NURS 488 - Lec 4 Test With
Complete Solution
A physician orders a tricyclic antidepressant for a client who has suffered an
acute myocardial infarction (MI) within the previous 6 months. Which action
should the nurse take?
a) Administer the medication as ordered
b) Discontinue the medication
c) Question the physician about the order
d) Inform the client that he should discuss his MI with the physician -
ANSWER *Correct Answer: C*
- Tricyclic antidepressants can increase the QT wave and put the patient at
risk for a stoke
- It would be important to ensure that the physician is aware that the patient
has had a previous MI and may be at increased risk for another cardiac if this
medication is administered
Which of the following client statements indicates the need for additional
teaching about benzodiazepines?
a) "I can't drink alcohol while taking diazepam (Valium).
b) "I can stop taking the drug anytime I want."
c) "Valium can make me drowsy, so I shouldn't drive for a while."
d) "Valium will help my tight muscles feel better." - ANSWER *Correct
,answer: B*
- Incorrect answers:
A - It is true that individuals should not consume alcohol while taking a
benzodiazepine.
C - Valium can cause drowsiness, and operating motor vehicles should be
avoided until the patient is aware of how he/she responds to the medication.
D - Valium is a benzodiazepine and increases the amount of GABA that is
present. GABA is an inhibitory neurotransmitter that causes individuals to
feel relaxed.
Collaborative Goal Setting for bipolar DO (3) - ANSWER - It is always a
balance between depression and hypomania or mania
- Patients must practice:
• Managing symptoms
• Making healthy decision
• Grieving what they can not do
- Nursing interventions are also scaled to the degree of mastery that the
patient has acquired
phases of mania interventions (3) - ANSWER 1. acute phase
- impose external control to maintain safety
- provide medication
- set limits and boundaries
2. continuation phase
, - prevention of relapse
- provide additional resources
- facilitate med adherence
3. maintenance phase
- minimize frequency and severity of relapse
nursing outcomes for bipolar DO (5) - ANSWER 1. decreased risk of harm to
self or others
2. realistic self appraisal
3. increased self care
4. develop healthy coping skills
5. adherence to meds
decreased risk of harm outcomes for bipolar DO - ANSWER Includes risky
behaviours such as promiscuity, excessive spending, driving too fast
realistic self appraisal outcomes for bipolar DO - ANSWER Seeing oneself as
valuable and having realistic expectations of oneself and others
increased self-care outcomes for bipolar DO - ANSWER healthy habits and
routines
Complete Solution
A physician orders a tricyclic antidepressant for a client who has suffered an
acute myocardial infarction (MI) within the previous 6 months. Which action
should the nurse take?
a) Administer the medication as ordered
b) Discontinue the medication
c) Question the physician about the order
d) Inform the client that he should discuss his MI with the physician -
ANSWER *Correct Answer: C*
- Tricyclic antidepressants can increase the QT wave and put the patient at
risk for a stoke
- It would be important to ensure that the physician is aware that the patient
has had a previous MI and may be at increased risk for another cardiac if this
medication is administered
Which of the following client statements indicates the need for additional
teaching about benzodiazepines?
a) "I can't drink alcohol while taking diazepam (Valium).
b) "I can stop taking the drug anytime I want."
c) "Valium can make me drowsy, so I shouldn't drive for a while."
d) "Valium will help my tight muscles feel better." - ANSWER *Correct
,answer: B*
- Incorrect answers:
A - It is true that individuals should not consume alcohol while taking a
benzodiazepine.
C - Valium can cause drowsiness, and operating motor vehicles should be
avoided until the patient is aware of how he/she responds to the medication.
D - Valium is a benzodiazepine and increases the amount of GABA that is
present. GABA is an inhibitory neurotransmitter that causes individuals to
feel relaxed.
Collaborative Goal Setting for bipolar DO (3) - ANSWER - It is always a
balance between depression and hypomania or mania
- Patients must practice:
• Managing symptoms
• Making healthy decision
• Grieving what they can not do
- Nursing interventions are also scaled to the degree of mastery that the
patient has acquired
phases of mania interventions (3) - ANSWER 1. acute phase
- impose external control to maintain safety
- provide medication
- set limits and boundaries
2. continuation phase
, - prevention of relapse
- provide additional resources
- facilitate med adherence
3. maintenance phase
- minimize frequency and severity of relapse
nursing outcomes for bipolar DO (5) - ANSWER 1. decreased risk of harm to
self or others
2. realistic self appraisal
3. increased self care
4. develop healthy coping skills
5. adherence to meds
decreased risk of harm outcomes for bipolar DO - ANSWER Includes risky
behaviours such as promiscuity, excessive spending, driving too fast
realistic self appraisal outcomes for bipolar DO - ANSWER Seeing oneself as
valuable and having realistic expectations of oneself and others
increased self-care outcomes for bipolar DO - ANSWER healthy habits and
routines
