2026 NURS 6005 FINAL EXAM|REAL 580Qs&As| GRADED A+|
A 72 y.o. Pt is diagnosed with parkinson's disease and anxiety. The health care
provide prescribes a benzodiazepine. The nurse questions this prescription based on
what fact related to this classification of medications?
A. This med would increase the patient's risk for falls
B. Older adults become addicted faster than younger patients
C. Benzodiazepines have serious side effects, so patients are often noncompliants
D. Cognitive therapies rather than medication are more effective for the older
patient
A
Which nursing response demonstrates accurate information that should be discussed
with the female pt diagnosed with bipolar and her support system. Select all.
A. Remember that alch and caffeine can trigger a relapse of your symptoms
B. Due to the risk of a manic episode, antidepressant therapy is never used with
bipolar disorder
C. It is critical to let your HCP know immediately if you aren't sleeping well
D. Is your family prepared to be actively involved in helping manage this disorder
E. The symptoms tend to come and go and so you need to be able to recognize the early signs
A, c, d, e
Which statement made by the patient demonstrates an understanding of the
effective use of newly prescribed lithium to manage bipolar mania? Select all that
apply.
,A. "I have to keep reminding myself to consistently drink six 12-ounce glasses of fluid every day."
B. "I discussed the diuretic my cardiologist prescribed with my psychiatric care provider."
C. "Lithium may help me lose the few extra pounds I tend to carry around."
D. "I take my lithium on an empty stomach to help with absorption."
E. "i've already made arrangements for my monthly lab work."
A, b, e
The nurse is providing medication education to a patient who has been prescribed
lithium to stabilize mood. Which early signs and symptoms of toxicity should the
nurse stress to the patient? Select all that apply.
A. Increased attentiveness
B. Getting up at night to urinate
C. Improved vision
D. An upset stomach for no apparent reason
E. Shaky hands that make holding a cup difficult
D, e
A male patient calls to tell the nurse that his monthly lithium level is 1.7 meq/L.
Which nursing intervention will the nurse implement initially?
A. Reinforce that the level is considered therapeutic.
B. Instruct the patient to hold the next dose of medication and contact the prescriber.
C. Have the patient go to the hospital emergency room immediately.
,D. Alert the patient to the possibility of seizures and appropriate precautions.
B
Which intervention should the nurse implement when caring for a patient
demonstrating manic behavior? Select all that apply.
A. Monitor the patient's vital signs frequently.
B. Keep the patient distracted with group-oriented activities.
C. Provide the patient with frequent milkshakes and protein drinks.
D. Reduce the volume on the television and dim bright lights in the environment.
E. Use a firm but calm voice to give specific concise directions to the patient.
A, c, d, e
Substance abuse is often present in people diagnosed with bipolar disorder. Laura,
a 28-year-old with a diagnosis of bipolar disorder, drinks alcohol instead of taking
her prescribed medications. The nurse caring for this patient recognizes that:
A. Anxiety may be present.
B. Alcohol ingestion is a form of self-medication.
C. The patient is lacking a sufficient number of neurotransmitters.
D. The patient is using alcohol because she is depressed.
B
, Ted, a former executive, is now unemployed due to manic episodes at work. He was
diagnosed with bipolar I 8 years ago. Ted has a history of IV drug abuse, which
resulted in hepatitis C. He is taking his lithium exactly as scheduled, a fact that both
Ted's wife and his blood tests confirm. To reduce Ted's mania the psychiatric nurse
practitioner recommends:
A. Clonazepam (Klonopin)
B. Fluoxetine (Prozac)
C. Electroconvulsive therapy (ECT)
D. Lurasidone (Latuda)
C
A 33-year-old female diagnosed with bipolar I disorder has been functioning well
on lithium for 11 months. At her most recent checkup, the psychiatric nurse
practitioner states, "You are ready to enter the maintenance therapy stage, so at
this time I am going to adjust your dosage by prescribing":
A. A higher dosage
B. Once a week dosing
C. A lower dosage
D. A different drug
C
Tatiana has been hospitalized for an acute manic episode. On admission the nurse
suspects lithium toxicity. What assessment findings would indicate the nurse's
suspicion as correct?
A 72 y.o. Pt is diagnosed with parkinson's disease and anxiety. The health care
provide prescribes a benzodiazepine. The nurse questions this prescription based on
what fact related to this classification of medications?
A. This med would increase the patient's risk for falls
B. Older adults become addicted faster than younger patients
C. Benzodiazepines have serious side effects, so patients are often noncompliants
D. Cognitive therapies rather than medication are more effective for the older
patient
A
Which nursing response demonstrates accurate information that should be discussed
with the female pt diagnosed with bipolar and her support system. Select all.
A. Remember that alch and caffeine can trigger a relapse of your symptoms
B. Due to the risk of a manic episode, antidepressant therapy is never used with
bipolar disorder
C. It is critical to let your HCP know immediately if you aren't sleeping well
D. Is your family prepared to be actively involved in helping manage this disorder
E. The symptoms tend to come and go and so you need to be able to recognize the early signs
A, c, d, e
Which statement made by the patient demonstrates an understanding of the
effective use of newly prescribed lithium to manage bipolar mania? Select all that
apply.
,A. "I have to keep reminding myself to consistently drink six 12-ounce glasses of fluid every day."
B. "I discussed the diuretic my cardiologist prescribed with my psychiatric care provider."
C. "Lithium may help me lose the few extra pounds I tend to carry around."
D. "I take my lithium on an empty stomach to help with absorption."
E. "i've already made arrangements for my monthly lab work."
A, b, e
The nurse is providing medication education to a patient who has been prescribed
lithium to stabilize mood. Which early signs and symptoms of toxicity should the
nurse stress to the patient? Select all that apply.
A. Increased attentiveness
B. Getting up at night to urinate
C. Improved vision
D. An upset stomach for no apparent reason
E. Shaky hands that make holding a cup difficult
D, e
A male patient calls to tell the nurse that his monthly lithium level is 1.7 meq/L.
Which nursing intervention will the nurse implement initially?
A. Reinforce that the level is considered therapeutic.
B. Instruct the patient to hold the next dose of medication and contact the prescriber.
C. Have the patient go to the hospital emergency room immediately.
,D. Alert the patient to the possibility of seizures and appropriate precautions.
B
Which intervention should the nurse implement when caring for a patient
demonstrating manic behavior? Select all that apply.
A. Monitor the patient's vital signs frequently.
B. Keep the patient distracted with group-oriented activities.
C. Provide the patient with frequent milkshakes and protein drinks.
D. Reduce the volume on the television and dim bright lights in the environment.
E. Use a firm but calm voice to give specific concise directions to the patient.
A, c, d, e
Substance abuse is often present in people diagnosed with bipolar disorder. Laura,
a 28-year-old with a diagnosis of bipolar disorder, drinks alcohol instead of taking
her prescribed medications. The nurse caring for this patient recognizes that:
A. Anxiety may be present.
B. Alcohol ingestion is a form of self-medication.
C. The patient is lacking a sufficient number of neurotransmitters.
D. The patient is using alcohol because she is depressed.
B
, Ted, a former executive, is now unemployed due to manic episodes at work. He was
diagnosed with bipolar I 8 years ago. Ted has a history of IV drug abuse, which
resulted in hepatitis C. He is taking his lithium exactly as scheduled, a fact that both
Ted's wife and his blood tests confirm. To reduce Ted's mania the psychiatric nurse
practitioner recommends:
A. Clonazepam (Klonopin)
B. Fluoxetine (Prozac)
C. Electroconvulsive therapy (ECT)
D. Lurasidone (Latuda)
C
A 33-year-old female diagnosed with bipolar I disorder has been functioning well
on lithium for 11 months. At her most recent checkup, the psychiatric nurse
practitioner states, "You are ready to enter the maintenance therapy stage, so at
this time I am going to adjust your dosage by prescribing":
A. A higher dosage
B. Once a week dosing
C. A lower dosage
D. A different drug
C
Tatiana has been hospitalized for an acute manic episode. On admission the nurse
suspects lithium toxicity. What assessment findings would indicate the nurse's
suspicion as correct?
