NUR2488 Mental Health Nursing Exam 3 (50

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2020): Rasmussen College

NUR2488 Mental Health Nursing Exam 3

• Question 1

A patient with a history of cocaine use reports a concurrent history of using other drugs in

order to counteract the effects of cocaine. Which drug is this patient likely to have abused?

Answers

:

Response

Feedback:

PCP

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.

• 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

:

Response

Feedback:

Opioids

Alcohol

Marijuana

Amphetamine

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

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health care provider will most likely prescribe?

Answers: A small dose of a selective serotonin reuptake inhibitor

A large dose of a benzodiazepine

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Response

Feedback:

A maintenance dose of buspirone

A small dose of an atypical antipsychotic

Aggressive behavior can be safely managed by antipsychotic medication.

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 4

A nursing care plan contains the intervention “monitor for complications of refeeding

syndrome.” Which body system should a nurse most closely monitor for clinical

manifestations of dysfunction?

Answers

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Response

Feedback:

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.

• Question 5

Which of the following is the best example of all-or-nothing thinking, a common cognitive

distortion of patients with an eating disorder?

Answers

:

“If I gain any weight, I’ll keep going until I’m huge.”

“When people tell me I’m looking better, they really mean I’m fatter.”

“No one likes me because I’m fat.”

“When I’m thin, I’m perfect.”

Response In all-or-nothing thinking, the person cannot see any middle ground between

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