NUR 326 FINAL EXAM WITH ALL CORRECT &
VERIFIED ANSWERS
Which of the following medications are used for alcohol recovery/maintenance? Select all that apply.
a. Cogentin
b. Naltrexone
c. Disulfiram (Antabuse)
d. Trazadone
e. Acamprosate (Campral) Correct answer-B C E
You have a client that has just been diagnosed with depression. Which of the following are expected
findings related to depression? Select all that apply.
a. Increased libido
b. Anhedonia
c. Generalized pain
d. Anergia
e. Increased socialization Correct answer-B C D (A pt. experiencing depression will exhibit
decreased libido, lack of pleasure in normal activities, anxiety, reports of sluggishment, changes in
eating patterns, changes in bowel habits, sleep disturbances, and somatic reports, such as fatigue,
gastrointestinal changes, and pain.)
You are sitting with a client who has depression and you ask them, "Have you thought about harming
yourself or others?" The patient does not respond. What should you, as the nurse, do next?
a. Repeat the question because they might not of heard you the first time.
b. Sit with the patient quietly until they are ready to respond.
c. Hug the patient.
d. Implement one-to-one observation because of suicide risk. Correct answer-B (The answer will
almost always be sit with the patient quietly.)
What anti-depressant has been found to be an effective non dependence forming sleep aid?
a. Wellbutrin (Buspar)
b. Trazadone (Desyrel)
c. Fluoxetine (Prozac)
d. Citalopram (Celexa) Correct answer-B
You are caring for a client who has been prescribed an MAO inhibitor, Phenelazine. Which of the
following statements should the nurse make about education regarding taking this medication?
a. "Wear sunscreen before you go outside."
b. "Call the physician if you experience a sore throat."
c. "Do not eat aged cheese meats, wine, and chocolate while taking this medication."
d. "It can take a few days before you start to see an improvement in your mood." Correct answer-C
You are caring for a client who is taking Fluoxetine (Prozac), an SSRI. Which of the following are
manifestations of serotonin syndrome, a serious adverse effect of too much serotonin in the brain?
Select all that apply.
,a. Altered level of consciousness
b. Constipation
c. Fever
d. Tachycardia
e. Hypotension
f. Agitation
g. Tremors Correct answer-A C D F (Signs and symptoms of serotonin syndrome include:
-Confusion
-Disorientation
-Agitation
-Diarrhea
-Tachycardia
-Hallucinations
-Fever
-Poor Coordination
-Elevated B/P
-Vomiting)
The healthcare provider is caring for a patient who has undergone electroconvulsive therapy (ECT).
The patient should be carefully assessed for which of the following common adverse effects of this
treatment?
a. Dizziness and blurred vision
b. Aggression and violent behavior
c. Headache and memory loss
d. Palpitations and cardiac arrest Correct answer-C
A patient diagnosed with major depressive disorder is admitted for inpatient care. Which of the
following is the primary goal during the admission assessment?
A. Establishing desired outcomes for the patient
B. Administering antidepressant medications
C. Collecting and organizing patient data
D. Reviewing the policies for patient conduct Correct answer-C (The primary goal during the
admission assessment is to collect and organize objective and subjective data so patient problems
and needs can be identified.)
A patient diagnosed with bipolar disorder is prescribed lithium carbonate (Lithobid). When teaching
the patient about the medication, which of these statements is a priority for the healthcare provider
include?
A. "You should follow this low calorie, low sodium diet to prevent weight gain."
B. "You should avoid consuming dairy products when you are taking this medication."
C. "Call our office immediately if you experience any unusual bruising or bleeding."
D. "Drink lots of fluids, especially if you are active during hot weather." Correct answer-D
A patient diagnosed with depression is prescribed fluoxetine (Prozac). Which of the following would
the healthcare provider most likely observe if the patient experiences an adverse effect of this
medication?
a. Bradycardia
,b. Decreased libido
c. Urinary retention
d. Weight loss Correct answer-B
Which of the following would not be a protective factor against suicide?
a. Having limited access to highly lethal methods of suicide
b. Easy access to a variety of resources and support
c. Lack of coping skills in problem solving, conflict resolution, and nonviolent handling of disputes.
d. Having a significant other Correct answer-C (Protective factors against suicide include:
-Effective and appropriate clinical care for mental, physical, and substance abuse disorders
-Easy access to a variety of clinical interventions and support for help-seeking
-Restricted access to highly lethal methods of suicide
-Family and community support
-Support from ongoing medical and mental health care relationships
-Learned skills in problem solving, conflict resolution, and nonviolent handling of disputes
-Cultural and religious beliefs that discourage suicide and support self-preservation instincts
-Going to church
-Having a pet, having children, or being a caregiver
-Having a significant other)
Which of the following are individual risk factors for suicide? Select all that apply.
a. Female gender
b. Command hallucinations
c. Pts. age is 16 years old
d. No history of depression of a mental health disorder
e. The pt. has Parkinson's. Correct answer-B C E (Risk factors for suicide include:
-*Sex* (Male)
-*Age* (<19 or >45)
-History of *depression*
-*Previous* suicide attempt
-*Ethanol* abuse
-*Rational* thinking loss (Ex. command hallucinations)
-*Social* supports lacking
-*Organized* plan
-*No* spouse
-*Sickness* (Chronic debilitating disease)
You are caring for a patient who is experiencing mania secondary to bipolar disorder. Which of the
following would be *atypical* of someone experiencing mania?
a. Fatigue
b. Grandiosity
c. Impulsivity
d. Rapid thoughts and speech Correct answer-A
You are caring for a client who has bipolar disorder and is taking lithium carbonate for their mood.
