NUR2488 Mental Health Nursing Exam 2 (Latest): Rasmussen College
NUR2488 Exam 2 / NUR 2488 Exam 2 (Latest): Mental Health Nursing: Rasmussen College
• Question 1
You are the nurse responsible for assessing for extrapyramidal side effects in a patient who has been taking chlorpromazine. Which...
nur2488 mental health nursing exam 2 latest rasmussen college nur2488 exam 2 nur 2488 exam 2 latest mental health nursing rasmussen college • question 1 you are the nurse responsible for
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NUR 2488 (NUR2488)
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NUR2488 Mental Health Nursing Exam 2
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.)
Answers: Amenorrhea
Akathisia
Acute dystonia
Tardive Dyskinesia
Response Extrapyramidal side effects of the central nervous system include involuntary
Feedback: 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 Answer: Social skills training
Answers: Social skills training
Use of complementary therapy
Relaxation training classes
Learning desensitization techniques
Response Social skills training is helpful in treating and preventing the recurrence of
Feedback: 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 observation
Answers: 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 limited control over
Feedback: 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
1 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 Answer: “If I ignore this, it will go away.”
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.”
Response Patients with depression feel worthless and often believe they deserve to have
Feedback: “bad” things happen. Patients with depression are usually hopeless and would
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