NUR2488 Mental Health Nursing

NUR2488 Mental Health Nursing Exam 3 (50Verified Answers, Already graded A+ 2020 NUR2488 Mental Health Nursing Exam 3 • Question 1 A patient with a history of cocaine use reports a concurrent history of using other drugs in order to counteract the effects of cocaine. Which drug is this patient likely to have abused? Answers : Response Feedback: PCP Alcohol Methylphenidate Caffeine Alcohol is a depressant which can neutralize the effects of cocaine, which is a stimulant. Caffeine, methylphenidate (used to treat ADHD) and the illegal drug PCP are also stimulating and would only exacerbate the effects of cocaine. • Question 2 A patient is admitted with a heart rate of 53 bpm, respirations 6/min, temp 96.8 and pinpoint pupils. Based on these clinical manifestations, what substance did this patient most likely overdose on? Answers : Response Feedback: Opioids Alcohol Marijuana Amphetamine Opioids include prescribed medications such as oxycodone and morphine, and the illegal substance heroin. The above symptoms are typical of opioid overdose, but are not typically seen with marijuana, alcohol or amphetamines. • Question 3 An elderly client with cognitive impairment is combative and pulled out a nasogastric tube, intravenous line, and indwelling urinary catheter. What can the nurse anticipate that the health care provider will most likely prescribe? Answers: A small dose of a selective serotonin reuptake inhibitor A large dose of a benzodiazepine S - The Marketplace to Buy and Sell your Study Material Downloaded by: monicaappiah | Distribution of this document is illegal Response Feedback: A maintenance dose of buspirone A small dose of an atypical antipsychotic Aggressive behavior can be safely managed by antipsychotic medication. Initial dosing should be small and raised cautiously until behavior is controlled. Selective serotonin reuptake inhibitors are not indicated for aggressive behavior. If a benzodiazepine is used, the initial dose should be low. Buspirone is not effective if given on an as-needed basis. It is administered in small divided doses daily to control agitation.