NUR 326 Final Exam with correct answers ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Which of the following medications are used for alcohol recovery/maintenance? Select all that apply.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
a. Cogentin ||\\||\\
b. Naltrexone||\\||\\
c. Disulfiram (Antabuse)
||\\||\\ ||\\||\\
d. Trazadone ||\\||\\
e. Acamprosate (Campral) - correct answer✔✔B C E
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
You have a client that has just been diagnosed with depression. Which of the following are expected findings
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
related to depression? Select all that apply.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
a. Increased libido
||\\||\\ ||\\||\\
b. Anhedonia ||\\||\\
c. Generalized pain
||\\||\\ ||\\||\\
d. Anergia ||\\||\\
e. Increased socialization - correct answer✔✔B C D (A pt. experiencing depression will exhibit decreased
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
libido, lack of pleasure in normal activities, anxiety, reports of sluggishment, changes in eating patterns,
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
changes in bowel habits, sleep disturbances, and somatic reports, such as fatigue, gastrointestinal changes,
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
and pain.) ||\\||\\
You are sitting with a client who has depression and you ask them, "Have you thought about harming
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
yourself or others?" The patient does not respond. What should you, as the nurse, do next?
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
a. Repeat the question because they might not of heard you the first time.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
b. Sit with the patient quietly until they are ready to respond.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
c. Hug the patient.
||\\||\\ ||\\||\\ ||\\||\\
d. Implement one-to-one observation because of suicide risk. - correct answer✔✔B (The answer will almost
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
always be sit with the patient quietly.) ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
What anti-depressant has been found to be an effective non dependence forming sleep aid?
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
,a. Wellbutrin (Buspar)
||\\||\\ ||\\||\\
b. Trazadone (Desyrel)
||\\||\\ ||\\||\\
c. Fluoxetine (Prozac)
||\\||\\ ||\\||\\
d. Citalopram (Celexa) - correct answer✔✔B
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
You are caring for a client who has been prescribed an MAO inhibitor, Phenelazine. Which of the following
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
statements should the nurse make about education regarding taking this medication? ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
a. "Wear sunscreen before you go outside."
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
b. "Call the physician if you experience a sore throat."
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
c. "Do not eat aged cheese meats, wine, and chocolate while taking this medication."
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
d. "It can take a few days before you start to see an improvement in your mood." - correct answer✔✔C
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
You are caring for a client who is taking Fluoxetine (Prozac), an SSRI. Which of the following are
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
manifestations of serotonin syndrome, a serious adverse effect of too much serotonin in the brain? Select all ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
that apply.
||\\||\\ ||\\||\\
a. Altered level of consciousness
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
b. Constipation ||\\||\\
c. Fever ||\\||\\
d. Tachycardia ||\\||\\
e. Hypotension ||\\||\\
f. Agitation
||\\||\\
g. Tremors - correct answer✔✔A C D F (Signs and symptoms of serotonin syndrome include:
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
-Confusion
-Disorientation
-Agitation
-Diarrhea
-Tachycardia
-Hallucinations
-Fever
-Poor Coordination ||\\||\\
-Elevated B/P ||\\||\\
-Vomiting)
,The healthcare provider is caring for a patient who has undergone electroconvulsive therapy (ECT). The
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
patient should be carefully assessed for which of the following common adverse effects of this treatment?
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
a. Dizziness and blurred vision
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
b. Aggression and violent behavior
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
c. Headache and memory loss
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
d. Palpitations and cardiac arrest - correct answer✔✔C
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
A patient diagnosed with major depressive disorder is admitted for inpatient care. Which of the following is
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
the primary goal during the admission assessment?
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
A. Establishing desired outcomes for the patient
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
B. Administering antidepressant medications
||\\||\\ ||\\||\\ ||\\||\\
C. Collecting and organizing patient data
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
D. Reviewing the policies for patient conduct - correct answer✔✔C (The primary goal during the admission
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
assessment is to collect and organize objective and subjective data so patient problems and needs can be
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
identified.)
A patient diagnosed with bipolar disorder is prescribed lithium carbonate (Lithobid). When teaching the
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
patient about the medication, which of these statements is a priority for the healthcare provider include?
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
A. "You should follow this low calorie, low sodium diet to prevent weight gain."
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
B. "You should avoid consuming dairy products when you are taking this medication."
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
C. "Call our office immediately if you experience any unusual bruising or bleeding."
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
D. "Drink lots of fluids, especially if you are active during hot weather." - correct answer✔✔D
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
A patient diagnosed with depression is prescribed fluoxetine (Prozac). Which of the following would the
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
healthcare provider most likely observe if the patient experiences an adverse effect of this medication?
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
a. Bradycardia
||\\||\\
b. Decreased libido
||\\||\\ ||\\||\\
c. Urinary retention
||\\||\\ ||\\||\\
d. Weight loss - correct answer✔✔B
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
, Which of the following would not be a protective factor against suicide?
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
a. Having limited access to highly lethal methods of suicide
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
b. Easy access to a variety of resources and support
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
c. Lack of coping skills in problem solving, conflict resolution, and nonviolent handling of disputes.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
d. Having a significant other - correct answer✔✔C (Protective factors against suicide include:
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
-Effective and appropriate clinical care for mental, physical, and substance abuse disorders
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
-Easy access to a variety of clinical interventions and support for help-seeking
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
-Restricted access to highly lethal methods of suicide ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
-Family and community support ||\\||\\ ||\\||\\ ||\\||\\
-Support from ongoing medical and mental health care relationships
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
-Learned skills in problem solving, conflict resolution, and nonviolent handling of disputes
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
-Cultural and religious beliefs that discourage suicide and support self-preservation instincts
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
-Going to church ||\\||\\ ||\\||\\
-Having a pet, having children, or being a caregiver
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
-Having a significant other) ||\\||\\ ||\\||\\ ||\\||\\
Which of the following are individual risk factors for suicide? Select all that apply.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
a. Female gender
||\\||\\ ||\\||\\
b. Command hallucinations
||\\||\\ ||\\||\\
c. Pts. age is 16 years old
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d. No history of depression of a mental health disorder
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e. The pt. has Parkinson's. - correct answer✔✔B C E (Risk factors for suicide include:
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
-*Sex* (Male) ||\\||\\
-*Age* (<19 or >45) ||\\||\\ ||\\||\\ ||\\||\\
-History of *depression* ||\\||\\ ||\\||\\
-*Previous* suicide attempt ||\\||\\ ||\\||\\
-*Ethanol* abuse ||\\||\\
-*Rational* thinking loss (Ex. command hallucinations) ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
-*Social* supports lacking ||\\||\\ ||\\||\\
-*Organized* plan ||\\||\\
-*No* spouse ||\\||\\
Which of the following medications are used for alcohol recovery/maintenance? Select all that apply.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
a. Cogentin ||\\||\\
b. Naltrexone||\\||\\
c. Disulfiram (Antabuse)
||\\||\\ ||\\||\\
d. Trazadone ||\\||\\
e. Acamprosate (Campral) - correct answer✔✔B C E
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
You have a client that has just been diagnosed with depression. Which of the following are expected findings
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
related to depression? Select all that apply.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
a. Increased libido
||\\||\\ ||\\||\\
b. Anhedonia ||\\||\\
c. Generalized pain
||\\||\\ ||\\||\\
d. Anergia ||\\||\\
e. Increased socialization - correct answer✔✔B C D (A pt. experiencing depression will exhibit decreased
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
libido, lack of pleasure in normal activities, anxiety, reports of sluggishment, changes in eating patterns,
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
changes in bowel habits, sleep disturbances, and somatic reports, such as fatigue, gastrointestinal changes,
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
and pain.) ||\\||\\
You are sitting with a client who has depression and you ask them, "Have you thought about harming
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
yourself or others?" The patient does not respond. What should you, as the nurse, do next?
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
a. Repeat the question because they might not of heard you the first time.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
b. Sit with the patient quietly until they are ready to respond.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
c. Hug the patient.
||\\||\\ ||\\||\\ ||\\||\\
d. Implement one-to-one observation because of suicide risk. - correct answer✔✔B (The answer will almost
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
always be sit with the patient quietly.) ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
What anti-depressant has been found to be an effective non dependence forming sleep aid?
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
,a. Wellbutrin (Buspar)
||\\||\\ ||\\||\\
b. Trazadone (Desyrel)
||\\||\\ ||\\||\\
c. Fluoxetine (Prozac)
||\\||\\ ||\\||\\
d. Citalopram (Celexa) - correct answer✔✔B
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
You are caring for a client who has been prescribed an MAO inhibitor, Phenelazine. Which of the following
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
statements should the nurse make about education regarding taking this medication? ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
a. "Wear sunscreen before you go outside."
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
b. "Call the physician if you experience a sore throat."
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
c. "Do not eat aged cheese meats, wine, and chocolate while taking this medication."
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
d. "It can take a few days before you start to see an improvement in your mood." - correct answer✔✔C
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
You are caring for a client who is taking Fluoxetine (Prozac), an SSRI. Which of the following are
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
manifestations of serotonin syndrome, a serious adverse effect of too much serotonin in the brain? Select all ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
that apply.
||\\||\\ ||\\||\\
a. Altered level of consciousness
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
b. Constipation ||\\||\\
c. Fever ||\\||\\
d. Tachycardia ||\\||\\
e. Hypotension ||\\||\\
f. Agitation
||\\||\\
g. Tremors - correct answer✔✔A C D F (Signs and symptoms of serotonin syndrome include:
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
-Confusion
-Disorientation
-Agitation
-Diarrhea
-Tachycardia
-Hallucinations
-Fever
-Poor Coordination ||\\||\\
-Elevated B/P ||\\||\\
-Vomiting)
,The healthcare provider is caring for a patient who has undergone electroconvulsive therapy (ECT). The
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
patient should be carefully assessed for which of the following common adverse effects of this treatment?
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
a. Dizziness and blurred vision
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
b. Aggression and violent behavior
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
c. Headache and memory loss
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
d. Palpitations and cardiac arrest - correct answer✔✔C
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
A patient diagnosed with major depressive disorder is admitted for inpatient care. Which of the following is
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
the primary goal during the admission assessment?
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
A. Establishing desired outcomes for the patient
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
B. Administering antidepressant medications
||\\||\\ ||\\||\\ ||\\||\\
C. Collecting and organizing patient data
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
D. Reviewing the policies for patient conduct - correct answer✔✔C (The primary goal during the admission
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
assessment is to collect and organize objective and subjective data so patient problems and needs can be
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
identified.)
A patient diagnosed with bipolar disorder is prescribed lithium carbonate (Lithobid). When teaching the
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
patient about the medication, which of these statements is a priority for the healthcare provider include?
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
A. "You should follow this low calorie, low sodium diet to prevent weight gain."
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
B. "You should avoid consuming dairy products when you are taking this medication."
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
C. "Call our office immediately if you experience any unusual bruising or bleeding."
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
D. "Drink lots of fluids, especially if you are active during hot weather." - correct answer✔✔D
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
A patient diagnosed with depression is prescribed fluoxetine (Prozac). Which of the following would the
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healthcare provider most likely observe if the patient experiences an adverse effect of this medication?
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a. Bradycardia
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b. Decreased libido
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c. Urinary retention
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d. Weight loss - correct answer✔✔B
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, Which of the following would not be a protective factor against suicide?
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a. Having limited access to highly lethal methods of suicide
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b. Easy access to a variety of resources and support
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c. Lack of coping skills in problem solving, conflict resolution, and nonviolent handling of disputes.
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d. Having a significant other - correct answer✔✔C (Protective factors against suicide include:
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-Effective and appropriate clinical care for mental, physical, and substance abuse disorders
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-Easy access to a variety of clinical interventions and support for help-seeking
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-Restricted access to highly lethal methods of suicide ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
-Family and community support ||\\||\\ ||\\||\\ ||\\||\\
-Support from ongoing medical and mental health care relationships
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-Learned skills in problem solving, conflict resolution, and nonviolent handling of disputes
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-Cultural and religious beliefs that discourage suicide and support self-preservation instincts
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-Going to church ||\\||\\ ||\\||\\
-Having a pet, having children, or being a caregiver
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-Having a significant other) ||\\||\\ ||\\||\\ ||\\||\\
Which of the following are individual risk factors for suicide? Select all that apply.
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a. Female gender
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b. Command hallucinations
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c. Pts. age is 16 years old
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d. No history of depression of a mental health disorder
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e. The pt. has Parkinson's. - correct answer✔✔B C E (Risk factors for suicide include:
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-*Sex* (Male) ||\\||\\
-*Age* (<19 or >45) ||\\||\\ ||\\||\\ ||\\||\\
-History of *depression* ||\\||\\ ||\\||\\
-*Previous* suicide attempt ||\\||\\ ||\\||\\
-*Ethanol* abuse ||\\||\\
-*Rational* thinking loss (Ex. command hallucinations) ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
-*Social* supports lacking ||\\||\\ ||\\||\\
-*Organized* plan ||\\||\\
-*No* spouse ||\\||\\