Which of the following serum drug levels would the nurse report to the provider?
a. 0.7
, b. 1.2
c. 1.7
d. 0.5 Correct answer-C (The therapeutic range for lithium is 0.5-1.5)
Your patient is taking Lamictal for bipolar disorder. Which of the following adverse effects of this
medication should be educated about to the patient?
a. Photosensitivity
b. Decreased libido
c. Weight gain
d. Steven Johnson's Syndrome Correct answer-D
You are caring for a patient taking lithium for bipolar disorder. Lab has just sent in results for the
serum drug level of lithium. You see that the drug level is 2.3. Which of the following manifestations
would you expect the client will exhibit due to this drug level? Select all that apply.
a. Muscle weakness and twitching
b. Altered level of consciousness
c. Constipation
d. Insomnia
e. Uncontrollable eye movements Correct answer-A B E (S/S of lithium toxicity include:
-Diarrhea
-Vomiting
-Drowsiness
-Muscle weakness
-Lack of coordination
-Hand tremor
-Muscle twitching
-Slurred speech
-Uncontrollable eye movements
-Confusion)
A nurse is planning care for a client who has bipolar disorder and is experiencing a manic episode.
Which of the following interventions should the nurse include in the plan of care? (Select all that
apply.)
a. Provide flexible client behavior expectations
b. Offer concise explanations
c. Establish consistent limits
d. Disregard client complaints
e. Use a firm approach with communication Correct answer-B C E
You are caring for a client in a mental health facility that has been diagnosed with psychosis. Which
of the following manifestations would you expect to see in a patient with psychosis? Select all that
apply.
a. Command hallucinations
b. Excessive energy
c. Delusions
d. Avolition
e. Lack of paranoia Correct answer-A C D (There are many expected findings of psychosis:
VERIFIED ANSWERS
Which of the following medications are used for alcohol recovery/maintenance? Select all that apply.
a. Cogentin
b. Naltrexone
c. Disulfiram (Antabuse)
d. Trazadone
e. Acamprosate (Campral) Correct answer-B C E
You have a client that has just been diagnosed with depression. Which of the following are expected
findings related to depression? Select all that apply.
a. Increased libido
b. Anhedonia
c. Generalized pain
d. Anergia
e. Increased socialization Correct answer-B C D (A pt. experiencing depression will exhibit
decreased libido, lack of pleasure in normal activities, anxiety, reports of sluggishment, changes in
eating patterns, changes in bowel habits, sleep disturbances, and somatic reports, such as fatigue,
gastrointestinal changes, and pain.)
You are sitting with a client who has depression and you ask them, "Have you thought about harming
yourself or others?" The patient does not respond. What should you, as the nurse, do next?
a. Repeat the question because they might not of heard you the first time.
b. Sit with the patient quietly until they are ready to respond.
c. Hug the patient.
d. Implement one-to-one observation because of suicide risk. Correct answer-B (The answer will
almost always be sit with the patient quietly.)
What anti-depressant has been found to be an effective non dependence forming sleep aid?
a. Wellbutrin (Buspar)
b. Trazadone (Desyrel)
c. Fluoxetine (Prozac)
d. Citalopram (Celexa) Correct answer-B
You are caring for a client who has been prescribed an MAO inhibitor, Phenelazine. Which of the
following statements should the nurse make about education regarding taking this medication?
a. "Wear sunscreen before you go outside."
b. "Call the physician if you experience a sore throat."
c. "Do not eat aged cheese meats, wine, and chocolate while taking this medication."
d. "It can take a few days before you start to see an improvement in your mood." Correct answer-C
You are caring for a client who is taking Fluoxetine (Prozac), an SSRI. Which of the following are
manifestations of serotonin syndrome, a serious adverse effect of too much serotonin in the brain?
Select all that apply.
,a. Altered level of consciousness
b. Constipation
c. Fever
d. Tachycardia
e. Hypotension
f. Agitation
g. Tremors Correct answer-A C D F (Signs and symptoms of serotonin syndrome include:
-Confusion
-Disorientation
-Agitation
-Diarrhea
-Tachycardia
-Hallucinations
-Fever
-Poor Coordination
-Elevated B/P
-Vomiting)
The healthcare provider is caring for a patient who has undergone electroconvulsive therapy (ECT).
The patient should be carefully assessed for which of the following common adverse effects of this
treatment?
a. Dizziness and blurred vision
b. Aggression and violent behavior
c. Headache and memory loss
d. Palpitations and cardiac arrest Correct answer-C
A patient diagnosed with major depressive disorder is admitted for inpatient care. Which of the
following is the primary goal during the admission assessment?
A. Establishing desired outcomes for the patient
B. Administering antidepressant medications
C. Collecting and organizing patient data
D. Reviewing the policies for patient conduct Correct answer-C (The primary goal during the
admission assessment is to collect and organize objective and subjective data so patient problems
and needs can be identified.)
A patient diagnosed with bipolar disorder is prescribed lithium carbonate (Lithobid). When teaching
the patient about the medication, which of these statements is a priority for the healthcare provider
include?
A. "You should follow this low calorie, low sodium diet to prevent weight gain."
B. "You should avoid consuming dairy products when you are taking this medication."
C. "Call our office immediately if you experience any unusual bruising or bleeding."
D. "Drink lots of fluids, especially if you are active during hot weather." Correct answer-D
A patient diagnosed with depression is prescribed fluoxetine (Prozac). Which of the following would
the healthcare provider most likely observe if the patient experiences an adverse effect of this
medication?
a. Bradycardia
,b. Decreased libido
c. Urinary retention
d. Weight loss Correct answer-B
Which of the following would not be a protective factor against suicide?
a. Having limited access to highly lethal methods of suicide
b. Easy access to a variety of resources and support
c. Lack of coping skills in problem solving, conflict resolution, and nonviolent handling of disputes.
d. Having a significant other Correct answer-C (Protective factors against suicide include:
-Effective and appropriate clinical care for mental, physical, and substance abuse disorders
-Easy access to a variety of clinical interventions and support for help-seeking
-Restricted access to highly lethal methods of suicide
-Family and community support
-Support from ongoing medical and mental health care relationships
-Learned skills in problem solving, conflict resolution, and nonviolent handling of disputes
-Cultural and religious beliefs that discourage suicide and support self-preservation instincts
-Going to church
-Having a pet, having children, or being a caregiver
-Having a significant other)
Which of the following are individual risk factors for suicide? Select all that apply.
a. Female gender
b. Command hallucinations
c. Pts. age is 16 years old
d. No history of depression of a mental health disorder
e. The pt. has Parkinson's. Correct answer-B C E (Risk factors for suicide include:
-*Sex* (Male)
-*Age* (<19 or >45)
-History of *depression*
-*Previous* suicide attempt
-*Ethanol* abuse
-*Rational* thinking loss (Ex. command hallucinations)
-*Social* supports lacking
-*Organized* plan
-*No* spouse
-*Sickness* (Chronic debilitating disease)
You are caring for a patient who is experiencing mania secondary to bipolar disorder. Which of the
following would be *atypical* of someone experiencing mania?
a. Fatigue
b. Grandiosity
c. Impulsivity
d. Rapid thoughts and speech Correct answer-A
You are caring for a client who has bipolar disorder and is taking lithium carbonate for their mood.
Which of the following serum drug levels would the nurse report to the provider?
a. 0.7
, b. 1.2
c. 1.7
d. 0.5 Correct answer-C (The therapeutic range for lithium is 0.5-1.5)
Your patient is taking Lamictal for bipolar disorder. Which of the following adverse effects of this
medication should be educated about to the patient?
a. Photosensitivity
b. Decreased libido
c. Weight gain
d. Steven Johnson's Syndrome Correct answer-D
You are caring for a patient taking lithium for bipolar disorder. Lab has just sent in results for the
serum drug level of lithium. You see that the drug level is 2.3. Which of the following manifestations
would you expect the client will exhibit due to this drug level? Select all that apply.
a. Muscle weakness and twitching
b. Altered level of consciousness
c. Constipation
d. Insomnia
e. Uncontrollable eye movements Correct answer-A B E (S/S of lithium toxicity include:
-Diarrhea
-Vomiting
-Drowsiness
-Muscle weakness
-Lack of coordination
-Hand tremor
-Muscle twitching
-Slurred speech
-Uncontrollable eye movements
-Confusion)
A nurse is planning care for a client who has bipolar disorder and is experiencing a manic episode.
Which of the following interventions should the nurse include in the plan of care? (Select all that
apply.)
a. Provide flexible client behavior expectations
b. Offer concise explanations
c. Establish consistent limits
d. Disregard client complaints
e. Use a firm approach with communication Correct answer-B C E
You are caring for a client in a mental health facility that has been diagnosed with psychosis. Which
of the following manifestations would you expect to see in a patient with psychosis? Select all that
apply.
a. Command hallucinations
b. Excessive energy
c. Delusions
d. Avolition
e. Lack of paranoia Correct answer-A C D (There are many expected findings of psychosis:
