Exam 2: NUR 2459 / NUR2459 |Latest 2023 /
2024| Mental and Behavioral Health Nursing
| Grade A | Questions and Verified Answers|
Rasmussen
❖ What symptoms would the nurse expect to assess i a patient experiencing serotonin
syndrome?
✓ Answer: Confusion, restlessness, Tachycardia, Labile BP, & diaphoresis
❖ Which of the following meds would be classified as Tricyclic antidepressants?
✓ Answer: Nortriptyline (Pamelor)
❖ Which of the following are examples of anticholinergic side effects from tricyclic
antidepressants?
✓ Answer: Urinary hesitancy, constipation, and blurred vision
❖ A patient seen in the ED is experiencing irritability, pressured speech, and increased
levels of anxiety. The priority is?
✓ Answer: Assess vital signs and complete a physical assessment
❖ A patient diagnosed with bipolar 1 in the manic phase is yelling at another peer in the
milieu. The priority intervention is?
✓ Answer: Calmly redirect and remove the patient from the milieu.
❖ A patient is experiencing paranoid thinking. Which intervention would aid in facilitating
other interventions?
✓ Answer: Assign consistent staff members
❖ Which atypical anti-psychotic med has the highest potential for a patient to experience
serious side effects?
✓ Answer: Clozapine (Clozaril)
❖ A patient with schizophrenia says “We can pan, scan, ran, plan”. The nurse identifies this
as?
✓ Answer: Clang association
❖ A schizophrenic patient began taking haldol 1 week ago and is now exhibiting jerking
movements of the neck and mouth. This is?
✓ Answer: Dystonia