCORE.THE ULTIMATE STUDY GUIDE.pdf

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NSG 3450: Mental Health Exam 3, Unit 7.
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A person was online continuously for over 24 hours, c. Poor judgment and hyperactivity
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 client diagnosed with bipolar disorder is dressed in a a. Euphoric
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

,A person was directing traffic on a busy street, rapidly c. Hyperactivity; not eating and sleeping
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 client diagnosed with acute mania has distributed a. Risk for injury
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


A client diagnosed with bipolar disorder becomes c. "Do not hit anyone. If you are unable to control yourself, we will help you."
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?"

, This nursing diagnosis applies to a client experiencing b. drink six servings of a high-calorie, high-protein drink each day.
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.


A client demonstrating characteristics of acute mania b. To bring hyperactivity under rapid control.
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.


A client diagnosed with bipolar disorder has rapidly d. Carbamazepine
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


While the exact cause of bipolar disorder has not been a. several factors, including genetics, are implicated.
determined; however, what is consistent for most clients?


a. several factors, including genetics, are implicated.
b. brain structures were altered by stress early in life.
c. excess sensitivity in dopamine receptors may trigger
episodes.
d. inadequate norepinephrine reuptake disturbs circadian
rhythms.

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