Title RECALLS 5 - NP5 - SC ✅

3 | Page D. In the termination stage, because the student may be uncertain about his or her ability to make a difference. TOPIC: PSYCHIATRIC NURSING - PSYCH DRUGS Situation - Medication management is a crucial issue that greatly influences the outcome of treatment for many clients with mental disorders. Nurses should understand how these drugs work;their side effects, contraindications, and interactions; and the nursing interventions required to help clients manage medication regimens. 31. The nurse is teaching a client taking an MAOI about foods with tyramine that he or she should avoid. Which statement indicates that the client needs further teaching? A. “I’m so glad I can have pizza as long as I don’t order pepperoni.” B. “I will be able to eat cottage cheese without worrying.” C. “I will have to avoid drinking nonalcoholic beer.” D. “I can eat green beans on this diet.” 32. A client who has been depressed and suicidal started taking a tricyclicantic depressant 2 weeks ago and is now ready to leave the hospital to go home. Which is a concern for the nurse as discharge plans are finalized?  A. The client may need a prescription for diphenhydramine (Benadryl) to use for side effects. B. The nurse will evaluate the risk for suicide by overdose of thetricyclic antidepressant. C. The nurse will need to include teaching regarding the signs of neuroleptic malignant syndrome. D. The client will need regular laboratory work to monitor therapeutic drug levels 33. Which is a concern for children taking stimulants for ADHD for several years? A. Dependence on the drug B. Insomnia C. Growth suppression D. Weight gain 34. The nurse is caring for a client with schizophrenia who is taking haloperidol (Haldol). The client complains of restlessness, cannot sit still, and has muscle stiffness. Of the following prn medications, which would the nurse administer? A. Haloperidol (Haldol), 5 mg PO B. Benztropine (Cogentin), 2 mg PO C. Propranolol (Inderal), 20 mg PO D. Trazodone, 50 mg PO 35. Clients taking which type of psychotropic medications need close monitoring of their cardiac status?  A. Antidepressants B. Antipsychotics C. Mood stabilizers D. Stimulants TOPIC: PSYCHIATRIC NURSING – SUBSTANCE ABUSE   Situation – Patient A.D admitted himself to an alcohol rehabilitation facility. His alcohol abuse began in early adolescence.  36. While performing an intake interview, the nurse learns that the client drinks to avoid early morning “shakes.” The nurse recognizes this behavior as characteristic of which assessment?  A. Substance abuse. B. Substance dependence. C. Substance intoxication. D. Delirium tremens. 37. Which of the following is not a part of the CAGE questionnaire screening tool?   A. Have you ever felt you should cut down on your drinking? B. Have people annoyed you by criticizing your drinking? C. Have you ever felt guilty about your drinking? D. Have you ever felt isolated, like you were in a cage? 38. A client with a long history of alcoholism recently has been diagnosed with Wernicke- Korsakoff syndrome. Which symptom should the nurse expect to assess?  A. A sudden onset of muscle pain with elevations of creatine phosphokinase. B. Signs and symptoms of congestive heart failure. C. Loss of short-term and long-term memory and the use of confabulation. D. Inflammation of the stomach and gastroesophageal reflux disorder. 39. A client diagnosed with alcohol dependency states that his wife complains about his alcoholism, but continues to stock his bar with large quantities of bourbon. The nurse suspects codependency. Which characteristic would the nurse expect the wife to exhibit that would be indicative of this problem?  A. The wife has a long history of egocentric tendencies. B. The wife is a “people pleaser” and would do almost anything to gain approval. C. The wife does not feel responsible for making her husband happy. D. The wife has an accurate understanding regarding her own identity. 40. A nursing student is reviewing a client’s chart. It is noted that the client is exhibiting signs of a drinking pattern in the early alcoholic phase. Which behavior would the student expect to note?  A. Use of alcohol as a stress reliever. B. Amnesia that occurs during or immediately after a period of drinking. C. Total loss of control over drinking behaviors. D. Continuous intoxication with few periods of sobriety TOPIC: CARDIOVASCULAR NURSING - PACEMAKER AND TELEMETRY DEVICES Situation – Nurse Jenna, a registered nurse with 3 years of med-surg experience, has just received a new assignment. She’s been floated to the telemetry unit to cover for a staff shortage. Although new to telemetry, Jenna has completed her basic telemetry certification and is eager to apply her knowledge. 41. A patient Nurse Jenna is caring for has a permanent pacemaker implanted with the identification code beginning with VVI. What does this indicate? A. Ventricular paced, ventricular sensed, inhibited B. Variable paced, ventricular sensed, inhibited C. Ventricular sensed, ventricular situated, implanted D. Variable sensed, variable paced, inhibited 42. Nurse Jenna is caring for a patient who is exhibiting ventricular tachycardia (VT). Because the patient is pulseless, the nurse should prepare for what intervention?  A. Defibrillation B. ECG monitoring C. Implantation of a cardioverter defibrillator D. Angioplasty 43. The ED nurse is caring for a patient who has gone into cardiac arrest. During external defibrillation, what action should Nurse Jenna perform? A. Place gel pads over the apex and posterior chest for better conduction. B. Ensure no one is touching the patient at the time shock is delivered. C. Continue to ventilate the patient via endotracheal tube during the procedure. D. Allow at least 3 minutes between shocks. 44. Nurse Jenna is caring for a patient who has had a dysrhythmic event. The nurse is aware of the need to assess for signs of diminished cardiac output (CO). What change in status may signal to the nurse a decrease in cardiac output?  A. Increased blood pressure B. Bounding peripheral pulses C. Changes in level of consciousness D. Skin flushing 45. A nursing student asks Nurse Jenna about the difference between cardioversion and defibrillation. What would be her best response? A. Cardioversion is done on a beating heart; defibrillation is not. B. The difference is the timing of the delivery of the electric current.