NFDN 2007 midterm questions with accurate
answers
5 stages of change Ans✓✓✓ 1. Pre- contemplation
2. Contemplation
3. Preparation
4. Action
5. Maintenance
86 year old recently diagnosed with MDD has all of a sudden started
calling all of his friends and family. As the nurse, what is your priority?
Ans✓✓✓ Suicide assessment
A client is hyperactive and overly excited. He comes out of his room in
only his underwear making lewd comments to the other clients. What do
you do? Ans✓✓✓ Redirect him back to his room
Encourage him to get dressed
A client with bipolar 1 is cycling through a manic episode. The client
has interrupted a group of clients playing cards. What is your response?
Ans✓✓✓ Take them somewhere private where they can do their thing
A patient is telling you some foods that they regularly eat. They are on
MAOI class medication. Which of the foods listed would be the most
concerning choice for this patient? Ans✓✓✓ a) corned beef (contains
tyramine)
,b.) milk
c.) cottage cheese
d.) spinach
A patient states they are seeing things what do you ask first? Ans✓✓✓
What do you see
Acamprostate & Topiramate Ans✓✓✓ Curb craving for alcohol
Acute phase treatment Ans✓✓✓ Reducing / eliminating and controlling
symptoms
Affect Ans✓✓✓ Immediately expressed or observed emotion (facial
expression, vocalizations, behaviour)
Affect Ans✓✓✓ Observable expression of mood
After 24 hours, what can occur? Ans✓✓✓ Treat the client as voluntary
Discharge the client - condition is resolved
Issue a 2nd admission certificate - can hold the client up to 30 days
After mania what is the priority? Ans✓✓✓ Protect the patient
Suicide precautions - might be embarrassed/ ashamed
,Agitation Ans✓✓✓ Inability to sit still
Alogia Ans✓✓✓ Non talking / communicating
Ambivilous Ans✓✓✓ Unable to make a decision and has no care to
Amino acids Ans✓✓✓ Building blocks of protein
An 8yo boy comes to the doctor with his mom and has been complaining
of a stomach ache - what do you assess? Ans✓✓✓ - what other
symptoms is he experiencing
( kids don't know what depression feels like, often complain of stomach
pain)
Anergia Ans✓✓✓ No energy
Anhedonia Ans✓✓✓ Inability to feel pleasure
Anhedonia Ans✓✓✓ Lack of enjoyment/ pleasure
Anticholinergic crisis Ans✓✓✓ Dilated pupils
Blurred vision
Facial mucous membranes
Difficulty swallowing
, Fever
Tachycardia
Hypertension
Decreased bowel sounds
Urinary retention
Nausea
Vomiting
Seizures
Coma
KNOW ** dry mouth & urinary retention
Anticholinergic med side effects Ans✓✓✓ Dry mouth
Blurred vision
Constipation
Urinary retention
Anticholinergic side effects Ans✓✓✓ Hot as a hare
Dry as a bone
Blind as a bat
Red as a beet
Mad as a hatter
answers
5 stages of change Ans✓✓✓ 1. Pre- contemplation
2. Contemplation
3. Preparation
4. Action
5. Maintenance
86 year old recently diagnosed with MDD has all of a sudden started
calling all of his friends and family. As the nurse, what is your priority?
Ans✓✓✓ Suicide assessment
A client is hyperactive and overly excited. He comes out of his room in
only his underwear making lewd comments to the other clients. What do
you do? Ans✓✓✓ Redirect him back to his room
Encourage him to get dressed
A client with bipolar 1 is cycling through a manic episode. The client
has interrupted a group of clients playing cards. What is your response?
Ans✓✓✓ Take them somewhere private where they can do their thing
A patient is telling you some foods that they regularly eat. They are on
MAOI class medication. Which of the foods listed would be the most
concerning choice for this patient? Ans✓✓✓ a) corned beef (contains
tyramine)
,b.) milk
c.) cottage cheese
d.) spinach
A patient states they are seeing things what do you ask first? Ans✓✓✓
What do you see
Acamprostate & Topiramate Ans✓✓✓ Curb craving for alcohol
Acute phase treatment Ans✓✓✓ Reducing / eliminating and controlling
symptoms
Affect Ans✓✓✓ Immediately expressed or observed emotion (facial
expression, vocalizations, behaviour)
Affect Ans✓✓✓ Observable expression of mood
After 24 hours, what can occur? Ans✓✓✓ Treat the client as voluntary
Discharge the client - condition is resolved
Issue a 2nd admission certificate - can hold the client up to 30 days
After mania what is the priority? Ans✓✓✓ Protect the patient
Suicide precautions - might be embarrassed/ ashamed
,Agitation Ans✓✓✓ Inability to sit still
Alogia Ans✓✓✓ Non talking / communicating
Ambivilous Ans✓✓✓ Unable to make a decision and has no care to
Amino acids Ans✓✓✓ Building blocks of protein
An 8yo boy comes to the doctor with his mom and has been complaining
of a stomach ache - what do you assess? Ans✓✓✓ - what other
symptoms is he experiencing
( kids don't know what depression feels like, often complain of stomach
pain)
Anergia Ans✓✓✓ No energy
Anhedonia Ans✓✓✓ Inability to feel pleasure
Anhedonia Ans✓✓✓ Lack of enjoyment/ pleasure
Anticholinergic crisis Ans✓✓✓ Dilated pupils
Blurred vision
Facial mucous membranes
Difficulty swallowing
, Fever
Tachycardia
Hypertension
Decreased bowel sounds
Urinary retention
Nausea
Vomiting
Seizures
Coma
KNOW ** dry mouth & urinary retention
Anticholinergic med side effects Ans✓✓✓ Dry mouth
Blurred vision
Constipation
Urinary retention
Anticholinergic side effects Ans✓✓✓ Hot as a hare
Dry as a bone
Blind as a bat
Red as a beet
Mad as a hatter
