NURS6630 FINAL EXAM 2026
WALDEN UNIVERSITY ACTUAL
SCRIPT SOLVED QUESTIONS
VERIFIED ANSWERS A+
◉ SSRIs.
Answer: Citalopram
Escitalopram (Lexapro)
Fluoxetine
Paroxetine
Sertraline
◉ Nursing considerations for SSRIs.
Answer: - Take in the AM WITH FOOD to avoid GI upset and insomnia
- If feeling sedated or tired, take in PM
- St. John's Wort & Ginkgo biloba may cause serotonin syndrome
- Instruct related to suicidal ideation and serotonin syndrome.
◉ Seasonal Affective Disorder pharm therapy.
Answer: Light therapy (phototherapy). Bupropion (Wellbutrin) - more
cost-effective than light therapy and just as effective.
◉ Care for patient reveiving ECT.
,Answer: Performed under general anesthesia. ensure pt is NPO for at
least 4hrs prior to tx. Vital signs and brain activity are monitored
throughout the procedure.
Pt may experience confusion and memory loss. Lateral recumbent (side-
lying) position to facilitate drainage & prevent aspiration.
Support head.
Protect the airway.
NPO until fully awake.
◉ ECT is useful for.
Answer: for patients with severe depression who are resistant to other
treatments, those who are severely suicidal, and those with severe
psychomotor retardation (difficulty or slowness in speaking or in
performing tasks).
MDD & Bipolar
◉ Bipolar I.
Answer: Consists of 1 or more manic\mixed episodes
Usually accompanied by major depressive disorder
◉ Bipolar II.
Answer: Consists of 1 or more major depressive episodes accompanied
by at least 1 hypomanic episode
,◉ Interventions to address hallucinations.
Answer: Present reality by spending time with the patient.
Identify yourself, time & day, location, & other orienting info.
It is not therapeutic to argue or try to reason with patients who are
experiencing delusions or altered thought processes.
Arguing hardens the belief system and can impair the development of
trust.
◉ Typical onset for bipolar.
Answer: 15-30. Often misdiagnosed. Can be dx as ADHD esp in
children
◉ Mania.
Answer: M - Mood Swings
A - Active, Aggressive
N - Nothing is wrong (Denial)
I - Irritable, impulsive, intrusive behavior
C - Can't sit still
E - Euphoric Mood
P - Poor judgment; Provocative behavior
I - Increased sexual interest
, S - Substance (stimulants, sleeping pills, alcohol) abuse
O - Omnipotent feelings
D - Decreased need for sleep
E - Endless energy
◉ Hypomania.
Answer: Less extreme form of mania
Not severe enough to markedly impair functioning or require hosp.
◉ Toxicity symptoms with Lithium.
Answer: begins appearing at blood levels above 1.5 mEq/L
Increased reflexes
Altered LOC
Tremors - may show when levels are normal
Diarrhea
Hypotension
Slurred speech
◉ Sodium and Lithium.
Answer: decreased sodium = increased lithium
increased sodium = decreased lithium
WALDEN UNIVERSITY ACTUAL
SCRIPT SOLVED QUESTIONS
VERIFIED ANSWERS A+
◉ SSRIs.
Answer: Citalopram
Escitalopram (Lexapro)
Fluoxetine
Paroxetine
Sertraline
◉ Nursing considerations for SSRIs.
Answer: - Take in the AM WITH FOOD to avoid GI upset and insomnia
- If feeling sedated or tired, take in PM
- St. John's Wort & Ginkgo biloba may cause serotonin syndrome
- Instruct related to suicidal ideation and serotonin syndrome.
◉ Seasonal Affective Disorder pharm therapy.
Answer: Light therapy (phototherapy). Bupropion (Wellbutrin) - more
cost-effective than light therapy and just as effective.
◉ Care for patient reveiving ECT.
,Answer: Performed under general anesthesia. ensure pt is NPO for at
least 4hrs prior to tx. Vital signs and brain activity are monitored
throughout the procedure.
Pt may experience confusion and memory loss. Lateral recumbent (side-
lying) position to facilitate drainage & prevent aspiration.
Support head.
Protect the airway.
NPO until fully awake.
◉ ECT is useful for.
Answer: for patients with severe depression who are resistant to other
treatments, those who are severely suicidal, and those with severe
psychomotor retardation (difficulty or slowness in speaking or in
performing tasks).
MDD & Bipolar
◉ Bipolar I.
Answer: Consists of 1 or more manic\mixed episodes
Usually accompanied by major depressive disorder
◉ Bipolar II.
Answer: Consists of 1 or more major depressive episodes accompanied
by at least 1 hypomanic episode
,◉ Interventions to address hallucinations.
Answer: Present reality by spending time with the patient.
Identify yourself, time & day, location, & other orienting info.
It is not therapeutic to argue or try to reason with patients who are
experiencing delusions or altered thought processes.
Arguing hardens the belief system and can impair the development of
trust.
◉ Typical onset for bipolar.
Answer: 15-30. Often misdiagnosed. Can be dx as ADHD esp in
children
◉ Mania.
Answer: M - Mood Swings
A - Active, Aggressive
N - Nothing is wrong (Denial)
I - Irritable, impulsive, intrusive behavior
C - Can't sit still
E - Euphoric Mood
P - Poor judgment; Provocative behavior
I - Increased sexual interest
, S - Substance (stimulants, sleeping pills, alcohol) abuse
O - Omnipotent feelings
D - Decreased need for sleep
E - Endless energy
◉ Hypomania.
Answer: Less extreme form of mania
Not severe enough to markedly impair functioning or require hosp.
◉ Toxicity symptoms with Lithium.
Answer: begins appearing at blood levels above 1.5 mEq/L
Increased reflexes
Altered LOC
Tremors - may show when levels are normal
Diarrhea
Hypotension
Slurred speech
◉ Sodium and Lithium.
Answer: decreased sodium = increased lithium
increased sodium = decreased lithium
