1
NUR2488 Mental Health Nursing Exam 3
• 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?
Selecte
d Alcohol
Answer
:
Answers: PCP
Alcoh
ol
Methylphen
i date
Caffeine
Respons
e
Feedbac Alcohol is a depressant which can neutralize the effects of
k: cocaine, which is a stimulant. Caffeine, methylphenidate
(used to treat ADHD) and the illegal drug PCP are also
stimulating and would 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,
what substance did this patient most likely overdose on?
Selecte
d Marijuana
Answer
:
Answers: Opioids
Alcohol
Marijuan
a
Amphetam
ine
Respons
e
Feedbac Opioids include prescribed medications such as
k: oxycodone and 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
Page 1 of 39
, 1
out a nasogastric tube, intravenous line, and indwelling urinary
catheter. What can the nurse anticipate that the health care
provider will most likely prescribe?
Selected Answer:
Page 2 of 39
, 1
A a selective serotonin
reuptake inhibitor
s
m
a
l
l
d
o
s
e
o
f
Page 3 of 39
, 1
NUR2488 Mental Health Nursing Exam 3
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
Respons
e
Feedbac Aggressive behavior can be safely managed by
k antipsychotic medication. Initial dosing should be small
: and raised cautiously until 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 of refeeding syndrome.” Which body system should a
nurse most closely monitor for clinical manifestations of dysfunction?
Selecte
d Centra
Answer
:
l
nervou
s
Answers: Renal
Centra
l
nervou
s
Endocrine
Cardiovasc
u lar
Respons
e
Feedbac Refeeding resulting in too-rapid weight gain can
k: overwhelm the heart, 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
Page 4 of 39
NUR2488 Mental Health Nursing Exam 3
• 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?
Selecte
d Alcohol
Answer
:
Answers: PCP
Alcoh
ol
Methylphen
i date
Caffeine
Respons
e
Feedbac Alcohol is a depressant which can neutralize the effects of
k: cocaine, which is a stimulant. Caffeine, methylphenidate
(used to treat ADHD) and the illegal drug PCP are also
stimulating and would 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,
what substance did this patient most likely overdose on?
Selecte
d Marijuana
Answer
:
Answers: Opioids
Alcohol
Marijuan
a
Amphetam
ine
Respons
e
Feedbac Opioids include prescribed medications such as
k: oxycodone and 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
Page 1 of 39
, 1
out a nasogastric tube, intravenous line, and indwelling urinary
catheter. What can the nurse anticipate that the health care
provider will most likely prescribe?
Selected Answer:
Page 2 of 39
, 1
A a selective serotonin
reuptake inhibitor
s
m
a
l
l
d
o
s
e
o
f
Page 3 of 39
, 1
NUR2488 Mental Health Nursing Exam 3
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
Respons
e
Feedbac Aggressive behavior can be safely managed by
k antipsychotic medication. Initial dosing should be small
: and raised cautiously until 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 of refeeding syndrome.” Which body system should a
nurse most closely monitor for clinical manifestations of dysfunction?
Selecte
d Centra
Answer
:
l
nervou
s
Answers: Renal
Centra
l
nervou
s
Endocrine
Cardiovasc
u lar
Respons
e
Feedbac Refeeding resulting in too-rapid weight gain can
k: overwhelm the heart, 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
Page 4 of 39
