NUR 253-256 Mental Health Exam 2
NUR 253-256 Mental Health Exam 2 Questions and 100% Correct
Answers Latest 2026/27 Update – Galen College Of Nursing
1. A nurse is receiving the lithium level results of a client who has bipolar
disorder. The client’s lithium level is 2 meq/L, with the report of nausea and
diarrhea. Which of the following actions is best for the nurse to perform? Hold
the next dose of lithium and encourage fluid intake
2. The nurse is teaching a client who has schizophrenia about a newly
prescribed second-generation antipsychotic. The nurse discusses
agranulocytosis associated with this medication. Which of the following
manifestations should the nurse include in the teaching plan?
Neutropenia
3. The nurse is speaking with a newly admitted client who reports having
thoughts of self-harm and is placed on 1:1 observation for the risk of suicide.
Two hours later, the client reports feeling much better and wants to take a
shower privately. Which of the following actions should the nurse perform?
Advise the client that they need to remain on 1:1 supervision.
4. The nurse is providing education for a client who has a new prescription for a
tricyclic antidepressant (TCA). Which of the following information should the
nurse include in the teaching? This medication is lethal in overdose
5. A nurse is reviewing a client history prior to receiving electroconvulsive
therapy (ECT). Which of the following conditions in the client’s history
requires further follow-up prior to the procedure? Brain Tumor
6. The nurse is caring for a client who has been placed in physical restraints.
Which of the following actions should the nurse perform when caring for a
client restraints? Offer the client food or liquids every hour to prevent
dehydration
7. The nurse is conducting room checks every 15 minutes and notices a client
pacing in their room. The nurse recalls that the last time the client was pacing
they were experiencing acute mania and attempted to physically harm
themselves. Which of the following actions should the nurse perform
immediately? Approach the client and attempt verbal descalation
8. The nurse is teaching a client who is scheduled to begin therapy with second-
generation antipsychotic medication. Which of the following adverse effects
should the nurse teach the client? Generalized muscle rigidity
, NUR 253-256 Mental Health Exam 2
9. The student nurse is working on a mental health unit with a client diagnosed
with depression. The student nurse states to the clinical instructor during pre-
conference, “I know someone who had a very similar experience as the client I
worked with today, but they are completely fine. Why is this client so
depressed? “The clinical instructor should answer the question using the
concept of diathesis-stress model.
10. The nurse is planning care with a Latino client who is diagnosed with a
depressive disorder. The client believes in “mal de ojo” (the evil eye) and uses
treatment by a root healer. Which of the following interventions is indicated for
this client? Involve the root healer in consultation with
the client, primary health care provider (PHCP), and the nurse
11.The nurse has attended a seminar about electroconvulsive therapy (ECT). It
demonstrates a correct understanding of the information if the nurse states
“ECT treatments can be done after benzodiazepines have
been discontinued.”
12.The nurse is caring for a client with bipolar disorder who has been admitted to
the mental health unit after initial assessment and stabilization in the emergency
department (ED). The nurse notes that the client is not eating properly, is
overactive, and will not sit still long enough to eat. Which of the following
actions by the nurse is appropriate to provide nutrition for his client?
Offer the client a sandwich cut into fourths
13.The nurse working in an urgent care clinic is caring for a client who reports flu-
like symptoms: diarrhea, sweating, and fever. During the assessment, the nurse
discovers that the client has been taking paroxetine 10 mg by mouth every
morning for the past 2 weeks. The client reports doubling the dose of
medication to try to make the medicine works later. The nurse should recognize
that the client is likely showing early signs of serotonin syndrome
14.The nurse is just beginning client assessment when an unlicensed assistive
personnel reports that a client with bipolar disorder is actively experiencing
mania. The nurse immediately checks the chart to ensure if the client is
considered a fall risk
15.The nurse is assessing a client who has schizophrenia. The nurse hears the
client say, “on the track, I saw a rack and a tack. “ The nurse charts the
client’s speech as clang associations
NUR 253-256 Mental Health Exam 2 Questions and 100% Correct
Answers Latest 2026/27 Update – Galen College Of Nursing
1. A nurse is receiving the lithium level results of a client who has bipolar
disorder. The client’s lithium level is 2 meq/L, with the report of nausea and
diarrhea. Which of the following actions is best for the nurse to perform? Hold
the next dose of lithium and encourage fluid intake
2. The nurse is teaching a client who has schizophrenia about a newly
prescribed second-generation antipsychotic. The nurse discusses
agranulocytosis associated with this medication. Which of the following
manifestations should the nurse include in the teaching plan?
