PHARMACOLOGY EXAM 2 RASMUSSEN NEWEST
2024 ACTUAL EXAM 140 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED A+
1) A patient with schizophrenia begins to talks about "volmers" or
about "frangularity" hiding in the warehouse at work. The term
"volmers" should be documented as - ANSWER>>>- A neologism
2) A patient with suicidal impulses is placed on the highest level of
suicide precautions. Which measures should be incorporated into the
plan of care by the nurse caring for the patient? (More than one
answer is correct.) - ANSWER>>>A.Maintain arm's-length, one-on-
one nursing observation around the clock.
b. Allow no glass or metal on meal trays.
f. Remove all potentially harmful objects from the patient's possession.
3) A patient diagnosed with schizophrenia anxiously says, "I can see
the left side of my body merging with the wall, then my face appears
and disappears in the mirror." While listening, the nurse should: -
ANSWER>>>maintain a normal social interaction distance from the
patient.
4) Which statement indicates a patient with major depression is most
likely outlook on life during the acute phase of the illness? -
ANSWER>>>During an acute phase of major depression, the client
may feel worthless and deserve bad things to happen personally.
5) A patient diagnosed with bipolar disorder is in the maintenance
phase of treatment. The patient asks, "Do I have to keep taking this
lithium even though my mood is stable now?" Select the nurse's
appropriate response. - ANSWER>>>b. "Taking the medication every
day helps reduce the risk of a relapse."
,6) A person has had difficulty keeping a job because of arguing with
co-workers and accusing them of conspiracy. Today the person
shouts, "They're all plotting to destroy me. Isn't that true?" Select the
nurse's most therapeutic response. - ANSWER>>>b. "Feeling that
people want to destroy you must be very frightening."
7) A patient is undergoing a series of diagnostic tests. The patient
says, "Nothing is wrong with me except a stubborn chest cold." The
spouse reports the patient smokes and coughs a lot, has lost 15
pounds, and is easily fatigued. Which defense mechanism is the
patient using? - ANSWER>>>Denial
8) A cab driver, stuck in traffic, becomes lightheaded, tremulous,
diaphoretic, tachycardia and dyspneic. A workup in an emergency
department reveals no pathology. Which medical diagnosis should a
nurse suspect, and what nursing diagnosis should be the nurse's first
priority? - ANSWER>>>Panic disorder and a nursing diagnosis of
anxiety
9) The nurse is providing health teaching for a patient who has been
prescribed Phenelzine (Nardil) for depression and provides a written
list of foods that should not be eaten while taking this medication.
What is the potential problem if the patient is not compliant with these
dietary restrictions? - ANSWER>>>hypertensive crisis
foods with tyramine in it - ANSWER>>>Aged meats or aged cheeses,
protein extracts, sour cream, alcohol, anchovies, liver, sausages,
overripe figs, bananas, avocados, chocolate, soy sauce, bean curd,
natural yogurt, fava beans—tyramine-containing foods—may
precipitate hypertensive crisis. Avoid chocolate or caffeine.
Herbal: Ginseng, ephedra, ma huang, St. John's wort may cause
hypertensive crisis.
For depression that is refractory to TCAs. Avoid certain foods such as
- ANSWER>>>cheese, sour cream, wine, beer, figs, anchovies,
shrimp, bananas, and chocolate, and avoid drugs (e.g., TCAs).
, Risk for hypertensive crisis:
Avoid self-medication. WHY? - ANSWER>>>OTC preparations
containing dextromethorphan, sympathomimetic agents, or
antihistamines (e.g., cough, cold, and hay fever remedies, appetite
suppressants) can precipitate severe hypertensive reactions if taken
during therapy or within 2-3 wk after discontinuation of an MAO
inhibitor.
10) Which piece of subjective data obtained during the nurse's
psychosocial assessment of a client experiencing severe anxiety
would indicate the possibility of obsessive-compulsive disorder? -
ANSWER>>>a. "I have to keep checking to see where my car keys
are."
11) The nurse is evaluating the effectiveness of psychotropic
medication on negative symptoms of psychosis. The nurse looks for a
decrease in which of the following? - ANSWER>>>A: Affective
flattening.
11) The nurse is evaluating the effectiveness of an antipsychotic on
negative symptoms of psychosis. Which of the following symptoms
would be classified as negative symptoms of psychosis? -
ANSWER>>>Blunted affect
Poverty of thought
Loss of motivation
Inability to experience pleasure or joy
12) A 39-year-old woman is recently divorced and is learning to cope
with additional stressors. Which of the following best demonstrate(s)
that she is utilizing positive coping strategies to manage her stress?
(Select all that apply). - ANSWER>>>3. control stress by increased
physical activity.
