lOMoARcPSD|
19500986
MENTAL HEALTH LATEST EXAM
2023- 2024 QUESTIONS AND 100%
CORRECT ANSWERS AND
RATIONALES
GRADED A
,
, lOMoARcPSD|19500986
1. Question
Flumazenil (Romazicon) has been ordered for a male client who has
overdosed on oxazepam (Serax). Before administering the medication, nurse
Gina should be prepared for which common adverse effect?
o A. Seizures
o B. Shivering
o C. Anxiety
o D. Chest pain
Correct Answer: A. Seizures
Seizures are the most common serious adverse effect of using flumazenil to
reverse benzodiazepine overdose. The effect is magnified if the client has a
combined tricyclic antidepressant and benzodiazepine overdose.
Benzodiazepine reversal has correlations with seizures. Seizures may happen
more frequently in patients who have been on benzodiazepines for long-term
sedation or in patients who are showing signs of severe tricyclic
antidepressant overdose. The required dosage of Flumazenil should be
measured and prepared by the practitioners to manage seizures. Flumazenil
use requires caution in patients relying on a benzodiazepine for seizure
control.
o Option B: Shivering is not an adverse effect of flumazenil. Monitor the
patient for the possible return of sedation, mostly in those who are
tolerant of benzodiazepines. Patients should have monitoring for
respiratory depression, benzodiazepine withdrawal, and other residual
effects of benzodiazepines for at least 2 hours.
o Option C: Anxiety is a rare adverse effect for people using flumazenil.
Flumazenil has some associations with precipitation of seizures in
patients with benzodiazepine dependence with a history of seizures.
Flumazenil overdose is extremely rare. There is no precise antidote for
flumazenil toxicity. In mild to severe toxicity, symptomatic and
supportive treatment should be a consideration.
, lOMoARcPSD|19500986
o Option D: An overdose of flumazenil in a patient who is not a chronic
benzodiazepine user would not be expected. Chronic
benzodiazepines users may experience withdrawal with abrupt
discontinuation of the drug. Administration of benzodiazepines or
barbiturates may be necessary for seizure control.
• 2. Question
Nurse Tamara is caring for a client diagnosed with bulimia. The most
appropriate initial goal for a client diagnosed with bulimia is to:
o A. Avoid shopping for large amounts of food.
o B. Control eating impulses.
o C. Identify anxiety-causing situations.
o D. Eat only three meals per day.
Correct Answer: C. Identify anxiety-causing situations
Bulimic behavior is generally a maladaptive coping response to stress and
underlying issues. The client must identify anxiety-causing situations that
stimulate the bulimic behavior and then learn new ways of coping with the
anxiety. Bulimia nervosa is a condition that occurs most commonly in
adolescent females, characterized by indulgence in binge-eating, and
inappropriate compensatory behaviors to prevent weight gain.
o Option A: Controlling shopping for large amounts of food isn’t a goal
early in treatment. It is important to educate patients who abuse
laxatives that these medications work in the gastrointestinal tract after
the areas where caloric absorption has occurred primarily. It is crucial
to inform patients that a period of edema and weight gain may follow
up to several weeks after discontinuation of purging behavior.
o Option B: Managing eating impulses and replacing them with adaptive
19500986
MENTAL HEALTH LATEST EXAM
2023- 2024 QUESTIONS AND 100%
CORRECT ANSWERS AND
RATIONALES
GRADED A
,
, lOMoARcPSD|19500986
1. Question
Flumazenil (Romazicon) has been ordered for a male client who has
overdosed on oxazepam (Serax). Before administering the medication, nurse
Gina should be prepared for which common adverse effect?
o A. Seizures
o B. Shivering
o C. Anxiety
o D. Chest pain
Correct Answer: A. Seizures
Seizures are the most common serious adverse effect of using flumazenil to
reverse benzodiazepine overdose. The effect is magnified if the client has a
combined tricyclic antidepressant and benzodiazepine overdose.
Benzodiazepine reversal has correlations with seizures. Seizures may happen
more frequently in patients who have been on benzodiazepines for long-term
sedation or in patients who are showing signs of severe tricyclic
antidepressant overdose. The required dosage of Flumazenil should be
measured and prepared by the practitioners to manage seizures. Flumazenil
use requires caution in patients relying on a benzodiazepine for seizure
control.
o Option B: Shivering is not an adverse effect of flumazenil. Monitor the
patient for the possible return of sedation, mostly in those who are
tolerant of benzodiazepines. Patients should have monitoring for
respiratory depression, benzodiazepine withdrawal, and other residual
effects of benzodiazepines for at least 2 hours.
o Option C: Anxiety is a rare adverse effect for people using flumazenil.
Flumazenil has some associations with precipitation of seizures in
patients with benzodiazepine dependence with a history of seizures.
Flumazenil overdose is extremely rare. There is no precise antidote for
flumazenil toxicity. In mild to severe toxicity, symptomatic and
supportive treatment should be a consideration.
, lOMoARcPSD|19500986
o Option D: An overdose of flumazenil in a patient who is not a chronic
benzodiazepine user would not be expected. Chronic
benzodiazepines users may experience withdrawal with abrupt
discontinuation of the drug. Administration of benzodiazepines or
barbiturates may be necessary for seizure control.
• 2. Question
Nurse Tamara is caring for a client diagnosed with bulimia. The most
appropriate initial goal for a client diagnosed with bulimia is to:
o A. Avoid shopping for large amounts of food.
o B. Control eating impulses.
o C. Identify anxiety-causing situations.
o D. Eat only three meals per day.
Correct Answer: C. Identify anxiety-causing situations
Bulimic behavior is generally a maladaptive coping response to stress and
underlying issues. The client must identify anxiety-causing situations that
stimulate the bulimic behavior and then learn new ways of coping with the
anxiety. Bulimia nervosa is a condition that occurs most commonly in
adolescent females, characterized by indulgence in binge-eating, and
inappropriate compensatory behaviors to prevent weight gain.
o Option A: Controlling shopping for large amounts of food isn’t a goal
early in treatment. It is important to educate patients who abuse
laxatives that these medications work in the gastrointestinal tract after
the areas where caloric absorption has occurred primarily. It is crucial
to inform patients that a period of edema and weight gain may follow
up to several weeks after discontinuation of purging behavior.
o Option B: Managing eating impulses and replacing them with adaptive
