354 Mental Health Exam 3 NCLEX EXAM LATEST 2026-
2027 160 QUESTIONS AND 100% Verified ANSWERS
Which side effects of lithium can be expected at therapeutic levels?
a. Fine hand tremor and polyuria
b. Nausea and thirst
c. Coarse hand tremor and gastrointestinal upset
d. Ataxia and hypotension - answer>>a. Fine hand tremor and polyuria
These are expected side effects of lithium at therapeutic levels. The fact that fine hand tremor and
polyuria are present at therapeutic levels is quite annoying to some clients. These and other side effects
are factors in noncompliance. Symptoms of lithium toxicity include severe nausea and vomiting, severe
hand tremors, and excessive thirst.
What is a desired outcome for the maintenance phase of treatment for a manic client?
a. Exhibit optimistic, energetic, playful behavior.
b. Adhere to follow-up medical appointments.
c. Take medication more than 50% of the time.
d. Use alcohol to moderate occasional mood "highs." - answer>>b. Adhere to follow-up medical
appointments.
The client would be living in the community during the maintenance phase. Keeping follow-up
appointments is highly desirable. None of the other options are accurate.
A manic client tells a nurse "Bud. Crud. Dud. I'm a real stud! You'd like what I have to offer. Let's go to
my room." What is the best initial approach to managing this behavior?
a. Reprimand the client by stating, "What an offensive thing to suggest!"
b. Clarifying the nurse-client relationship by stating, "I don't have sex with clients."
c. Distracting the client by suggesting, "It's time to work on your art project."
d. Enforcing consequences by responding, "Let's walk down to the seclusion room." - answer>>c.
Distracting the client by suggesting, "It's time to work on your art project."
,Distractibility works as the nurse's friend. Rather than discuss the invitation, the nurse may be more
effective by redirecting the client. This intervention is both therapeutic and less restrictive.
A bipolar client tells the nurse, "I have the finest tenor voice in the world. The three tenors who do all
those TV concerts are going to retire because they can't compete with me." What term should the
nurse use to identify this behavior?
a. Flight of ideas
b. Distractibility
c. Limit testing
d. Grandiosity - answer>>d. Grandiosity
Exaggerated belief in one's own importance, identity, or capabilities is seen with grandiosity. None of
the other options are associated with this behavior.
Which statement by the nurse would best demonstrate acceptance to a depressed, mute client?
a. "I will be spending time with you each day to try to improve your mood."
b. "I would like to sit with you for 15 minutes now and again this afternoon."
c. "Each day we will spend time together to talk about things that are bothering you."
c. "It is important for you to share your thoughts with someone who can help you evaluate your
thinking." - answer>>b. "I would like to sit with you for 15 minutes now and again this afternoon."
Spending time with the client without making demands is a good way to show acceptance. While not
inappropriate, the other options are less accepting.
A depressed, socially withdrawn client tells the nurse, "There is no sense in trying. I am never able to do
anything right!" The nurse can best address this cognitive distortion with which response?
a. "Let's look at what you just said, that you can 'never do anything right.'"
b. "Tell me what things you think you are not able to do correctly."
c. "Is this part of the reason you think no one likes you?"
,d. "That is the most unrealistic thing I have ever heard." - answer>>a. "Let's look at what you just said,
that you can 'never do anything right.'"
Cognitive distortions can be refuted by examining them, but to examine them the nurse must gain the
client's willingness to participate. None of the other options examines the underlying cause of the
feeling.
A client prescribed a selective serotonin reuptake inhibitor mentions taking the medication along with
the St. John's wort daily. The nurse should provide the client with what information regarding this
practice?
a. Agreeing that this will help the client to remember the medications.
b. Caution the client to drink several glasses of water daily.
c. Suggest that the client also use a sun lamp daily.
d. Explain the high possibility of an adverse reaction. - answer>>d. Explain the high possibility of an
adverse reaction.
Serotonin malignant syndrome is a possibility if St. John's wort is taken with other antidepressants.
None of the other options are relevant to the situation.
A depressed client tells the nurse, "There is no sense in trying. I am never able to do anything right!"
The nurse should identify this cognitive distortion as what response?
a. Self-blame
b. Catatonia
c. Learned helplessness
d. Discounting positive attributes - answer>>c. Learned helplessness
Learned helplessness results in depression when the client feels no control over the outcome of a
situation.
When the nurse remarks to a depressed client, "I see you are trying not to cry. Tell me what is
happening." The nurse should be prepared to implement which intervention?
a. Waiting quietly for the client to reply
, b. Prompting the client if the reply is slow
c. Repeating the question if the client does not answer promptly
d. Reviewing the client's medical record to support the client's response - answer>>a. Waiting quietly
for the client to reply
Depressed clients think slowly and take long periods to formulate answers and respond. The nurse must
be prepared to wait for a reply.
A new psychiatric technician mentions to the nurse, "Depression seems to be a disease of old people.
All the depressed clients on the unit are older than 60 years." How should the nurse respond to this
statement?
a. "That is a good observation. Depression does mostly strike people older than 50 years."
b. "Depression is seen in people of all ages, from childhood to old age."
c. "Depression is most often seen among the middle adult age group."
d. "The age of onset for most depressive episodes is given as 18 years." - answer>>b. "Depression is
seen in people of all ages, from childhood to old age."
Depression can occur at any age. Children, adolescents, adults, and the elderly may all experience
depression.
Which statement about antidepressant medications, in general, can serve as a basis for client and family
teaching?
a. Onset of action is from 1 to 3 weeks or longer.
b. They tend to be more effective for men.
c. Recent memory impairment is commonly observed.
d. They often cause the client to have diurnal variation. - answer>>a. Onset of action is from 1 to 3
weeks or longer.
A drawback of antidepressant drugs is that improvement in mood may take 1 to 3 weeks or longer.
None of the other options provide correct information regarding antidepressant medications.
Panic attacks in Latin American individuals often involve demonstration of which behavior?
2027 160 QUESTIONS AND 100% Verified ANSWERS
Which side effects of lithium can be expected at therapeutic levels?
a. Fine hand tremor and polyuria
b. Nausea and thirst
c. Coarse hand tremor and gastrointestinal upset
d. Ataxia and hypotension - answer>>a. Fine hand tremor and polyuria
These are expected side effects of lithium at therapeutic levels. The fact that fine hand tremor and
polyuria are present at therapeutic levels is quite annoying to some clients. These and other side effects
are factors in noncompliance. Symptoms of lithium toxicity include severe nausea and vomiting, severe
hand tremors, and excessive thirst.
What is a desired outcome for the maintenance phase of treatment for a manic client?
a. Exhibit optimistic, energetic, playful behavior.
b. Adhere to follow-up medical appointments.
c. Take medication more than 50% of the time.
d. Use alcohol to moderate occasional mood "highs." - answer>>b. Adhere to follow-up medical
appointments.
The client would be living in the community during the maintenance phase. Keeping follow-up
appointments is highly desirable. None of the other options are accurate.
A manic client tells a nurse "Bud. Crud. Dud. I'm a real stud! You'd like what I have to offer. Let's go to
my room." What is the best initial approach to managing this behavior?
a. Reprimand the client by stating, "What an offensive thing to suggest!"
b. Clarifying the nurse-client relationship by stating, "I don't have sex with clients."
c. Distracting the client by suggesting, "It's time to work on your art project."
d. Enforcing consequences by responding, "Let's walk down to the seclusion room." - answer>>c.
Distracting the client by suggesting, "It's time to work on your art project."
,Distractibility works as the nurse's friend. Rather than discuss the invitation, the nurse may be more
effective by redirecting the client. This intervention is both therapeutic and less restrictive.
