NUR 2488 / NUR2488 MENTAL HEALTH NURSING EXAM 2 UPDATED

NUR 2488 / NUR2488 MENTAL HEALTH NURSING EXAM 2 UPDATED • 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.) • 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? • Question 3 A patient with suicidal impulses is placed on the highest level of suicide 1 out of 1 points precautions. Which measures should be incorporated into the plan of care by the nurse caring for the patient? (Select all that apply.) • Question 4 0 out of 1 points Which statement indicates a patient with major depression’s most likely outlook on life during the acute phase of the illness? • Question 5 The nurse knows that sedation is a side effect of many antipsychotics. Which of the following medications should the nurse question if ordered for a patient taking antipsychotics? • Question 6 1 out of 1 points The nurse is caring for a patient who experiences orthostatic hypotension related to taking chlorpromazine. The nurse should suggest which of the following interventions for managing this side effect? • Question 7 1 out of 1 points The nurse is evaluating the effectiveness of an antipsychotic on negative symptoms of psychosis. Which of the following symptoms would be classified as negative symptoms of psychosis? Selected • Question 8 1 out of 1 points During the maintenance phase of treatment a patient with bipolar disorder asks the nurse, “Do I have to keep taking this lithium even though my mood is stable now?” Which is the most appropriate response? • Question 9 0 out of 1 points A patient with bipolar disorder commands another patient to “Get me that book. Take this other stuff out of here,” and makes other similar demands. Which of the following actions could the nurse use to interrupt this behavior without entering into a power struggle with the patient? Select all that Apply • Question 10 A patient with depression is evaluated at the clinic and started on 1 out of 1 points citalopram. The patient tells the nurse, “I have some pills I previously took for depression. They’re called MAOIs. I think I should take them along with this new medication.” What information is essential for the nurse to communicate regarding her statements? • Question 11 1 out of 1 points A patient with schizophrenia begins to talks about “volmers” hiding in the warehouse at work. Which of the following should the term “volmers” be assessed as? • Question 12 1 out of 1 points The nurse is caring for a female patient diagnosed with schizophrenia who believes that her thoughts are broadcast to others. What is the most appropriate nursing diagnosis for this patient? • Question 13 A nurse receives this laboratory result: lithium level 1.7 mEq/L. How should the nurse interpret this lab value? • Question 14 Which of the following interventions should the nurse prioritize for a patient with severe depression? • Question 15 1 out of 1 points Which comment by a patient experiencing severe anxiety would indicate the possibility of obsessive-compulsive disorder? • Question 16 When educating a client and their family about taking a serotonin reuptake inhibitor (SSRI), which should the nurse prioritize for teaching purposes? • Question 17 Which of the following are potential complications that the patient receiving lithium should be assessed for? • Question 18 0 out of 1 points Which statement by a patient in the continuation phase of treatment for bipolar disorder indicates that a referral may still be needed? • Question 19 Which nursing diagnosis is likely to apply to an individual with a severe and persistent mental illness who is homeless? • Question 20 0 out of 1 points A patient is undergoing a series of diagnostic tests. The patient says, “Nothing is wrong with me except a stubborn chest cold.” The spouse reports the patient smokes and coughs a lot, has lost 15 pounds, and is easily fatigued. Which defense mechanism is the patient using? Selected • Question 21 1 out of 1 points A patient with generalized anxiety disorder comes to the clinic with severe anxiety. Of these medications in the patient’s medical record, which is most appropriate to give as an as needed (prn) anxiolytic medication? • Question 22 When assessing a patient’s plan for suicide, what aspect has priority? • Question 23 1 out of 1 points A veteran of the Iraq War describes that he is having intrusive thoughts of missiles, screaming, explosions, and the same feelings of terror first experienced in combat. Which of the following clinical disorders would this patient most likely be describing symptoms of? • Question 24 A patient with catatonic schizophrenia exhibits little spontaneous movement and demonstrates waxy flexibility. According to Maslow’s 0 out of 1 points hierarchy of needs, which needs are of priority importance for this patient? • Question 25 An adult says, “When I was a child, I took medication because I couldn’t 1 out of 1 points follow my teachers’ directions. I stopped taking it when I was about 13. I didn’t make good grades in high school and barely graduated. I still have trouble getting organized, which causes difficulty doing my job.” Which clinical disorder does this scenario suggest? • Question 26 1 out of 1 points A nurse works a telephone suicide crisis line. A caller says, “I live alone in a home several miles from my nearest neighbors. I’ve been considering suicide for 2 months. I’ve had several drinks and now my shotgun is loaded. I’m going to shoot myself in the heart.” How would the nurse assess the lethality of this plan? • Question 27 A 39-year-old woman is recently divorced and is learning to cope with 1 out of 1 points additional stressors. Which of the following best demonstrate(s) that she is utilizing positive coping strategies to manage her stress? (Select all that apply). • Question 28 A patient with acute mania approaches the nurse, waves a newspaper, and says, “I must make a phone call right this minute. I need to call a 1 out of 1 points store while their sale is going on. I need to order 10 dresses and four pairs of shoes.” Which of the following would be the most appropriate intervention for the nurse to implement? Selected • Question 29 Which of the following is a therapeutic communication strategy to use when working with a client who has auditory hallucinations? • Question 30 1 out of 1 points A patient was admitted to the inpatient psychiatric unit with a diagnosis of PTSD and a history of violence. While on the unit, he has been having trouble sleeping and reports flashbacks. He has also reported feeling anger toward another patient who looks and acts like his former employer. The priority nursing diagnosis would be: