NUR 2392 / NUR2392 Exam 2 Review :
Multidimensional Care II (MDC 2) | Rasmussen
University | 2026/2027 Update , Questions &
Detailed Answers
MAOI meds
Isocarboxazid (Marplan)
Phenelzine (Nardil)
Tranylcypromine (Parnate)
Selegiline (Eldepril)
Phenelzine (Nardil) patient education
(MAOI)
● Avoidance of foods high in tyramine
● Check with the pharmacist before taking any OTC (examples are cold medications)
risk of taking an SSRI and MAOI inhibitor together
● Serotonin syndrome
● Hypertensive crisis
Bipolar patient is making demands and disrupting the unit, how do you respond
● Set clear limits
● Distraction techniques
,● Use a firm calm approach
High level suicide precautions for inpatients include
● 1:1 staff within arm's length of patient at all times
● Removal of any hard removals at meal times
● Removal of anything that the patient potentially uses to harm themselves
When can a patient stop taking their mood stabilizer?
They should not stop taking their mood stabilizer.
Inpatient, you are accessing your patient for depression 3 days after starting medication
treatment, your client is in a cheerful mood and says "I feel great", you should change his care
plan to include which of the following
Keep a closer eye on the patient, consider asking for an order for staff view at all times.
Your patient is experiencing acute mania, what type of environment should you put the patient
in?
A neutral colored room with minimal furnishing
Your patient with acute mania now seems to be responding well to treatment, how are you able to
tell.
Participating in groups, taking turns speaking, appropriately dressed.
,Pick healthy coping strategies
● Exercise
● Journaling
● Using learned coping strategies
Your patient tells you "They are after me, they want to kill me", what is your best response?
That must make you scared, how does that make you feel?
Your patient is experiencing auditory hallucinations, what is your next step?
Ask your patient what the voices are saying.
Should you assess for depression and suicidal ideation in a schizophrenic patient
yes
Anhedonia
the inability to feel pleasure. It's a common symptom of depression as well as other mental health
disorders. Most people understand what pleasure feels like.
Anergia
Abnormal lack of energy is among the negative symptoms common to schizophrenia and
depression.
, SSRI patient/family teaching points
● Medications of any kind — prescribed, over-the-counter, or herbal supplements — should
never be mixed without consulting the doctor
● Alcohol (wine, beer and hard liquor) or street drugs, may reduce the effectiveness of
antidepressants
● Avoid consuming certain foods that contain high levels of tyramine, such as many cheeses,
wines, fermented meat and pickles.
Lithium adverse reactions
● Excessive urination and thirst (polyuria and polydipsia) are consistently found to be among the
most common side effects associated with lithium
● Hives; difficulty breathing; swelling of face, lips, tongue, or throat.
● Too much lithium in the body can cause death.
What activities can put someone at risk for lithium toxicity?
● Lithium toxicity can occur if you take only slightly more than a recommended dose. Risk
factors for lithium toxicity include older age and factors that lead to disturbances in renal blood
flow and water-salt homeostasis, such as fever, diarrhea or vomiting, and use of nonsteroidal
anti-inflammatory drugs (NSAIDs), diuretics, and renin- -angiotensin-aldosterone system
(RAAS) inhibitors. Female sex has also been associated with a higher risk of lithium toxicity
Lithium patient education - teaching points
● Stop using lithium and call the doctor for symptoms of lithium toxicity: muscle weakness,
twitching, drowsiness, feeling light-headed, mood changes, blurred vision, ringing in the
Multidimensional Care II (MDC 2) | Rasmussen
University | 2026/2027 Update , Questions &
Detailed Answers
MAOI meds
Isocarboxazid (Marplan)
Phenelzine (Nardil)
Tranylcypromine (Parnate)
Selegiline (Eldepril)
Phenelzine (Nardil) patient education
(MAOI)
● Avoidance of foods high in tyramine
● Check with the pharmacist before taking any OTC (examples are cold medications)
risk of taking an SSRI and MAOI inhibitor together
● Serotonin syndrome
● Hypertensive crisis
Bipolar patient is making demands and disrupting the unit, how do you respond
● Set clear limits
● Distraction techniques
,● Use a firm calm approach
High level suicide precautions for inpatients include
● 1:1 staff within arm's length of patient at all times
● Removal of any hard removals at meal times
● Removal of anything that the patient potentially uses to harm themselves
When can a patient stop taking their mood stabilizer?
They should not stop taking their mood stabilizer.
Inpatient, you are accessing your patient for depression 3 days after starting medication
treatment, your client is in a cheerful mood and says "I feel great", you should change his care
plan to include which of the following
Keep a closer eye on the patient, consider asking for an order for staff view at all times.
Your patient is experiencing acute mania, what type of environment should you put the patient
in?
A neutral colored room with minimal furnishing
Your patient with acute mania now seems to be responding well to treatment, how are you able to
tell.
Participating in groups, taking turns speaking, appropriately dressed.
,Pick healthy coping strategies
● Exercise
● Journaling
● Using learned coping strategies
Your patient tells you "They are after me, they want to kill me", what is your best response?
That must make you scared, how does that make you feel?
Your patient is experiencing auditory hallucinations, what is your next step?
Ask your patient what the voices are saying.
Should you assess for depression and suicidal ideation in a schizophrenic patient
yes
Anhedonia
the inability to feel pleasure. It's a common symptom of depression as well as other mental health
disorders. Most people understand what pleasure feels like.
Anergia
Abnormal lack of energy is among the negative symptoms common to schizophrenia and
depression.
, SSRI patient/family teaching points
● Medications of any kind — prescribed, over-the-counter, or herbal supplements — should
never be mixed without consulting the doctor
● Alcohol (wine, beer and hard liquor) or street drugs, may reduce the effectiveness of
antidepressants
● Avoid consuming certain foods that contain high levels of tyramine, such as many cheeses,
wines, fermented meat and pickles.
Lithium adverse reactions
● Excessive urination and thirst (polyuria and polydipsia) are consistently found to be among the
most common side effects associated with lithium
● Hives; difficulty breathing; swelling of face, lips, tongue, or throat.
● Too much lithium in the body can cause death.
What activities can put someone at risk for lithium toxicity?
● Lithium toxicity can occur if you take only slightly more than a recommended dose. Risk
factors for lithium toxicity include older age and factors that lead to disturbances in renal blood
flow and water-salt homeostasis, such as fever, diarrhea or vomiting, and use of nonsteroidal
anti-inflammatory drugs (NSAIDs), diuretics, and renin- -angiotensin-aldosterone system
(RAAS) inhibitors. Female sex has also been associated with a higher risk of lithium toxicity
Lithium patient education - teaching points
● Stop using lithium and call the doctor for symptoms of lithium toxicity: muscle weakness,
twitching, drowsiness, feeling light-headed, mood changes, blurred vision, ringing in the
