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NSG 3450 NURSING PRACTICE MENTAL
HEALTH EXAM 4 2026 PRACTICE QUESTIONS
AND ANSWERS DETAILED REVIEW
โ Side effects of light therapy. Answer: Eye strain, insomnia, headache, irritability. โ Lithium. Answer: Used for treatment of bipolar disorder, especially manic phase. โ Therapeutic lithium level. Answer: 0.6-1.2 mEq/L. โ Lithium toxicity signs. Answer: Nausea, vomiting, tremors, confusion, seizures. โ Vegetative symptoms of depression. Answer: Inability to eat, speak, or perform daily activities; lying in bed all day. โ Signs & symptoms of depression. Answer: Sadness, anhedonia, fatigue, sleep changes, appetite changes, suicidal thoughts. โ Danger of tricyclic antidepressants. Answer: Lethal in overdose due to cardiotoxicity.
โ Items not allowed for suicidal patients. Answer: Belts, jewelry, shoe strings, hair ties, sharp objects. โ Signs of lithium toxicity to monitor. Answer: GI upset, coarse tremor, confusion, seizures. โ Seasonal Affective Disorder. Answer: Depression occurring in fall/winter due to reduced sunlight. โ Priority concern in psychiatric care. Answer: Safety. โ Action when patient lashes out in group. Answer: Remove audience first, then the patient. โ ECT. Answer: Used for severe or treatment-resistant depression. โ ECT side effects. Answer: Temporary memory loss, confusion, headache. โ Therapeutic communication in bipolar disorder. Answer: Calm, firm tone; use limit-setting; reduce stimuli. โ Therapeutic communication with withdrawn patient. Answer: Clear, simple, direct language.
โ MAOI interaction with milk. Answer: Risk of hypertensive crisis due to tyramine. โ Is depression genetic?. Answer: Yes, it can be inherited. โ TMS contraindications. Answer: Metal implants, seizure disorders. โ MAOI contraindications. Answer: SSRIs, TCAs, tyramine-rich foods. โ Bulimia nervosa concerns. Answer: Monitor BP, cardiac function, electrolyte imbalance. โ Alcohol withdrawal symptoms. Answer: Tremors, delusions, seizures. โ When do alcohol withdrawal seizures occur?. Answer: 6-24 hours after last drink. โ Methadone side effects. Answer: Respiratory depression, QT prolongation. โ Wernicke-Korsakoff treatment. Answer: Thiamine (Vitamin B1). โ Lab concerns in starvation. Answer: Electrolytes (K, Mg, Phos).
โ Naltrexone drug interaction. Answer: Avoid with opioids and liver failure. โ What to do if narcotic count is off. Answer: Notify charge nurse immediately; don't leave unit. โ Post-discharge therapy for anorexia. Answer: CBT, family therapy, nutritional counseling. โ After-meal monitoring in eating disorders. Answer: Monitor for 1 hour post-meal. โ Bulimia nervosa S&S. Answer: Bingeing, purging, dental erosion, parotid swelling. โ Opioid addiction discharge teaching. Answer: Relapse prevention, support resources, Naltrexone education. โ Priority: alcohol vs opioid withdrawal. Answer: Alcohol withdrawal takes priority due to seizure risk. โ Why monitor BMI in anorexia?. Answer: Track nutritional status and recovery progress.
