NSG 3450 Exam 3 Questions AND Correct Answers
A 33 y/o female diagnosed with bipolar 1 has been
functioning well on lithium for 11 months. At her most recent
checkup, the psychiatric nurse practitioner states, "You are
ready to enter the maintenance therapy staff, so at this time I
am goin to adjust your dosage by prescribing":
a. a higher dosage
b. once a week dosing
c. a lower dosage
d. a different drug - ✔✔C
A bereavement group run by a local hospice includes a woman
who is distraught over her supervisor's death. The woman
appears severely distressed. She has trouble functioning with
activities of daily living and making the simplest of decisions.
The group facilitator recognizes that this woman is suffering
from disenfranchised grief after learning:
a. the woman was in love with her married supervisor
b. she has not taken enough time off work to grieve properly
c. the supervisor died over a year ago
d. her family is not involved enough to support her - ✔✔A
,a male pt calls to tell the nurse that his monthly lithium level
is 1.7 mEq/L. Which nursing intervention will the nurse
implement initially?
a. reinforce that the level is considered therapeutic
b. instruct the pt. to gold the next dose of medication and
contact the prescriber
c. have the pt go to the hospital ER immediately
d. alert the pt to the possibility of seizures and appropriate
precautions - ✔✔B
A pt diagnosed w/ opioid use disorder has expressed a desire
to enter into a rehab program. What initial nursing
intervention during the early days after admission will help
ensure the pt's success?
a. restrict visitors to family members only
b. manage the pt's withdrawal sx well
c. provide the pt a low stimulus environment
d. advocate for at least 3 months of tx - ✔✔B
A pt w/ a hx of alcohol use disorder has been prescribed
disulfiram (Antabuse). Which physical effects support the
suspicion that the pt has relapsed? Select all that apply:
, a. intense nausea
b. diaphoresis
c. acute paranoia
d. confusion
e. dyspnea - ✔✔A, B, D, E
Cabot has multiple sx of depression including mood reactivity,
social phobia, anxiety, and overeating. With a hx of mild HTN,
which classification of antidepressants dispensed as a
transdermal patch would be a safe med?
a. Tricyclic antidepressants
b. Selective serotonin reuptake inhibitors
c. Serotonin and norepinephrine reuptake inhibitors
d. Monoamine oxidase inhibitor - ✔✔D
Considering the subject of medically assisted death, which
statements identify the pros and cons of the argument
associated w/ the issue of nonmaleficence? Select all that
apply:
a. from the pt's perspective, there is no different between
ending life by providing a lethal prescription and by stopping
treatment that prolongs life
A 33 y/o female diagnosed with bipolar 1 has been
functioning well on lithium for 11 months. At her most recent
checkup, the psychiatric nurse practitioner states, "You are
ready to enter the maintenance therapy staff, so at this time I
am goin to adjust your dosage by prescribing":
a. a higher dosage
b. once a week dosing
c. a lower dosage
d. a different drug - ✔✔C
A bereavement group run by a local hospice includes a woman
who is distraught over her supervisor's death. The woman
appears severely distressed. She has trouble functioning with
activities of daily living and making the simplest of decisions.
The group facilitator recognizes that this woman is suffering
from disenfranchised grief after learning:
a. the woman was in love with her married supervisor
b. she has not taken enough time off work to grieve properly
c. the supervisor died over a year ago
d. her family is not involved enough to support her - ✔✔A
,a male pt calls to tell the nurse that his monthly lithium level
is 1.7 mEq/L. Which nursing intervention will the nurse
implement initially?
a. reinforce that the level is considered therapeutic
b. instruct the pt. to gold the next dose of medication and
contact the prescriber
c. have the pt go to the hospital ER immediately
d. alert the pt to the possibility of seizures and appropriate
precautions - ✔✔B
A pt diagnosed w/ opioid use disorder has expressed a desire
to enter into a rehab program. What initial nursing
intervention during the early days after admission will help
ensure the pt's success?
a. restrict visitors to family members only
b. manage the pt's withdrawal sx well
c. provide the pt a low stimulus environment
d. advocate for at least 3 months of tx - ✔✔B
A pt w/ a hx of alcohol use disorder has been prescribed
disulfiram (Antabuse). Which physical effects support the
suspicion that the pt has relapsed? Select all that apply:
, a. intense nausea
b. diaphoresis
c. acute paranoia
d. confusion
e. dyspnea - ✔✔A, B, D, E
Cabot has multiple sx of depression including mood reactivity,
social phobia, anxiety, and overeating. With a hx of mild HTN,
which classification of antidepressants dispensed as a
transdermal patch would be a safe med?
a. Tricyclic antidepressants
b. Selective serotonin reuptake inhibitors
c. Serotonin and norepinephrine reuptake inhibitors
d. Monoamine oxidase inhibitor - ✔✔D
Considering the subject of medically assisted death, which
statements identify the pros and cons of the argument
associated w/ the issue of nonmaleficence? Select all that
apply:
a. from the pt's perspective, there is no different between
ending life by providing a lethal prescription and by stopping
treatment that prolongs life
