NUR 326
NUR 326 Final Exam
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) - 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 - 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.
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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. - 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) - 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." - 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
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b. Constipation
c. Fever
d. Tachycardia
e. Hypotension
f. Agitation
g. Tremors - 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 - C
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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 - 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." - 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 - B
NUR 326
NUR 326 Final Exam
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) - 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 - 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.
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,NUR 326
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. - 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) - 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." - 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
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b. Constipation
c. Fever
d. Tachycardia
e. Hypotension
f. Agitation
g. Tremors - 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 - C
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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 - 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." - 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 - B
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