2026 H&H MENTAL HEALTH WITH REAL
EXAM QUESTIONS AND CORRECT
ANSWERS GRADED A+
A nurse prepares to administer lithium carbonate to a client
diagnosed with bipolar disorder. Which of the following laboratory
results must be reported to the health care personnel (HCP)
immediately?
1. Serum sodium level of 120 mEq/L (120 mmol/L)
2. Serum potassium level of 5 mEq/L (5 mmol/L)
3. Serum calcium level of 9.2 mg/dL (2.3 mmol/L)
4. Serum magnesium level of 1.8 mg/dL (0.74 mmol/L) Correct
Answer 1. Serum sodium level of 120 mEq/L (120 mmol/L)
A nurse is assigned to a client with bipolar disorder that is
scheduled for electroconvulsive therapy (ECT). Which of the
following are potential complications of this treatment? Select all
that apply.
1. Confusion
2. Hemorrhage
3. Short-term memory loss
,4. Disorientation
5. Long-term memory loss Correct Answer 1. Confusion
3. Short-term memory loss
4. Disorientation
Which of the following accurately describes the pathophysiology
process of bipolar disorder? Select all that apply.
1. Decreased serotonin, increased norepinephrine, and
decreased dopamine
2. Increased norepinephrine, dopamine, and serotonin
3. Decreased dopamine, serotonin, and norepinephrine
4. Increased dopamine, decreased serotonin, and increased
norepinephrine
5. Damage to areas of the brain affecting emotions Correct
Answer 3. Decreased dopamine, serotonin, and
norepinephrine
5. Damage to areas of the brain affecting emotions
A nurse prepares to administer lithium carbonate to a client
diagnosed with bipolar disorder. Upon assessment of laboratory
values, she discovers that the client has a serum sodium level of
110 mmol/L (110 mEq/L). Which of the following signs and
symptoms does the nurse expect the client to exhibit?
,1. Muscle twitching
2. Extreme thirst
3. Increased urinary specific gravity
4. Diminished deep tendon reflexes Correct Answer 4.
Diminished deep tendon reflexes
A nurse is caring for a client newly diagnosed with bipolar
disorder. The nurse plans to evaluate the client's feeling about the
new diagnosis. Which of the following is the correct way to
document the client's response?
1. The client feels as though the diagnosis provides him with an
understanding of the condition
2. The client seems depressed and does not want to discuss the
diagnosis at this time
3. The client states, "This is a lot of information to absorb, I don't
know what to think."
4. Presently, the client appears to be having a manic episode
Correct Answer 3. The client states, "This is a lot of
information to absorb, I don't know what to think."
A client with borderline personality disorder is experiencing
increased anxiety during college classes. Which of the following
, behaviors is an example of the defense mechanism of
"identification?"
1. The client starts dressing like one of their favourite professors
2. The client pretends they received scholarships over the term
3. The client blames other students in the class for their low
grades
4. The client brings baking to the class each morning Correct
Answer 1. The client starts dressing like one of their favourite
professors
The nurse is caring for a client who is experiencing mania. Which
of the following nursing interventions would be appropriate for this
client?
1. The nurse increases the client's social interactions
2. The nurse allows the client to focus on more than one topic
during a conversation
3. The nurse encourages rest periods and frequent snacks for the
client
4. The nurse assists the client to release their energy through
exercise Correct Answer 3. The nurse encourages rest periods
and frequent snacks for the client
EXAM QUESTIONS AND CORRECT
ANSWERS GRADED A+
A nurse prepares to administer lithium carbonate to a client
diagnosed with bipolar disorder. Which of the following laboratory
results must be reported to the health care personnel (HCP)
immediately?
1. Serum sodium level of 120 mEq/L (120 mmol/L)
2. Serum potassium level of 5 mEq/L (5 mmol/L)
3. Serum calcium level of 9.2 mg/dL (2.3 mmol/L)
4. Serum magnesium level of 1.8 mg/dL (0.74 mmol/L) Correct
Answer 1. Serum sodium level of 120 mEq/L (120 mmol/L)
A nurse is assigned to a client with bipolar disorder that is
scheduled for electroconvulsive therapy (ECT). Which of the
following are potential complications of this treatment? Select all
that apply.
1. Confusion
2. Hemorrhage
3. Short-term memory loss
,4. Disorientation
5. Long-term memory loss Correct Answer 1. Confusion
3. Short-term memory loss
4. Disorientation
Which of the following accurately describes the pathophysiology
process of bipolar disorder? Select all that apply.
1. Decreased serotonin, increased norepinephrine, and
decreased dopamine
2. Increased norepinephrine, dopamine, and serotonin
3. Decreased dopamine, serotonin, and norepinephrine
4. Increased dopamine, decreased serotonin, and increased
norepinephrine
5. Damage to areas of the brain affecting emotions Correct
Answer 3. Decreased dopamine, serotonin, and
norepinephrine
5. Damage to areas of the brain affecting emotions
A nurse prepares to administer lithium carbonate to a client
diagnosed with bipolar disorder. Upon assessment of laboratory
values, she discovers that the client has a serum sodium level of
110 mmol/L (110 mEq/L). Which of the following signs and
symptoms does the nurse expect the client to exhibit?
,1. Muscle twitching
2. Extreme thirst
3. Increased urinary specific gravity
4. Diminished deep tendon reflexes Correct Answer 4.
Diminished deep tendon reflexes
A nurse is caring for a client newly diagnosed with bipolar
disorder. The nurse plans to evaluate the client's feeling about the
new diagnosis. Which of the following is the correct way to
document the client's response?
1. The client feels as though the diagnosis provides him with an
understanding of the condition
2. The client seems depressed and does not want to discuss the
diagnosis at this time
3. The client states, "This is a lot of information to absorb, I don't
know what to think."
4. Presently, the client appears to be having a manic episode
Correct Answer 3. The client states, "This is a lot of
information to absorb, I don't know what to think."
A client with borderline personality disorder is experiencing
increased anxiety during college classes. Which of the following
, behaviors is an example of the defense mechanism of
"identification?"
1. The client starts dressing like one of their favourite professors
2. The client pretends they received scholarships over the term
3. The client blames other students in the class for their low
grades
4. The client brings baking to the class each morning Correct
Answer 1. The client starts dressing like one of their favourite
professors
The nurse is caring for a client who is experiencing mania. Which
of the following nursing interventions would be appropriate for this
client?
1. The nurse increases the client's social interactions
2. The nurse allows the client to focus on more than one topic
during a conversation
3. The nurse encourages rest periods and frequent snacks for the
client
4. The nurse assists the client to release their energy through
exercise Correct Answer 3. The nurse encourages rest periods
and frequent snacks for the client
