NR 326 Final Exam questions with accurate
answers
acamprosate Ans✓✓✓ -maintenance of alcohol abstinence
-NI: can cause depression and SI, can cause weight gain and decreased
libido
Acute Stress Disorder Ans✓✓✓ similar to PTSD but symptoms only
last 1 month following event
-if sx not resolves then PTSD diagnosed
ADHD Ans✓✓✓ inattentive or hyperactive types
ADHD Hyperactivity and Impulsivity Ans✓✓✓ -constantly on the
go/fidgety
-runs and climbs excessively
-difficulty with leisure activities
-talks excessively
-acts without thinking
-unable to wait for their turn
-interrupts and intrudes on others conversations
ADHD Inattention Ans✓✓✓ -difficulty paying attention
-not able to follow through with tasks
-careless mistakes
,-loses things necessary for tasks
-mind seems to wander
-easily distracted
-difficulty organizing
Alcohol Intoxication and VS Ans✓✓✓ VS decrease, if depressant
suddenly removed the body doesn't adjust quickly so VS rapidly
increase, rapid increase in vitals causes cardiovascular collapse
Alcohol Intoxication Ans✓✓✓ Disinhibition of sexual or aggressive
impulses, mood lability, impaired judgment, impaired social or
occupational function, incoordination, slurred speech, unsteady gait,
flushed face and nystagmus. Occurs at a blood alcohol level between
100 - 200 mg/dL.
Alcohol withdrawal Ans✓✓✓ Assess for first symptoms to appear 4-
12 hours after heavy or prolonged use, peaks in 24-48 hours, and can
progress Delirium Tremens (DTs) or alcoholic withdrawal syndrome 48
hours after last drink for heavy drinking/long term drinking
Alcohol withdrawal symptoms Ans✓✓✓ Within 4-12 hours of
cessation or reduction in prolonged or heavy alcohol use (several days or
longer). Symptoms include coarse tremors of the hands, tongue, or
eyelids, nausea or vomiting, weakness or malaise, tachycardia, sweating,
elevated blood pressure, anxiety, depressed mood or irritability, transient
hallucinations or illusion, headache, and insomnia.
, alcoholism Ans✓✓✓ -denial, projection, rationalization
-intoxication: inappropriate sexual or aggressive actions, labile mood,
impaired judgment, impaired social or work related functioning, slurred
speech, incoordination, unsteady gait, nystagmus, breath smells of
alcohol, impaired attention and memory, coma, or stupor
Amitriptyline Ans✓✓✓ TCA
amoxapine Ans✓✓✓ TCA
Anorexia Nervosa Ans✓✓✓ -self starvation and distorted body image
-non-purging type restricts by fasting/over-exercising and purging type
induces vomiting or uses laxatives and may also be using diuretics
-sx: refusal to eat, compulsive exercise, overachieving/perfectionism,
weight loss, cachexia, dry skin/lanugo, electrolyte imbalance, ECG
changes with hypokalemia, preoccupation with food, weight and
calories, constipation
-NI:therapeutic relationship, behavior modification, I & O, weigh as per
treatment plan (usually w/back to scale), assess contributing factors
-tx: : medication for symptoms of anxiety and depression, Zyprexa
(olanzapine) to help w/weight gain, individual psychotherapy, nutrition
education, behavioral therapy, cognitive therapy, family therapy, group
therapy, expressive therapies (e.g. art), relaxation groups/ activity
-watch for refeeding syndrome, introduce calories slowly
Antihistamines Ans✓✓✓ -helps with anxiety
answers
acamprosate Ans✓✓✓ -maintenance of alcohol abstinence
-NI: can cause depression and SI, can cause weight gain and decreased
libido
Acute Stress Disorder Ans✓✓✓ similar to PTSD but symptoms only
last 1 month following event
-if sx not resolves then PTSD diagnosed
ADHD Ans✓✓✓ inattentive or hyperactive types
ADHD Hyperactivity and Impulsivity Ans✓✓✓ -constantly on the
go/fidgety
-runs and climbs excessively
-difficulty with leisure activities
-talks excessively
-acts without thinking
-unable to wait for their turn
-interrupts and intrudes on others conversations
ADHD Inattention Ans✓✓✓ -difficulty paying attention
-not able to follow through with tasks
-careless mistakes
,-loses things necessary for tasks
-mind seems to wander
-easily distracted
-difficulty organizing
Alcohol Intoxication and VS Ans✓✓✓ VS decrease, if depressant
suddenly removed the body doesn't adjust quickly so VS rapidly
increase, rapid increase in vitals causes cardiovascular collapse
Alcohol Intoxication Ans✓✓✓ Disinhibition of sexual or aggressive
impulses, mood lability, impaired judgment, impaired social or
occupational function, incoordination, slurred speech, unsteady gait,
flushed face and nystagmus. Occurs at a blood alcohol level between
100 - 200 mg/dL.
Alcohol withdrawal Ans✓✓✓ Assess for first symptoms to appear 4-
12 hours after heavy or prolonged use, peaks in 24-48 hours, and can
progress Delirium Tremens (DTs) or alcoholic withdrawal syndrome 48
hours after last drink for heavy drinking/long term drinking
Alcohol withdrawal symptoms Ans✓✓✓ Within 4-12 hours of
cessation or reduction in prolonged or heavy alcohol use (several days or
longer). Symptoms include coarse tremors of the hands, tongue, or
eyelids, nausea or vomiting, weakness or malaise, tachycardia, sweating,
elevated blood pressure, anxiety, depressed mood or irritability, transient
hallucinations or illusion, headache, and insomnia.
, alcoholism Ans✓✓✓ -denial, projection, rationalization
-intoxication: inappropriate sexual or aggressive actions, labile mood,
impaired judgment, impaired social or work related functioning, slurred
speech, incoordination, unsteady gait, nystagmus, breath smells of
alcohol, impaired attention and memory, coma, or stupor
Amitriptyline Ans✓✓✓ TCA
amoxapine Ans✓✓✓ TCA
Anorexia Nervosa Ans✓✓✓ -self starvation and distorted body image
-non-purging type restricts by fasting/over-exercising and purging type
induces vomiting or uses laxatives and may also be using diuretics
-sx: refusal to eat, compulsive exercise, overachieving/perfectionism,
weight loss, cachexia, dry skin/lanugo, electrolyte imbalance, ECG
changes with hypokalemia, preoccupation with food, weight and
calories, constipation
-NI:therapeutic relationship, behavior modification, I & O, weigh as per
treatment plan (usually w/back to scale), assess contributing factors
-tx: : medication for symptoms of anxiety and depression, Zyprexa
(olanzapine) to help w/weight gain, individual psychotherapy, nutrition
education, behavioral therapy, cognitive therapy, family therapy, group
therapy, expressive therapies (e.g. art), relaxation groups/ activity
-watch for refeeding syndrome, introduce calories slowly
Antihistamines Ans✓✓✓ -helps with anxiety
