NURS 241- Exam 1 Psychosis, electrolytes,
fluid balance, & HF Questions With
Correct Answers
Match the following with either a) hypotonic, b) isotonic, or c) hypertonic
| | | | | | | | | | |
1) D5W in body
| | |
2) D5 .25%NS
| |
3) D5 .45NS
| |
4) 0.45%NS
|
5) D10W
|
6) Normosol
|
7) 0.33%NS
|
8) 3%NS
|
9) D5W in bag
| | |
10) D5NS
|
11) 0.225%NS
|
12) 0.9%NS
|
13) LR|
14) D5LR - CORRECT ANSWER✔✔-Hypotonic:
| | | |
1) D5W in body
| | |
4) 0.45%NS
|
7) 0.33%NS
|
11) 0.225%NS
|
,Isotonic:
2) D5 .25%NS
| |
6) Normosol
|
9) D5W in bag
| | |
12) 0.9%NS
|
13) LR |
Hypertonic:
3) D5 .45NS
| |
5) D10W
|
8) 3%NS
|
10) D5NS|
14) D5LR|
Which of the following nursing interventions would the nurse perform for the
| | | | | | | | | | | |
client with psychosis/schizophrenia? (Select all that apply)
| | | | | |
a) Assess home medications and current doses, and verify proper
| | | | | | | | | |
administration/dosing with patient | |
b) Look for signs and symptoms of suicidal ideation, thoughts, or plans.
| | | | | | | | | | |
c) Assess any available MRI or CT scans to rule out injury
| | | | | | | | | | |
d) Assess labs including electrolytes and any substance abuse toxicology reports -
| | | | | | | | | | | |
CORRECT ANSWER✔✔-a) Assess home medications and current doses, and verify
| | | | | | | | |
proper administration/dosing with patient
| | | |
,b) Look for signs and symptoms of suicidal ideation, thoughts, or plans.
| | | | | | | | | | |
c) Assess any available MRI or CT scans to rule out injury
| | | | | | | | | | |
d) Assess labs including electrolytes and any substance abuse toxicology reports
| | | | | | | | | |
-This is an accurate statement. the nurse should assess not only the medications,
| | | | | | | | | | | | |
but should recognize usual doses and if the patient is following the treatment
| | | | | | | | | | | | |
plan. in addition, many psychiatric medications can have significant side effects
| | | | | | | | | | |
that impacts patient use and compliance.
| | | | |
-Suicide risk is real for clients living with psychosis/schizophrenia. The nurse
| | | | | | | | | | |
should assess for risk of suicide. Suicide can be considered a true 'extreme
| | | | | | | | | | | | |
version' critical scenario with psychosis/schizophrenia.
| | | |
The nurse is taking care of the client with schizophrenia who has current visual
| | | | | | | | | | | | | |
hallucinations of seeing bats in the activity room. Which of the following
| | | | | | | | | | | |
statements indicate that nurse understands therapeutic communication
| | | | | | |
techniques for the client? (Select all that apply.)
| | | | | | |
a) "I'm sure it will get better when your meds kick in"
| | | | | | | | | | |
b) "I will just sit here quietly with you. If you want to talk about it, that's ok"
| | | | | | | | | | | | | | | | |
c) "So what you are saying is that you are seeing small flying animals"
| | | | | | | | | | | | |
d) " Let's see what's on TV"
| | | | | |
e) "I am not seeing bats in the activity room" - CORRECT ANSWER✔✔-b) "I will
| | | | | | | | | | | | | | |
just sit here quietly with you. If you want to talk about it, that's ok"
| | | | | | | | | | | | | |
c) "So what you are saying is that you are seeing small flying animals"
| | | | | | | | | | | | |
e) "I am not seeing bats in the activity room"
| | | | | | | | |
*This is a correct answer and demonstrates therapeutic listening and/or silence.
| | | | | | | | | |
, This shows clarification and reinforcing reality.
| | | | |
The nurse is taking care of the patient with acute paranoid schizophrenia. Which
| | | | | | | | | | | | |
of the following medication orders is the most correct?
| | | | | | | |
a) Haldol decanoate (haloperidol) 15 mg IV x 1 for acute psychosis
| | | | | | | | | | |
b) Haldol decanoate (haloperidol) 150 mg orally every 12 hours
| | | | | | | | |
c) Haldol decanoate (haloperidol) 1.5 mg orally every 12 hours
| | | | | | | | |
d) Haldol decanoate (haloperidol) 0.15 mg IM x 1 for acute psychosis - CORRECT
| | | | | | | | | | | | | |
ANSWER✔✔-c) Haldol decanoate (haloperidol) 1.5 mg orally every 12 hours
| | | | | | | | |
*This is 3 mg daily which falls within the correct range for this medication.
| | | | | | | | | | | | |
Which of the following predisposing factors are most prevalent in the
| | | | | | | | | | |
development of psychosis? (Select all that apply)
| | | | | |
a) Age 65+
| |
b) Encephalitis and/or other infections
| | | |
c) Substance abuse
| |
d) High income
| |
e) White / caucasian ethnicity - CORRECT ANSWER✔✔-b) Encephalitis and/or
| | | | | | | | | |
other infections
|
c) Substance abuse
| |
e) White / caucasian ethnicity
| | | |
*You're a winner! Infections can cause symptoms of psychosis and should be
| | | | | | | | | | | |
ruled out as a part of the diagnosis process.
