NUR 2459 MENTAL HEALTH NURSING -
EXAM 3 PREP (VERIFIED AND
CORRECT Q & A) SATISFACTION
GUARANTEED 2026/2027
1. A patient with Bipolar I Disorder is in a state of acute mania. Which nursing intervention is
the priority?
A. Encourage the patient to participate in a group volleyball game.
B. Allow the patient to lead a community meeting to build self-esteem.
C. Provide high-calorie finger foods and fluids to be consumed on the go.
D. Discuss the patient’s long-term career goals during a quiet time.
Answer: C
Conceptual Explanation: Safety and physiological needs are priorities. Manic patients
often cannot sit still to eat, so high-calorie finger foods help maintain nutrition and energy
levels.
2. A client is prescribed Lithium Carbonate for mood stabilization. Which laboratory value
should the nurse report to the provider immediately?
A. Serum sodium of 140 mEq/L
B. Serum creatinine of 0.9 mg/dL
,C. Serum Lithium level of 1.8 mEq/L
D. WBC count of 8,000/mm3
Answer: C
Conceptual Explanation: The therapeutic range for Lithium is 0.6 to 1.2 mEq/L. A level of
1.8 mEq/L indicates toxicity, which can lead to seizures and death.
3. Which assessment finding in a patient taking Phenelzine (Nardil) requires immediate
emergency intervention?
A. Orthostatic hypotension
B. Dry mouth and blurred vision
C. Severe occipital headache and stiff neck
D. Weight gain of 2 pounds in a week
Answer: C
Conceptual Explanation: Phenelzine is an MAOI. A severe headache and stiff neck are
signs of a hypertensive crisis, usually caused by consuming tyramine-rich foods.
4. A nurse is caring for a client with Anorexia Nervosa who is starting a refeeding program.
Which complication should the nurse monitor for most closely?
A. Hypouricemia
B. Refeeding syndrome
C. Fluid volume deficit
, D. Increased metabolic rate
Answer: B
Conceptual Explanation: Refeeding syndrome is a potentially fatal shift in fluids and
electrolytes (especially phosphorus) that occurs when nutrition is reintroduced too quickly
to a starved patient.
5. A client with Bulimia Nervosa is admitted to the unit. What is the priority nursing
intervention during the first week of hospitalization?
A. Allowing the client to eat meals in their room alone.
B. Teaching the client how to count calories for weight maintenance.
C. Weighing the client once per week after the evening meal.
D. Monitoring the client for 1 hour after every meal.
Answer: D
Conceptual Explanation: Clients with bulimia often attempt to purge after eating.
Monitoring for one hour post-meals prevents vomiting or diuretic use.
6. A patient reports experiencing a sudden, intense fear, chest pain, and a feeling of
‘impending doom’ that lasted about 15 minutes. The nurse recognizes these as symptoms of:
A. Generalized Anxiety Disorder
B. Phobia
C. Obsessive-Compulsive Disorder
EXAM 3 PREP (VERIFIED AND
CORRECT Q & A) SATISFACTION
GUARANTEED 2026/2027
1. A patient with Bipolar I Disorder is in a state of acute mania. Which nursing intervention is
the priority?
A. Encourage the patient to participate in a group volleyball game.
B. Allow the patient to lead a community meeting to build self-esteem.
C. Provide high-calorie finger foods and fluids to be consumed on the go.
D. Discuss the patient’s long-term career goals during a quiet time.
Answer: C
Conceptual Explanation: Safety and physiological needs are priorities. Manic patients
often cannot sit still to eat, so high-calorie finger foods help maintain nutrition and energy
levels.
2. A client is prescribed Lithium Carbonate for mood stabilization. Which laboratory value
should the nurse report to the provider immediately?
A. Serum sodium of 140 mEq/L
B. Serum creatinine of 0.9 mg/dL
,C. Serum Lithium level of 1.8 mEq/L
D. WBC count of 8,000/mm3
Answer: C
Conceptual Explanation: The therapeutic range for Lithium is 0.6 to 1.2 mEq/L. A level of
1.8 mEq/L indicates toxicity, which can lead to seizures and death.
3. Which assessment finding in a patient taking Phenelzine (Nardil) requires immediate
emergency intervention?
A. Orthostatic hypotension
B. Dry mouth and blurred vision
C. Severe occipital headache and stiff neck
D. Weight gain of 2 pounds in a week
Answer: C
Conceptual Explanation: Phenelzine is an MAOI. A severe headache and stiff neck are
signs of a hypertensive crisis, usually caused by consuming tyramine-rich foods.
4. A nurse is caring for a client with Anorexia Nervosa who is starting a refeeding program.
Which complication should the nurse monitor for most closely?
A. Hypouricemia
B. Refeeding syndrome
C. Fluid volume deficit
, D. Increased metabolic rate
Answer: B
Conceptual Explanation: Refeeding syndrome is a potentially fatal shift in fluids and
electrolytes (especially phosphorus) that occurs when nutrition is reintroduced too quickly
to a starved patient.
5. A client with Bulimia Nervosa is admitted to the unit. What is the priority nursing
intervention during the first week of hospitalization?
A. Allowing the client to eat meals in their room alone.
B. Teaching the client how to count calories for weight maintenance.
C. Weighing the client once per week after the evening meal.
D. Monitoring the client for 1 hour after every meal.
Answer: D
Conceptual Explanation: Clients with bulimia often attempt to purge after eating.
Monitoring for one hour post-meals prevents vomiting or diuretic use.
6. A patient reports experiencing a sudden, intense fear, chest pain, and a feeling of
‘impending doom’ that lasted about 15 minutes. The nurse recognizes these as symptoms of:
A. Generalized Anxiety Disorder
B. Phobia
C. Obsessive-Compulsive Disorder
