NUR2488 MENTAL HEALTH NURSING
EXAM 3 (50 VERIFIEDANSWERS, ALREADY
GRADED A+ 2023|2024
, 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
Response Alcohol is a depressant which can neutralize the effects of cocaine, which is a
Feedback: 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?
Answers Opioids
:
Alcohol
Marijuana
Amphetamine
Response Opioids include prescribed medications such as oxycodone and morphine,
Feedback: 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
Response Aggressive behavior can be safely managed by antipsychotic medication.
Feedback: 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?
Answers Renal
:
Central nervous
Endocrine
Cardiovascular
Response Refeeding resulting in too-rapid weight gain can overwhelm the heart,
Feedback: 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 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.”
:
“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
EXAM 3 (50 VERIFIEDANSWERS, ALREADY
GRADED A+ 2023|2024
, 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
Response Alcohol is a depressant which can neutralize the effects of cocaine, which is a
Feedback: 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?
Answers Opioids
:
Alcohol
Marijuana
Amphetamine
Response Opioids include prescribed medications such as oxycodone and morphine,
Feedback: 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
Response Aggressive behavior can be safely managed by antipsychotic medication.
Feedback: 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?
Answers Renal
:
Central nervous
Endocrine
Cardiovascular
Response Refeeding resulting in too-rapid weight gain can overwhelm the heart,
Feedback: 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 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.”
:
“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