| | | | | | | |
fluid balance, & HF Questions With
Correct Answers
Match the following with either a) hypotonic, b) isotonic, or c) hypertonic
| | | | | | | | | | |
1) D5W in body
| | |
2) D5 .25%NS
| |
3) D5 .45NS
| |
4) 0.45%NS
|
5) D10W
|
6) Normosol
|
7) 0.33%NS
|
8) 3%NS
|
9) D5W in bag
| | |
10) D5NS
|
11) 0.225%NS
|
12) 0.9%NS
|
13) LR|
14) D5LR - CORRECT ANSWER✔✔-Hypotonic:
| | | |
1) D5W in body
| | |
4) 0.45%NS
|
7) 0.33%NS
|
11) 0.225%NS
|
,Isotonic:
2) D5 .25%NS
| |
6) Normosol
|
9) D5W in bag
| | |
12) 0.9%NS
|
13) LR |
Hypertonic:
3) D5 .45NS
| |
5) D10W
|
8) 3%NS
|
10) D5NS|
14) D5LR|
Which of the following nursing interventions would the nurse perform for the
| | | | | | | | | | | |
client with psychosis/schizophrenia? (Select all that apply)
| | | | | |
a) Assess home medications and current doses, and verify proper
| | | | | | | | | |
administration/dosing with patient | |
b) Look for signs and symptoms of suicidal ideation, thoughts, or plans.
| | | | | | | | | | |
c) Assess any available MRI or CT scans to rule out injury
| | | | | | | | | | |
d) Assess labs including electrolytes and any substance abuse toxicology reports -
| | | | | | | | | | | |
CORRECT ANSWER✔✔-a) Assess home medications and current doses, and verify
| | | | | | | | |
proper administration/dosing with patient
| | | |
,b) Look for signs and symptoms of suicidal ideation, thoughts, or plans.
| | | | | | | | | | |
c) Assess any available MRI or CT scans to rule out injury
| | | | | | | | | | |
d) Assess labs including electrolytes and any substance abuse toxicology reports
| | | | | | | | | |
-This is an accurate statement. the nurse should assess not only the medications,
| | | | | | | | | | | | |
but should recognize usual doses and if the patient is following the treatment
| | | | | | | | | | | | |
plan. in addition, many psychiatric medications can have significant side effects
| | | | | | | | | | |
that impacts patient use and compliance.
| | | | |
-Suicide risk is real for clients living with psychosis/schizophrenia. The nurse
| | | | | | | | | | |
should assess for risk of suicide. Suicide can be considered a true 'extreme
| | | | | | | | | | | | |
version' critical scenario with psychosis/schizophrenia.
| | | |
The nurse is taking care of the client with schizophrenia who has current visual
| | | | | | | | | | | | | |
hallucinations of seeing bats in the activity room. Which of the following
| | | | | | | | | | | |
statements indicate that nurse understands therapeutic communication
| | | | | | |
techniques for the client? (Select all that apply.)
| | | | | | |
a) "I'm sure it will get better when your meds kick in"
| | | | | | | | | | |
b) "I will just sit here quietly with you. If you want to talk about it, that's ok"
| | | | | | | | | | | | | | | | |
c) "So what you are saying is that you are seeing small flying animals"
| | | | | | | | | | | | |
d) " Let's see what's on TV"
| | | | | |
e) "I am not seeing bats in the activity room" - CORRECT ANSWER✔✔-b) "I will
| | | | | | | | | | | | | | |
just sit here quietly with you. If you want to talk about it, that's ok"
| | | | | | | | | | | | | |
c) "So what you are saying is that you are seeing small flying animals"
| | | | | | | | | | | | |
e) "I am not seeing bats in the activity room"
| | | | | | | | |
*This is a correct answer and demonstrates therapeutic listening and/or silence.
| | | | | | | | | |
, This shows clarification and reinforcing reality.
| | | | |
The nurse is taking care of the patient with acute paranoid schizophrenia. Which
| | | | | | | | | | | | |
of the following medication orders is the most correct?
| | | | | | | |
a) Haldol decanoate (haloperidol) 15 mg IV x 1 for acute psychosis
| | | | | | | | | | |
b) Haldol decanoate (haloperidol) 150 mg orally every 12 hours
| | | | | | | | |
c) Haldol decanoate (haloperidol) 1.5 mg orally every 12 hours
| | | | | | | | |
d) Haldol decanoate (haloperidol) 0.15 mg IM x 1 for acute psychosis - CORRECT
| | | | | | | | | | | | | |
ANSWER✔✔-c) Haldol decanoate (haloperidol) 1.5 mg orally every 12 hours
| | | | | | | | |
*This is 3 mg daily which falls within the correct range for this medication.
| | | | | | | | | | | | |
Which of the following predisposing factors are most prevalent in the
| | | | | | | | | | |
development of psychosis? (Select all that apply)
| | | | | |
a) Age 65+
| |
b) Encephalitis and/or other infections
| | | |
c) Substance abuse
| |
d) High income
| |
e) White / caucasian ethnicity - CORRECT ANSWER✔✔-b) Encephalitis and/or
| | | | | | | | | |
other infections
|
c) Substance abuse
| |
e) White / caucasian ethnicity
| | | |
*You're a winner! Infections can cause symptoms of psychosis and should be
| | | | | | | | | | | |
ruled out as a part of the diagnosis process.
| | | | | | | |
