INTEGRATED NURS 3554 EXAM
TEST BANK
An adult outpatient diagnosed with major depression has a history of several suicide attempts by
overdose. Given this patients history and diagnosis, which antidepressant medication would the nurse
expect to be prescribed?
a. Amitriptyline (Elavil), a sedating tricyclic medication
b. Fluoxetine (Prozac), a selective serotonin reuptake inhibitor
c. Desipramine (Norpramin), a stimulating tricyclic medication
d. Tranylcypromine sulfate (Parnate), a monoamine oxidase inhibitor - CORRECT ANSWER -b. Fluoxetine
(Prozac), a selective serotonin reuptake inhibitor
Four individuals have given information about their suicide plans. Which plan evidences the highest
suicide risk?
a. Turning on the oven and letting gas escape into the apartment during the night
b. Cutting the wrists in the bathroom while the spouse reads in the next room
c. Overdosing on aspirin with codeine while the spouse is out with friends
d. Jumping from a railroad bridge located in a deserted area late at night - CORRECT ANSWER -d.
Jumping efrom ea erailroad ebridge elocated ein ea edeserted earea elate eat enight
Which emeasure ewould ebe econsidered ea eform eof eprimary eprevention efor esuicide?
a. Psychiatric ehospitalization eof ea esuicidal epatient
b. Referral eof ea eformerly esuicidal epatient eto ea esupport egroup
,c. Suicide eprecautions efor e24 ehours efor enewly eadmitted epatients
d. Helping eschool echildren elearn eto emanage estress eand ebe eresilient e- eCORRECT eANSWER e-d.
eHelping eschool echildren elearn eto emanage estress eand ebe eresilient
Which echange ein ethe ebrains ebiochemical efunction eis emost eassociated ewith esuicidal ebehavior?
a. Dopamine eexcess
b. Serotonin edeficiency
c. Acetylcholine eexcess
d. Gamma-aminobutyric eacid edeficiency e- eCORRECT eANSWER e-b. eSerotonin edeficiency
A ecollege estudent ewho efailed etwo etests ecried efor ehours eand ethen etried eto etelephone ea eparent
ebut egot eno eanswer. eThe estudent ethen egave eseveral eexpensive esweaters eto ea eroommate eand
easked eto ebe eleft ealone efor ea efew ehours. eWhich ebehavior eprovides ethe estrongest eclue eof ean
eimpending esuicide eattempt?
a. Calling eparents
b. Excessive ecrying
c. Giving eaway esweaters
d. Staying ealone ein edorm eroom e- eCORRECT eANSWER e-c. eGiving eaway esweaters
A enurse euses ethe eSAD ePERSONS escale eto einterview ea epatient. eThis etool eprovides edata erelevant eto:
a. current estress elevel.
b. mood edisturbance.
c. suicide epotential.
d. level eof eanxiety. e- eCORRECT eANSWER e-c. esuicide epotential.
,A eperson eintentionally eoverdosed eon eantidepressants. eWhich enursing ediagnosis ehas ethe ehighest
epriority?
a. Powerlessness
b. Social eisolation
c. Risk efor esuicide
d. Compromised efamily ecoping e- eCORRECT eANSWER e-c. eRisk efor esuicide
A eperson ewho eattempted esuicide eby eoverdose ewas etreated ein ethe eemergency edepartment eand
ethen ehospitalized. eThe einitial eoutcome eis ethat ethe epatient ewill:
a. verbalize ea ewill eto elive eby ethe eend eof ethe esecond ehospital eday.
b. describe etwo enew ecoping emechanisms eby ethe eend eof ethe ethird ehospital eday.
c. accurately edelineate epersonal estrengths eby ethe eend eof efirst eweek eof ehospitalization.
d. exercise esuicide eself-restraint eby erefraining efrom eattempts eto eharm eself efor e24 ehours. e-
eCORRECT eANSWER e-d. eexercise esuicide eself-restraint eby erefraining efrom eattempts eto
eharm eself efor e24 ehours.
