NR326 COMPREHENSIVE EXAMINATION
TEST QUESTIONS AND SOLUTIONS FULLY
VERIFIED
●● priority intervention for pt. w/ suicidal ideation
Answer: -Placing the client on suicide precautions with one-to-one
observation provides a safe environment for an actively suicidal client.
•Maintaining client safety should always be a priority nursing
intervention.
●● positive symptoms of schizophrenia
Answer: (presence of things not normally present) hallucinations,
delusions (false, fixed beliefs), strange motor movements, speech
alterations, agitation.
●● negative symptoms of schizophrenia
Answer: (absence of things that are normally present) 5 A's: Affect (flat
affect) Alogia (decrease thought/speech), Anergia (lack of energy),
Anhedonia (lack of pleasure), Avolition (lack of motivation for
activities)
●● Lithium toxicity
Answer: toxic >1.5: coarse tremors, confusion, hypotension, seizures,
tinnitus, coma/death
, ●● patient teaching for lithium
Answer: -if going outside for activity, need to rehydrate
-Take the medication regularly.•Do not drive or operate dangerous
machinery.•Do not skimp on dietary sodium and maintain appropriate
diet.•Know pregnancy risks.•Carry identification noting taking
lithium.•Be aware of side effects and symptoms of toxicity.•Notify
physician if vomiting or diarrhea occur.•Have serum lithium level
checked every 1 to 2 months.
●● nursing intervention for pt. in manic episode of bipolar disorder
Answer: · Provide safe environment. Protect pt from poor judgement
(giving away money, sexual indiscretions)
· Decrease stimulation
· 1:1 observation, seclusion, or restraints may be necessary if pt is risk
for self or others
· Provide frequent rest periods
· Monitor sleep, fluid and food intake.
· Provide high-calorie portable snacks (finger food)
· Set limits, give concise explanations, use calm approach
· Medications: lithium, anticonvulsants, antipsychotic meds, anti-anxiety
meds, antidepressants.
●● bipolar mania
TEST QUESTIONS AND SOLUTIONS FULLY
VERIFIED
●● priority intervention for pt. w/ suicidal ideation
Answer: -Placing the client on suicide precautions with one-to-one
observation provides a safe environment for an actively suicidal client.
•Maintaining client safety should always be a priority nursing
intervention.
●● positive symptoms of schizophrenia
Answer: (presence of things not normally present) hallucinations,
delusions (false, fixed beliefs), strange motor movements, speech
alterations, agitation.
●● negative symptoms of schizophrenia
Answer: (absence of things that are normally present) 5 A's: Affect (flat
affect) Alogia (decrease thought/speech), Anergia (lack of energy),
Anhedonia (lack of pleasure), Avolition (lack of motivation for
activities)
●● Lithium toxicity
Answer: toxic >1.5: coarse tremors, confusion, hypotension, seizures,
tinnitus, coma/death
, ●● patient teaching for lithium
Answer: -if going outside for activity, need to rehydrate
-Take the medication regularly.•Do not drive or operate dangerous
machinery.•Do not skimp on dietary sodium and maintain appropriate
diet.•Know pregnancy risks.•Carry identification noting taking
lithium.•Be aware of side effects and symptoms of toxicity.•Notify
physician if vomiting or diarrhea occur.•Have serum lithium level
checked every 1 to 2 months.
●● nursing intervention for pt. in manic episode of bipolar disorder
Answer: · Provide safe environment. Protect pt from poor judgement
(giving away money, sexual indiscretions)
· Decrease stimulation
· 1:1 observation, seclusion, or restraints may be necessary if pt is risk
for self or others
· Provide frequent rest periods
· Monitor sleep, fluid and food intake.
· Provide high-calorie portable snacks (finger food)
· Set limits, give concise explanations, use calm approach
· Medications: lithium, anticonvulsants, antipsychotic meds, anti-anxiety
meds, antidepressants.
●● bipolar mania
