NURS 2488_ MENTAL HEALTH

FINAL EXAM PRACTICE

(QUESTIONS & ANSWERS

LATEST)

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6. A nursing student new to psychiatric-mental health nursing asks a peer what resources

he can use to figure out which symptoms are present in a specific psychiatric disorder. The best

answer would be:

a. Nursing Interventions Classification (NIC)

b. Nursing Outcomes Classification (NOC)

c. NANDA-I nursing diagnoses

d. DSM-5

7. Epidemiological studies contribute to improvements in care for individuals with mental

disorders by:

a. Providing information about effective nursing techniques.

b. Identifying risk factors that contribute to the development of a disorder.

c. Identifying individuals in the general population who will develop a specific disorder.

d. Identifying which individuals will respond favorably to a specific treatment.

1. Besides antianxiety agents, which classification of drugs is also commonly given to

treat anxiety and anxiety disorders?

a. Antipsychotics

b. Mood stabilizers

c. Antidepressants

d. Cholinesterase inhibitors

2. What assessment question will provide the nurse with information regarding the effects

of a woman’s circadian rhythms on her quality of life?

a. “How much sleep do you usually get each night?”

b. “Does your heart ever seem to skip a beat?”

c. “When was the last time you had a fever?”

d. “Do you have problems urinating?”

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3. You realize that your patient who is being treated for a major depressive disorder

requires more teaching when she makes the following statement:

a. “I have been on this antidepressant for 3 days. I realize that the full effect may not

happen for a period of weeks.”

b. “I am going to ask my nurse practitioner to discontinue my Prozac today and let me

start taking a monoamine oxidase inhibitor tomorrow.”

c. “I may ask to have my medication changed to Wellbutrin due to the problems I am

having being romantic with my wife.”

d. “I realize that there are many antidepressants and it might take a while until we find the

one that works best for me.”

4. A patient being treated for insomnia is prescribed ramel-teon (Rozerem). Which

comorbid mental health condition would make this medication the hypnotic of choice for this

particular patient?

a. Obsessive-compulsive disorder

b. Generalized anxiety disorder

c. Persistent depressive disorder

d. Substance use disorder

5. Which statement made by a patient prescribed bupropion (Wellbutrin) demonstrates

that the medication education the patient received was effective? Select all that apply.

a. “I hope Wellbutrin will help my depression and also help me to finally quit smoking.”

b. “I’m happy to hear that I won’t need to worry too much about weight gain.”

c. “It’s okay to take Wellbutrin since I haven’t had a seizure in 6 months.”

d. “I need to be careful about driving since the medication could make me drowsy.”

e. “My partner and I have discussed the possible effects this medication could have on

our sex life.”

6. Which drug group calls for nursing assessment for development of abnormal

movement disorders among individuals who take therapeutic dosages?

a. SSRIs

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b. antipsychotics

c. benzodiazepines

d. tricyclic antidepressants

9. The nurse administers each of the following drugs to various patients. The patient who

should be most carefully assessed for fluid and electrolyte imbalance is the one receiving:

a. lithium (Eskalith)

b. clozapine (Clozaril)

c. diazepam (Valium)

d. amitriptyline

10. A psychiatric nurse is reviewing prescriptions for a patient with major depression at

the county clinic. Since the patient has a mild intellectual disability, the nurse would question

which classification of antidepressant drugs:

a. Selective serotonin reuptake inhibitors

b. Monoamine oxidase inhibitors

c. Serotonin and norepinephrine reuptake inhibitors

d. All of the above

4. The mental health team is determining treatment options for a male patient who is

experiencing psychotic symptoms. Which question(s) should the team answer to determine

whether a community outpatient or inpatient setting is most appropriate? Select all that apply.

a. “Is the patient expressing suicidal thoughts?”

b. “Does the patient have intact judgment and insight into his situation?”

c. “Does the patient have experiences with either community or inpatient mental healthcare

facilities?”

d. “Does the patient require a therapeutic environment to support the management of psychotic

symptoms?”

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