A ecollege estudent ewho eattempted esuicide eby eoverdose ewas ehospitalized. eWhen ethe eparents
ewere econtacted, ethey eresponded, eWe eshould ehave eseen ethis ecoming. eWe edid enot edo eenough.
eThe eparents ereaction ereflects:
a. guilt
b. denial
c. shame
d. rescue efeelings e- eCORRECT eANSWER e-a. eguilt
Select ethe emost ecritical equestion efor ethe enurse eto eask ean eadolescent ewho ehas ethreatened eto etake
ean eoverdose eof epills.
, a. Why edo eyou ewant eto ekill eyourself?
b. Do eyou ehave eaccess eto emedications?
c. Have eyou ebeen etaking edrugs eand ealcohol?
d. Did esomething ehappen ewith eyour eparents? e- eCORRECT eANSWER e-b. eDo eyou ehave
eaccess eto emedications?
It ehas ebeen e5 edays esince ea esuicidal epatient ewas ehospitalized eand eprescribed ean eantidepressant
emedication. eThe epatient eis enow emore etalkative eand eshows eincreased eenergy. eSelect ethe ehighest
epriority enursing eintervention.
a. Supervise ethe epatient e24 ehours ea eday.
b. Begin edischarge eplanning efor ethe epatient.
c. Refer ethe epatient eto eart eand emusic etherapists.
d. Consider ediscontinuation eof esuicide eprecautions. e- eCORRECT eANSWER e-a. eSupervise ethe
epatient e24 ehours ea eday.
A enurse eand epatient econstruct ea eno-suicide econtract. eSelect ethe epreferable ewording.
a. I ewill enot etry eto eharm emyself eduring ethe enext e24 ehours.
b. I ewill enot emake ea esuicide eattempt ewhile eI eam ehospitalized.
c. For ethe enext e24 ehours, eI ewill enot ein eany eway eattempt eto eharm eor ekill emyself.
d. I ewill enot ekill emyself euntil eI ecall emy eprimary enurse eor ea emember eof ethe estaff. e- eCORRECT
eANSWER e-c. eFor ethe enext e24 ehours, eI ewill enot ein eany eway eattempt eto eharm eor ekill emyself.
A etearful, eanxious epatient eat ethe eoutpatient eclinic ereports, eI eshould ebe edead. eThe einitial etask eof
ethe enurse econducting ethe eassessment einterview eis eto:
TEST BANK
An adult outpatient diagnosed with major depression has a history of several suicide attempts by
overdose. Given this patients history and diagnosis, which antidepressant medication would the nurse
expect to be prescribed?
a. Amitriptyline (Elavil), a sedating tricyclic medication
b. Fluoxetine (Prozac), a selective serotonin reuptake inhibitor
c. Desipramine (Norpramin), a stimulating tricyclic medication
d. Tranylcypromine sulfate (Parnate), a monoamine oxidase inhibitor - CORRECT ANSWER -b. Fluoxetine
(Prozac), a selective serotonin reuptake inhibitor
Four individuals have given information about their suicide plans. Which plan evidences the highest
suicide risk?
a. Turning on the oven and letting gas escape into the apartment during the night
b. Cutting the wrists in the bathroom while the spouse reads in the next room
c. Overdosing on aspirin with codeine while the spouse is out with friends
d. Jumping from a railroad bridge located in a deserted area late at night - CORRECT ANSWER -d.
Jumping efrom ea erailroad ebridge elocated ein ea edeserted earea elate eat enight
Which emeasure ewould ebe econsidered ea eform eof eprimary eprevention efor esuicide?
a. Psychiatric ehospitalization eof ea esuicidal epatient
b. Referral eof ea eformerly esuicidal epatient eto ea esupport egroup
,c. Suicide eprecautions efor e24 ehours efor enewly eadmitted epatients
d. Helping eschool echildren elearn eto emanage estress eand ebe eresilient e- eCORRECT eANSWER e-d.
eHelping eschool echildren elearn eto emanage estress eand ebe eresilient
Which echange ein ethe ebrains ebiochemical efunction eis emost eassociated ewith esuicidal ebehavior?
a. Dopamine eexcess
b. Serotonin edeficiency
c. Acetylcholine eexcess
d. Gamma-aminobutyric eacid edeficiency e- eCORRECT eANSWER e-b. eSerotonin edeficiency
A ecollege estudent ewho efailed etwo etests ecried efor ehours eand ethen etried eto etelephone ea eparent
ebut egot eno eanswer. eThe estudent ethen egave eseveral eexpensive esweaters eto ea eroommate eand
easked eto ebe eleft ealone efor ea efew ehours. eWhich ebehavior eprovides ethe estrongest eclue eof ean
eimpending esuicide eattempt?
