FINAL EXAM NUR2513 PRACTICE SOLUTION
2026 VIEW AHEAD TESTED SET
◉ SSRIs. Answer: Citalopram
Escitalopram (Lexapro)
Fluoxetine
Paroxetine
Sertraline
◉ Nursing considerations for SSRIs. Answer: - Take in the AM WITH
FOOD to avoid GI upset and insomnia
- If feeling sedated or tired, take in PM
- St. John's Wort & Ginkgo biloba may cause serotonin syndrome
- Instruct related to suicidal ideation and serotonin syndrome.
◉ Seasonal Affective Disorder pharm therapy. Answer: Light therapy
(phototherapy). Bupropion (Wellbutrin) - more cost-effective than
light therapy and just as effective.
◉ Care for patient reveiving ECT. Answer: Performed under general
anesthesia. ensure pt is NPO for at least 4hrs prior to tx. Vital signs
and brain activity are monitored throughout the procedure.
,Pt may experience confusion and memory loss. Lateral recumbent
(side-lying) position to facilitate drainage & prevent aspiration.
Support head.
Protect the airway.
NPO until fully awake.
◉ ECT is useful for. Answer: for patients with severe depression who
are resistant to other treatments, those who are severely suicidal,
and those with severe psychomotor retardation (difficulty or
slowness in speaking or in performing tasks).
MDD & Bipolar
◉ Bipolar I. Answer: Consists of 1 or more manic\mixed episodes
Usually accompanied by major depressive disorder
◉ Bipolar II. Answer: Consists of 1 or more major depressive
episodes accompanied by at least 1 hypomanic episode
◉ Interventions to address hallucinations. Answer: Present reality
by spending time with the patient.
Identify yourself, time & day, location, & other orienting info.
,It is not therapeutic to argue or try to reason with patients who are
experiencing delusions or altered thought processes.
Arguing hardens the belief system and can impair the development
of trust.
◉ Typical onset for bipolar. Answer: 15-30. Often misdiagnosed. Can
be dx as ADHD esp in children
◉ Mania. Answer: M - Mood Swings
A - Active, Aggressive
N - Nothing is wrong (Denial)
I - Irritable, impulsive, intrusive behavior
C - Can't sit still
E - Euphoric Mood
P - Poor judgment; Provocative behavior
I - Increased sexual interest
S - Substance (stimulants, sleeping pills, alcohol) abuse
O - Omnipotent feelings
D - Decreased need for sleep
E - Endless energy
, ◉ Hypomania. Answer: Less extreme form of mania
Not severe enough to markedly impair functioning or require hosp.
◉ Toxicity symptoms with Lithium. Answer: begins appearing at
blood levels above 1.5 mEq/L
Increased reflexes
Altered LOC
Tremors - may show when levels are normal
Diarrhea
Hypotension
Slurred speech
◉ Sodium and Lithium. Answer: decreased sodium = increased
lithium
increased sodium = decreased lithium
◉ Onset of action for Lithium. Answer: ranges from 1-3wks
◉ Contraindications for Lithium. Answer: Pregnancy
2026 VIEW AHEAD TESTED SET
◉ SSRIs. Answer: Citalopram
Escitalopram (Lexapro)
Fluoxetine
Paroxetine
Sertraline
◉ Nursing considerations for SSRIs. Answer: - Take in the AM WITH
FOOD to avoid GI upset and insomnia
- If feeling sedated or tired, take in PM
- St. John's Wort & Ginkgo biloba may cause serotonin syndrome
- Instruct related to suicidal ideation and serotonin syndrome.
◉ Seasonal Affective Disorder pharm therapy. Answer: Light therapy
(phototherapy). Bupropion (Wellbutrin) - more cost-effective than
light therapy and just as effective.
◉ Care for patient reveiving ECT. Answer: Performed under general
anesthesia. ensure pt is NPO for at least 4hrs prior to tx. Vital signs
and brain activity are monitored throughout the procedure.
,Pt may experience confusion and memory loss. Lateral recumbent
(side-lying) position to facilitate drainage & prevent aspiration.
Support head.
Protect the airway.
NPO until fully awake.
◉ ECT is useful for. Answer: for patients with severe depression who
are resistant to other treatments, those who are severely suicidal,
and those with severe psychomotor retardation (difficulty or
slowness in speaking or in performing tasks).
MDD & Bipolar
◉ Bipolar I. Answer: Consists of 1 or more manic\mixed episodes
Usually accompanied by major depressive disorder
◉ Bipolar II. Answer: Consists of 1 or more major depressive
episodes accompanied by at least 1 hypomanic episode
◉ Interventions to address hallucinations. Answer: Present reality
by spending time with the patient.
Identify yourself, time & day, location, & other orienting info.
,It is not therapeutic to argue or try to reason with patients who are
experiencing delusions or altered thought processes.
Arguing hardens the belief system and can impair the development
of trust.
◉ Typical onset for bipolar. Answer: 15-30. Often misdiagnosed. Can
be dx as ADHD esp in children
◉ Mania. Answer: M - Mood Swings
A - Active, Aggressive
N - Nothing is wrong (Denial)
I - Irritable, impulsive, intrusive behavior
C - Can't sit still
E - Euphoric Mood
P - Poor judgment; Provocative behavior
I - Increased sexual interest
S - Substance (stimulants, sleeping pills, alcohol) abuse
O - Omnipotent feelings
D - Decreased need for sleep
E - Endless energy
, ◉ Hypomania. Answer: Less extreme form of mania
Not severe enough to markedly impair functioning or require hosp.
◉ Toxicity symptoms with Lithium. Answer: begins appearing at
blood levels above 1.5 mEq/L
Increased reflexes
Altered LOC
Tremors - may show when levels are normal
Diarrhea
Hypotension
Slurred speech
◉ Sodium and Lithium. Answer: decreased sodium = increased
lithium
increased sodium = decreased lithium
◉ Onset of action for Lithium. Answer: ranges from 1-3wks
◉ Contraindications for Lithium. Answer: Pregnancy
