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• Question 1
When a victim of sexual assault is discharged from the emergency department,
which of the following interventions should the nurse perform?
Answers: Notify the patient’s family of the event to seek support for the patient
Provide referral information verbally and in writing Offer to
stay with the patient until stability is regained Advise the
patient to try not to think about the assault
Respons
Immediately after the assault, rape victims are often disorganized
e
and unable to think well or remember what they have been told.
Feedbac
Written information acknowledges this fact and provides a
k:
solution. The remaining options violate the patient’s right to
privacy, evidence a rescue fantasy, and offer a platitude that is
neither therapeutic nor effective.
• 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?
Answers Response Feedback:
:
NUR2488 MENTAL HEALTH NURSING EXAM 3 (50
VERIFIED ANSWERS, ALREADY GRADED A+)
(LATEST 2022): RASMUSSEN COLLEGE
, NUR2488 MENTAL HEALTH NURSING EXAM 3 (50
VERIFIED ANSWERS, ALREADY GRADED A+)
(LATEST 2022): RASMUSSEN COLLEGE
Opioids ol
Marijuana
Amphetami
A ne
l Opioids include prescribed medications such as oxycodone and
c morphine, and the illegal substance heroin. The above symptoms
o are typical of opioid overdose, but are not typically seen with
h 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?
Answers: A small dose of a selective serotonin reuptake
inhibitor A large dose of a benzodiazepine
NUR2488 MENTAL HEALTH NURSING EXAM 3 (50
VERIFIED ANSWERS, ALREADY GRADED A+)
(LATEST 2022): RASMUSSEN COLLEGE
, NUR2488 MENTAL HEALTH NURSING EXAM 3 (50
VERIFIED ANSWERS, ALREADY GRADED A+)
(LATEST 2022): RASMUSSEN COLLEGE
A maintenance dose of buspirone
A small dose of an atypical antipsychotic
Aggressive behavior can be safely managed by antipsychotic
Respons
medication. Initial dosing should be small and raised cautiously
e
until behavior is controlled. Selective serotonin reuptake
Feedbac
inhibitors are not indicated for aggressive behavior. If a
k:
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?
Answers Renal
:
Central
nervous
Endocrine
Cardiovascul
Respons ar
e Refeeding resulting in too-rapid weight gain can overwhelm the
Feedbac heart, resulting in cardiovascular collapse; thus focused assessment
k: becomes a necessity to ensure patient physiological integrity. The
NUR2488 MENTAL HEALTH NURSING EXAM 3 (50
VERIFIED ANSWERS, ALREADY GRADED A+)
(LATEST 2022): RASMUSSEN COLLEGE
, NUR2488 MENTAL HEALTH NURSING EXAM 3 (50
VERIFIED ANSWERS, ALREADY GRADED A+)
(LATEST 2022): RASMUSSEN COLLEGE
ot r body systems are not initially involved in the refeeding
he 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?
Answe “If I gain any weight, I’ll keep going until I’m huge.”
rs
:
“When people tell me I’m looking better, they really mean
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
between
NUR2488 MENTAL HEALTH NURSING EXAM 3 (50
VERIFIED ANSWERS, ALREADY GRADED A+)
(LATEST 2022): RASMUSSEN COLLEGE