NSG 322 FINAL EXAM REVIEW Q AND A
What are the benefits of using atypical antipsychotics (ariprazole, oplanzapine, risperidone) with
lithium for bipolar disorder? - answer--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? - answer--
alprazolam!! (leads to agitation and aggression)
What is the normal range for lithium? - answer--0.6-1.2 mEq/L
What are important components to remember when taking lithium? - answer---Do not limit sodium
intake
-Do not take with diuretics
-Monitor for dehydration
What complications can excess lithium lead to? - answer--Renal damage and hypothyroidism (goiter)
What complication can result from Lamotrigine? - answer--Steven-Johnsons Syndrome
Bipolar 1 disorder - answer--full manic and major depressive episodes that least at least 2 weeks
(dysphoric or mixed mania)
Bipolar II disorder - answer--pattern of depressive episodes and hypomania
What neurotransmitters are affected in bipolar disorder? - answer--dopamine, serotonin, and
noradrenaline
Illusion - answer--misinterpretation of real sensory experience
ex: believes that a hose is a snake
delusion - answer--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? - answer--use "your voices" instead of "the voices"
Negative effects in schizophrenia - answer--*lack of characterisitics
Anergia: lack of energy
Anhedonia: inability to feel pleasure
Apathy: lack of interest
Avolition: lack of motivation
Dopamine - answer--influences movement, learning, attention, and emotion
Acetycholine - answer--enables muscle action, learning, and memory
, norepinephrine - answer--helps control alertness and arousal
What medication is used to treat nightmares in patients experiencing PTSD? - answer--Prazosin
What should be included in patient teaching regarding the intake of MAOIs? - answer--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? - answer--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? - answer--buspirone (long-term)
TCAs - answer--block presynaptic receptor transporter for norepinephrine and serotonin (used in
mood disorders)
What lab values may be increased when a client takes Clozapine? - answer--WBC will be decreased
(agranulocytosis)
What is the most common method of suicide? - answer--Hanging
Benefits of mileu therapy - answer--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? - answer--No
Beneficence - answer--doing good
Autonomy - answer--respecting the rights of others to make their own decisions
Justice - answer--fairness
Fidelity - answer--faithfulness
Veractiy - answer--truthfulness
What level of anxiety presents fidgeting and irritability? - answer--mild anxiety
What level of anxiety presents selective inattention? - answer--Moderate anxiety
What level of anxiety presents with hyperventilation, focusing on one detain, and having a sense of
impending doom? - answer--Severe anxiety
What should you do when a person is experiencing severe anxiety? - answer--do NOT leave the
client alone
agoraphobia - answer--fear of being in public places or situations when help may not be available
What are the benefits of using atypical antipsychotics (ariprazole, oplanzapine, risperidone) with
lithium for bipolar disorder? - answer--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? - answer--
alprazolam!! (leads to agitation and aggression)
What is the normal range for lithium? - answer--0.6-1.2 mEq/L
What are important components to remember when taking lithium? - answer---Do not limit sodium
intake
-Do not take with diuretics
-Monitor for dehydration
What complications can excess lithium lead to? - answer--Renal damage and hypothyroidism (goiter)
What complication can result from Lamotrigine? - answer--Steven-Johnsons Syndrome
Bipolar 1 disorder - answer--full manic and major depressive episodes that least at least 2 weeks
(dysphoric or mixed mania)
Bipolar II disorder - answer--pattern of depressive episodes and hypomania
What neurotransmitters are affected in bipolar disorder? - answer--dopamine, serotonin, and
noradrenaline
Illusion - answer--misinterpretation of real sensory experience
ex: believes that a hose is a snake
delusion - answer--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? - answer--use "your voices" instead of "the voices"
Negative effects in schizophrenia - answer--*lack of characterisitics
Anergia: lack of energy
Anhedonia: inability to feel pleasure
Apathy: lack of interest
Avolition: lack of motivation
Dopamine - answer--influences movement, learning, attention, and emotion
Acetycholine - answer--enables muscle action, learning, and memory
, norepinephrine - answer--helps control alertness and arousal
What medication is used to treat nightmares in patients experiencing PTSD? - answer--Prazosin
What should be included in patient teaching regarding the intake of MAOIs? - answer--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? - answer--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? - answer--buspirone (long-term)
TCAs - answer--block presynaptic receptor transporter for norepinephrine and serotonin (used in
mood disorders)
What lab values may be increased when a client takes Clozapine? - answer--WBC will be decreased
(agranulocytosis)
What is the most common method of suicide? - answer--Hanging
Benefits of mileu therapy - answer--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? - answer--No
Beneficence - answer--doing good
Autonomy - answer--respecting the rights of others to make their own decisions
Justice - answer--fairness
Fidelity - answer--faithfulness
Veractiy - answer--truthfulness
What level of anxiety presents fidgeting and irritability? - answer--mild anxiety
What level of anxiety presents selective inattention? - answer--Moderate anxiety
What level of anxiety presents with hyperventilation, focusing on one detain, and having a sense of
impending doom? - answer--Severe anxiety
What should you do when a person is experiencing severe anxiety? - answer--do NOT leave the
client alone
agoraphobia - answer--fear of being in public places or situations when help may not be available
