NP 230 EXAM 1
EXPECTED QUESTIONS WITH VERIFIED ANSWERS
Question 1.
Common complications of alcoholism?
ANSWER
Liver disease, cirrhosis
Jaundice
Question 2.
A patient is talking negatively about themselves, how do you as the nurse redirect them?
ANSWER
You have good qualities
You have a purpose
Question 3.
Risk for suicide
ANSWER
Depressed mood
feelings of hopelessness and worthlessness;
anger turned inward in the self;
misinterpretations of reality;
suicidal ideation, plan, and available means
Question 4.
Nursing interventions for delirium ?
ANSWER
Keep patient oriented to environment as much as possible
Keep environment calm and quiet
Explain procedures
1/5
, Question 5.
Reminiscence ?
ANSWER
Reviewing things from the past
Question 6.
4 kinds of extrapyramidal side effects of antipsychotics ?
ANSWER
acute dyskinesia's
dystonic reactions
tardive dyskinesia
Parkinsonism, akinesia, akathisia
neuroleptic malignant syndrome.
Question 7.
dual diagnosis
ANSWER
exists when a person has both a psychiatric and a substance use disorder
Question 8.
Signs and symptoms of lithium toxicity
ANSWER
Early signs and symptoms of lithium toxicity: (lithium level 1.5-2 mEq/L)
GI: V/D/N, abdominal pain, dryness of mouth
Neurologic symptoms: Ataxia, tremor, dizziness, slurred speech, nystagmus, lethargy or
excitement, muscle weakness.
Moderate to severe intoxication: (lithium level 2-2.5 mEq/L)
GI: A/N/V - persistent
Neurologic symptoms: Blurred vision, clonic limb movements, convulsions, delirium, EEG
changes, stupor, coma, cardiac failure
Severe lithium intoxication (lithium level > 2.5 mEq/L)
Generalized convulsions, oliguria, renal failure and death!
General Pearls about Lithium Toxicity:
2/5
EXPECTED QUESTIONS WITH VERIFIED ANSWERS
Question 1.
Common complications of alcoholism?
ANSWER
Liver disease, cirrhosis
Jaundice
Question 2.
A patient is talking negatively about themselves, how do you as the nurse redirect them?
ANSWER
You have good qualities
You have a purpose
Question 3.
Risk for suicide
ANSWER
Depressed mood
feelings of hopelessness and worthlessness;
anger turned inward in the self;
misinterpretations of reality;
suicidal ideation, plan, and available means
Question 4.
Nursing interventions for delirium ?
ANSWER
Keep patient oriented to environment as much as possible
Keep environment calm and quiet
Explain procedures
1/5
, Question 5.
Reminiscence ?
ANSWER
Reviewing things from the past
Question 6.
4 kinds of extrapyramidal side effects of antipsychotics ?
ANSWER
acute dyskinesia's
dystonic reactions
tardive dyskinesia
Parkinsonism, akinesia, akathisia
neuroleptic malignant syndrome.
Question 7.
dual diagnosis
ANSWER
exists when a person has both a psychiatric and a substance use disorder
Question 8.
Signs and symptoms of lithium toxicity
ANSWER
Early signs and symptoms of lithium toxicity: (lithium level 1.5-2 mEq/L)
GI: V/D/N, abdominal pain, dryness of mouth
Neurologic symptoms: Ataxia, tremor, dizziness, slurred speech, nystagmus, lethargy or
excitement, muscle weakness.
Moderate to severe intoxication: (lithium level 2-2.5 mEq/L)
GI: A/N/V - persistent
Neurologic symptoms: Blurred vision, clonic limb movements, convulsions, delirium, EEG
changes, stupor, coma, cardiac failure
Severe lithium intoxication (lithium level > 2.5 mEq/L)
Generalized convulsions, oliguria, renal failure and death!
General Pearls about Lithium Toxicity:
2/5
