NUR2488 MENTAL HEALTH NURSING FINAL EXAM LATEST / NUR 2488 MENTAL HEALTH NURSING FINAL EXAM QS & ANS PLUS RATIONALES/ RASMUSSEN COLLEGE

NUR2488 MENTAL HEALTH NURSING FINAL EXAM LATEST / NUR 2488 MENTAL HEALTH NURSING FINAL EXAM QS & ANS PLUS RATIONALES/ RASMUSSEN COLLEGE • Question 1 A patient with a history of cocaine use reports a concurrent historyof using other drugs in order to counteract the effects of cocaine. Which drug is this patient likely to have abused? Selecte d Answer : Alcohol Answers: PCP Alcohol Methylpheni date Caffeine Response Feedbac k: Alcohol is a depressant which can neutralize the effects ofcocaine, 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? Selecte d Answer : Marijuana Answers: Opioids Alcohol Marijuana Amphetamine Response Feedbac k: Opioids include prescribed medications such as oxycodone and morphine, and the illegal substanceheroin. 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 pulledout a nasogastric tube, intravenous line, and indwelling urinary catheter. What can the nurse anticipate that the health care provider will most likely prescribe? Selected Answer: A a selective serotonin reuptakeinhibitor Answers: A small dose of a selective serotonin reuptake inhibitor A large dose of a benzodiazepine A maintenance dose ofbuspirone A small dose of an atypical antipsychotic Response Feedback : Aggressive behavior can be safely managed by antipsychotic medication. Initial dosing should be small and raised cautiously until behavior is controlled. Selectiveserotonin reuptake inhibitors are not indicated for aggressive behavior. If a benzodiazepine is used, the initialdose 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. • Question 4 A nursing care plan contains the intervention “monitor for complications of refeeding syndrome.” Which body system should a nurse most closely monitor for clinical manifestations of dysfunction? Selecte d Answer : Central nervous Answers: Renal Central nervous Endocrine Cardiovascu lar Response Feedbac k: Refeeding resulting in too-rapid weight gain can overwhelm the heart, resulting in cardiovascular collapse;thus focused assessment becomes a necessity to ensure patient physiological integrity. The other body systems arenot initially involved in the refeeding syndrome.