PM Exam 2
NUR 2488 Mental Health Nursing Exam 2 Graded A
• Question
1 1 out of 1
points
You are the nurse responsible for assessing for extrapyramidal side
effects in a patient who has been taking chlorpromazine. Which of
the following may be side effects for this medication? (Select all
that apply.)
Akathisia
Acute
dystonia
Tardive
Dyskinesia
Answer Amenorrhea
s:
Akathisia
Acute
dystonia
Tardive
Dyskinesia
Respons
e Extrapyramidal side effects of the central nervous system
Feedback include involuntary motor movements, resulting in
: possible dystonia, akathisia or dyskinesia. Amenorrhea is
a possible side effect of chlorpromazine, but is not an
extrapyramidal side effect.
• Question
2
1 out of 1
points
An adult with depression has been treated with medication and
cognitive behavioral therapy. The patient now verbalizes that being
passive and letting others make decisions for her contributed to
the depression. What referrals could the nurse make to help this
patient prevent recurrence of depression?
Selecte
d Social skills training
Answer:
Answers: Social skills training
Use of complementary
therapy
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PM Exam 2
Relaxation training classes
Learning desensitization
techniques
Respons Social skills training is helpful in treating and preventing
e
Feedbac
the recurrence of depression. Training focuses on
k assertiveness and coping skills that lead to positive
: reinforcement from others.
Use of complementary therapy refers to adjunctive
therapies such as herbals. Assertiveness would be of
greater value than relaxation training because passivity
has been identified as a concern. Desensitization is used
in treatment of phobias
• Question 3
1 out of 1 points
A patient with suicidal impulses is placed on the highest level of
suicide
precautions. Which measures should be incorporated into the plan
of care by the nurse caring for the patient? (Select all that apply.)
Selecte
d Maintain arm’s-length distance, institute one-on-one nursing
Answer observation around the clock
s:
Allow no glass or metal on meal trays
Remove all potentially harmful objects from the patient’s
possession
Answers: Maintain arm’s-length distance, institute one-on-one
nursing observation around the clock
Allow no glass or metal on meal trays
Keep patient within visual range while awake, but only
check every 15 to 30 minutes while the patient is
sleeping
Only check the patient’s whereabouts every 15
minutes and make frequent verbal contacts.
Remove all potentially harmful objects from the patient’s
possession
Respons
e One-on-one observation is necessary for anyone who
Feedbac has limited control over suicidal impulses. Plastic dishes
k on trays and the removal of potentially harmful objects
:
from the patient’s possession are measures included in
any-level suicide precautions. The remaining options are
used in less stringent levels of suicide precautions.
• Question 4
0 out of 1 points
Which statement indicates a patient with major depression’s
most likely outlook on life during the acute phase of the
illness?
Selecte
d “If I ignore this, it will go away.”
Answer:
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PM Exam 2
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