NR326 Exam 2 [2026] | UPDATED ACTUAL QUESTIONS
AND CORRECT ANSWERS | VERIFIED EXAM PREP |
COMPLETE STUDY GUIDE
• 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 -✓✓ANSWER: excessively elevated mood, lasting more than a
week.
• MAOI's (what not to eat) -✓✓ANSWER: No tyramine foods
• core of OCD -✓✓ANSWER: anxiety
• s/s of PTSD -✓✓ANSWER: Flashbacks, distressing dreams, difficulty
concentrating, insomnia, anxiety, irritability, detachment from others,
hypervigilance, exaggerated startle response, feeling of guilt and negative self
image.
• pt. attempts suicide (even if only once) -✓✓ANSWER: pt. put at high suicide risk
immediately initiated
AND CORRECT ANSWERS | VERIFIED EXAM PREP |
COMPLETE STUDY GUIDE
• 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 -✓✓ANSWER: excessively elevated mood, lasting more than a
week.
• MAOI's (what not to eat) -✓✓ANSWER: No tyramine foods
• core of OCD -✓✓ANSWER: anxiety
• s/s of PTSD -✓✓ANSWER: Flashbacks, distressing dreams, difficulty
concentrating, insomnia, anxiety, irritability, detachment from others,
hypervigilance, exaggerated startle response, feeling of guilt and negative self
image.
• pt. attempts suicide (even if only once) -✓✓ANSWER: pt. put at high suicide risk
immediately initiated
