NR326/ NR 326 CMS (NEW 2023/ 2024) Mental Health Nursing Exam| 100% Correct | Questions and Verified Answers| Grade A - Chamberlain
QUESTION
A patient
... [Show More] is admitted to a psychiatric unit, demonstrating extreme mania due to bipolar disorder. Before administration of lithium carbonate, the pa- tient's lithium blood level is 1. 2 mEq/L. What is the nurse's priority of action? A. Prepare to administer aminophylline
B. Administer the next dose of lithium carbonate as scheduled
C. Notify the provider for a possible increase in the dosage of lithium carbonate D. Request a stat repeat of the patient's lithium carbonate, as ordered
Answer:
B. Ad- minister the next dose of lithium carbonate as scheduled
QUESTION
A nurse has a patient who is taking paroxetine for posttraumatic stress dis- order. The patient states that he grinds his teeth during the night, which causes pain in his mouth. The nurse identifies which of the following interventions as possible measures to manage the client's bruxism? (Select all that apply) A. Concurrent administration of buspirone
B. Administration of a different SSRI C. Use of a mouth guard
D. Changing to a different class of antianxiety medication
E. Increasing the dose of paroxetine
Answer:
A. Concurrent administration of buspirone
C. Use of a mouth guard
D. Changing to a different class of antianxiety medication
QUESTION
Gina is assessing a patient 4 hours after administering a first dose of fluoxetine. Which of the following findings should Gina report to the provider as indications of serotonin syndrome? (Select all that apply):
A. Agitation B. Diaphoresis C. Muscular flaccidity
D. Hallucinations
Answer:
A. Agitation
B. Diaphoresis
D. Hallucinations
QUESTION
When conducting a suicide risk assessment, the nurse considers the following risk factors (select all that apply):
A. Age
B. Religion C. Gender D. City
E. Family history
Answer:
A. Age
C. Gender
E. Family History
QUESTION
Janet is a nurse admitting a patient who recently experienced an attempted suicide. Janet knows that the facts about suicide include the following (select all that apply):
A. Improvement after severe depression means that the suicidal risk is over. B. Clues and warnings about suicidal intentions are very subtle clues which may be ignored or disregarded by others
C. Suicidal threats and gestures should be considered manipulative or atten- tion-seeking behavior
D. Gunshot wounds are the leading cause of death among suicide victims
E. The majority of all people who ultimately kill themselves have a history
of previous attempt.
Answer:
D. Gunshot wounds are the leading cause of death among suicide victims
E. The majority of all people who ultimately kill themselves have a history of previous attempt.
QUESTION
An RN is caring for Betsy, a patient who recently experienced the death of her mother. The RN knows that the following factors influence the patient's grief and coping ability (select all that apply):
A. Culture B. Birth order C. Spiritual beliefs
D. Interpersonal relationships
E. Prior experience with loss
Answer:
A. Culture
C. Spiritual beliefs D. Interpersonal relationships E. Prior experience with loss
QUESTION
A patient who frequently seeks medical care and constantly asks the nurse to have her provider order excessive lab tests that are not necessary. The patient has been preoccupied for more than 6 months with excessive anxiety that a serious illness is present, or will be acquired. The patient's nurse understands that this is consistent with the following disorder:
A. Somatic symptom disorder
B. Conversion disorder
C. Illness anxiety disorder
D. Factitious disorder
Answer:
C. Illness anxiety disorder
QUESTION
Chet is the nurse preparing to care for a patient consenting to electro- convulsive therapy (ECT). Chet knows that ECT considerations include the following (select all that apply):
A. ECT treatment course is usually once a month for a total of two to three treatments
B. An informed consent is necessary
C. Thirty minutes before the procedure, IM Atropine Sulfate/glycopyrrolate is administered to decrease secretions and prevent bradycardia
D. During the procedure, methohexital or propofol is given IV bolus, as a short-acting anesthetic
E. A muscle relaxant, succinylcholine, is given to paralyze the muscles.
Answer:
B. An informed consent is necessary [Show Less]