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? Selecte d Answer : Alcohol Answers: PCP Alcoh ol Methylphen i date Caffeine Respons e Alcohol is a depressant which can neutralize the effects of Feedbac cocaine, which is a stimulant. Caffeine, methylphenidate k: (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? Selecte d Marijuana Answer : Answers: Opioids Alcohol Marijuan a Amphetam ine Respons e Opioids include prescribed medications such as Feedbac oxycodone and morphine, and the illegal substance k: 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 health care provider will most likely prescribe? Selected Answer: A s m a l l d o s e o f a selective serotonin reuptake inhibitor NUR2488 Mental Health Nursing Exam 3 • • Answers: A small dose of a selective serotonin reuptake inhibitor A large dose of a benzodiazepine A maintenance dose of buspirone A small dose of an atypical antipsychotic Respons e Aggressive behavior can be safely managed by Feedbac antipsychotic medication. Initial dosing should be small k 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? Selecte d Centra Answer l : nervou s Answers: Renal Centra l nervou s Endocrine Cardiovasc u lar Respons e Feedbac k: 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? Selected Answer: