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MENTAL HEALTH FINAL EXAM 3 LATEST VERSIONS
(VERSION A,B AND C) NEWEST 2024 ACTUAL EXAM 300
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
MENTAL HEALTH FINAL EXAM VERSION A
Which medication increases the rate of urinary elimination of tricyclic antidepressants (TCAs) in the event of an overdose?
- Diazepam
- Antidysrhythmic
- Activated charcoal
- Sodium bicarbonate - ANSWER- D. Sodium bicarbonate
Rationale: Sodium bicarbonate alkalizes the urine and enhances the
elimination of medication; therefore it is used to speed up the elimination of high doses of TCAs. Diazepam is used to reduce central nervous system damage associated with high doses of TCAs.Antidysrhythmics are drugs used to treat cardiovascular events that occur as a result of an overdose of TCAs. The administration of activated charcoal reduces the absorption of TCAs.
Which instruction has priority when teaching a patient about clozapine?
- "Avoid unprotected sex."
- "Report sore throat and fever immediately." 1 / 4
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- "Reduce foods high in polyunsaturated fats."
- "Use over-the-counter preparations for rashes." - ANSWER- B.
"Report sore throat and fever immediately."
Rationale: Clozapine therapy may produce agranulocytosis; therefore,
signs of infection should be immediately reported to the health care provider. In addition, the patient should have white blood cell levels measured weekly.
The laboratory report for a patient taking clozapine (Clozaril) shows a white blood cell count of 3000 mm3 . Select the nurse's best action.
- Report the results to the health care provider immediately.
- Administer the next dose as prescribed.
- Give aspirin and force fluids.
- Repeat the laboratory test. - ANSWER- A. Report the results to the
health care provider immediately.
Rationale: These laboratory values indicate the possibility of
agranulocytosis, a serious side effect of clozapine therapy. These results must be immediately reported to the health care provider, and the drug should be withheld. The health care provider may repeat the test, but in the meantime, the drug should be withheld.
A health care provider considers which antipsychotic medication to prescribe for a patient diagnosed with schizophrenia who has auditory 2 / 4
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hallucinations and poor social function. The patient is also overweight and hypertensive. Which drug should the nurse advocate?
- Clozapine
- Ziprasidone
- Olanzapine
- Aripiprazole - ANSWER- D. Aripiprazole
Rationale: Aripiprazole is a third-generation atypical antipsychotic
effective against both positive and negative symptoms of schizophrenia. It causes little or no weight gain and no increase in glucose, high- or low-density lipoprotein cholesterol, or triglycerides, making it a reasonable choice for a patient with obesity or heart disease. C
A nurse can anticipate anticholinergic side effects are likely when a patient takes
- lithium.
- buspirone.
- imipramine (Tofranil)
- risperidone. - ANSWER- C. Imipramine (tofranil)
Rationale: Imipramine (Tofranil) is a tricyclic antidepressant with
strong anticholinergic properties, resulting in dry mouth, blurred vision, constipation, and urinary retention.
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The nurse should be particularly alert to expression of psychological distress through physical symptoms among patients whose cultural beliefs include (Select all that apply)
- mental illness reflects badly on the family.
- mental illness shows moral weakness.
- intergenerational conflict is common.
- the mind, body, and spirit are merged.
- food choices influence one's health. - ANSWER- A, B, D
Rationale: Physical symptoms are seen as more acceptable in cultural
groups in which interdependence and harmony of the group are emphasized. Mental illness is often perceived as reflecting a failure of the entire family. In groups in which mental illness is seen as a moral weakness and both the individual and family are stigmatized, somatization of mental distress is better accepted. In groups in which mind, body, and spirit are holistically perceived, somatization of psychological distress is common. Somatization and food are not commonly related. Intergenerational conflict has not been noted as a risk factor for somatization.
A nurse cares for a patient experiencing an opioid overdose. Which focused assessment has the highest priority?
- Cardiovascular
- Respiratory
- Neurological
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