Chapter 27: Psychiatry and Reproductive Medicine
1. Pete has recently been admitted to the hospital and is being treated for bipolar disorder.
When you go to check in on him, he tells you that he is feeling very drowsy and has been
vomiting. He is also running a fever. You suspect that Petes problem is caused by:
A. Anxiety over his new surroundings after being admitted to the hospital for
treatment.
B. Side effects of the lithium therapy he is receiving.
C. A hospital-acquired viral infection.
D. Food poisoning.
2. Your manic patient is being discharged on lithium. Which of the following would NOT
be in the teaching plan?
A. Blood levels must be closely monitored.
B. Continue to take lithium even when your manic symptoms are resolved.
C. Restrict fluids while taking this drug.
D. Contact your doctor if you experience side effects rather than stopping the drug.
3. Which of the following is true about lithium?
A. It is available in multiple formulations, including IV and suppository.
B. It is generally discontinued for 2 weeks prior to any major surgery.
C. It is used on a prn basis when the patient feels anxious.
D. None of the above
4. Nurse Arlene recognizes that the focus of environmental (MILIEU) therapy is to:
A. Control the environment to bring about a positive behavior change.
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, B. Allow the patient freedom to decide whether they want to participate in
activities.
C. Use role-play to meet their personal needs.
D. Use natural medicines rather than drugs to control behavior.
5. During electroconvulsive therapy (ECT), the patient is monitored carefully before and
after the procedure. The nurse assisting with this procedure is aware that monitoring is necessary
because the patient may suffer from:
A. Euphoria.
B. Immediate alertness after the procedure and sleepy later in the day.
C. Urine retention.
D. Seizure activity.
6. Lynn, the LPN/LVN, is providing care for a patient diagnosed with depression. The
patient is not responding to any of the medications ordered. The nurse foresees this patient may
be a candidate for:
A. Neuroleptic medication.
B. Short-term seclusion.
C. Psychosurgery.
D. Electroconvulsive therapy.
7. When teaching Mary, who has depression, about foods to avoid while taking phenelzine
(Nardil), which of the following would Audrey LPN include?
A. Peanut butter
B. Fresh fish
C. Salami
D. Soup
HTTPS://PASINGGRADES.COM/
, 8. When developing a care plan for Ms. Smith, who was diagnosed with schizophrenia and
is receiving haloperidol, which of the following medications would Nurse Janet expect to
administer if the patient developed extrapyramidal side effects (EPS)?
A. Olanzapine (Zyprexa)
B. Paroxetine (Paxil)
C. Benztropine mesylate (Cogentin)
D. Lorazepam (Ativan)
9. Nurse Maryse invites a recently discharged patients family to attend an outpatient
support group. This type of program would most likely help the family with which of the
following issues?
A. Learning from others in the same situations
B. Gaining insight into why they feel guilty
C. Recognizing the clients weakness
D. Managing the clients financial concern and problems
10. Linda says that she feels confused and anxious. In addition, Linda feels unorganized
and states, It is as not bad as it seems. What phase of crisis is Linda experiencing?
A. Precrisis
B. Impact
C. Adaptive
D. Postcrisis
11. Andrea, the charge nurse, spoke to the director of nursing about one of the staff nurses
having a crisis. The nurse suggested a crisis intervention group to the staff nurse. Crisis
intervention groups are successful because:
A. The crisis intervention worker is a psychologist and understands the presenting
behavior patterns.
HTTPS://PASINGGRADES.COM/
, B. They supply a workable solution to the patients problem.
C. The patient is encouraged to share with others about personal problems.
D. The patient is assisted to develop new insights and return to the precrisis phase.
12. Which of the following best explains why tricyclic antidepressants (TCA) are used
cautiously with the elderly population?
A. Central nervous system effects
B. Cardiovascular system effects
C. Gastrointestinal system effects
D. Serotonin syndrome effects
13. Which of the following drugs indicates the patient is toxic with a serum level of 1.5
mEq/L?
A. Lithium
B. Ritalin
C. Tofranil
D. Buspar
14. The patient taking lithium should understand that the following could affect fluid and
sodium levels and increase the chances of becoming toxic:
A. Muscle weakness.
B. Lithium level of 0.7.
C. Dehydration.
D. Hypertension.
15. A patient being medicated with haloperidol for over 4 weeks has started to display
symptoms of involuntary movements of the mouth that resemble chewing. Of the following
extrapyramidal adverse reactions, the client is showing signs of:
HTTPS://PASINGGRADES.COM/
1. Pete has recently been admitted to the hospital and is being treated for bipolar disorder.
When you go to check in on him, he tells you that he is feeling very drowsy and has been
vomiting. He is also running a fever. You suspect that Petes problem is caused by:
A. Anxiety over his new surroundings after being admitted to the hospital for
treatment.
B. Side effects of the lithium therapy he is receiving.
C. A hospital-acquired viral infection.
D. Food poisoning.
2. Your manic patient is being discharged on lithium. Which of the following would NOT
be in the teaching plan?
A. Blood levels must be closely monitored.
B. Continue to take lithium even when your manic symptoms are resolved.
C. Restrict fluids while taking this drug.
D. Contact your doctor if you experience side effects rather than stopping the drug.
3. Which of the following is true about lithium?
A. It is available in multiple formulations, including IV and suppository.
B. It is generally discontinued for 2 weeks prior to any major surgery.
C. It is used on a prn basis when the patient feels anxious.
D. None of the above
4. Nurse Arlene recognizes that the focus of environmental (MILIEU) therapy is to:
A. Control the environment to bring about a positive behavior change.
HTTPS://PASINGGRADES.COM/
, B. Allow the patient freedom to decide whether they want to participate in
activities.
C. Use role-play to meet their personal needs.
D. Use natural medicines rather than drugs to control behavior.
5. During electroconvulsive therapy (ECT), the patient is monitored carefully before and
after the procedure. The nurse assisting with this procedure is aware that monitoring is necessary
because the patient may suffer from:
A. Euphoria.
B. Immediate alertness after the procedure and sleepy later in the day.
C. Urine retention.
D. Seizure activity.
6. Lynn, the LPN/LVN, is providing care for a patient diagnosed with depression. The
patient is not responding to any of the medications ordered. The nurse foresees this patient may
be a candidate for:
A. Neuroleptic medication.
B. Short-term seclusion.
C. Psychosurgery.
D. Electroconvulsive therapy.
7. When teaching Mary, who has depression, about foods to avoid while taking phenelzine
(Nardil), which of the following would Audrey LPN include?
A. Peanut butter
B. Fresh fish
C. Salami
D. Soup
HTTPS://PASINGGRADES.COM/
, 8. When developing a care plan for Ms. Smith, who was diagnosed with schizophrenia and
is receiving haloperidol, which of the following medications would Nurse Janet expect to
administer if the patient developed extrapyramidal side effects (EPS)?
A. Olanzapine (Zyprexa)
B. Paroxetine (Paxil)
C. Benztropine mesylate (Cogentin)
D. Lorazepam (Ativan)
9. Nurse Maryse invites a recently discharged patients family to attend an outpatient
support group. This type of program would most likely help the family with which of the
following issues?
A. Learning from others in the same situations
B. Gaining insight into why they feel guilty
C. Recognizing the clients weakness
D. Managing the clients financial concern and problems
10. Linda says that she feels confused and anxious. In addition, Linda feels unorganized
and states, It is as not bad as it seems. What phase of crisis is Linda experiencing?
A. Precrisis
B. Impact
C. Adaptive
D. Postcrisis
11. Andrea, the charge nurse, spoke to the director of nursing about one of the staff nurses
having a crisis. The nurse suggested a crisis intervention group to the staff nurse. Crisis
intervention groups are successful because:
A. The crisis intervention worker is a psychologist and understands the presenting
behavior patterns.
HTTPS://PASINGGRADES.COM/
, B. They supply a workable solution to the patients problem.
C. The patient is encouraged to share with others about personal problems.
D. The patient is assisted to develop new insights and return to the precrisis phase.
12. Which of the following best explains why tricyclic antidepressants (TCA) are used
cautiously with the elderly population?
A. Central nervous system effects
B. Cardiovascular system effects
C. Gastrointestinal system effects
D. Serotonin syndrome effects
13. Which of the following drugs indicates the patient is toxic with a serum level of 1.5
mEq/L?
A. Lithium
B. Ritalin
C. Tofranil
D. Buspar
14. The patient taking lithium should understand that the following could affect fluid and
sodium levels and increase the chances of becoming toxic:
A. Muscle weakness.
B. Lithium level of 0.7.
C. Dehydration.
D. Hypertension.
15. A patient being medicated with haloperidol for over 4 weeks has started to display
symptoms of involuntary movements of the mouth that resemble chewing. Of the following
extrapyramidal adverse reactions, the client is showing signs of:
HTTPS://PASINGGRADES.COM/
