MENTAL HEALTH EXAM 3 QUESTION AND
ANSWER LATEST 2026-2027 NSG 3450
EXAM 3 GALLEN COLLEGE OF NURSING
|GUARANTEED PASS
Which nursing response demonstrates accurate information that should be discussed with the
female pt diagnosed w/ bipolar and her support system? Select all that apply:
a. "remember that alcohol and caffeine can trigger a relapse of your symptoms"
b. "due to the risk of your manic episode, antidepressant therapy is never used with bipolar
disorder"
c. "it's critical to let your healthcare provider know immediately if you aren't sleeping well"
d. "Is your family prepare to be actively involved in helping manage this disorder?"
e. "the sx then to come and go and so you need to be able to recognize the early signs"
A, C, D, E
Which statement made by the pt demonstrated an understanding of the effective use of newly
prescribed lithium to manage bipolar mania? Select all that apply:
a. "I have to keep reminding myself to consistently drink 6-12 oz glasses of fluid every day"
b. "I discussed the diuretic my cardiologist prescribed with my psychiatric care provider"
c. "lithium may help me lose the few extra pounds I tend to carry around"
d. "I take my lithium on an empty stomach to help w/ absorption"
e. "I've already made arrangements for my monthly lab work"
A, B, E
The nurse is providing medication education to a pt who has be prescribed lithium to stabilize
mood. Which early signs and sx of toxicity should the nurse stress to the pt? Select all that
apply:
a. increased attentiveness
b. getting up at night to urinate
c. improved vision
d. an upset stomach for no apparent reason
e. shaky hands that make holding a cup difficult
D, E
, a male pt calls to tell the nurse that his monthly lithium level is 1.7 mEq/L. Which nursing
intervention will the nurse implement initially?
a. reinforce that the level is considered therapeutic
b. instruct the pt. to gold the next dose of medication and contact the prescriber
c. have the pt go to the hospital ER immediately
d. alert the pt to the possibility of seizures and appropriate precautions
B
Which intervention should the nurse implement when caring for a pt demonstrating a manic
behavior? Select all that apply:
a. monitor the pt's vital signs frequently
b. keep the pt distracted w/ group-oriented activities
c. provide the pt with frequent milkshakes and protein drinks
d. reduce the volume on the television and dim bright lights in the environment
e. use a firm but calm voice to give specific concise directions to the pt
A, C, D, E
Substance abuse is often present in people diagnosed w. bipolar disorder. Laura, a 28y/o with
a diagnosis of bipolar, drinks alcohol instead of taking her prescribed meds. The nurse caring
for this pt recognizes that:
a. anxiety may be present
b. alcohol ingestion is a form of self-medication
c. the pt is lacking a sufficient number of neurotransmitters
d. the pt is using alcohol bc she is depressed
B
Ted, the former executive, is now unemployed due to manic episodes at work. He was
diagnosed with bipolar I eight years go. Ted has a history of IV drug abuse, which resulted in
hepatitis C. He is taking his lithium exactly as scheduled, a fact that both Ted's wife and his
blood tests confirm. To reduce Ted's mania the psychiatric nurse practitioner recommends:
a. Clonazepam (Klonopin)
b. Fluoxetine (Prozac)
c. Electroconclucisve therapy (ECT)
d. Lurasidone (Latuda)
C
ANSWER LATEST 2026-2027 NSG 3450
EXAM 3 GALLEN COLLEGE OF NURSING
|GUARANTEED PASS
Which nursing response demonstrates accurate information that should be discussed with the
female pt diagnosed w/ bipolar and her support system? Select all that apply:
a. "remember that alcohol and caffeine can trigger a relapse of your symptoms"
b. "due to the risk of your manic episode, antidepressant therapy is never used with bipolar
disorder"
c. "it's critical to let your healthcare provider know immediately if you aren't sleeping well"
d. "Is your family prepare to be actively involved in helping manage this disorder?"
e. "the sx then to come and go and so you need to be able to recognize the early signs"
A, C, D, E
Which statement made by the pt demonstrated an understanding of the effective use of newly
prescribed lithium to manage bipolar mania? Select all that apply:
a. "I have to keep reminding myself to consistently drink 6-12 oz glasses of fluid every day"
b. "I discussed the diuretic my cardiologist prescribed with my psychiatric care provider"
c. "lithium may help me lose the few extra pounds I tend to carry around"
d. "I take my lithium on an empty stomach to help w/ absorption"
e. "I've already made arrangements for my monthly lab work"
A, B, E
The nurse is providing medication education to a pt who has be prescribed lithium to stabilize
mood. Which early signs and sx of toxicity should the nurse stress to the pt? Select all that
apply:
a. increased attentiveness
b. getting up at night to urinate
c. improved vision
d. an upset stomach for no apparent reason
e. shaky hands that make holding a cup difficult
D, E
, a male pt calls to tell the nurse that his monthly lithium level is 1.7 mEq/L. Which nursing
intervention will the nurse implement initially?
a. reinforce that the level is considered therapeutic
b. instruct the pt. to gold the next dose of medication and contact the prescriber
c. have the pt go to the hospital ER immediately
d. alert the pt to the possibility of seizures and appropriate precautions
B
Which intervention should the nurse implement when caring for a pt demonstrating a manic
behavior? Select all that apply:
a. monitor the pt's vital signs frequently
b. keep the pt distracted w/ group-oriented activities
c. provide the pt with frequent milkshakes and protein drinks
d. reduce the volume on the television and dim bright lights in the environment
e. use a firm but calm voice to give specific concise directions to the pt
A, C, D, E
Substance abuse is often present in people diagnosed w. bipolar disorder. Laura, a 28y/o with
a diagnosis of bipolar, drinks alcohol instead of taking her prescribed meds. The nurse caring
for this pt recognizes that:
a. anxiety may be present
b. alcohol ingestion is a form of self-medication
c. the pt is lacking a sufficient number of neurotransmitters
d. the pt is using alcohol bc she is depressed
B
Ted, the former executive, is now unemployed due to manic episodes at work. He was
diagnosed with bipolar I eight years go. Ted has a history of IV drug abuse, which resulted in
hepatitis C. He is taking his lithium exactly as scheduled, a fact that both Ted's wife and his
blood tests confirm. To reduce Ted's mania the psychiatric nurse practitioner recommends:
a. Clonazepam (Klonopin)
b. Fluoxetine (Prozac)
c. Electroconclucisve therapy (ECT)
d. Lurasidone (Latuda)
C
