SSP 2023 -NSG 322 Exam 2 Explore More Session 1

Question 1

While assessing a patient for ASD, which of the following should the nurse expect?

Accepted Answer

Patient experiences a sense of unreality about the incident

Question 2

What signs and symptoms would the nurse expect to find in a patient admitted with PTSD? (SATA)

Accepted Answer

Difficulty concentrating, Negative self-image, Recurring nightmares

Question 3

A patient with extreme mania has a lithium level of 1.2 mEq/L. Which of the following actions should the nurse take?

Accepted Answer

Administer the next dose of lithium as scheduled

Question 4

What should be included in a plan of care for a bipolar client experiencing a manic episode? (SATA)

Accepted Answer

Offer concise explanations and a firm approach with communication, Establish consistent limits

Question 5

The nurse assesses a patient taking fluoxetine for panic DO - what statement shows patient understanding of the drug?

Accepted Answer

"I will need to discontinue this medication slowly."

Question 6

Which of the following are risk factors for major depression? (SATA)

Accepted Answer

Personal history of panic disorder, History of chronic bronchitis, Recent death in the family and family history of depression

Question 7

Which of the following statements indicates a patient understands her diagnosis of premenstrual dysphoric DO (PMDD)?

Accepted Answer

"I am aware that my PMDD causes me to have rapid mood swings."

Question 8

What is the priority when admitting a patient with major depressive disorder and co-morbid anxiety DO ?

Accepted Answer

Placing patient on one to one observation

Question 9

Teaching about imipramine and how to minimize anticholinergic effects should include which of the following? (SATA)

Accepted Answer

Chew sugarless gum, Void just before taking the medication, Wear sunglasses outside

Question 10

A patient comes to the ER with benzodiazepine toxicity - what is the nurse's priority?

Accepted Answer

Assess the patient's level of orientation

Question 11

Which of the following should the nurse include when teaching the patient about the signs of lithium toxicity? (SATA)

Accepted Answer

Polyuria, Muscle weakness

Question 12

Interventions for a PTSD patient taking paroxetine for nightmares who complains of grinding his teeth at night. (SATA)

Accepted Answer

Concurrent administration of buspirone, Changing to another class of antianxiety medication, Using a mouth guard

Question 13

When teaching a new nurse about MDD, which statement indicates understanding?

Accepted Answer

"The patient is a greater suicide risk during the first weeks of MDD."

Question 14

Which statement by a new nurse indicates understanding about the use of electroconvulsive therapy (ECT) for bipolar DO?

Accepted Answer

"ECT is effective for patients who are experiencing severe mania."

Question 15

What information should the nurse include for a patient newly prescribed alprazolam for GAD?

Accepted Answer

Report confusion as a potential indication of toxicity

Question 16

What indicators of serotonin syndrome in a patient who received an initial dose of fluoxetine 4 hours earlier? (SATA)

Accepted Answer

Diaphoresis, Hallucinations and agitation

Question 17

What is the best response to a bipolar patient talking about how rich she is and her plans to give a lot to the nurse?

Accepted Answer

"I am here to provide care and cannot accept anything from you."

Question 18

Which of the following should be reported for a patient newly prescribed buproprion for depression?

Accepted Answer

Client sustained a head injury last year in a car crash

Question 19

A nurse, discussing relapse prevention with a bipolar patient should include which of the following information? (SATA)

Accepted Answer

Difficulty sleeping may incidate a relapse., Anhedonia is a clinical sign of a depressive relapse., Participating in psychotherapy can help prevent relapse.

Question 20

How might a nurse avoid developing trauma-related disorder after working a serious and prolonged mass casualty? (SATA)

Accepted Answer

Debrief with others and take advantage of offered counselling, Take breaks for food and water during the incident

Question 21

Which of the following findings would the nurse identify as an indication of derealization?

Accepted Answer

Patient states furniture in the room seems small and far away

Question 22

A nurse, note a patient with bipolar disorder is escalationg. What is the priority nursing action?

Accepted Answer

Monitor closely for escalating behavior

Question 23

For a patient beginning lithium therapy, which of these items in the medical history should be reported to the provider?

Accepted Answer

"Current medications include furosemide for congestive heart failure."

Question 24

When planning care of a patient with dissociative fugue, what intervention should the nurse add to the care plan?

Accepted Answer

Work with patient on grounding techniques

Question 25

Which of the following would the nurse expect to find in a patient newly diagnosed with persistent depressive DO (PDD)?

Accepted Answer

Presence of symptoms for at least 2 years.

SSP 2023 -NSG 322 Exam 2 Explore More Session 1

Questions 25

SSP 2023 -NSG 322 Exam 2 Explore More Session 1

Questions 25