NUR2459 MENTAL AND BEHAVIORAL HEALTH NURSING FINAL
EXAM 2 QUESTIONS AND VERIFIED ANSWERS WITH COMPLETE
SOLUTIONS.
• Question 1
1 out of 1 points
You are the nurse responsible for assessing for extrapyramidal
side effects in a patient who has been taking chlorpromazine.
Which of the following may be side effects for this medication?
(Select all that apply.)
Akathisia
Acute dystonia
Tardive
Dyskinesia
Answer Amenorrhea
s:
Akathisia
Acute
dystonia
Tardive
Dyskinesia
Respo Extrapyramidal side effects of the central nervous
nse system include involuntary motor movements,
Feedba resulting in possible dystonia, akathisia or dyskinesia.
ck: Amenorrhea is a possible side effect of
chlorpromazine, but is not an extrapyramidal side
effect.
• Question 2
1 out of 1 points
An adult with depression has been treated with medication and
cognitive behavioral therapy. The patient now verbalizes that
being passive and letting others make decisions for her
contributed to the depression. What referrals could the nurse
make to help this patient prevent recurrence of depression?
Select Social skills training
ed
Answ
er:
Answers: Social skills training
,Use of
complementary
therapy
, Relaxation training classes
Learning
desensitization
techniques
Respo Social skills training is helpful in treating and
nse preventing the recurrence of depression. Training
Feedb focuses on assertiveness and coping skills that lead to
ack positive reinforcement from others.
: Use of complementary therapy refers to adjunctive
therapies such as herbals. Assertiveness would be of
greater value than relaxation training because
passivity has been identified as a concern.
Desensitization is used in treatment of phobias
• Question 3
1 out of 1
A patient with suicidal impulses is placed on the highest level
of suicide points
precautions. Which measures should be incorporated into the
plan of care by the nurse caring for the patient? (Select all that
apply.)
Selec Maintain arm’s-length distance, institute one-on-one
ted nursing observation around the clock
Answ Allow no glass or metal on meal trays
ers: Remove all potentially harmful objects from the patient’s
possession
Answers: Maintain arm’s-length distance, institute one-on-
one nursing observation around the clock
Allow no glass or metal on meal trays
Keep patient within visual range while awake, but only
check every 15 to 30 minutes while the patient is
sleeping
Only check the patient’s whereabouts every 15 minutes
and make frequent verbal contacts.
Remove all potentially harmful objects from the patient’s
possession
Respo :
nse
Feedb
ack
, O observation is necessary for anyone who has limited
n control over suicidal impulses. Plastic dishes on trays
e and the removal of potentially harmful objects from
- the patient’s possession are measures included in
o any-level suicide precautions. The remaining options
n are used in less stringent levels of suicide
- precautions.
o
n
e
• Question 4
0 out of 1
Which statement indicates a patient with major depression’s points
most likely outlook on life during the acute phase of the
illness?
Select “If I ignore this, it will go away.”
ed
Answ
er:
EXAM 2 QUESTIONS AND VERIFIED ANSWERS WITH COMPLETE
SOLUTIONS.
• Question 1
1 out of 1 points
You are the nurse responsible for assessing for extrapyramidal
side effects in a patient who has been taking chlorpromazine.
Which of the following may be side effects for this medication?
(Select all that apply.)
Akathisia
Acute dystonia
Tardive
Dyskinesia
Answer Amenorrhea
s:
Akathisia
Acute
dystonia
Tardive
Dyskinesia
Respo Extrapyramidal side effects of the central nervous
nse system include involuntary motor movements,
Feedba resulting in possible dystonia, akathisia or dyskinesia.
ck: Amenorrhea is a possible side effect of
chlorpromazine, but is not an extrapyramidal side
effect.
• Question 2
1 out of 1 points
An adult with depression has been treated with medication and
cognitive behavioral therapy. The patient now verbalizes that
being passive and letting others make decisions for her
contributed to the depression. What referrals could the nurse
make to help this patient prevent recurrence of depression?
Select Social skills training
ed
Answ
er:
Answers: Social skills training
,Use of
complementary
therapy
, Relaxation training classes
Learning
desensitization
techniques
Respo Social skills training is helpful in treating and
nse preventing the recurrence of depression. Training
Feedb focuses on assertiveness and coping skills that lead to
ack positive reinforcement from others.
: Use of complementary therapy refers to adjunctive
therapies such as herbals. Assertiveness would be of
greater value than relaxation training because
passivity has been identified as a concern.
Desensitization is used in treatment of phobias
• Question 3
1 out of 1
A patient with suicidal impulses is placed on the highest level
of suicide points
precautions. Which measures should be incorporated into the
plan of care by the nurse caring for the patient? (Select all that
apply.)
Selec Maintain arm’s-length distance, institute one-on-one
ted nursing observation around the clock
Answ Allow no glass or metal on meal trays
ers: Remove all potentially harmful objects from the patient’s
possession
Answers: Maintain arm’s-length distance, institute one-on-
one nursing observation around the clock
Allow no glass or metal on meal trays
Keep patient within visual range while awake, but only
check every 15 to 30 minutes while the patient is
sleeping
Only check the patient’s whereabouts every 15 minutes
and make frequent verbal contacts.
Remove all potentially harmful objects from the patient’s
possession
Respo :
nse
Feedb
ack
, O observation is necessary for anyone who has limited
n control over suicidal impulses. Plastic dishes on trays
e and the removal of potentially harmful objects from
- the patient’s possession are measures included in
o any-level suicide precautions. The remaining options
n are used in less stringent levels of suicide
- precautions.
o
n
e
• Question 4
0 out of 1
Which statement indicates a patient with major depression’s points
most likely outlook on life during the acute phase of the
illness?
Select “If I ignore this, it will go away.”
ed
Answ
er:
