NSG 322 Final Exam Review: Questions With
Complete Solutions
What are the benefits of using atypical antipsychotics (ariprazole,
oplanzapine, risperidone) with lithium for bipolar disorder?
Right Ans - To lower physical activity. Once lithium is effective,
atypical antipsychotics are tapered off
What medication should NOT be given for acute and mixed mania in
bipolar disorder? Right Ans - alprazolam!! (leads to agitation
and aggression)
What is the normal range for lithium? Right Ans - 0.6-1.2
mEq/L
What are important components to remember when taking lithium?
Right Ans - -Do not limit sodium intake
-Do not take with diuretics
-Monitor for dehydration
What complications can excess lithium lead to? Right Ans -
Renal damage and hypothyroidism (goiter)
What complication can result from Lamotrigine? Right Ans -
Steven-Johnsons Syndrome
Bipolar 1 disorder Right Ans - full manic and major depressive
episodes that least at least 2 weeks (dysphoric or mixed mania)
Bipolar II disorder Right Ans - pattern of depressive episodes
and hypomania
,What neurotransmitters are affected in bipolar disorder? Right
Ans - dopamine, serotonin, and noradrenaline
Illusion Right Ans - misinterpretation of real sensory
experience
ex: believes that a hose is a snake
delusion Right Ans - false belief or opinion
ex: belief that someone is being drugged
For a patients experiencing schizophrenia, what dialogue would you
state regarding the sounds they hear? Right Ans - use "your
voices" instead of "the voices"
Negative effects in schizophrenia Right Ans - *lack of
characterisitics
Anergia: lack of energy
Anhedonia: inability to feel pleasure
Apathy: lack of interest
Avolition: lack of motivation
Dopamine Right Ans - influences movement, learning, attention,
and emotion
Acetycholine Right Ans - enables muscle action, learning, and
memory
norepinephrine Right Ans - helps control alertness and arousal
What medication is used to treat nightmares in patients
experiencing PTSD? Right Ans - Prazosin
What should be included in patient teaching regarding the intake of
MAOIs? Right Ans - Avoiding foods that contain tyramine (aged
, cheese, chocolate, cured meats, pickled foods, beer, yeast) -->
hypertensive crisis
What should be included in patient teaching for a client taking
benzodiazepines? Right Ans - The sedative effects (dont drive
after taking, dont operate heavy machinery, etc)
What medication might be given to someone with anxiety that is
unable to tolerate benzodiazepines because of the sedative effects?
Right Ans - buspirone (long-term)
TCAs Right Ans - block presynaptic receptor transporter for
norepinephrine and serotonin (used in mood disorders)
What lab values may be increased when a client takes Clozapine?
Right Ans - WBC will be decreased (agranulocytosis)
What is the most common method of suicide? Right Ans -
Hanging
Benefits of mileu therapy Right Ans - Patients are able to be in a
safe, structured group setting to learn healthier ways of thinking,
acting, and behaving in social environments
Can an RN counsel therapies? Right Ans - No
Beneficence Right Ans - doing good
Autonomy Right Ans - respecting the rights of others to make
their own decisions
Justice Right Ans - fairness
Fidelity Right Ans - faithfulness
Complete Solutions
What are the benefits of using atypical antipsychotics (ariprazole,
oplanzapine, risperidone) with lithium for bipolar disorder?
Right Ans - To lower physical activity. Once lithium is effective,
atypical antipsychotics are tapered off
What medication should NOT be given for acute and mixed mania in
bipolar disorder? Right Ans - alprazolam!! (leads to agitation
and aggression)
What is the normal range for lithium? Right Ans - 0.6-1.2
mEq/L
What are important components to remember when taking lithium?
Right Ans - -Do not limit sodium intake
-Do not take with diuretics
-Monitor for dehydration
What complications can excess lithium lead to? Right Ans -
Renal damage and hypothyroidism (goiter)
What complication can result from Lamotrigine? Right Ans -
Steven-Johnsons Syndrome
Bipolar 1 disorder Right Ans - full manic and major depressive
episodes that least at least 2 weeks (dysphoric or mixed mania)
Bipolar II disorder Right Ans - pattern of depressive episodes
and hypomania
,What neurotransmitters are affected in bipolar disorder? Right
Ans - dopamine, serotonin, and noradrenaline
Illusion Right Ans - misinterpretation of real sensory
experience
ex: believes that a hose is a snake
delusion Right Ans - false belief or opinion
ex: belief that someone is being drugged
For a patients experiencing schizophrenia, what dialogue would you
state regarding the sounds they hear? Right Ans - use "your
voices" instead of "the voices"
Negative effects in schizophrenia Right Ans - *lack of
characterisitics
Anergia: lack of energy
Anhedonia: inability to feel pleasure
Apathy: lack of interest
Avolition: lack of motivation
Dopamine Right Ans - influences movement, learning, attention,
and emotion
Acetycholine Right Ans - enables muscle action, learning, and
memory
norepinephrine Right Ans - helps control alertness and arousal
What medication is used to treat nightmares in patients
experiencing PTSD? Right Ans - Prazosin
What should be included in patient teaching regarding the intake of
MAOIs? Right Ans - Avoiding foods that contain tyramine (aged
, cheese, chocolate, cured meats, pickled foods, beer, yeast) -->
hypertensive crisis
What should be included in patient teaching for a client taking
benzodiazepines? Right Ans - The sedative effects (dont drive
after taking, dont operate heavy machinery, etc)
What medication might be given to someone with anxiety that is
unable to tolerate benzodiazepines because of the sedative effects?
Right Ans - buspirone (long-term)
TCAs Right Ans - block presynaptic receptor transporter for
norepinephrine and serotonin (used in mood disorders)
What lab values may be increased when a client takes Clozapine?
Right Ans - WBC will be decreased (agranulocytosis)
What is the most common method of suicide? Right Ans -
Hanging
Benefits of mileu therapy Right Ans - Patients are able to be in a
safe, structured group setting to learn healthier ways of thinking,
acting, and behaving in social environments
Can an RN counsel therapies? Right Ans - No
Beneficence Right Ans - doing good
Autonomy Right Ans - respecting the rights of others to make
their own decisions
Justice Right Ans - fairness
Fidelity Right Ans - faithfulness