a. Calling eparents
b. Excessive ecrying
c. Giving eaway esweaters
d. Staying ealone ein edorm eroom e- eCORRECT eANSWER e-c. eGiving eaway esweaters
A enurse euses ethe eSAD ePERSONS escale eto einterview ea epatient. eThis etool eprovides edata erelevant eto:
a. current estress elevel.
b. mood edisturbance.
c. suicide epotential.
d. level eof eanxiety. e- eCORRECT eANSWER e-c. esuicide epotential.
,A eperson eintentionally eoverdosed eon eantidepressants. eWhich enursing ediagnosis ehas ethe ehighest
epriority?
a. Powerlessness
b. Social eisolation
c. Risk efor esuicide
d. Compromised efamily ecoping e- eCORRECT eANSWER e-c. eRisk efor esuicide
A eperson ewho eattempted esuicide eby eoverdose ewas etreated ein ethe eemergency edepartment eand
ethen ehospitalized. eThe einitial eoutcome eis ethat ethe epatient ewill:
a. verbalize ea ewill eto elive eby ethe eend eof ethe esecond ehospital eday.
b. describe etwo enew ecoping emechanisms eby ethe eend eof ethe ethird ehospital eday.
c. accurately edelineate epersonal estrengths eby ethe eend eof efirst eweek eof ehospitalization.
d. exercise esuicide eself-restraint eby erefraining efrom eattempts eto eharm eself efor e24 ehours. e-
eCORRECT eANSWER e-d. eexercise esuicide eself-restraint eby erefraining efrom eattempts eto
eharm eself efor e24 ehours.
A ecollege estudent ewho eattempted esuicide eby eoverdose ewas ehospitalized. eWhen ethe eparents
ewere econtacted, ethey eresponded, eWe eshould ehave eseen ethis ecoming. eWe edid enot edo eenough.
eThe eparents ereaction ereflects:
a. guilt
b. denial
c. shame
d. rescue efeelings e- eCORRECT eANSWER e-a. eguilt
Select ethe emost ecritical equestion efor ethe enurse eto eask ean eadolescent ewho ehas ethreatened eto etake
ean eoverdose eof epills.
, a. Why edo eyou ewant eto ekill eyourself?
b. Do eyou ehave eaccess eto emedications?
c. Have eyou ebeen etaking edrugs eand ealcohol?
d. Did esomething ehappen ewith eyour eparents? e- eCORRECT eANSWER e-b. eDo eyou ehave
eaccess eto emedications?
It ehas ebeen e5 edays esince ea esuicidal epatient ewas ehospitalized eand eprescribed ean eantidepressant
emedication. eThe epatient eis enow emore etalkative eand eshows eincreased eenergy. eSelect ethe ehighest
epriority enursing eintervention.
a. Supervise ethe epatient e24 ehours ea eday.
b. Begin edischarge eplanning efor ethe epatient.
c. Refer ethe epatient eto eart eand emusic etherapists.
d. Consider ediscontinuation eof esuicide eprecautions. e- eCORRECT eANSWER e-a. eSupervise ethe
epatient e24 ehours ea eday.
A enurse eand epatient econstruct ea eno-suicide econtract. eSelect ethe epreferable ewording.
a. I ewill enot etry eto eharm emyself eduring ethe enext e24 ehours.
b. I ewill enot emake ea esuicide eattempt ewhile eI eam ehospitalized.
c. For ethe enext e24 ehours, eI ewill enot ein eany eway eattempt eto eharm eor ekill emyself.
d. I ewill enot ekill emyself euntil eI ecall emy eprimary enurse eor ea emember eof ethe estaff. e- eCORRECT
eANSWER e-c. eFor ethe enext e24 ehours, eI ewill enot ein eany eway eattempt eto eharm eor ekill emyself.
A etearful, eanxious epatient eat ethe eoutpatient eclinic ereports, eI eshould ebe edead. eThe einitial etask eof
ethe enurse econducting ethe eassessment einterview eis eto:
