NUR 326 Final Exam with Accurate
Solutions
Which of the following medications are used for alcohol recovery/maintenance? Select
all that apply.
a. Cogentin
b. Naltrexone
c. Disulfiram (Antabuse)
d. Trazadone
e. Acamprosate (Campral) - ANSWER-B C E
You have a client that has just been diagnosed with depression. Which of the following
are expected findings related to depression? Select all that apply.
a. Increased libido
b. Anhedonia
c. Generalized pain
d. Anergia
e. Increased socialization - ANSWER-B C D (A pt. experiencing depression will exhibit
decreased libido, lack of pleasure in normal activities, anxiety, reports of sluggishment,
changes in eating patterns, changes in bowel habits, sleep disturbances, and somatic
reports, such as fatigue, gastrointestinal changes, and pain.)
You are sitting with a client who has depression and you ask them, "Have you thought
about harming yourself or others?" The patient does not respond. What should you, as
the nurse, do next?
a. Repeat the question because they might not of heard you the first time.
b. Sit with the patient quietly until they are ready to respond.
c. Hug the patient.
d. Implement one-to-one observation because of suicide risk. - ANSWER-B (The
answer will almost always be sit with the patient quietly.)
What anti-depressant has been found to be an effective non dependence forming sleep
aid?
a. Wellbutrin (Buspar)
b. Trazadone (Desyrel)
c. Fluoxetine (Prozac)
d. Citalopram (Celexa) - ANSWER-B
,You are caring for a client who has been prescribed an MAO inhibitor, Phenelazine.
Which of the following statements should the nurse make about education regarding
taking this medication?
a. "Wear sunscreen before you go outside."
b. "Call the physician if you experience a sore throat."
c. "Do not eat aged cheese meats, wine, and chocolate while taking this medication."
d. "It can take a few days before you start to see an improvement in your mood." -
ANSWER-C
You are caring for a client who is taking Fluoxetine (Prozac), an SSRI. Which of the
following are manifestations of serotonin syndrome, a serious adverse effect of too
much serotonin in the brain? Select all that apply.
a. Altered level of consciousness
b. Constipation
c. Fever
d. Tachycardia
e. Hypotension
f. Agitation
g. Tremors - ANSWER-A C D F (Signs and symptoms of serotonin syndrome include:
-Confusion
-Disorientation
-Agitation
-Diarrhea
-Tachycardia
-Hallucinations
-Fever
-Poor Coordination
-Elevated B/P
-Vomiting)
The healthcare provider is caring for a patient who has undergone electroconvulsive
therapy (ECT). The patient should be carefully assessed for which of the following
common adverse effects of this treatment?
a. Dizziness and blurred vision
b. Aggression and violent behavior
c. Headache and memory loss
d. Palpitations and cardiac arrest - ANSWER-C
A patient diagnosed with major depressive disorder is admitted for inpatient care. Which
of the following is the primary goal during the admission assessment?
A. Establishing desired outcomes for the patient
,B. Administering antidepressant medications
C. Collecting and organizing patient data
D. Reviewing the policies for patient conduct - ANSWER-C (The primary goal during the
admission assessment is to collect and organize objective and subjective data so
patient problems and needs can be identified.)
A patient diagnosed with bipolar disorder is prescribed lithium carbonate (Lithobid).
When teaching the patient about the medication, which of these statements is a priority
for the healthcare provider include?
A. "You should follow this low calorie, low sodium diet to prevent weight gain."
B. "You should avoid consuming dairy products when you are taking this medication."
C. "Call our office immediately if you experience any unusual bruising or bleeding."
D. "Drink lots of fluids, especially if you are active during hot weather." - ANSWER-D
A patient diagnosed with depression is prescribed fluoxetine (Prozac). Which of the
following would the healthcare provider most likely observe if the patient experiences an
adverse effect of this medication?
a. Bradycardia
b. Decreased libido
c. Urinary retention
d. Weight loss - ANSWER-B
Which of the following would not be a protective factor against suicide?
a. Having limited access to highly lethal methods of suicide
b. Easy access to a variety of resources and support
c. Lack of coping skills in problem solving, conflict resolution, and nonviolent handling of
disputes.
d. Having a significant other - ANSWER-C (Protective factors against suicide include:
-Effective and appropriate clinical care for mental, physical, and substance abuse
disorders
-Easy access to a variety of clinical interventions and support for help-seeking
-Restricted access to highly lethal methods of suicide
-Family and community support
-Support from ongoing medical and mental health care relationships
-Learned skills in problem solving, conflict resolution, and nonviolent handling of
disputes
-Cultural and religious beliefs that discourage suicide and support self-preservation
instincts
-Going to church
-Having a pet, having children, or being a caregiver
-Having a significant other)
Which of the following are individual risk factors for suicide? Select all that apply.
