PRACTICE EXAM QUESTIONS AND ANSWERS FOR

PRACTICE EXAM QUESTIONS AND ANSWERS FOR

NCLEX RN: 6 NEW UPDATE QUESTIONS

A night shift psychiatric RN on the unit is going out of a pt's room & notices a pt w/ bipolar experiencing an episode of mania @ RN's station. Which intervention would promote therapeutic interaction w/ the pt?

1.) Approaching pt & assertively ask him to abide by acceptable behavior 2.) Redirect the pt to room & minimize triggers of behavior 3.) Reminding pt of limits & isolating pt to his room 4.) Going over unit rules & pt's rights, then encourage pt to go to room & sleep b/c its late - CORRECT ANSWER 2 => Effective strategies include redirecting pt & reducing environmental triggers -redirect pt to room

Explanations:

• = pt does NOT have active listening
• = does NOT work; should NOT isolate pt if not harming self or others
• = trigger in environment; won't listen

If a pt has the following what psychiatric disorder are they experiencing?

1.) Poor concentration 2.) Hyperactivity 3.) Impulsivity 4.) Distractability - CORRECT ANSWER Mania => apart of bipolar disorder -manic-depressive illness

This is manifested by mood swings involving euphoria (intense excitement & happiness), grandiosity, & an inflated sense of self-worth

=> May or may not include sudden swings to depression - CORRECT ANSWER Bipolar Disorder (Mania-Depressive disorder)

(Bipolar Disorder) Name the 11 Depressive symptoms - CORRECT ANSWER 1.) Feelings of hopelessness, worthlessness, guilt, shame

2.) Despair => lack of hope

3.) Flat affect

4.) Indecisiveness

5.) Lack of motivation & DECREASED concentration

6.) Changes in physical appearance => slumped postures, unkempt => sit unkempt. shoulders unkept

7.) Suicidal thoughts

8.) Possible delusions of hallucinations

9.) Sleep & appetite disturbances

10.) Loss of interest in sexual activities

11.) Constipation

(Bipolar Disorder) Nursing plan for Depressive phase (8 things) - CORRECT ANSWER 1.) Directly ask the pt about feelings & plan to harm self

2.) Monitor sleep, nutrition, & elimination patterns

3.) Initiate interaction w/pt, but sit in silence of pt is non-talkative

4.) Insist for participation in activities => do NOT give options; say time to go somewhere -tell pt's what to do when they are in depressive phase

5.) Observe for sudden elevation in mood => indicates INCREASED risk for suicide

6.) Encourage discussion of feelings => ask open-ended questions

7.) Admin anti-depressants

8.) Spend time w/ pt & return to room when promised => if NOT, pt will feel unwanted & will go down deeper in their depression

*"are you having suicidal thought?" "Do you plan to harm yourself?"

What type of drugs are Amitriptyline, Desopramine, Imipramine, Nortiptyline, Protriptyline, & Maprotiline? - CORRECT ANSWER Antidepressant drugs => Tricyclics

The following side effects of these antidepressant drugs are apart of what drug class & the drugs included?

1.) Anticholinergic effects

=> dry mouth, burred vision, constipation, & urinary retention

2.) Poor concentration 3.) Cardiovascular effects

4.) N/V - CORRECT ANSWER Tricyclics:

=> Amitriptyline, => Desopramine, => Imipramine, => Nortiptyline, => Protriptyline, & => Maprotiline

(Antidepressant drugs: Tricyclics: Amitriptyline, Desopramine, Imipramine, Nortiptyline, Protriptyline, & Maprotiline) What is the pt. teaching for these drugs? (5 things) - CORRECT ANSWER 1.) Give @ hs to minimize sedation effect 2.) Take 2-6 wks for therapeutic effects 3.) AVOID alcohol 4.) Evaluate suicide risk 5.) Lethal in overdose

(Antidepressant drugs) What type of meds & drug class have the following side effects?

1.) Tachycardia, constipation, impotence 2.) Dizziness, insomnia, muscle twitching 3.) Drowsiness, dry mouth, fluid retention 4.) HTN crisis => Severe HTN, severe HA, chest pain, fever, sweating, N/V, confusion - CORRECT ANSWER MAO-inhibitors => Isocarboxazid => Phenelzine => Tranylopromine sulfate &