NUR2488 Mental Health Nursing Exam 3 (50
Verified Answers, Already graded A) (Latest
2022): Rasmussen College
NUR2488 Mental Health Nursing Exam 3
• Question 1
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.
lan contains the intervention “monitor for complications of refeeding syndrome.” Which body system should a nurse
most closely monitor for clinical manifestations of dysfunction?
Answers Renal
:
Central nervous Endocrine Cardiovascular
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 are not initially involved in the refeeding syndrome.
Response
Feedback:
• 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 :
MENTAL_HEALTH_EXAM_3
, Opioids
Alcohol
Marijuana
Response
Amphetamine
Feedback:
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
, MENTAL_HEALTH_EXAM_3
A maintenance dose of buspirone
A small dose of an atypical antipsychotic
Response Aggressive behavior can be safely managed by antipsychotic medication.
Feedback: 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.
• Question z4
A znursing zcare zp zA zpatient zwith za zhistory zof zcocaine zuse zreports za
zconcurrent zhistory zof zusing zother zdrugs zin zorder zto zcounteract zthe zeffects
zof zcocaine. zWhich zdrug zis zthis zpatient zlikely zto zhave zabused?
A Response zFeedback:
n
s
w
e
r
z
s
:
Verified Answers, Already graded A) (Latest
2022): Rasmussen College
NUR2488 Mental Health Nursing Exam 3
• Question 1
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.
lan contains the intervention “monitor for complications of refeeding syndrome.” Which body system should a nurse
most closely monitor for clinical manifestations of dysfunction?
Answers Renal
:
Central nervous Endocrine Cardiovascular
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 are not initially involved in the refeeding syndrome.
Response
Feedback:
• 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 :
MENTAL_HEALTH_EXAM_3
, Opioids
Alcohol
Marijuana
Response
Amphetamine
Feedback:
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
, MENTAL_HEALTH_EXAM_3
A maintenance dose of buspirone
A small dose of an atypical antipsychotic
Response Aggressive behavior can be safely managed by antipsychotic medication.
Feedback: 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.
• Question z4
A znursing zcare zp zA zpatient zwith za zhistory zof zcocaine zuse zreports za
zconcurrent zhistory zof zusing zother zdrugs zin zorder zto zcounteract zthe zeffects
zof zcocaine. zWhich zdrug zis zthis zpatient zlikely zto zhave zabused?
A Response zFeedback:
n
s
w
e
r
z
s
:
