NCLEX
Comprehensive
Mental Health
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and %fo
Psychiatric
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Nursing
Practice Quiz
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#1: 75 %fo %fo
Questions %fo
, NCLEX Comprehensive Mental Health and %fo %fo %fo %fo
Psychiatric Nursing Practice Quiz #1: 75
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Questions %fo
1. 1. Question
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Flumazenil (Romazicon) has been ordered for a male client who has
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overdosed on oxazepam (Serax). Before administering the medication,
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nurse Gina should be prepared for which common adverse effect?
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o A. Seizures
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o B. Shivering
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o C. Anxiety
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o D. Chest pain
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Incorrect
Correct Answer: A. Seizures
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Seizures are the most common serious adverse effect of using
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flumazenil to reverse benzodiazepine overdose. The effect is magnified
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if the client has a combined tricyclic antidepressant and
%fo %fo %fo %fo %fo %fo %fo %fo %fo
benzodiazepine overdose. Benzodiazepine reversal has correlations with
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seizures. Seizures may happen more frequently in patients who have
%fo %fo %fo %fo %fo %fo %fo %fo %fo %fo
been on benzodiazepines for long-term sedation or in patients who
%fo %fo %fo %fo %fo %fo %fo %fo %fo %fo
are showing signs of severe tricyclic antidepressant overdose. The
%fo %fo %fo %fo %fo %fo %fo %fo %fo
required dosage of Flumazenil should be measured and prepared by
%fo %fo %fo %fo %fo %fo %fo %fo %fo %fo
the practitioners to manage seizures. Flumazenil use requires caution
%fo %fo %fo %fo %fo %fo %fo %fo %fo
in patients relying on a benzodiazepine for seizure control.
%fo %fo %fo %fo %fo %fo %fo %fo %fo
o Option B: Shivering is not an adverse effect of flumazenil.
%fo %fo %fo %fo %fo %fo %fo %fo %fo
Monitor the patient for the possible return of sedation, mostly
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in those who are tolerant of benzodiazepines. Patients should
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have monitoring for respiratory depression, benzodiazepine
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withdrawal, and other residual effects of benzodiazepines for at
%fo %fo %fo %fo %fo %fo %fo %fo %fo
least 2 hours.
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o Option C: Anxiety is a rare adverse effect for people using
%fo %fo %fo %fo %fo %fo %fo %fo %fo %fo
flumazenil. Flumazenil has some associations with precipitation of
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seizures in patients with benzodiazepine dependence with a
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history of seizures. Flumazenil overdose is extremely rare.
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There is no precise antidote for flumazenil toxicity. In mild to
%fo %fo %fo %fo %fo %fo %fo %fo %fo %fo %fo
,%fo severe toxicity, symptomatic and supportive treatment should
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%fo be a consideration.
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, o Option D: An overdose of flumazenil in a patient who is not
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a chronic benzodiazepine user would not be expected. Chronic
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benzodiazepines users may experience withdrawal with abrupt
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discontinuation of the drug. Administration of benzodiazepines
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or barbiturates may be necessary for seizure control.
%fo %fo %fo %fo %fo %fo %fo %fo
2. 2. Question
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Nurse Tamara is caring for a client diagnosed with bulimia. The most
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appropriate initial goal for a client diagnosed with bulimia is to:
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o A. Avoid shopping for large amounts of food.
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o B. Control eating impulses.
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o C. Identify anxiety-causing situations.
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o D. Eat only three meals per day.
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Incorrect
Correct Answer: C. Identify anxiety-causing situations
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Bulimic behavior is generally a maladaptive coping response to stress
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and underlying issues. The client must identify anxiety-causing
%fo %fo %fo %fo %fo %fo %fo %fo
situations that stimulate the bulimic behavior and then learn new
%fo %fo %fo %fo %fo %fo %fo %fo %fo %fo
ways of coping with the anxiety. Bulimia nervosa is a condition that
%fo %fo %fo %fo %fo %fo %fo %fo %fo %fo %fo %fo
occurs most commonly in adolescent females, characterized by
%fo %fo %fo %fo %fo %fo %fo %fo
indulgence in binge-eating, and inappropriate compensatory behaviors
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to prevent weight gain.
%fo %fo %fo %fo
o Option A: Controlling shopping for large amounts of food isn’t a
%fo %fo %fo %fo %fo %fo %fo %fo %fo %fo
goal early in treatment. It is important to educate patients who
%fo %fo %fo %fo %fo %fo %fo %fo %fo %fo %fo
abuse laxatives that these medications work in the
%fo %fo %fo %fo %fo %fo %fo %fo
gastrointestinal tract after the areas where caloric absorption
%fo %fo %fo %fo %fo %fo %fo %fo
has occurred primarily. It is crucial to inform patients that a
%fo %fo %fo %fo %fo %fo %fo %fo %fo %fo %fo
period of edema and weight gain may follow up to several
%fo %fo %fo %fo %fo %fo %fo %fo %fo %fo %fo
weeks after discontinuation of purging behavior.
%fo %fo %fo %fo %fo %fo
o Option B: Managing eating impulses and replacing them with
%fo %fo %fo %fo %fo %fo %fo %fo
adaptive coping mechanisms can be integrated into the plan of
%fo %fo %fo %fo %fo %fo %fo %fo %fo %fo
care after initially addressing stress and underlying issues. The
%fo %fo %fo %fo %fo %fo %fo %fo %fo
primary objective of treatment is a cessation of the binging and
%fo %fo %fo %fo %fo %fo %fo %fo %fo %fo %fo
purging behavior. Selective serotonin reuptake inhibitors such as
%fo %fo %fo %fo %fo %fo %fo %fo
fluoxetine, citalopram, and sertraline have shown to reduce
%fo %fo %fo %fo %fo %fo %fo %fo
symptoms of bulimia nervosa. Fluoxetine is the only FDA
%fo %fo %fo %fo %fo %fo %fo %fo %fo
Comprehensive
Mental Health
%fo %fo
and %fo
Psychiatric
%fo
Nursing
Practice Quiz
%fo %fo
#1: 75 %fo %fo
Questions %fo
, NCLEX Comprehensive Mental Health and %fo %fo %fo %fo
Psychiatric Nursing Practice Quiz #1: 75
%fo %fo %fo %fo %fo %fo
Questions %fo
1. 1. Question
%fo
Flumazenil (Romazicon) has been ordered for a male client who has
%fo %fo %fo %fo %fo %fo %fo %fo %fo %fo
overdosed on oxazepam (Serax). Before administering the medication,
%fo %fo %fo %fo %fo %fo %fo %fo
nurse Gina should be prepared for which common adverse effect?
%fo %fo %fo %fo %fo %fo %fo %fo %fo %fo
o A. Seizures
%fo
o B. Shivering
%fo
o C. Anxiety
%fo
o D. Chest pain
%fo %fo
Incorrect
Correct Answer: A. Seizures
%fo %fo %fo
Seizures are the most common serious adverse effect of using
%fo %fo %fo %fo %fo %fo %fo %fo %fo
flumazenil to reverse benzodiazepine overdose. The effect is magnified
%fo %fo %fo %fo %fo %fo %fo %fo %fo
if the client has a combined tricyclic antidepressant and
%fo %fo %fo %fo %fo %fo %fo %fo %fo
benzodiazepine overdose. Benzodiazepine reversal has correlations with
%fo %fo %fo %fo %fo %fo %fo
seizures. Seizures may happen more frequently in patients who have
%fo %fo %fo %fo %fo %fo %fo %fo %fo %fo
been on benzodiazepines for long-term sedation or in patients who
%fo %fo %fo %fo %fo %fo %fo %fo %fo %fo
are showing signs of severe tricyclic antidepressant overdose. The
%fo %fo %fo %fo %fo %fo %fo %fo %fo
required dosage of Flumazenil should be measured and prepared by
%fo %fo %fo %fo %fo %fo %fo %fo %fo %fo
the practitioners to manage seizures. Flumazenil use requires caution
%fo %fo %fo %fo %fo %fo %fo %fo %fo
in patients relying on a benzodiazepine for seizure control.
%fo %fo %fo %fo %fo %fo %fo %fo %fo
o Option B: Shivering is not an adverse effect of flumazenil.
%fo %fo %fo %fo %fo %fo %fo %fo %fo
Monitor the patient for the possible return of sedation, mostly
%fo %fo %fo %fo %fo %fo %fo %fo %fo %fo
in those who are tolerant of benzodiazepines. Patients should
%fo %fo %fo %fo %fo %fo %fo %fo %fo
have monitoring for respiratory depression, benzodiazepine
%fo %fo %fo %fo %fo %fo
withdrawal, and other residual effects of benzodiazepines for at
%fo %fo %fo %fo %fo %fo %fo %fo %fo
least 2 hours.
%fo %fo %fo
o Option C: Anxiety is a rare adverse effect for people using
%fo %fo %fo %fo %fo %fo %fo %fo %fo %fo
flumazenil. Flumazenil has some associations with precipitation of
%fo %fo %fo %fo %fo %fo %fo %fo
seizures in patients with benzodiazepine dependence with a
%fo %fo %fo %fo %fo %fo %fo %fo
history of seizures. Flumazenil overdose is extremely rare.
%fo %fo %fo %fo %fo %fo %fo %fo
There is no precise antidote for flumazenil toxicity. In mild to
%fo %fo %fo %fo %fo %fo %fo %fo %fo %fo %fo
,%fo severe toxicity, symptomatic and supportive treatment should
%fo %fo %fo %fo %fo %fo
%fo be a consideration.
%fo %fo
, o Option D: An overdose of flumazenil in a patient who is not
%fo %fo %fo %fo %fo %fo %fo %fo %fo %fo %fo
a chronic benzodiazepine user would not be expected. Chronic
%fo %fo %fo %fo %fo %fo %fo %fo %fo
benzodiazepines users may experience withdrawal with abrupt
%fo %fo %fo %fo %fo %fo %fo
discontinuation of the drug. Administration of benzodiazepines
%fo %fo %fo %fo %fo %fo %fo
or barbiturates may be necessary for seizure control.
%fo %fo %fo %fo %fo %fo %fo %fo
2. 2. Question
%fo
Nurse Tamara is caring for a client diagnosed with bulimia. The most
%fo %fo %fo %fo %fo %fo %fo %fo %fo %fo %fo
appropriate initial goal for a client diagnosed with bulimia is to:
%fo %fo %fo %fo %fo %fo %fo %fo %fo %fo %fo
o A. Avoid shopping for large amounts of food.
%fo %fo %fo %fo %fo %fo %fo
o B. Control eating impulses.
%fo %fo %fo
o C. Identify anxiety-causing situations.
%fo %fo %fo
o D. Eat only three meals per day.
%fo %fo %fo %fo %fo %fo
Incorrect
Correct Answer: C. Identify anxiety-causing situations
%fo %fo %fo %fo %fo
Bulimic behavior is generally a maladaptive coping response to stress
%fo %fo %fo %fo %fo %fo %fo %fo %fo
and underlying issues. The client must identify anxiety-causing
%fo %fo %fo %fo %fo %fo %fo %fo
situations that stimulate the bulimic behavior and then learn new
%fo %fo %fo %fo %fo %fo %fo %fo %fo %fo
ways of coping with the anxiety. Bulimia nervosa is a condition that
%fo %fo %fo %fo %fo %fo %fo %fo %fo %fo %fo %fo
occurs most commonly in adolescent females, characterized by
%fo %fo %fo %fo %fo %fo %fo %fo
indulgence in binge-eating, and inappropriate compensatory behaviors
%fo %fo %fo %fo %fo %fo %fo
to prevent weight gain.
%fo %fo %fo %fo
o Option A: Controlling shopping for large amounts of food isn’t a
%fo %fo %fo %fo %fo %fo %fo %fo %fo %fo
goal early in treatment. It is important to educate patients who
%fo %fo %fo %fo %fo %fo %fo %fo %fo %fo %fo
abuse laxatives that these medications work in the
%fo %fo %fo %fo %fo %fo %fo %fo
gastrointestinal tract after the areas where caloric absorption
%fo %fo %fo %fo %fo %fo %fo %fo
has occurred primarily. It is crucial to inform patients that a
%fo %fo %fo %fo %fo %fo %fo %fo %fo %fo %fo
period of edema and weight gain may follow up to several
%fo %fo %fo %fo %fo %fo %fo %fo %fo %fo %fo
weeks after discontinuation of purging behavior.
%fo %fo %fo %fo %fo %fo
o Option B: Managing eating impulses and replacing them with
%fo %fo %fo %fo %fo %fo %fo %fo
adaptive coping mechanisms can be integrated into the plan of
%fo %fo %fo %fo %fo %fo %fo %fo %fo %fo
care after initially addressing stress and underlying issues. The
%fo %fo %fo %fo %fo %fo %fo %fo %fo
primary objective of treatment is a cessation of the binging and
%fo %fo %fo %fo %fo %fo %fo %fo %fo %fo %fo
purging behavior. Selective serotonin reuptake inhibitors such as
%fo %fo %fo %fo %fo %fo %fo %fo
fluoxetine, citalopram, and sertraline have shown to reduce
%fo %fo %fo %fo %fo %fo %fo %fo
symptoms of bulimia nervosa. Fluoxetine is the only FDA
%fo %fo %fo %fo %fo %fo %fo %fo %fo
