NURS 2872 Unit 6 Exam With
Complete Solution
Which of the following may be a side effect of haloperidol (Haldol)? Select all
that apply.
a. Neuroleptic malignant syndrome.
b. Metabolic syndrome.
c. Priapism.
d. Tardive dyskinesia.
e. Pseudo Parkinsonism.
f. Sedation. - ANSWER a. Neuroleptic malignant syndrome.
c. Priapism.
d. Tardive dyskinesia.
e. Pseudo Parkinsonism.
f. Sedation.
A 23-year-old female presents to the Emergency Department after breaking
up with her boyfriend, reporting that she overdosed on sixty 40 mg capsules
of fluoxetine (Prozac) approximately 20 minutes before her presentation to
the emergency department. What are the priority nursing interventions for
this patient? Select all that apply.
a. Restrict fluid intake.
,b. Administer venlafaxine (Effexor) 75mg STAT.
c. Monitor the patient for signs and symptoms of serotonin syndrome.
d. Contact the physician to discuss if suicide precautions are indicated.
e. Maintain the patient's safety.
f. Contact the patient's boyfriend to inform him that the patient is safe. -
ANSWER c. Monitor the patient for signs and symptoms of serotonin
syndrome.
d. Contact the physician to discuss if suicide precautions are indicated.
e. Maintain the patient's safety.
A patient is in the ICU being treated for neuroleptic malignant syndrome.
What is the nursing priority for this patient?
a. Build a therapeutic alliance with the patient.
b. Avoid administering antipsychotic medications to the patient.
c. Keep the patient in bilateral wrist restraints at all times.
d. Contact the Guardian of person to make all medical decisions. - ANSWER
b. Avoid administering antipsychotic medications to the patient.
The school nurse is working with a child diagnosed with moderate autism
spectrum disorder. Which of the following are appropriate therapeutic
techniques to utilize with this child? Select all that apply.
a. Encourage the child to engage in self-soothing stereotyped behaviors.
b. Provide frequent redirection for inappropriate behaviors.
, c. Assist the child to participate in social activities with his peers.
d. Use sarcasm to model appropriate communication.
e. Use the child's special interests to engage the child in everyday activities.
f. Encourage the child to use language to express his emotions. - ANSWER b.
Provide frequent redirection for inappropriate behaviors.
c. Assist the child to participate in social activities with his peers.
e. Use the child's special interests to engage the child in everyday activities.
f. Encourage the child to use language to express his emotions.
The postpartum nurse is working with a mother who just gave birth to a
stillborn baby at 32 weeks gestation. The nurse states "I know how you feel, I
had a miscarriage 10 years ago and I have never gotten over it." This is an
example of which nursing intervention?
a. Therapeutic self-disclosure.
b. Non-therapeutic confrontation.
c. Therapeutic confrontation.
d. Non-therapeutic self-disclosure. - ANSWER d. Non-therapeutic
self-disclosure.
After assessing a patient, the nurse charts: The patient endorses grandiose
delusions, believing he owns the Eiffel Tower. Which section of the mental
status exam would this statement be charted under?
a. Thought process.
b. Judgement.
Complete Solution
Which of the following may be a side effect of haloperidol (Haldol)? Select all
that apply.
a. Neuroleptic malignant syndrome.
b. Metabolic syndrome.
c. Priapism.
d. Tardive dyskinesia.
e. Pseudo Parkinsonism.
f. Sedation. - ANSWER a. Neuroleptic malignant syndrome.
c. Priapism.
d. Tardive dyskinesia.
e. Pseudo Parkinsonism.
f. Sedation.
A 23-year-old female presents to the Emergency Department after breaking
up with her boyfriend, reporting that she overdosed on sixty 40 mg capsules
of fluoxetine (Prozac) approximately 20 minutes before her presentation to
the emergency department. What are the priority nursing interventions for
this patient? Select all that apply.
a. Restrict fluid intake.
,b. Administer venlafaxine (Effexor) 75mg STAT.
c. Monitor the patient for signs and symptoms of serotonin syndrome.
d. Contact the physician to discuss if suicide precautions are indicated.
e. Maintain the patient's safety.
f. Contact the patient's boyfriend to inform him that the patient is safe. -
ANSWER c. Monitor the patient for signs and symptoms of serotonin
syndrome.
d. Contact the physician to discuss if suicide precautions are indicated.
e. Maintain the patient's safety.
A patient is in the ICU being treated for neuroleptic malignant syndrome.
What is the nursing priority for this patient?
a. Build a therapeutic alliance with the patient.
b. Avoid administering antipsychotic medications to the patient.
c. Keep the patient in bilateral wrist restraints at all times.
d. Contact the Guardian of person to make all medical decisions. - ANSWER
b. Avoid administering antipsychotic medications to the patient.
The school nurse is working with a child diagnosed with moderate autism
spectrum disorder. Which of the following are appropriate therapeutic
techniques to utilize with this child? Select all that apply.
a. Encourage the child to engage in self-soothing stereotyped behaviors.
b. Provide frequent redirection for inappropriate behaviors.
, c. Assist the child to participate in social activities with his peers.
d. Use sarcasm to model appropriate communication.
e. Use the child's special interests to engage the child in everyday activities.
f. Encourage the child to use language to express his emotions. - ANSWER b.
Provide frequent redirection for inappropriate behaviors.
c. Assist the child to participate in social activities with his peers.
e. Use the child's special interests to engage the child in everyday activities.
f. Encourage the child to use language to express his emotions.
The postpartum nurse is working with a mother who just gave birth to a
stillborn baby at 32 weeks gestation. The nurse states "I know how you feel, I
had a miscarriage 10 years ago and I have never gotten over it." This is an
example of which nursing intervention?
a. Therapeutic self-disclosure.
b. Non-therapeutic confrontation.
c. Therapeutic confrontation.
d. Non-therapeutic self-disclosure. - ANSWER d. Non-therapeutic
self-disclosure.
After assessing a patient, the nurse charts: The patient endorses grandiose
delusions, believing he owns the Eiffel Tower. Which section of the mental
status exam would this statement be charted under?
a. Thought process.
b. Judgement.
