NCLEX RN EXAM QUESTIONS AND ANSWERS NEW UPDATE 2022 GRADED A+

NCLEX RN EXAM QUESTIONS AND ANSWERS
NEW UPDATE 2022 GRADED A+

A night shift psychiatric RN on the unit is going out of a pt's room & notices a pt
w/ bipolar experiencing an episode of mania @ RN's station. Which intervention
would promote therapeutic interaction w/ the pt?


1.) Approaching pt & assertively ask him to abide by acceptable
behavior 2.) Redirect the pt to room & minimize triggers of
behavior
3.) Reminding pt of limits & isolating pt to his room
4.) Going over unit rules & pt's rights, then encourage pt to go to room & sleep b/c
its late - CORRECT ANSWER 2 => Effective strategies include redirecting pt &
reducing environmental triggers
-redirect pt to room


Explanations:
1 = pt does NOT have active listening
3 = does NOT work; should NOT isolate pt if not harming self
or others 4 = trigger in environment; won't listen


If a pt has the following what psychiatric disorder are they experiencing?


1.) Poor concentration
2.) Hyperactivity
3.) Impulsivity
4.) Distractability - CORRECT ANSWER Mania
=> apart of bipolar disorder
-manic-depressive illness



This is manifested by mood swings involving euphoria (intense excitement &
happiness), grandiosity, & an inflated sense of self-worth

NCLEX RN EXAM QUESTIONS AND ANSWERS
NEW UPDATE 2022 GRADED A+

, NCLEX RN EXAM QUESTIONS AND ANSWERS
NEW UPDATE 2022 GRADED A+
=> May or may not include sudden swings to depression - CORRECT
ANSWER Bipolar Disorder (Mania-Depressive disorder)


(Bipolar Disorder) Name the 11 Depressive symptoms - CORRECT ANSWER 1.)
Feelings of hopelessness, worthlessness, guilt, shame


2.) Despair
=> lack of hope


3.) Flat affect


4.) Indecisiveness


5.) Lack of motivation & DECREASED concentration


6.) Changes in physical appearance
=> slumped postures, unkempt
=> sit unkempt. shoulders unkept


7.) Suicidal thoughts


8.) Possible delusions of hallucinations


9.) Sleep & appetite disturbances


10.) Loss of interest in sexual activities


11.) Constipation

NCLEX RN EXAM QUESTIONS AND ANSWERS
NEW UPDATE 2022 GRADED A+

, NCLEX RN EXAM QUESTIONS AND ANSWERS
NEW UPDATE 2022 GRADED A+


(Bipolar Disorder) Nursing plan for Depressive phase (8 things) - CORRECT
ANSWER 1.) Directly ask the pt about feelings & plan to harm self

2.) Monitor sleep, nutrition, & elimination patterns


3.) Initiate interaction w/pt, but sit in silence of pt is non-talkative


4.) Insist for participation in activities
=> do NOT give options; say time to go somewhere
-tell pt's what to do when they are in depressive phase


5.) Observe for sudden elevation in mood
=> indicates INCREASED risk for suicide


6.) Encourage discussion of feelings
=> ask open-ended questions


7.) Admin anti-depressants


8.) Spend time w/ pt & return to room when promised
=> if NOT, pt will feel unwanted & will go down deeper in their depression


*"are you having suicidal
thought?" "Do you plan to
harm yourself?"


What type of drugs are Amitriptyline, Desopramine, Imipramine, Nortiptyline,

NCLEX RN EXAM QUESTIONS AND ANSWERS
NEW UPDATE 2022 GRADED A+

, NCLEX RN EXAM QUESTIONS AND ANSWERS
NEW UPDATE 2022 GRADED A+
Protriptyline, & Maprotiline? - CORRECT ANSWER Antidepressant drugs
=> Tricyclics



The following side effects of these antidepressant drugs are apart of what drug
class & the drugs included?


1.) Anticholinergic effects
=> dry mouth, burred vision, constipation, & urinary retention


2.) Poor concentration
3.) Cardiovascular effects
4.) N/V - CORRECT ANSWER Tricyclics:
=> Amitriptyline,
=> Desopramine,
=> Imipramine,
=> Nortiptyline,
=> Protriptyline, &
=> Maprotiline



(Antidepressant drugs: Tricyclics: Amitriptyline, Desopramine, Imipramine,
Nortiptyline, Protriptyline, & Maprotiline) What is the pt. teaching for these
drugs? (5 things) - CORRECT ANSWER 1.) Give @ hs to minimize sedation effect
2.) Take 2-6 wks for therapeutic
effects 3.) AVOID alcohol
4.) Evaluate suicide
risk 5.) Lethal in
overdose


(Antidepressant drugs) What type of meds & drug class have the following side

NCLEX RN EXAM QUESTIONS AND ANSWERS
NEW UPDATE 2022 GRADED A+