NU249/NUR2488 Section 06 Mental Health Nursing MH exam3 – latest update Winter Quarter ,100% CORRECT

NU249/NUR2488 Section 06 Mental Health Nursing MH exam3
– latest update Winter Quarter ,100% CORRECT


• 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 drug

is this patient likely to have abused?

Select
Alcohol
ed

Answe

r:

Answers: PCP

Alcohol

Methylpheni

date

Caffeine

Respon
Alcohol is a depressant which can neutralize the effects of
se
cocaine, which is a stimulant. Caffeine, methylphenidate (used
Feedba
to treat ADHD) and the illegal drug PCP are also stimulating and
ck:
would only exacerbate the effects of cocaine.

• Question 2

A patient is admitted with a heart rate of 53 bpm, respirations 6/min, temp

NU249/NUR2488 Section 06 Mental Health Nursing MH exam3
– latest update Winter Quarter ,100% CORRECT

,NU249/NUR2488 Section 06 Mental Health Nursing MH exam3
– latest update Winter Quarter ,100% CORRECT
96.8 and pinpoint pupils. Based on these clinical manifestations, what

substance did this patient most likely overdose on?

Select
Marijuana
ed

Answe

r:

Answers: Opioids

Alcohol

Marijuana

Amphetam

ine

Respon
Opioids include prescribed medications such as oxycodone and
se
morphine, and the illegal substance heroin. The above
Feedba
symptoms are typical of opioid overdose, but are not typically
ck:




NU249/NUR2488 Section 06 Mental Health Nursing MH exam3
– latest update Winter Quarter ,100% CORRECT

,NU249/NUR2488 Section 06 Mental Health Nursing MH exam3
– latest update Winter Quarter ,100% CORRECT
seen with marijuana, alcohol or amphetamines.

• Question 3

An elderly client with cognitive impairment is combative and pulled out a

nasogastric tube, intravenous line, and indwelling urinary catheter. What

can the nurse anticipate that the health care provider will most likely

prescribe?

Select
A small dose of a selective serotonin
ed
reuptake inhibitor
Answe

r:

Answers: A small dose of a selective serotonin

reuptake inhibitor

A large dose of a benzodiazepine

A maintenance dose of buspirone

A small dose of an atypical antipsychotic

Respon
Aggressive behavior can be safely managed by antipsychotic
se
medication. Initial dosing should be small and raised cautiously
Feedba
until behavior is controlled. Selective serotonin reuptake
ck
inhibitors are not indicated for aggressive behavior. If a
:
benzodiazepine is used, the initial dose should be low.

NU249/NUR2488 Section 06 Mental Health Nursing MH exam3
– latest update Winter Quarter ,100% CORRECT

, NU249/NUR2488 Section 06 Mental Health Nursing MH exam3
– latest update Winter Quarter ,100% CORRECT
Buspiro not effective if given on an as-needed basis. It is administered in

ne is small divided doses daily to control agitation.

• Question 4

A nursing care plan contains the intervention “monitor for complications of

refeeding syndrome.” Which body system should a nurse most closely

monitor for clinical manifestations of dysfunction?

Select
Central
ed
nervous
Answe

r:

Answers: Renal


Central

nervous

Endocrine

Cardiovascu

lar

Respon
Refeeding resulting in too-rapid weight gain can overwhelm the
se
heart, resulting in cardiovascular collapse; thus focused
Feedba
assessment becomes a necessity to ensure patient
ck:

NU249/NUR2488 Section 06 Mental Health Nursing MH exam3
– latest update Winter Quarter ,100% CORRECT