User Lee Arthur
Course NU249/NUR2488 Section 06 Mental Health Nursing - Online Plus - Winter
Quarter
Test NU239 NUR2488 Mental Health Nursing Exam 3
Started 3/6/17 3:19 PM
Submitted 3/6/17 3:19 PM
Status Completed Attempt
Score 35 out of 50 points
Time Elapsed 32 minutes out of 1 hour
Results All Answers, Submitted Answers, Feedback
Displayed
• Question 1
A patient with a history of cocaine use reports a concurrent history of using other
drugs in order to counteract the effects of cocaine. Which drugis this patient likely to
have abused?
Selected Alcohol
Answer:
Answers: PCP
Alcohol
Methylpheni
date
Caffeine
Response Alcohol is a depressant which can neutralize the effects of cocaine,
Feedback:
which is a stimulant. Caffeine, methylphenidate (used to treat ADHD)
and the illegal drug PCP are also stimulating andwould only exacerbate
the effects of cocaine.
• Question 2
A patient is admitted with a heart rate of 53 bpm, respirations 6/min, temp
96.8 and pinpoint pupils. Based on these clinical manifestations, whatsubstance did this
patient most likely overdose on?
Selected Marijuana
Answer:
Answers: Opioids
Alcohol
Marijuana
Amphetamine
Response Opioids include prescribed medications such as oxycodone and
Feedback:
morphine, and the illegal substance heroin. The above symptoms are
typical of opioid overdose, but are not typically
, seen with marijuana, alcohol or amphetamines.
• Question 3
An elderly client with cognitive impairment is combative and pulled out anasogastric
tube, intravenous line, and indwelling urinary catheter. Whatcan the nurse anticipate
that the health care provider will most likely prescribe?
Selected A small dose of a selective serotoninreuptake
Answer:
inhibitor
Answers: A small dose of a selective serotonin
reuptake inhibitor
A large dose of a benzodiazepineA
maintenance dose of buspirone
A small dose of an atypical antipsychotic
Response Aggressive behavior can be safely managed by antipsychotic
Feedback
medication. Initial dosing should be small and raised cautiouslyuntil
:
behavior is controlled. Selective serotonin reuptake inhibitors are not
indicated for aggressive behavior. If a benzodiazepine is used, the initial
dose should be low.
Buspirone is not effective if given on an as-needed basis. It is
administered in small divided doses daily to control agitation.
• Question 4
A nursing care plan contains the intervention “monitor for complications ofrefeeding
syndrome.” Which body system should a nurse most closely monitor for clinical
manifestations of dysfunction?
Selected Central
Answer:
nervous
Answers: Renal
Central
nervous
Endocrine
Cardiovascular
Response Refeeding resulting in too-rapid weight gain can overwhelm theheart,
Feedback:
resulting in cardiovascular collapse; thus focused assessment becomes a
necessity to ensure patient physiological integrity. The other body
systems are not initially involved in the refeeding syndrome.
• Question 5
, Which of the following is the best example of all-or-nothing thinking, a
common cognitive distortion of patients with an eating disorder?
Selected “If I gain any weight, I’ll keep going until I’m huge.”
Answer:
Answers: “If I gain any weight, I’ll keep going until I’m huge.”
“When people tell me I’m looking better, they reallymean I’m
fatter.”
“No one likes me because I’m fat.”
“When I’m thin, I’m perfect.”
Response In all-or-nothing thinking, the person cannot see any middle ground
Feedback:
between extremes; a person with an eating disorder willsee themselves
as either thin or immense. The other commentsare common in eating
disorders but are not examples of all-or- nothing thinking.
• Question 6
A nurse reports to the interdisciplinary team that a patient with an antisocial
personality disorder lies to other patients, verbally abuses apatient with
Alzheimer’s disease, and flatters the primary nurse. This patient is detached and
superficial during counseling sessions. Which behavior most clearly warrants
limit setting?
Selected Flattering the nurse
Answer:
Answers: Lying to other patients
Flattering the nurse
Verbal abuse of another patient
Detached superficiality duringcounseling
Response Limits must be set in areas in which the patient’s behavior affects the
Feedback:
rights of others. Limiting verbal abuse of another patient is a priority
intervention. The other concerns should beaddressed during therapeutic
encounters.
• Question 7
Which of the following are primary characteristics of a person withborderline
personality disorder?
Selected Demonstrated a self-defeating cycle ofbehavior
Answer:
Answers: Demonstrates flexibility and
compromise
Course NU249/NUR2488 Section 06 Mental Health Nursing - Online Plus - Winter
Quarter
Test NU239 NUR2488 Mental Health Nursing Exam 3
Started 3/6/17 3:19 PM
Submitted 3/6/17 3:19 PM
Status Completed Attempt
Score 35 out of 50 points
Time Elapsed 32 minutes out of 1 hour
Results All Answers, Submitted Answers, Feedback
Displayed
• Question 1
A patient with a history of cocaine use reports a concurrent history of using other
drugs in order to counteract the effects of cocaine. Which drugis this patient likely to
have abused?
Selected Alcohol
Answer:
Answers: PCP
Alcohol
Methylpheni
date
Caffeine
Response Alcohol is a depressant which can neutralize the effects of cocaine,
Feedback:
which is a stimulant. Caffeine, methylphenidate (used to treat ADHD)
and the illegal drug PCP are also stimulating andwould only exacerbate
the effects of cocaine.
• Question 2
A patient is admitted with a heart rate of 53 bpm, respirations 6/min, temp
96.8 and pinpoint pupils. Based on these clinical manifestations, whatsubstance did this
patient most likely overdose on?
Selected Marijuana
Answer:
Answers: Opioids
Alcohol
Marijuana
Amphetamine
Response Opioids include prescribed medications such as oxycodone and
Feedback:
morphine, and the illegal substance heroin. The above symptoms are
typical of opioid overdose, but are not typically
, seen with marijuana, alcohol or amphetamines.
• Question 3
An elderly client with cognitive impairment is combative and pulled out anasogastric
tube, intravenous line, and indwelling urinary catheter. Whatcan the nurse anticipate
that the health care provider will most likely prescribe?
Selected A small dose of a selective serotoninreuptake
Answer:
inhibitor
Answers: A small dose of a selective serotonin
reuptake inhibitor
A large dose of a benzodiazepineA
maintenance dose of buspirone
A small dose of an atypical antipsychotic
Response Aggressive behavior can be safely managed by antipsychotic
Feedback
medication. Initial dosing should be small and raised cautiouslyuntil
:
behavior is controlled. Selective serotonin reuptake inhibitors are not
indicated for aggressive behavior. If a benzodiazepine is used, the initial
dose should be low.
Buspirone is not effective if given on an as-needed basis. It is
administered in small divided doses daily to control agitation.
• Question 4
A nursing care plan contains the intervention “monitor for complications ofrefeeding
syndrome.” Which body system should a nurse most closely monitor for clinical
manifestations of dysfunction?
Selected Central
Answer:
nervous
Answers: Renal
Central
nervous
Endocrine
Cardiovascular
Response Refeeding resulting in too-rapid weight gain can overwhelm theheart,
Feedback:
resulting in cardiovascular collapse; thus focused assessment becomes a
necessity to ensure patient physiological integrity. The other body
systems are not initially involved in the refeeding syndrome.
• Question 5
, Which of the following is the best example of all-or-nothing thinking, a
common cognitive distortion of patients with an eating disorder?
Selected “If I gain any weight, I’ll keep going until I’m huge.”
Answer:
Answers: “If I gain any weight, I’ll keep going until I’m huge.”
“When people tell me I’m looking better, they reallymean I’m
fatter.”
“No one likes me because I’m fat.”
“When I’m thin, I’m perfect.”
Response In all-or-nothing thinking, the person cannot see any middle ground
Feedback:
between extremes; a person with an eating disorder willsee themselves
as either thin or immense. The other commentsare common in eating
disorders but are not examples of all-or- nothing thinking.
• Question 6
A nurse reports to the interdisciplinary team that a patient with an antisocial
personality disorder lies to other patients, verbally abuses apatient with
Alzheimer’s disease, and flatters the primary nurse. This patient is detached and
superficial during counseling sessions. Which behavior most clearly warrants
limit setting?
Selected Flattering the nurse
Answer:
Answers: Lying to other patients
Flattering the nurse
Verbal abuse of another patient
Detached superficiality duringcounseling
Response Limits must be set in areas in which the patient’s behavior affects the
Feedback:
rights of others. Limiting verbal abuse of another patient is a priority
intervention. The other concerns should beaddressed during therapeutic
encounters.
• Question 7
Which of the following are primary characteristics of a person withborderline
personality disorder?
Selected Demonstrated a self-defeating cycle ofbehavior
Answer:
Answers: Demonstrates flexibility and
compromise