, a. Female gender
b. Command hallucinations
c. Pts. age is 16 years old
d. No history of depression of a mental health disorder
e. The pt. has Parkinson's. - ANSWER-B C E (Risk factors for suicide include:
-*Sex* (Male)
-*Age* (<19 or >45)
-History of *depression*
-*Previous* suicide attempt
-*Ethanol* abuse
-*Rational* thinking loss (Ex. command hallucinations)
-*Social* supports lacking
-*Organized* plan
-*No* spouse
-*Sickness* (Chronic debilitating disease)
You are caring for a patient who is experiencing mania secondary to bipolar disorder.
Which of the following would be *atypical* of someone experiencing mania?
a. Fatigue
b. Grandiosity
c. Impulsivity
d. Rapid thoughts and speech - ANSWER-A
You are caring for a client who has bipolar disorder and is taking lithium carbonate for
their mood. Which of the following serum drug levels would the nurse report to the
provider?
a. 0.7
b. 1.2
c. 1.7
d. 0.5 - ANSWER-C (The therapeutic range for lithium is 0.5-1.5)
Your patient is taking Lamictal for bipolar disorder. Which of the following adverse
effects of this medication should be educated about to the patient?
a. Photosensitivity
b. Decreased libido
c. Weight gain
d. Steven Johnson's Syndrome - ANSWER-D
You are caring for a patient taking lithium for bipolar disorder. Lab has just sent in
results for the serum drug level of lithium. You see that the drug level is 2.3. Which of
the following manifestations would you expect the client will exhibit due to this drug
level? Select all that apply.
Solutions
Which of the following medications are used for alcohol recovery/maintenance? Select
all that apply.
a. Cogentin
b. Naltrexone
c. Disulfiram (Antabuse)
d. Trazadone
e. Acamprosate (Campral) - ANSWER-B C E
You have a client that has just been diagnosed with depression. Which of the following
are expected findings related to depression? Select all that apply.
a. Increased libido
b. Anhedonia
c. Generalized pain
d. Anergia
e. Increased socialization - ANSWER-B C D (A pt. experiencing depression will exhibit
decreased libido, lack of pleasure in normal activities, anxiety, reports of sluggishment,
changes in eating patterns, changes in bowel habits, sleep disturbances, and somatic
reports, such as fatigue, gastrointestinal changes, and pain.)
You are sitting with a client who has depression and you ask them, "Have you thought
about harming yourself or others?" The patient does not respond. What should you, as
the nurse, do next?
a. Repeat the question because they might not of heard you the first time.
b. Sit with the patient quietly until they are ready to respond.
c. Hug the patient.
d. Implement one-to-one observation because of suicide risk. - ANSWER-B (The
answer will almost always be sit with the patient quietly.)
What anti-depressant has been found to be an effective non dependence forming sleep
aid?
a. Wellbutrin (Buspar)
b. Trazadone (Desyrel)
c. Fluoxetine (Prozac)
d. Citalopram (Celexa) - ANSWER-B
,You are caring for a client who has been prescribed an MAO inhibitor, Phenelazine.
Which of the following statements should the nurse make about education regarding
taking this medication?
a. "Wear sunscreen before you go outside."
b. "Call the physician if you experience a sore throat."
c. "Do not eat aged cheese meats, wine, and chocolate while taking this medication."
d. "It can take a few days before you start to see an improvement in your mood." -
ANSWER-C
You are caring for a client who is taking Fluoxetine (Prozac), an SSRI. Which of the
following are manifestations of serotonin syndrome, a serious adverse effect of too
much serotonin in the brain? Select all that apply.
a. Altered level of consciousness
b. Constipation
c. Fever
d. Tachycardia
e. Hypotension
f. Agitation
g. Tremors - ANSWER-A C D F (Signs and symptoms of serotonin syndrome include:
-Confusion
-Disorientation
-Agitation
-Diarrhea
-Tachycardia
-Hallucinations
-Fever
-Poor Coordination
-Elevated B/P
-Vomiting)
The healthcare provider is caring for a patient who has undergone electroconvulsive
therapy (ECT). The patient should be carefully assessed for which of the following
common adverse effects of this treatment?
a. Dizziness and blurred vision
b. Aggression and violent behavior
c. Headache and memory loss
d. Palpitations and cardiac arrest - ANSWER-C
A patient diagnosed with major depressive disorder is admitted for inpatient care. Which
of the following is the primary goal during the admission assessment?
A. Establishing desired outcomes for the patient
,B. Administering antidepressant medications
C. Collecting and organizing patient data
D. Reviewing the policies for patient conduct - ANSWER-C (The primary goal during the
admission assessment is to collect and organize objective and subjective data so
patient problems and needs can be identified.)
A patient diagnosed with bipolar disorder is prescribed lithium carbonate (Lithobid).
When teaching the patient about the medication, which of these statements is a priority
for the healthcare provider include?
A. "You should follow this low calorie, low sodium diet to prevent weight gain."
B. "You should avoid consuming dairy products when you are taking this medication."
C. "Call our office immediately if you experience any unusual bruising or bleeding."
D. "Drink lots of fluids, especially if you are active during hot weather." - ANSWER-D
A patient diagnosed with depression is prescribed fluoxetine (Prozac). Which of the
following would the healthcare provider most likely observe if the patient experiences an
adverse effect of this medication?
a. Bradycardia
b. Decreased libido
c. Urinary retention
d. Weight loss - ANSWER-B
Which of the following would not be a protective factor against suicide?
a. Having limited access to highly lethal methods of suicide
b. Easy access to a variety of resources and support
c. Lack of coping skills in problem solving, conflict resolution, and nonviolent handling of
disputes.
d. Having a significant other - ANSWER-C (Protective factors against suicide include:
-Effective and appropriate clinical care for mental, physical, and substance abuse
disorders
-Easy access to a variety of clinical interventions and support for help-seeking
-Restricted access to highly lethal methods of suicide
-Family and community support
-Support from ongoing medical and mental health care relationships
-Learned skills in problem solving, conflict resolution, and nonviolent handling of
disputes
-Cultural and religious beliefs that discourage suicide and support self-preservation
instincts
-Going to church
-Having a pet, having children, or being a caregiver
-Having a significant other)
Which of the following are individual risk factors for suicide? Select all that apply.
, a. Female gender
b. Command hallucinations
c. Pts. age is 16 years old
d. No history of depression of a mental health disorder
e. The pt. has Parkinson's. - ANSWER-B C E (Risk factors for suicide include:
-*Sex* (Male)
-*Age* (<19 or >45)
-History of *depression*
-*Previous* suicide attempt
-*Ethanol* abuse
-*Rational* thinking loss (Ex. command hallucinations)
-*Social* supports lacking
-*Organized* plan
-*No* spouse
-*Sickness* (Chronic debilitating disease)
You are caring for a patient who is experiencing mania secondary to bipolar disorder.
Which of the following would be *atypical* of someone experiencing mania?
a. Fatigue
b. Grandiosity
c. Impulsivity
d. Rapid thoughts and speech - ANSWER-A
You are caring for a client who has bipolar disorder and is taking lithium carbonate for
their mood. Which of the following serum drug levels would the nurse report to the
provider?
a. 0.7
b. 1.2
c. 1.7
d. 0.5 - ANSWER-C (The therapeutic range for lithium is 0.5-1.5)
Your patient is taking Lamictal for bipolar disorder. Which of the following adverse
effects of this medication should be educated about to the patient?
a. Photosensitivity
b. Decreased libido
c. Weight gain
d. Steven Johnson's Syndrome - ANSWER-D
You are caring for a patient taking lithium for bipolar disorder. Lab has just sent in
results for the serum drug level of lithium. You see that the drug level is 2.3. Which of
the following manifestations would you expect the client will exhibit due to this drug
level? Select all that apply.
