100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
NUR 2488 / NUR2488 MENTAL HEALTH NURSING EXAM 2 UPDATED $16.99   Add to cart

Exam (elaborations)

NUR 2488 / NUR2488 MENTAL HEALTH NURSING EXAM 2 UPDATED

 0 view  0 purchase
  • Course
  • Institution

NUR 2488 / NUR2488 MENTAL HEALTH NURSING EXAM 2 UPDATED • 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 ...

[Show more]

Preview 3 out of 26  pages

  • January 28, 2022
  • 26
  • 2022/2023
  • Exam (elaborations)
  • Questions & answers
avatar-seller
NUR 2488 / NUR2488 MENTAL HEALTH NURSING EXAM 2
UPDATED

 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
Feedback: Extrapyramidal side effects of the central nervous system
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
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
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
Answers: Maintain arm’s-length distance, institute one-on-one nursing
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
Feedback One-on-one observation is necessary for anyone who has
: 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
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
Feedback:
they 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
Answer: hydrochlorothia
zide
Answers: hydrochlorothia
zide
diphenhydrami
ne
acetaminophen
verapamil
Response Diphenhydramine is an antihistamine that is likely to cause
Feedback:
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
Answer: Sit on the side of the bed before
standing up.
Answers: Stay in bed for an hour after taking the
medication.

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller Marilyn77. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $16.99. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

67163 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$16.99
  • (0)
  Add to cart