NUR 2459/NUR2459 2022-2023 MENTAL AND BEHAVIOALL
50+ QUESTIONS AND CORRECT ANSWERS MENTAL HEALTH
NURSING FINAL EXAM 2 LATEST EDITION – GRADED A
• Question 1
1 out of 1 points
You are the nurse responsible for assessing for extrapyramidal side effects in a
patient who has been taking chlorpromazine. Which of the following may be side
effects for this medication? (Select all that apply.)
Akathisia
Acute dystonia
Tardive
Dyskinesia
Answer Amenorrhea s:
Akathisia
Acute dystonia
Tardive
Dyskinesia
Response Extrapyramidal side effects of the central nervous system
Feedback: include involuntary motor movements, resulting in possible dystonia,
akathisia or dyskinesia. Amenorrhea is a possible side effect of
chlorpromazine, but is not an extrapyramidal side effect.
• Question 2
1 out of 1 points
An adult with depression has been treated with medication and cognitive
behavioral therapy. The patient now verbalizes that being passive and letting
others make decisions for her contributed to the depression. What referrals could
the nurse make to help this patient prevent recurrence of depression?
Selected Social skills training
Answer:
Answers: Social skills training
Use of complementary therapy
Relaxation training classes
Learning desensitization
1
, techniques
ResponseSocial skills training is helpful in treating and preventing the
Feedback recurrence of depression. Training focuses on assertiveness and
:
coping skills that lead to positive reinforcement from others. Use of
complementary therapy refers to adjunctive therapies such as
herbals. Assertiveness would be of greater value than relaxation
training because passivity has been identified as a concern.
Desensitization is used in treatment of phobias
• Question 3
1 out of 1 points
A patient with suicidal impulses is placed on the highest level of suicide
precautions. Which measures should be incorporated into the plan of care by the
nurse caring for the patient? (Select all that apply.)
Selected Maintain arm’s-length distance, institute one-on-one nursing
Answers: observation around the clock
Allow no glass or metal on meal trays
Remove all potentially harmful objects from the patient’s possession
Answers: Maintain arm’s-length distance, institute one-on-one nursing
observation around the clock
Allow no glass or metal on meal trays
Keep patient within visual range while awake, but only check every
15 to 30 minutes while the patient is sleeping
Only check the patient’s whereabouts every 15 minutes and make
frequent verbal contacts.
Remove all potentially harmful objects from the patient’s possession
Response One-on-one observation is necessary for anyone who has
Feedback limited control over suicidal impulses. Plastic dishes on trays
:
and the removal of potentially harmful objects from the patient’s
possession are measures included in any-level suicide precautions. The
remaining options are used in less stringent levels of suicide
precautions.
• Question 4
0 out of 1 points
Which statement indicates a patient with major depression’s most likely outlook on
life during the acute phase of the illness?
Selected “If I ignore this, it will go away.” Answer:
Answers: “It’s just a matter of time and I’ll be well.”
, “I deserve to be this way.”
“I can fight this and get better.”
“If I ignore this, it will go away.”
ResponsePatients with depression feel worthless and often believe they
Feedback: deserve to have “bad” things happen. Patients with depression are
usually hopeless and would not respond optimistically. Patients with
depression usually feel helpless and unable to fight.
• Question 5
0 out of 1 points
The nurse knows that sedation is a side effect of many antipsychotics. Which of
the following medications should the nurse question if ordered for a patient
taking antipsychotics? Selected hydrochlorothia
Answer:
zide
Answers: hydrochlorothia
zide diphenhydrami
ne acetaminophen
verapamil
Diphenhydramine is an antihistamine that is likely to cause Feedback:
Response
drowsiness and enhance the sedative effect of an antipsychotic.
Hydrochlorothiazide (diuretic), acetaminophen (antipyretic and pain reliever) and
verapamil (antihypertensive) do not cause sedation.
• Question 6
1 out of 1 points
The nurse is caring for a patient who experiences orthostatic hypotension related
to taking chlorpromazine. The nurse should suggest which of the following
interventions for managing this side effect?
Selected Sit on the side of the bed before standing up.
Answer:
Answers: Stay in bed for an hour after taking the
medication.
Sit on the side of the bed before
standing up.
Stand quickly, then wait a moment before
walking.
Take the medication with milk or food.
Response Sudden position changes lead to dizziness associated with
3
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