345 EXAM 3 PRACTICE QUESTIONS AND CORRECT ANSWERS

345 EXAM 3 PRACTICE QUESTIONS AND
CORRECT ANSWERS
1.A2AA2personA2wasA2onlineA2continuouslyA2forA2overA224A2hours,A2postingA2rhymesA2onA2
officialA2governmentA2websitesA2andA2invitingA2politiciansA2toA2joinA2socialA2networks.A2Th
eA2personA2hasA2notA2sleptA2orA2eatenA2forA23A2days.A2WhatA2featuresA2ofA2maniaA2areA2ev
ident?
1.A2IncreasedA2muscleA2tensionA2andA2anxiety
2.A2VegetativeA2signsA2andA2poorA2grooming
3.A2PoorA2judgmentA2andA2hyperactivity
4.A2CognitiveA2deficitsA2andA2paranoiaA2-A2Ans--3.A2PoorA2judgmentA2andA2hyperactivity

2.A2AA2patientA2diagnosedA2withA2bipolarA2disorderA2isA2dressedA2inA2aA2redA2leotardA2andA
2brightA2scarves.A2TheA2patientA2twirlsA2andA2shadowA2boxes.A2TheA2patientA2saysA2gaily,A
2"DoA2youA2likeA2myA2scarves?
A2HereA2theyA2areA2myA2giftA2toA2you."A2HowA2shouldA2theA2nurseA2documentA2theA2patient
'sA2mood?A2
a.A2Euphoric
b.A2Irritable
c.A2SuspiciousA2
d.A2ConfidentA2-A2Ans--a.A2Euphoric

3.A2AA2personA2wasA2directingA2trafficA2onA2aA2busyA2street,A2rapidlyA2shouting,A2"ToA2wor
k,A2youA2jerk,A2forA2perks"A2andA2makingA2obsceneA2gesturesA2atA2cars.A2TheA2personA2ha
sA2notA2sleptA2orA2eatenA2forA23A2days.A2WhichA2assessmentA2findingsA2willA2haveA2priority
A2concernA2forA2thisA2patient'sA2planA2ofA2care?
1.A2Insulting,A2aggressiveA2behavior
2.A2PressuredA2speechA2andA2grandiosity
3.A2Hyperactivity;A2notA2eatingA2andA2sleeping
4.A2PoorA2concentrationA2andA2decisionA2makingA2-A2Ans--
3.A2Hyperactivity;A2notA2eatingA2andA2sleeping

4.A2AA2patientA2diagnosedA2withA2acuteA2maniaA2hasA2distributedA2pamphletsA2aboutA2aA2
newA2businessA2ventureA2onA2aA2streetA2cornerA2forA22A2days.A2WhichA2nursingA2diagnosi
sA2hasA2priority?
1.A2RiskA2forA2injury
2.A2IneffectiveA2coping
3.A2ImpairedA2socialA2interaction
4.A2IneffectiveA2therapeuticA2regimenA2managementA2-A2Ans--1.A2RiskA2forA2injury

5.A2AA2patientA2diagnosedA2withA2bipolarA2disorderA2becomesA2hyperactiveA2afterA2discont
inuingA2lithium.A2TheA2patientA2threatensA2toA2hitA2anotherA2patient.A2WhichA2commentA2b
yA2theA2nurseA2isA2appropriate?
1.A2"StopA2that!A2NoA2oneA2didA2anythingA2toA2provokeA2anA2attackA2byA2you."

, 2.A2"IfA2youA2doA2thatA2oneA2moreA2time,A2youA2willA2beA2secludedA2immediately."
3.A2"DoA2notA2hitA2anyone.A2IfA2youA2areA2unableA2toA2controlA2yourself,A2weA2willA2helpA2y
ou."
4.A2"YouA2knowA2weA2willA2notA2letA2youA2hitA2anyone.A2WhyA2doA2youA2continueA2thisA2be
havior?"A2-A2Ans--
3.A2"DoA2notA2hitA2anyone.A2IfA2youA2areA2unableA2toA2controlA2yourself,A2weA2willA2helpA2y
ou."

6.A2ThisA2nursingA2diagnosisA2appliesA2toA2aA2patientA2experiencingA2acuteA2mania:A2Imba
lancedA2nutrition:A2lessA2thanA2bodyA2requirementsA2relatedA2toA2insufficientA2caloricA2inta
keA2andA2hyperactivityA2asA2evidencedA2byA25-
poundA2weightA2lossA2inA24A2days.A2SelectA2anA2appropriateA2outcome.A2TheA2patientA2will
1.A2askA2staffA2forA2assistanceA2withA2feedingA2withinA24A2days.
2.A2drinkA2sixA2servingsA2ofA2aA2high-calorie,A2high-proteinA2drinkA2eachA2day.
3.A2consistentlyA2sitA2withA2othersA2forA2atA2leastA230A2minutesA2atA2mealtimeA2withinA21A2
week.
4.A2consistentlyA2wearA2appropriateA2attireA2forA2ageA2andA2sexA2withinA21A2weekA2whileA2
onA2the
psychiatricA2unit.A2-A2Ans--2.A2drinkA2sixA2servingsA2ofA2aA2high-calorie,A2high-
proteinA2drinkA2eachA2day.

7.A2AA2patientA2demonstratingA2characteristicsA2ofA2acuteA2maniaA2relapsedA2afterA2disco
ntinuingA2lithium.A2NewA2ordersA2areA2writtenA2toA2resumeA2lithiumA2twiceA2dailyA2andA2be
ginA2olanzapine.A2WhatA2isA2theA2rationaleA2forA2theA2additionA2ofA2olanzapineA2toA2theA2m
edicationA2regimen?A2ItA2will
1.A2minimizeA2theA2sideA2effectsA2ofA2lithium.
2.A2bringA2hyperactivityA2underA2rapidA2control.
3.A2enhanceA2theA2antimanicA2actionsA2ofA2lithium.
4.A2beA2usedA2forA2long-termA2controlA2ofA2hyperactivity.A2-A2Ans--
2.A2bringA2hyperactivityA2underA2rapidA2control.

8.A2AA2patientA2diagnosedA2withA2bipolarA2disorderA2hasA2rapidlyA2changingA2moodA2cycle
s.A2TheA2healthA2careA2providerA2prescribesA2anA2anticonvulsantA2medication.A2ToA2prepa
reA2teachingA2materials,A2whichA2drugA2shouldA2theA2nurseA2anticipateA2willA2beA2prescrib
ed?A2
a.A2phenytoin
b.A2clonidine
c.A2risperidone
d.A2carbamazepineA2-A2Ans--d.A2carbamazepine

9.A2TheA2exactA2causeA2ofA2bipolarA2disorderA2hasA2notA2beenA2determined;A2however,A2f
orA2mostA2patients
1.A2severalA2factors,A2includingA2genetics,A2areA2implicated.
2.A2brainA2structuresA2wereA2alteredA2byA2stressA2earlyA2inA2life.
3.A2excessA2sensitivityA2inA2dopamineA2receptorsA2mayA2triggerA2episodes.