NUR 4290 FINAL EXAM 2026 ACTUAL QUESTIONS AND
ANSWERS RATED A+
✔✔TCAs mechanism of action - ✔✔Increases norepinephrine at synapse
Blocks reuptake of norepinephrine for secondary amines
Blocks both norepinephrine & serotonin for tertiary amines
✔✔MAOIs examples - ✔✔Phenelzine, tranylcypromine, selegiline
✔✔MAOIs side effects - ✔✔S/S of HYPERTENSION CRISIS:
INCREASED AGITATION
HEADACHE
(if patient does not adhere to low-tyramine diet)
✔✔MAOIs mechanism of action - ✔✔Prevents the destruction of monoamines by
inhibiting the action of MAO
MAO: an enzyme that destroys monoamines
Monoamines:
organic compound-include neurotransmitters norepinephrine, epinephrine, dopamine,
serotonin, and many food substances
✔✔interventions for suicidal patient - ✔✔maintain neutrality
ask patient directly " do you have any thoughts of killing yourself"
place patient on 1:1
assess Q15 mins
sharps taken away
**SAFETY SAFETY SAFETY**
✔✔risk factors for suicide (9) - ✔✔male
either adolescent or 65+ years
white or Native American
single, divorced, widowed, separated
unemployed
family hx of attempted or completed suicide
past suicide attempt
inpatient psychiatric treatment
, alcohol or substance abuse
✔✔cluster A characteristics - ✔✔paranoid and eccentric
paranoid
mistrusting
suspicious
✔✔paranoid personality disorder - ✔✔distrust
suspiciousness
jealous/controlling
anticipate hostility
pt will be hypervigilant
underneath is fear of being harmed
scan their environment that validate their ideas/beliefs
✔✔schizoid personality disorder - ✔✔indifferent toward social relationships
solitary lifestyle
does not seek out close relationships
shows indifference to praise
indifferent to criticism
can be precursor to schizophrenia
increased family hx of schizophrenia
✔✔schizotypal personality disorder - ✔✔often odd or eccentric behaviors; constricted
affect
usually lack friends
speech is bizarre
weird fascinations
structural abnormalities of the brain (large ventricles)
✔✔cluster B characteristics - ✔✔extroverted & unstable
emotional dysregulation
unpredictable
dramatic, emotional, erratic
impulsive
✔✔antisocial personality disorder - ✔✔does not care about hurting others
no remorse
ILLEGAL ACTS/CRIMINAL HISTORY
often seen in court for psychiatric evaluations
evident in childhood w/ conduct disorder
✔✔borderline personality disorder - ✔✔mood swings
chaotic and unbalanced
ANSWERS RATED A+
✔✔TCAs mechanism of action - ✔✔Increases norepinephrine at synapse
Blocks reuptake of norepinephrine for secondary amines
Blocks both norepinephrine & serotonin for tertiary amines
✔✔MAOIs examples - ✔✔Phenelzine, tranylcypromine, selegiline
✔✔MAOIs side effects - ✔✔S/S of HYPERTENSION CRISIS:
INCREASED AGITATION
HEADACHE
(if patient does not adhere to low-tyramine diet)
✔✔MAOIs mechanism of action - ✔✔Prevents the destruction of monoamines by
inhibiting the action of MAO
MAO: an enzyme that destroys monoamines
Monoamines:
organic compound-include neurotransmitters norepinephrine, epinephrine, dopamine,
serotonin, and many food substances
✔✔interventions for suicidal patient - ✔✔maintain neutrality
ask patient directly " do you have any thoughts of killing yourself"
place patient on 1:1
assess Q15 mins
sharps taken away
**SAFETY SAFETY SAFETY**
✔✔risk factors for suicide (9) - ✔✔male
either adolescent or 65+ years
white or Native American
single, divorced, widowed, separated
unemployed
family hx of attempted or completed suicide
past suicide attempt
inpatient psychiatric treatment
, alcohol or substance abuse
✔✔cluster A characteristics - ✔✔paranoid and eccentric
paranoid
mistrusting
suspicious
✔✔paranoid personality disorder - ✔✔distrust
suspiciousness
jealous/controlling
anticipate hostility
pt will be hypervigilant
underneath is fear of being harmed
scan their environment that validate their ideas/beliefs
✔✔schizoid personality disorder - ✔✔indifferent toward social relationships
solitary lifestyle
does not seek out close relationships
shows indifference to praise
indifferent to criticism
can be precursor to schizophrenia
increased family hx of schizophrenia
✔✔schizotypal personality disorder - ✔✔often odd or eccentric behaviors; constricted
affect
usually lack friends
speech is bizarre
weird fascinations
structural abnormalities of the brain (large ventricles)
✔✔cluster B characteristics - ✔✔extroverted & unstable
emotional dysregulation
unpredictable
dramatic, emotional, erratic
impulsive
✔✔antisocial personality disorder - ✔✔does not care about hurting others
no remorse
ILLEGAL ACTS/CRIMINAL HISTORY
often seen in court for psychiatric evaluations
evident in childhood w/ conduct disorder
✔✔borderline personality disorder - ✔✔mood swings
chaotic and unbalanced
