NUR 327 EXAM 4
What is the reason that doses of bupropion should be
administered at least 4 to 6 hours apart and never doubled when a
dose is missed?
a. To prevent orthostatic hypotension
b. To prevent seizures
c. To prevent hypertensive crisis
d. To prevent extrapyramidal symptoms
B
Clozapine (Clozaril) is an antipsychotic required to have an
approved risk evaluation and mitigation strategy (REMS)
program. Which of the following actions are included in that
program? (Select all that apply.)
A. Absolute neutropil counts are assessed before initiation of
treatment.
B. Initially only 1-week supply of clozapine is dispensed at a time.
C. Acceptable ANC levels for continuation of treatment are
identified as 1,500 pt.
D. Patients are not permitted to smoke cigarettes while on
clozapine.
A, B, C
Which of the following individuals demonstrates the highest
number of risk factors for suicide?
a. John, who reports that he is in deep emotional pain, feels
hopeless, and says "No one is there for me."
b. Kelly, who has been seeing a doctor for chronic, intractable
pain, verbalizes a deep commitment to her religious faith and is
taking pain medication.
,c. Jim, an American Indian, who graduated from high school with
honors but does not yet have a job.
d. Mike, a physician, who reports feeling "burnt out" and is
considering retirement.
A
The nurse in the emergency department encounters a patient,
Niko, who is expressing suicide ideation. The nurse recognizes
that which of the following considerations are important to good
suicide risk assessment? (Select all that apply.)
a. Collaborating with the patient
b. Asking specific questions about leisure activities
c. Establishing trust and open communication with the patient
d. Asking the patient specific questions about the strength of his
intention to die
e. Identifying whether the patient has thought about a plan for
trying to kill himself
A, C, D, E
Theresa, age 27, was admitted to the psychiatric unit from the
medical intensive care unit where she was treated for taking a
deliberate overdose of her antidepressant medication, trazodone
(Desyrel). She says to the nurse, "My boyfriend broke up with me.
We had been together for 6 years. I love him so much. I know I'll
never get over him." Which is the best response by the nurse?
a. "You'll get over him in time, Theresa."
b. "Forget him. There are other fish in the sea."
c. "You must be feeling very sad about your loss."
d. "Why do you think he broke up with you, Theresa?"
C
The nurse identifies the primary nursing diagnosis for Theresa as
"Risk for Suicide related to feelings of hopelessness from loss of
,relationship." Which is the outcome that would be most
appropriate for this diagnosis?
a. The patient has experienced no physical harm to herself.
b. The patient sets realistic goals for herself.
c. The patient expresses some optimism and hope for the future.
d. The patient has reached a stage of acceptance in the loss of the
relationship with her boyfriend.
A
Theresa is hospitalized following a suicide attempt after breaking
up with her boyfriend. Klonsky and May's "Three-Step Theory"
suggests that the nurse should assess which three issues to
evaluate Theresa's active risk for a suicide attempt?
a. Level of education, ethnic background, and current
employment
b. Relationships with previous boyfriends, coping mechanisms,
and intent to have future boyfriends
c. Self-esteem, grade point average, and physical attractiveness
d. Degree of psychological pain, connectedness with others, and
suicide ideation in combination with capacity to make an attempt
D
Theresa is hospitalized following a suicide attempt after breaking
up with her boyfriend. Theresa says to the nurse, "When I get out
of here, I'm going to try this again, and next time I'll choose a no-
fail method." Which is the best response by the nurse?
a. "You are safe here. We will make sure nothing happens to
you."
b. "You're just lucky your roommate came home when she did."
c. "What exactly do you plan to do?"
d. "I don't understand. You have so much to live for."
C
, In determining degree of suicide risk with a suicidal patient, the
nurse assesses the following behavioral manifestations: severely
depressed, withdrawn, statements of worthlessness, difficulty
accomplishing activities of daily living, no close support systems.
The nurse identifies the patient's risk for suicide as which of the
following?
a. Low risk
b. High risk
c. Imminent risk
d. Unable to be determined
B
Theresa, who has been hospitalized following a suicide attempt, is
placed on suicide precautions on the psychiatric unit. She admits
that she is still feeling suicidal. Which of the following
interventions is most appropriate in this instance? (Select all that
apply.)
a. Restrict access to any item that might be harmful by placing
the patient in a seclusion room.
b. Check on Theresa every 15 minutes at irregular intervals or
assign a staff person to stay with her on a one-to-one basis.
c. Obtain an order from the physician to give Theresa a sedative
to calm her and reduce suicide ideas.
d. Do not allow Theresa to participate in any unit activities while
she is on suicide precautions.
e. Ask Theresa specific questions about her thoughts, plans, and
intentions related to suicide.
B, E
Which of the following interventions are appropriate for a patient
on suicide precautions? (Select all that apply.)
a. Remove all sharp objects, belts, and other potentially
dangerous articles from the patient's environment.
