NSG 322 FINAL EXAM REVIEW COMPLETE FINAL EXAM STUDY
GUIDE WITH PRACTICE QUESTIONS AND VERIFIED ANSWERS
2025–2026
What are the benefits of using atypical antipsychotics (ariprazole, oplanzapine, risperidone)
with lithium for bipolar disorder? - correct answer -To lower physical activity. Once lithium is
effective, atypical antipsychotics are tapered off
What medication should NOT be given for acute and mixed mania in bipolar disorder? - correct
answer -alprazolam!! (leads to agitation and aggression)
What is the normal range for lithium? - correct answer -0.6-1.2 mEq/L
What are important components to remember when taking lithium? - correct answer --Do not
limit sodium intake
-Do not take with diuretics
-Monitor for dehydration
What complications can excess lithium lead to? - correct answer -Renal damage and
hypothyroidism (goiter)
What complication can result from Lamotrigine? - correct answer -Steven-Johnsons Syndrome
Bipolar 1 disorder - correct answer -full manic and major depressive episodes that least at least
2 weeks (dysphoric or mixed mania)
Bipolar II disorder - correct answer -pattern of depressive episodes and hypomania
,What neurotransmitters are affected in bipolar disorder? - correct answer -dopamine,
serotonin, and noradrenaline
Illusion - correct answer -misinterpretation of real sensory experience
ex: believes that a hose is a snake
delusion - correct answer -false belief or opinion
ex: belief that someone is being drugged
For a patients experiencing schizophrenia, what dialogue would you state regarding the sounds
they hear? - correct answer -use "your voices" instead of "the voices"
Negative effects in schizophrenia - correct answer -*lack of characterisitics
Anergia: lack of energy
Anhedonia: inability to feel pleasure
Apathy: lack of interest
Avolition: lack of motivation
Dopamine - correct answer -influences movement, learning, attention, and emotion
Acetycholine - correct answer -enables muscle action, learning, and memory
norepinephrine - correct answer -helps control alertness and arousal
What medication is used to treat nightmares in patients experiencing PTSD? - correct answer -
Prazosin
, What should be included in patient teaching regarding the intake of MAOIs? - correct answer -
Avoiding foods that contain tyramine (aged cheese, chocolate, cured meats, pickled foods, beer,
yeast) --> hypertensive crisis
What should be included in patient teaching for a client taking benzodiazepines? - correct
answer -The sedative effects (dont drive after taking, dont operate heavy machinery, etc)
What medication might be given to someone with anxiety that is unable to tolerate
benzodiazepines because of the sedative effects? - correct answer -buspirone (long-term)
TCAs - correct answer -block presynaptic receptor transporter for norepinephrine and serotonin
(used in mood disorders)
What lab values may be increased when a client takes Clozapine? - correct answer -WBC will be
decreased (agranulocytosis)
What is the most common method of suicide? - correct answer -Hanging
Benefits of mileu therapy - correct answer -Patients are able to be in a safe, structured group
setting to learn healthier ways of thinking, acting, and behaving in social environments
Can an RN counsel therapies? - correct answer -No
Beneficence - correct answer -doing good
Autonomy - correct answer -respecting the rights of others to make their own decisions
Justice - correct answer -fairness
GUIDE WITH PRACTICE QUESTIONS AND VERIFIED ANSWERS
2025–2026
What are the benefits of using atypical antipsychotics (ariprazole, oplanzapine, risperidone)
with lithium for bipolar disorder? - correct answer -To lower physical activity. Once lithium is
effective, atypical antipsychotics are tapered off
What medication should NOT be given for acute and mixed mania in bipolar disorder? - correct
answer -alprazolam!! (leads to agitation and aggression)
What is the normal range for lithium? - correct answer -0.6-1.2 mEq/L
What are important components to remember when taking lithium? - correct answer --Do not
limit sodium intake
-Do not take with diuretics
-Monitor for dehydration
What complications can excess lithium lead to? - correct answer -Renal damage and
hypothyroidism (goiter)
What complication can result from Lamotrigine? - correct answer -Steven-Johnsons Syndrome
Bipolar 1 disorder - correct answer -full manic and major depressive episodes that least at least
2 weeks (dysphoric or mixed mania)
Bipolar II disorder - correct answer -pattern of depressive episodes and hypomania
,What neurotransmitters are affected in bipolar disorder? - correct answer -dopamine,
serotonin, and noradrenaline
Illusion - correct answer -misinterpretation of real sensory experience
ex: believes that a hose is a snake
delusion - correct answer -false belief or opinion
ex: belief that someone is being drugged
For a patients experiencing schizophrenia, what dialogue would you state regarding the sounds
they hear? - correct answer -use "your voices" instead of "the voices"
Negative effects in schizophrenia - correct answer -*lack of characterisitics
Anergia: lack of energy
Anhedonia: inability to feel pleasure
Apathy: lack of interest
Avolition: lack of motivation
Dopamine - correct answer -influences movement, learning, attention, and emotion
Acetycholine - correct answer -enables muscle action, learning, and memory
norepinephrine - correct answer -helps control alertness and arousal
What medication is used to treat nightmares in patients experiencing PTSD? - correct answer -
Prazosin
, What should be included in patient teaching regarding the intake of MAOIs? - correct answer -
Avoiding foods that contain tyramine (aged cheese, chocolate, cured meats, pickled foods, beer,
yeast) --> hypertensive crisis
What should be included in patient teaching for a client taking benzodiazepines? - correct
answer -The sedative effects (dont drive after taking, dont operate heavy machinery, etc)
What medication might be given to someone with anxiety that is unable to tolerate
benzodiazepines because of the sedative effects? - correct answer -buspirone (long-term)
TCAs - correct answer -block presynaptic receptor transporter for norepinephrine and serotonin
(used in mood disorders)
What lab values may be increased when a client takes Clozapine? - correct answer -WBC will be
decreased (agranulocytosis)
What is the most common method of suicide? - correct answer -Hanging
Benefits of mileu therapy - correct answer -Patients are able to be in a safe, structured group
setting to learn healthier ways of thinking, acting, and behaving in social environments
Can an RN counsel therapies? - correct answer -No
Beneficence - correct answer -doing good
Autonomy - correct answer -respecting the rights of others to make their own decisions
Justice - correct answer -fairness
