Final Exam: NR607/ NR 607 (Latest 2024/
2025 Update) Diagnosis & Management
in Psychiatric Mental Health III
Complete Review (Weeks 5-8) Questions
and Verified Answers| 100% Correct |
Grade A – Chamberlain
Tatiana has been hospitalized for an acute manic episode. On admission the nurse
suspects lithium toxicity. What assessment findings would indicate the nurse's
suspicion as correct?
A. Shortness of breath, gastrointestinal distress, chronic cough
B. Ataxia, severe hypotension, large volume of dilute urine
C. Gastrointestinal distress, thirst, nystagumus
D. Electroencephalographic changes, chest pain, dizziness - ANSWER B.
Ataxia, severe hypotension, large volume of dilute urine
Luc's family comes home one evening to find him extremely agitated and they
suspect in a full maniac episode. The family calls emergency medical services.
While one medic is talking with Luc and his family, the other medic is counting
something on his desk. What is the medic most likely counting?
A. Hypodermic needles
B. Fast food wrappers
C. Empty soda cans
D. Energy drink containers - ANSWER D. Energy drink containers
,Which response by a 15-year-old demonstrates a common symptom observed in
patients diagnosed with major depressive disorder?
A. "I'm so restless. I can't seem to sit still."
B. "I spend most of my time studying. I have to get into a good college."
C. "I'm not trying to diet, but I've lost about 5 pounds in the past 5 months."
D. "I go to sleep around 11 p.m. but I'm always up by 3 a.m. and can't go back to
sleep." - ANSWER D. "I go to sleep around 11 p.m. but I'm always up by
3 a.m. and can't go back to sleep."
Which assessment question asked by the nurse demonstrates an understanding of
comorbid mental health conditions associated with MDD? SATA
A. "Do rules apply to you?"
B. "What do you do to manage anxiety?"
C. "Do you have a history of disordered eating?"
D. "Do you think that you drink too much?"
E. "Have you ever been arrested for committing a crime?" - ANSWER B.
"What do you do to manage anxiety?"
C. "Do you have a history of disordered eating?"
D. "Do you think that you drink too much?"
Which nursing intervention focuses on managing a common characteristic of MDD
associated with the older population?
A. Conducting routine suicide screenings at a senior center.
B. Identifying depression as a natural, but treatable result of aging.
C. Identifying males as being at a greater risk for developing depression.
D. Stressing that most individuals experience just a single episode of major
depression in a lifetime. - ANSWER A. Conducting routine suicide
screenings at a senior center.
, Which characteristic identified during an assessment serves to support a diagnosis
of disruptive mood dysregulation disorder? SATA
A. Female
B. 7 years old
C. Comorbid autism diagnosis
D. Outbursts occur at least once a week
E. Temper tantrums occur at home and in school - ANSWER B. 7 years
old
C. Comorbid autism diagnosis
E. Temper tantrums occur at home and in school
Which chronic medical condition is a common trigger for major depressive
disorder?
A. Pain
B. Hypertension
C. Hypothyroidism
D. Crohn's disease - ANSWER A. Pain
Tammy, a 28-year-old with MDD and bulimia nervosa, is ready for discharge from
the county hospital after 2 weeks of inpatient therapy. Tammy is taking citalopram
(Celexa) and reports that is has made her feel more hopeful. With a secondary
diagnosis of bulimia nervosa, what is an alternative antidepressant to consider?
A. fluoxetine (Prozac)
B. isocarboxazid (Marplan)
C. amitriptyline
D. duloxetime (Cymbalta) - ANSWER A. fluoxetine (Prozac)
Cabot has multiple symptoms of depression including mood reactivity, social
phobia, anxiety, and overeating. With a history of mild hypertension, which
classification of antidepressants dispensed as transdermal patch would be a safe
medication?
2025 Update) Diagnosis & Management
in Psychiatric Mental Health III
Complete Review (Weeks 5-8) Questions
and Verified Answers| 100% Correct |
Grade A – Chamberlain
Tatiana has been hospitalized for an acute manic episode. On admission the nurse
suspects lithium toxicity. What assessment findings would indicate the nurse's
suspicion as correct?
A. Shortness of breath, gastrointestinal distress, chronic cough
B. Ataxia, severe hypotension, large volume of dilute urine
C. Gastrointestinal distress, thirst, nystagumus
D. Electroencephalographic changes, chest pain, dizziness - ANSWER B.
Ataxia, severe hypotension, large volume of dilute urine
Luc's family comes home one evening to find him extremely agitated and they
suspect in a full maniac episode. The family calls emergency medical services.
While one medic is talking with Luc and his family, the other medic is counting
something on his desk. What is the medic most likely counting?
A. Hypodermic needles
B. Fast food wrappers
C. Empty soda cans
D. Energy drink containers - ANSWER D. Energy drink containers
,Which response by a 15-year-old demonstrates a common symptom observed in
patients diagnosed with major depressive disorder?
A. "I'm so restless. I can't seem to sit still."
B. "I spend most of my time studying. I have to get into a good college."
C. "I'm not trying to diet, but I've lost about 5 pounds in the past 5 months."
D. "I go to sleep around 11 p.m. but I'm always up by 3 a.m. and can't go back to
sleep." - ANSWER D. "I go to sleep around 11 p.m. but I'm always up by
3 a.m. and can't go back to sleep."
Which assessment question asked by the nurse demonstrates an understanding of
comorbid mental health conditions associated with MDD? SATA
A. "Do rules apply to you?"
B. "What do you do to manage anxiety?"
C. "Do you have a history of disordered eating?"
D. "Do you think that you drink too much?"
E. "Have you ever been arrested for committing a crime?" - ANSWER B.
"What do you do to manage anxiety?"
C. "Do you have a history of disordered eating?"
D. "Do you think that you drink too much?"
Which nursing intervention focuses on managing a common characteristic of MDD
associated with the older population?
A. Conducting routine suicide screenings at a senior center.
B. Identifying depression as a natural, but treatable result of aging.
C. Identifying males as being at a greater risk for developing depression.
D. Stressing that most individuals experience just a single episode of major
depression in a lifetime. - ANSWER A. Conducting routine suicide
screenings at a senior center.
, Which characteristic identified during an assessment serves to support a diagnosis
of disruptive mood dysregulation disorder? SATA
A. Female
B. 7 years old
C. Comorbid autism diagnosis
D. Outbursts occur at least once a week
E. Temper tantrums occur at home and in school - ANSWER B. 7 years
old
C. Comorbid autism diagnosis
E. Temper tantrums occur at home and in school
Which chronic medical condition is a common trigger for major depressive
disorder?
A. Pain
B. Hypertension
C. Hypothyroidism
D. Crohn's disease - ANSWER A. Pain
Tammy, a 28-year-old with MDD and bulimia nervosa, is ready for discharge from
the county hospital after 2 weeks of inpatient therapy. Tammy is taking citalopram
(Celexa) and reports that is has made her feel more hopeful. With a secondary
diagnosis of bulimia nervosa, what is an alternative antidepressant to consider?
A. fluoxetine (Prozac)
B. isocarboxazid (Marplan)
C. amitriptyline
D. duloxetime (Cymbalta) - ANSWER A. fluoxetine (Prozac)
Cabot has multiple symptoms of depression including mood reactivity, social
phobia, anxiety, and overeating. With a history of mild hypertension, which
classification of antidepressants dispensed as transdermal patch would be a safe
medication?