4. change her reactions to stress with cognitive behavioral
therapy.
2024 ACTUAL EXAM 140 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED A+
1) A patient with schizophrenia begins to talks about "volmers" or
about "frangularity" hiding in the warehouse at work. The term
"volmers" should be documented as - ANSWER>>>- A neologism
2) A patient with suicidal impulses is placed on the highest level of
suicide precautions. Which measures should be incorporated into the
plan of care by the nurse caring for the patient? (More than one
answer is correct.) - ANSWER>>>A.Maintain arm's-length, one-on-
one nursing observation around the clock.
b. Allow no glass or metal on meal trays.
f. Remove all potentially harmful objects from the patient's possession.
3) A patient diagnosed with schizophrenia anxiously says, "I can see
the left side of my body merging with the wall, then my face appears
and disappears in the mirror." While listening, the nurse should: -
ANSWER>>>maintain a normal social interaction distance from the
patient.
4) Which statement indicates a patient with major depression is most
likely outlook on life during the acute phase of the illness? -
ANSWER>>>During an acute phase of major depression, the client
may feel worthless and deserve bad things to happen personally.
5) A patient diagnosed with bipolar disorder is in the maintenance
phase of treatment. The patient asks, "Do I have to keep taking this
lithium even though my mood is stable now?" Select the nurse's
appropriate response. - ANSWER>>>b. "Taking the medication every
day helps reduce the risk of a relapse."
,6) A person has had difficulty keeping a job because of arguing with
co-workers and accusing them of conspiracy. Today the person
shouts, "They're all plotting to destroy me. Isn't that true?" Select the
nurse's most therapeutic response. - ANSWER>>>b. "Feeling that
people want to destroy you must be very frightening."
7) A patient is undergoing a series of diagnostic tests. The patient
says, "Nothing is wrong with me except a stubborn chest cold." The
spouse reports the patient smokes and coughs a lot, has lost 15
pounds, and is easily fatigued. Which defense mechanism is the
patient using? - ANSWER>>>Denial
8) A cab driver, stuck in traffic, becomes lightheaded, tremulous,
diaphoretic, tachycardia and dyspneic. A workup in an emergency
department reveals no pathology. Which medical diagnosis should a
nurse suspect, and what nursing diagnosis should be the nurse's first
priority? - ANSWER>>>Panic disorder and a nursing diagnosis of
anxiety
9) The nurse is providing health teaching for a patient who has been
prescribed Phenelzine (Nardil) for depression and provides a written
list of foods that should not be eaten while taking this medication.
What is the potential problem if the patient is not compliant with these
dietary restrictions? - ANSWER>>>hypertensive crisis
foods with tyramine in it - ANSWER>>>Aged meats or aged cheeses,
protein extracts, sour cream, alcohol, anchovies, liver, sausages,
overripe figs, bananas, avocados, chocolate, soy sauce, bean curd,
natural yogurt, fava beans—tyramine-containing foods—may
precipitate hypertensive crisis. Avoid chocolate or caffeine.
Herbal: Ginseng, ephedra, ma huang, St. John's wort may cause
hypertensive crisis.
For depression that is refractory to TCAs. Avoid certain foods such as
- ANSWER>>>cheese, sour cream, wine, beer, figs, anchovies,
shrimp, bananas, and chocolate, and avoid drugs (e.g., TCAs).
, Risk for hypertensive crisis:
Avoid self-medication. WHY? - ANSWER>>>OTC preparations
containing dextromethorphan, sympathomimetic agents, or
antihistamines (e.g., cough, cold, and hay fever remedies, appetite
suppressants) can precipitate severe hypertensive reactions if taken
during therapy or within 2-3 wk after discontinuation of an MAO
inhibitor.
10) Which piece of subjective data obtained during the nurse's
psychosocial assessment of a client experiencing severe anxiety
would indicate the possibility of obsessive-compulsive disorder? -
ANSWER>>>a. "I have to keep checking to see where my car keys
are."
11) The nurse is evaluating the effectiveness of psychotropic
medication on negative symptoms of psychosis. The nurse looks for a
decrease in which of the following? - ANSWER>>>A: Affective
flattening.
11) The nurse is evaluating the effectiveness of an antipsychotic on
negative symptoms of psychosis. Which of the following symptoms
would be classified as negative symptoms of psychosis? -
ANSWER>>>Blunted affect
Poverty of thought
Loss of motivation
Inability to experience pleasure or joy
12) A 39-year-old woman is recently divorced and is learning to cope
with additional stressors. Which of the following best demonstrate(s)
that she is utilizing positive coping strategies to manage her stress?
(Select all that apply). - ANSWER>>>3. control stress by increased
physical activity.
4. change her reactions to stress with cognitive behavioral
therapy.