A bipolar client tells the nurse, "I have the finest tenor voice in the world. The three tenors who do all
those TV concerts are going to retire because they can't compete with me." What term should the
nurse use to identify this behavior?
a. Flight of ideas
b. Distractibility
c. Limit testing
d. Grandiosity - answer>>d. Grandiosity
Exaggerated belief in one's own importance, identity, or capabilities is seen with grandiosity. None of
the other options are associated with this behavior.
Which statement by the nurse would best demonstrate acceptance to a depressed, mute client?
a. "I will be spending time with you each day to try to improve your mood."
b. "I would like to sit with you for 15 minutes now and again this afternoon."
c. "Each day we will spend time together to talk about things that are bothering you."
c. "It is important for you to share your thoughts with someone who can help you evaluate your
thinking." - answer>>b. "I would like to sit with you for 15 minutes now and again this afternoon."
Spending time with the client without making demands is a good way to show acceptance. While not
inappropriate, the other options are less accepting.
A depressed, socially withdrawn client tells the nurse, "There is no sense in trying. I am never able to do
anything right!" The nurse can best address this cognitive distortion with which response?
a. "Let's look at what you just said, that you can 'never do anything right.'"
b. "Tell me what things you think you are not able to do correctly."
c. "Is this part of the reason you think no one likes you?"
,d. "That is the most unrealistic thing I have ever heard." - answer>>a. "Let's look at what you just said,
that you can 'never do anything right.'"
Cognitive distortions can be refuted by examining them, but to examine them the nurse must gain the
client's willingness to participate. None of the other options examines the underlying cause of the
feeling.
A client prescribed a selective serotonin reuptake inhibitor mentions taking the medication along with
the St. John's wort daily. The nurse should provide the client with what information regarding this
practice?
a. Agreeing that this will help the client to remember the medications.
b. Caution the client to drink several glasses of water daily.
c. Suggest that the client also use a sun lamp daily.
d. Explain the high possibility of an adverse reaction. - answer>>d. Explain the high possibility of an
adverse reaction.
Serotonin malignant syndrome is a possibility if St. John's wort is taken with other antidepressants.
None of the other options are relevant to the situation.
A depressed client tells the nurse, "There is no sense in trying. I am never able to do anything right!"
The nurse should identify this cognitive distortion as what response?
a. Self-blame
b. Catatonia
c. Learned helplessness
d. Discounting positive attributes - answer>>c. Learned helplessness
Learned helplessness results in depression when the client feels no control over the outcome of a
situation.
When the nurse remarks to a depressed client, "I see you are trying not to cry. Tell me what is
happening." The nurse should be prepared to implement which intervention?
a. Waiting quietly for the client to reply
, b. Prompting the client if the reply is slow
c. Repeating the question if the client does not answer promptly
d. Reviewing the client's medical record to support the client's response - answer>>a. Waiting quietly
for the client to reply
Depressed clients think slowly and take long periods to formulate answers and respond. The nurse must
be prepared to wait for a reply.
A new psychiatric technician mentions to the nurse, "Depression seems to be a disease of old people.
All the depressed clients on the unit are older than 60 years." How should the nurse respond to this
statement?
a. "That is a good observation. Depression does mostly strike people older than 50 years."
b. "Depression is seen in people of all ages, from childhood to old age."
c. "Depression is most often seen among the middle adult age group."
d. "The age of onset for most depressive episodes is given as 18 years." - answer>>b. "Depression is
seen in people of all ages, from childhood to old age."
Depression can occur at any age. Children, adolescents, adults, and the elderly may all experience
depression.
Which statement about antidepressant medications, in general, can serve as a basis for client and family
teaching?
a. Onset of action is from 1 to 3 weeks or longer.
b. They tend to be more effective for men.
c. Recent memory impairment is commonly observed.
d. They often cause the client to have diurnal variation. - answer>>a. Onset of action is from 1 to 3
weeks or longer.
A drawback of antidepressant drugs is that improvement in mood may take 1 to 3 weeks or longer.
None of the other options provide correct information regarding antidepressant medications.
Panic attacks in Latin American individuals often involve demonstration of which behavior?
