NSG322 Final Exam: Questions & Correct
Solutions
What is the recommended dosage for Medmath questions on the
final exam? Correct Answer - 7.5ml/dose, 1.5ml/dose,
6.7ml/dose.
Which medication should be questioned for a patient with atrial
fibrillation? Correct Answer - Ziprasidone due to its potential
for QT prolongation.
What should be monitored in patients taking antipsychotics?
Correct Answer - ECG evaluations for existing cardiac problems,
pulse for tachycardia and irregularities.
What is a contraindication for certain antipsychotics? Correct
Answer - An abnormal QT interval.
What is Ramelteon used for? Correct Answer - It is a sleep aid
with a 30-minute onset of action.
Which interventions can help improve a client's sleep pattern?
Correct Answer - Melatonin, chamomile, and valerian.
What class of medication is effective for PTSD? Correct Answer -
SSRIs, such as Sertraline and Paroxetine.
What are the major adverse effects of SSRIs used for PTSD?
Correct Answer - Nausea, insomnia, and sexual dysfunction.
What is the FDA-approved treatment for PTSD? Correct Answer -
SSRIs like Sertraline (Zoloft) and Paroxetine.
,Which medication is contraindicated in narcolepsy? Correct
Answer - Venlafaxine.
What is the reason Venlafaxine may be contraindicated for
narcolepsy? Correct Answer - Narcolepsy is treated with
stimulants.
What assessment finding supports a diagnosis of Oppositional
Defiant Disorder (ODD)? Correct Answer - Negative, hostile,
and spiteful behavior toward parents.
What is the definition of splitting in psychological terms? Correct
Answer - Loving a person and then hating them due to an
inability to recognize both positive and negative qualities.
What defense mechanism might a patient use if a therapy session
gets rescheduled? Correct Answer - Splitting.
What is the significance of the term 'splitting' in relation to
borderline personality disorder? Correct Answer - It describes
a pattern of extreme emotional responses, alternating between
idealization and devaluation.
What are the key characteristics of Oppositional Defiant Disorder?
Correct Answer - A persistent pattern of angry and irritable
mood, defiant and vindictive behavior.
What is the recommended action for a patient prescribed
benzodiazepines at .25mg TID? Correct Answer - Take it at
breakfast, lunch, and dinner.
What is the therapeutic effect of SSRIs like Sertraline and Paroxetine
for PTSD? Correct Answer - They reduce anxiety, depression,
and intrusive thoughts.
,What are the relaxant effects of melatonin, chamomile, and valerian?
Correct Answer - They help improve sleep patterns.
What should be included in client education regarding SSRIs?
Correct Answer - Educate about potential side effects, adherence
importance, and gradual onset of therapeutic effects.
What is the primary focus when assessing a child suspected of
abuse? Correct Answer - Look for signs such as urinary
incontinence.
What behaviors are associated with Conduct Disorder (CD) as
opposed to ODD? Correct Answer - Violating others' rights,
cruelty toward people or animals, stealing, truancy.
What is the difference between ODD and CD in terms of behavior?
Correct Answer - ODD involves emotional and behavioral issues,
while CD involves more severe violations of societal norms.
What is the appropriate nursing response when a borderline patient
throws a tray? Correct Answer - Acknowledge the issue and
tell them the behavior is unacceptable.
What is milieu therapy and who benefits from it? Correct Answer
- Milieu therapy is a psychiatric philosophy that involves a secure
environment to support recovery, using naturally occurring events
as learning opportunities. It benefits populations needing
environmental awareness, such as children.
What medication is contraindicated for seizure patients? Correct
Answer - Bupropion is contraindicated as it increases the risk of
seizures and mood changes, and is also contraindicated in
individuals with eating disorders.
, What challenges do individuals with Alzheimer's disease face in
stage 2? Correct Answer - In stage 2, individuals may
experience mild cognitive decline, leading to challenges with
nutrition and fluid intake, alongside memory lapses.
What nursing diagnosis is likely for a homeless individual with
serious mental illness? Correct Answer - Chronic low self-
esteem is likely due to the negative influence of homelessness on
self-esteem.
What are some symptoms associated with anorexia? Correct
Answer - Symptoms include bradycardia, constipation, and
amenorrhea.
What are key components of sleep hygiene? Correct Answer -
Maintain a regular sleep-wake schedule, develop a presleep routine,
create a conducive sleep environment, limit caffeine, avoid heavy
meals before bed, and exercise daily but not right before bed.
What defines persistent depressive disorder? Correct Answer -
Persistent depressive disorder, or dysthymia, is characterized by
low-level depression lasting at least 2 years in adults and 1 year in
children, along with at least two additional symptoms such as
decreased appetite, insomnia, low energy, poor self-esteem, and
hopelessness.
How does dialectical behavioral therapy (DBT) work? Correct
Answer - DBT combines cognitive-behavioral techniques with
mindfulness practices to help regulate emotions, manage distress,
improve interpersonal effectiveness, and increase self-awareness.
What is the focus of dialectical behavioral therapy? Correct
Answer - DBT focuses on changing severe emotional reactions to
Solutions
What is the recommended dosage for Medmath questions on the
final exam? Correct Answer - 7.5ml/dose, 1.5ml/dose,
6.7ml/dose.
Which medication should be questioned for a patient with atrial
fibrillation? Correct Answer - Ziprasidone due to its potential
for QT prolongation.
What should be monitored in patients taking antipsychotics?
Correct Answer - ECG evaluations for existing cardiac problems,
pulse for tachycardia and irregularities.
What is a contraindication for certain antipsychotics? Correct
Answer - An abnormal QT interval.
What is Ramelteon used for? Correct Answer - It is a sleep aid
with a 30-minute onset of action.
Which interventions can help improve a client's sleep pattern?
Correct Answer - Melatonin, chamomile, and valerian.
What class of medication is effective for PTSD? Correct Answer -
SSRIs, such as Sertraline and Paroxetine.
What are the major adverse effects of SSRIs used for PTSD?
Correct Answer - Nausea, insomnia, and sexual dysfunction.
What is the FDA-approved treatment for PTSD? Correct Answer -
SSRIs like Sertraline (Zoloft) and Paroxetine.
,Which medication is contraindicated in narcolepsy? Correct
Answer - Venlafaxine.
What is the reason Venlafaxine may be contraindicated for
narcolepsy? Correct Answer - Narcolepsy is treated with
stimulants.
What assessment finding supports a diagnosis of Oppositional
Defiant Disorder (ODD)? Correct Answer - Negative, hostile,
and spiteful behavior toward parents.
What is the definition of splitting in psychological terms? Correct
Answer - Loving a person and then hating them due to an
inability to recognize both positive and negative qualities.
What defense mechanism might a patient use if a therapy session
gets rescheduled? Correct Answer - Splitting.
What is the significance of the term 'splitting' in relation to
borderline personality disorder? Correct Answer - It describes
a pattern of extreme emotional responses, alternating between
idealization and devaluation.
What are the key characteristics of Oppositional Defiant Disorder?
Correct Answer - A persistent pattern of angry and irritable
mood, defiant and vindictive behavior.
What is the recommended action for a patient prescribed
benzodiazepines at .25mg TID? Correct Answer - Take it at
breakfast, lunch, and dinner.
What is the therapeutic effect of SSRIs like Sertraline and Paroxetine
for PTSD? Correct Answer - They reduce anxiety, depression,
and intrusive thoughts.
,What are the relaxant effects of melatonin, chamomile, and valerian?
Correct Answer - They help improve sleep patterns.
What should be included in client education regarding SSRIs?
Correct Answer - Educate about potential side effects, adherence
importance, and gradual onset of therapeutic effects.
What is the primary focus when assessing a child suspected of
abuse? Correct Answer - Look for signs such as urinary
incontinence.
What behaviors are associated with Conduct Disorder (CD) as
opposed to ODD? Correct Answer - Violating others' rights,
cruelty toward people or animals, stealing, truancy.
What is the difference between ODD and CD in terms of behavior?
Correct Answer - ODD involves emotional and behavioral issues,
while CD involves more severe violations of societal norms.
What is the appropriate nursing response when a borderline patient
throws a tray? Correct Answer - Acknowledge the issue and
tell them the behavior is unacceptable.
What is milieu therapy and who benefits from it? Correct Answer
- Milieu therapy is a psychiatric philosophy that involves a secure
environment to support recovery, using naturally occurring events
as learning opportunities. It benefits populations needing
environmental awareness, such as children.
What medication is contraindicated for seizure patients? Correct
Answer - Bupropion is contraindicated as it increases the risk of
seizures and mood changes, and is also contraindicated in
individuals with eating disorders.
, What challenges do individuals with Alzheimer's disease face in
stage 2? Correct Answer - In stage 2, individuals may
experience mild cognitive decline, leading to challenges with
nutrition and fluid intake, alongside memory lapses.
What nursing diagnosis is likely for a homeless individual with
serious mental illness? Correct Answer - Chronic low self-
esteem is likely due to the negative influence of homelessness on
self-esteem.
What are some symptoms associated with anorexia? Correct
Answer - Symptoms include bradycardia, constipation, and
amenorrhea.
What are key components of sleep hygiene? Correct Answer -
Maintain a regular sleep-wake schedule, develop a presleep routine,
create a conducive sleep environment, limit caffeine, avoid heavy
meals before bed, and exercise daily but not right before bed.
What defines persistent depressive disorder? Correct Answer -
Persistent depressive disorder, or dysthymia, is characterized by
low-level depression lasting at least 2 years in adults and 1 year in
children, along with at least two additional symptoms such as
decreased appetite, insomnia, low energy, poor self-esteem, and
hopelessness.
How does dialectical behavioral therapy (DBT) work? Correct
Answer - DBT combines cognitive-behavioral techniques with
mindfulness practices to help regulate emotions, manage distress,
improve interpersonal effectiveness, and increase self-awareness.
What is the focus of dialectical behavioral therapy? Correct
Answer - DBT focuses on changing severe emotional reactions to
