NUR 2488 Mental Health Nursing - Exam 2 Comprehensive Study Guide Q & A

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(Based off Jennifer Anthony's Recordings)

1. A nurse in an emergency department is assessing a client for suspected cocaine

intoxication. Which of the following findings should the nurse expect?

A. Nystagmus

B. Dilated pupils

C. Hypersomnia

D. Depression

[Mod 4 post quiz]

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2. A nurse is caring for a client who has major depressive disorder and is scheduled for

electroconvulsive therapy (ECT). The client's spouse asks the nurse about the possible

side effects of the ECT. Which of the following responses should the nurse make?

A. "The main side effects are temporary, and may include mild confusion, a

headache, and short-term memory loss."

B. "Most clients have no adverse effects to this treatment, but muscle cramping may

result from the induced seizure."

C. "Some clients have been known to have a myocardial infarction, but we will

monitor your spouse closely to be certain this does not happen."

D. "The most common side effects are directly related to the use of anesthesia."

[Mod 4 post quiz]

3. A nurse is caring for a client who has a history of alcohol use disorder and has been

hospitalized for detoxification. The nurse enters the room and finds the client

shouting in a terrified voice, "Get these bugs off of me!" Which of the following

responses by the nurse is appropriate?

A. "I'm sure that the bugs you see will not harm you."

B. "Tell me more about the bugs that you see in your room."

C. "I don't see any bugs, but you seem very frightened."

D. "I do not see anything. This is part of the withdrawal process."

[Mod 4 post quiz]

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4. A nurse is teaching a community education course about the physical complications

related to substance use disorder. Which of the following findings should the nurse

include in the discussion as a health risk of heroin use?

A. Acute pancreatitis

B. Slowed breathing

C. Nasal septum perforation

D. Permanent short-term memory loss

[Mod 4 post quiz]

5. A nurse is collecting a health history on a client who has a diagnosis of WernickeKorsakoff syndrome. Which of the following is an expected finding?

A. Family history of Alzheimer's disease.

B. Personal history of alcohol use disorder.

C. Undergoing current treatment for HIV.

D. Current rehabilitation for opiate addiction

[Mod 4 post quiz]

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6. A nurse is caring for a client who is withdrawing from opioids. Which of the following

medications should the nurse prepare to administer?

A. Methadone

B. Disulfiram

C. Risperidone

D. Lithium carbonate

[Mod 4 post quiz]

7. A nurse is assessing a client who is experiencing acute cocaine toxicity. Which of the

following findings should the nurse expect?

A. Tremors

B. Hypothermia

C. Hypotension

D. Respiratory depression

[Mod 4 post quiz]

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8. A nurse on a long-term care unit is creating a plan of care for a client who has

Alzheimer's disease. Which of the following interventions should the nurse include in

the plan?

A. Rotate assignment of daily caregivers.

B. Provide an activity schedule that changes from day to day.

C. Limit time for the client to perform activities.

D. Talk the client through tasks one step at a time.

[Mod 4 post quiz]

9. A community health nurse is providing teaching to the family of a client who has

primary dementia. Which of the following manifestations should the nurse tell the

family to expect?

A. Decreased auditory and visual acuity

B. Decreased display of emotions

C. Personality traits that are opposite of original traits

D. Forgetfulness gradually progressing to disorientation

[Mod 4 post quiz]

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10. A nurse is performing a mental status examination (MSE) on a client who has a new

diagnosis of dementia. Which of the following components should the nurse include?

(Select all that apply.)

A. Grooming

B. Long-term memory

C. Support systems

D. Affect

E. Presence of pain

[Mod 4 post quiz]

11. A nurse is caring for a client who has severe manifestations of schizophrenia and is

medicated PRN for agitation with haloperidol. The nurse should assess the client for

which of the following adverse effects?

A. Dysrhythmias

B. Cataracts

C. Pancreatitis

D. Bleeding

[Mod 5 post quiz]

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