MH 123.Mental Health Nursing Exam 3 (50
Verified Answers, Already graded A) (Latest
2022): [Rasmussen College]
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?
Answers PCP
:
Alcohol
Methylphenidate
Caffeine
Alcohol is a depressant which can neutralize the effects of cocaine, which is a
Response
stimulant. Caffeine, methylphenidate (used to treat ADHD) and the illegal
Feedback:
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?
Answers
:
, Opioids
Response
Feedback: Alcohol
Marijuana
Amphetamine
Opioids include prescribed medications such as 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 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
, A maintenance dose of buspirone
A small dose of an atypical antipsychotic
Aggressive behavior can be safely managed by antipsychotic medication.
Response Initial dosing should be small and raised cautiously until behavior is
Feedback: 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?
Answers Renal
:
Central nervous
Endocrine
Cardiovascular
Refeeding resulting in too-rapid weight gain can overwhelm the heart,
Response
resulting in cardiovascular collapse; thus focused assessment becomes a
Feedback:
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?
Answers “If I gain any weight, I’ll keep going until I’m huge.”
:
, “ en people tell me I’m looking better, they really mean I’m fatter.” “No
W one likes me because I’m fat.”
h
“When I’m thin, I’m perfect.”
Response In all-or-nothing thinking, the person cannot see any middle ground between
Verified Answers, Already graded A) (Latest
2022): [Rasmussen College]
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?
Answers PCP
:
Alcohol
Methylphenidate
Caffeine
Alcohol is a depressant which can neutralize the effects of cocaine, which is a
Response
stimulant. Caffeine, methylphenidate (used to treat ADHD) and the illegal
Feedback:
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?
Answers
:
, Opioids
Response
Feedback: Alcohol
Marijuana
Amphetamine
Opioids include prescribed medications such as 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 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
, A maintenance dose of buspirone
A small dose of an atypical antipsychotic
Aggressive behavior can be safely managed by antipsychotic medication.
Response Initial dosing should be small and raised cautiously until behavior is
Feedback: 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?
Answers Renal
:
Central nervous
Endocrine
Cardiovascular
Refeeding resulting in too-rapid weight gain can overwhelm the heart,
Response
resulting in cardiovascular collapse; thus focused assessment becomes a
Feedback:
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?
Answers “If I gain any weight, I’ll keep going until I’m huge.”
:
, “ en people tell me I’m looking better, they really mean I’m fatter.” “No
W one likes me because I’m fat.”
h
“When I’m thin, I’m perfect.”
Response In all-or-nothing thinking, the person cannot see any middle ground between
