LATEST ACTUAL EXAM QUESTIONS AND CORRECT
ANSWERS
The nurse is reviewing the laboratory results of a client receiving lithium carbonate. Which blood level with
the nurse interpret as being therapeutic? -Correct Answer: 1 mEq/L
A client diagnosed with bipolar Disorder is verbalizing, "the mare, doesn't care, over there, if you dare,
anywhere. " The nurse interprets this is which type of thought pattern? -Correct Answer: Flight of ideas
A client diagnosed with mania is pacing back-and-forth. To ensure adequate nutrition for this client, which
action would be most appropriate? -Correct Answer: Providing pieces of fruit and grilled chicken
A nurse is preparing a plan of care for a client after the client receives electroconvulsive therapy ECT.
Which action would be most appropriate to include? -Correct Answer: Reinforcing the client for time,
place, and person
A client prescribe phenelzine has spent the afternoon away from the unit with family. Which intervention
should the nurse initiate immediately upon learning that the client had pepperoni pizza -Correct Answer:
Perform a bedside electrocardiogram
After educating a client who is prescribed lithium about the drug, the nurse determines that the teaching was
successful based on what client statement? -Correct Answer: "I can eat a little of salt one day and a lot the
next. "
The teaching plan for a client prescribed a monoamine oxidase inhibitor MAOI should stress the importance
of avoiding which food? -Correct Answer: Sauerkraut
, A clients plan of care indicates the need for close monitoring of the clients cardiac status for arrhythmias.
Which antidepressant would the nurse identify as a potential factor contributing to the clients risk for
arrhythmias? -Correct Answer: TCAs
Which statement made by the nurse is appropriate to support the teaching plan for a client being prepared
for electroconvulsive therapy ECT? -Correct Answer: "This type of therapy indicates a seizure that will be
managed by the staff. "
A client is admitted to the psychiatric unit following a suicide attempt. Which client behavior demonstrates
the best indicator of future client safety? -Correct Answer: Client signed and no harm contract for three
consecutive shifts.
A client who is willing to take a prescribed and depressant medication is very resistant to attending
cognitive behavioral therapy sessions. Which response by the nurses most important to reinforce importance
of compliance with all aspects of treatment for depression? -Correct Answer: "The medication will help
improve your mood while the therapy helps you learn how to cope with the feelings that are triggering the
depression. "
A client who is demonstrating behaviors associated with severe depression is being admitted to the
psychiatric unit. Which question would be most important to ask initially?
-CORRECT ANSWER: "Do you have any thoughts about hurting yourself?"
Which statement made by a client treatment for acute depression supports the nurses evaluation that the
Risk for relapse is minimal? -Correct Answer: "I've scheduled evening counseling sessions, so I'll have no
problem attending all of them. "
A clients history reveals a mood disorder that is less severe than major depressive disorder but is recurrent
and part of the clients every day experience. The nurse would identify this as which condition? -Correct
Answer: Dysthymic