What is the reason that doses of bupropion should be
administered at least 4 to 6 hours apart and never doubled when a
dose is missed?
a. To prevent orthostatic hypotension
b. To prevent seizures
c. To prevent hypertensive crisis
d. To prevent extrapyramidal symptoms
B
Clozapine (Clozaril) is an antipsychotic required to have an
approved risk evaluation and mitigation strategy (REMS)
program. Which of the following actions are included in that
program? (Select all that apply.)
A. Absolute neutropil counts are assessed before initiation of
treatment.
B. Initially only 1-week supply of clozapine is dispensed at a time.
C. Acceptable ANC levels for continuation of treatment are
identified as 1,500 pt.
D. Patients are not permitted to smoke cigarettes while on
clozapine.
A, B, C
Which of the following individuals demonstrates the highest
number of risk factors for suicide?
a. John, who reports that he is in deep emotional pain, feels
hopeless, and says "No one is there for me."
b. Kelly, who has been seeing a doctor for chronic, intractable
pain, verbalizes a deep commitment to her religious faith and is
taking pain medication.
,c. Jim, an American Indian, who graduated from high school with
honors but does not yet have a job.
d. Mike, a physician, who reports feeling "burnt out" and is
considering retirement.
A
The nurse in the emergency department encounters a patient,
Niko, who is expressing suicide ideation. The nurse recognizes
that which of the following considerations are important to good
suicide risk assessment? (Select all that apply.)
a. Collaborating with the patient
b. Asking specific questions about leisure activities
c. Establishing trust and open communication with the patient
d. Asking the patient specific questions about the strength of his
intention to die
e. Identifying whether the patient has thought about a plan for
trying to kill himself
A, C, D, E
Theresa, age 27, was admitted to the psychiatric unit from the
medical intensive care unit where she was treated for taking a
deliberate overdose of her antidepressant medication, trazodone
(Desyrel). She says to the nurse, "My boyfriend broke up with me.
We had been together for 6 years. I love him so much. I know I'll
never get over him." Which is the best response by the nurse?
a. "You'll get over him in time, Theresa."
b. "Forget him. There are other fish in the sea."
c. "You must be feeling very sad about your loss."
d. "Why do you think he broke up with you, Theresa?"
C
The nurse identifies the primary nursing diagnosis for Theresa as
"Risk for Suicide related to feelings of hopelessness from loss of
,relationship." Which is the outcome that would be most
appropriate for this diagnosis?
a. The patient has experienced no physical harm to herself.
b. The patient sets realistic goals for herself.
c. The patient expresses some optimism and hope for the future.
d. The patient has reached a stage of acceptance in the loss of the
relationship with her boyfriend.
A
Theresa is hospitalized following a suicide attempt after breaking
up with her boyfriend. Klonsky and May's "Three-Step Theory"
suggests that the nurse should assess which three issues to
evaluate Theresa's active risk for a suicide attempt?
a. Level of education, ethnic background, and current
employment
b. Relationships with previous boyfriends, coping mechanisms,
and intent to have future boyfriends
c. Self-esteem, grade point average, and physical attractiveness
d. Degree of psychological pain, connectedness with others, and
suicide ideation in combination with capacity to make an attempt
D
Theresa is hospitalized following a suicide attempt after breaking
up with her boyfriend. Theresa says to the nurse, "When I get out
of here, I'm going to try this again, and next time I'll choose a no-
fail method." Which is the best response by the nurse?
a. "You are safe here. We will make sure nothing happens to
you."
b. "You're just lucky your roommate came home when she did."
c. "What exactly do you plan to do?"
d. "I don't understand. You have so much to live for."
C
, In determining degree of suicide risk with a suicidal patient, the
nurse assesses the following behavioral manifestations: severely
depressed, withdrawn, statements of worthlessness, difficulty
accomplishing activities of daily living, no close support systems.
The nurse identifies the patient's risk for suicide as which of the
following?
a. Low risk
b. High risk
c. Imminent risk
d. Unable to be determined
B
Theresa, who has been hospitalized following a suicide attempt, is
placed on suicide precautions on the psychiatric unit. She admits
that she is still feeling suicidal. Which of the following
interventions is most appropriate in this instance? (Select all that
apply.)
a. Restrict access to any item that might be harmful by placing
the patient in a seclusion room.
b. Check on Theresa every 15 minutes at irregular intervals or
assign a staff person to stay with her on a one-to-one basis.
c. Obtain an order from the physician to give Theresa a sedative
to calm her and reduce suicide ideas.
d. Do not allow Theresa to participate in any unit activities while
she is on suicide precautions.
e. Ask Theresa specific questions about her thoughts, plans, and
intentions related to suicide.
B, E
Which of the following interventions are appropriate for a patient
on suicide precautions? (Select all that apply.)
a. Remove all sharp objects, belts, and other potentially
dangerous articles from the patient's environment.