Neutropenia
3. The nurse is speaking with a newly admitted client who reports having
thoughts of self-harm and is placed on 1:1 observation for the risk of suicide.
Two hours later, the client reports feeling much better and wants to take a
shower privately. Which of the following actions should the nurse perform?
Advise the client that they need to remain on 1:1 supervision.
4. The nurse is providing education for a client who has a new prescription for a
tricyclic antidepressant (TCA). Which of the following information should the
nurse include in the teaching? This medication is lethal in overdose
5. A nurse is reviewing a client history prior to receiving electroconvulsive
therapy (ECT). Which of the following conditions in the client’s history
requires further follow-up prior to the procedure? Brain Tumor
6. The nurse is caring for a client who has been placed in physical restraints.
Which of the following actions should the nurse perform when caring for a
client restraints? Offer the client food or liquids every hour to prevent
dehydration
7. The nurse is conducting room checks every 15 minutes and notices a client
pacing in their room. The nurse recalls that the last time the client was pacing
they were experiencing acute mania and attempted to physically harm
themselves. Which of the following actions should the nurse perform
immediately? Approach the client and attempt verbal descalation
8. The nurse is teaching a client who is scheduled to begin therapy with second-
generation antipsychotic medication. Which of the following adverse effects
should the nurse teach the client? Generalized muscle rigidity
, NUR 253-256 Mental Health Exam 2
9. The student nurse is working on a mental health unit with a client diagnosed
with depression. The student nurse states to the clinical instructor during pre-
conference, “I know someone who had a very similar experience as the client I
worked with today, but they are completely fine. Why is this client so
depressed? “The clinical instructor should answer the question using the
concept of diathesis-stress model.
10. The nurse is planning care with a Latino client who is diagnosed with a
depressive disorder. The client believes in “mal de ojo” (the evil eye) and uses
treatment by a root healer. Which of the following interventions is indicated for
this client? Involve the root healer in consultation with
the client, primary health care provider (PHCP), and the nurse
11.The nurse has attended a seminar about electroconvulsive therapy (ECT). It
demonstrates a correct understanding of the information if the nurse states
“ECT treatments can be done after benzodiazepines have
been discontinued.”
12.The nurse is caring for a client with bipolar disorder who has been admitted to
the mental health unit after initial assessment and stabilization in the emergency
department (ED). The nurse notes that the client is not eating properly, is
overactive, and will not sit still long enough to eat. Which of the following
actions by the nurse is appropriate to provide nutrition for his client?
Offer the client a sandwich cut into fourths
13.The nurse working in an urgent care clinic is caring for a client who reports flu-
like symptoms: diarrhea, sweating, and fever. During the assessment, the nurse
discovers that the client has been taking paroxetine 10 mg by mouth every
morning for the past 2 weeks. The client reports doubling the dose of
medication to try to make the medicine works later. The nurse should recognize
that the client is likely showing early signs of serotonin syndrome
14.The nurse is just beginning client assessment when an unlicensed assistive
personnel reports that a client with bipolar disorder is actively experiencing
mania. The nurse immediately checks the chart to ensure if the client is
considered a fall risk
15.The nurse is assessing a client who has schizophrenia. The nurse hears the
client say, “on the track, I saw a rack and a tack. “ The nurse charts the
client’s speech as clang associations
