NUR 253 FINAL EXAM: MENTAL
HEALTH NURSING QUESTIONS &
VERIFIED ANSWERS (A+ GUARANTEE) |
GALEN COLLEGE OF NURSING
1. A client with bipolar disorder is in the acute manic phase. Which of the following nursing
interventions is the highest priority?
A. Encouraging the client to participate in a group volleyball game.
B. Allowing the client to lead the community meeting.
C. Providing high-calorie, portable finger foods.
D. Discussing the client’s past behaviors in a detailed therapy session.
Answer: C
Conceptual Explanation: In acute mania, clients often cannot sit long enough to eat and
have high energy expenditure. Portable finger foods meet nutritional needs. Physical
activity should be low-stimulus and solo rather than competitive group games.
2. A client being treated with Phenelzine (an MAOI) is at a dinner party. Which menu item
should the nurse instruct the client to avoid?
A. Grilled chicken breast with steamed broccoli.
,B. Fresh green salad with oil and vinegar.
C. Baked potato with sour cream and chives.
D. Smoked salmon and aged cheddar cheese plate.
Answer: D
Conceptual Explanation: MAOIs interact with tyramine-rich foods (aged cheese, smoked
meats, fermented products) to cause a hypertensive crisis.
3. A nurse is assessing a client for Neuroleptic Malignant Syndrome (NMS). Which finding
should the nurse report to the provider immediately?
A. Muscle flaccidity and hypotension.
B. Fine hand tremors and sedation.
C. Muscle rigidity, diaphoresis, and hyperpyrexia.
D. Dry mouth and blurred vision.
Answer: C
Conceptual Explanation: NMS is a life-threatening complication of antipsychotics
characterized by severe muscle rigidity, high fever (hyperpyrexia), and autonomic
instability.
4. A client is prescribed Clozapine for treatment-resistant schizophrenia. Which laboratory
result must the nurse monitor most closely?
A. Serum potassium levels.
, B. Serum creatinine and BUN.
C. White blood cell (WBC) count and ANC.
D. Platelet count.
Answer: C
Conceptual Explanation: Clozapine carries a risk of agranulocytosis (dangerously low
WBC/ANC), requiring regular blood monitoring.
5. A nurse is caring for a client with Borderline Personality Disorder who tells the day shift
nurse, ‘The night nurse was so mean, but you are the best nurse I have ever had.’ The nurse
recognizes this as:
A. Altruism.
B. Splitting.
C. Sublimation.
D. Rationalization.
Answer: B
Conceptual Explanation: Splitting is a defense mechanism common in Borderline
Personality Disorder where individuals view people as all good or all bad.
6. A client with a history of alcohol use disorder is admitted and last drank 24 hours ago. The
nurse should prioritize monitoring for which symptom?
A. Hypersomnia and bradycardia.
HEALTH NURSING QUESTIONS &
VERIFIED ANSWERS (A+ GUARANTEE) |
GALEN COLLEGE OF NURSING
1. A client with bipolar disorder is in the acute manic phase. Which of the following nursing
interventions is the highest priority?
A. Encouraging the client to participate in a group volleyball game.
B. Allowing the client to lead the community meeting.
C. Providing high-calorie, portable finger foods.
D. Discussing the client’s past behaviors in a detailed therapy session.
Answer: C
Conceptual Explanation: In acute mania, clients often cannot sit long enough to eat and
have high energy expenditure. Portable finger foods meet nutritional needs. Physical
activity should be low-stimulus and solo rather than competitive group games.
2. A client being treated with Phenelzine (an MAOI) is at a dinner party. Which menu item
should the nurse instruct the client to avoid?
A. Grilled chicken breast with steamed broccoli.
,B. Fresh green salad with oil and vinegar.
C. Baked potato with sour cream and chives.
D. Smoked salmon and aged cheddar cheese plate.
Answer: D
Conceptual Explanation: MAOIs interact with tyramine-rich foods (aged cheese, smoked
meats, fermented products) to cause a hypertensive crisis.
3. A nurse is assessing a client for Neuroleptic Malignant Syndrome (NMS). Which finding
should the nurse report to the provider immediately?
A. Muscle flaccidity and hypotension.
B. Fine hand tremors and sedation.
C. Muscle rigidity, diaphoresis, and hyperpyrexia.
D. Dry mouth and blurred vision.
Answer: C
Conceptual Explanation: NMS is a life-threatening complication of antipsychotics
characterized by severe muscle rigidity, high fever (hyperpyrexia), and autonomic
instability.
4. A client is prescribed Clozapine for treatment-resistant schizophrenia. Which laboratory
result must the nurse monitor most closely?
A. Serum potassium levels.
, B. Serum creatinine and BUN.
C. White blood cell (WBC) count and ANC.
D. Platelet count.
Answer: C
Conceptual Explanation: Clozapine carries a risk of agranulocytosis (dangerously low
WBC/ANC), requiring regular blood monitoring.
5. A nurse is caring for a client with Borderline Personality Disorder who tells the day shift
nurse, ‘The night nurse was so mean, but you are the best nurse I have ever had.’ The nurse
recognizes this as:
A. Altruism.
B. Splitting.
C. Sublimation.
D. Rationalization.
Answer: B
Conceptual Explanation: Splitting is a defense mechanism common in Borderline
Personality Disorder where individuals view people as all good or all bad.
6. A client with a history of alcohol use disorder is admitted and last drank 24 hours ago. The
nurse should prioritize monitoring for which symptom?
A. Hypersomnia and bradycardia.
