NSG 3450 MENTAL HEALTH EXAM 3 UNIT 7 QUESTIONS AND ANSWERS
| NSG 3450 STUDY GUIDE & PRACTICE TEST 2026/2027
A person was online continuously for over 24 hours, 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 - ANS ✔✔c. Poor judgment and hyperactivity
A client diagnosed with bipolar disorder is dressed in a 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 - ANS ✔✔a. Euphoric
A person was directing traffic on a busy street, rapidly 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 - ANS ✔✔c. Hyperactivity; not eating and sleeping
A client diagnosed with acute mania has distributed 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 - ANS ✔✔a. Risk for injury
A client diagnosed with bipolar disorder becomes 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?" - ANS ✔✔c. "Do not
hit anyone. If you are unable to control yourself, we will help you."
, This nursing diagnosis applies to a client experiencing 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. - ANS ✔✔b. drink six servings of a high-calorie, high-protein drink each day.
A client demonstrating characteristics of acute mania 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. - ANS ✔✔b. To bring hyperactivity under rapid
control.
A client diagnosed with bipolar disorder has rapidly 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 - ANS ✔✔d. Carbamazepine
While the exact cause of bipolar disorder has not been 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. - ANS ✔✔a. several factors, including
genetics, are implicated.
The spouse of a client diagnosed with bipolar disorder asks what evidence supports the possibility of
genetic transmission of bipolar disorders. Which response should the nurse provide?
a. "A high proportion of clients with bipolar disorders are found among creative writers."
b. "A higher rate of relatives with bipolar disorder is found among clients with bipolar disorder."
c. "Clients with bipolar disorder have higher rates of relatives who respond in an
exaggerated way to daily stress."
d. "More individuals with bipolar disorder come from high socioeconomic and educational
backgrounds." - ANS ✔✔b. "A higher rate of relatives with bipolar disorder is found among clients with
bipolar disorder."
| NSG 3450 STUDY GUIDE & PRACTICE TEST 2026/2027
A person was online continuously for over 24 hours, 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 - ANS ✔✔c. Poor judgment and hyperactivity
A client diagnosed with bipolar disorder is dressed in a 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 - ANS ✔✔a. Euphoric
A person was directing traffic on a busy street, rapidly 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 - ANS ✔✔c. Hyperactivity; not eating and sleeping
A client diagnosed with acute mania has distributed 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 - ANS ✔✔a. Risk for injury
A client diagnosed with bipolar disorder becomes 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?" - ANS ✔✔c. "Do not
hit anyone. If you are unable to control yourself, we will help you."
, This nursing diagnosis applies to a client experiencing 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. - ANS ✔✔b. drink six servings of a high-calorie, high-protein drink each day.
A client demonstrating characteristics of acute mania 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. - ANS ✔✔b. To bring hyperactivity under rapid
control.
A client diagnosed with bipolar disorder has rapidly 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 - ANS ✔✔d. Carbamazepine
While the exact cause of bipolar disorder has not been 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. - ANS ✔✔a. several factors, including
genetics, are implicated.
The spouse of a client diagnosed with bipolar disorder asks what evidence supports the possibility of
genetic transmission of bipolar disorders. Which response should the nurse provide?
a. "A high proportion of clients with bipolar disorders are found among creative writers."
b. "A higher rate of relatives with bipolar disorder is found among clients with bipolar disorder."
c. "Clients with bipolar disorder have higher rates of relatives who respond in an
exaggerated way to daily stress."
d. "More individuals with bipolar disorder come from high socioeconomic and educational
backgrounds." - ANS ✔✔b. "A higher rate of relatives with bipolar disorder is found among clients with
bipolar disorder."
