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LMR FINAL EXAM COMPLETE QUESTIONS & DETAILED ANSWERS (WELL VERIFIED) ALREADY GRADED A+, Exams of Nursing

LMR FINAL EXAM COMPLETE QUESTIONS & DETAILED ANSWERS (WELL VERIFIED) ALREADY GRADED A+

Typology: Exams

2024/2025

Available from 07/06/2025

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LMR FINAL EXAM COMPLETE QUESTIONS & DETAILED
ANSWERS (WELL VERIFIED) ALREADY GRADED A+
What is another name for a cultural assessment? - CORRECT ANSWER >>>cultural
formulation interview
For a cultural syndrome what is our intervention? - CORRECT ANSWER >>>brief supportive
therapy
What ethnicity has the highest rate of suicide and suicide attempts in the US? - CORRECT
ANSWER >>>native americans
What comes before assessment and interventions in cultural quetsions? - CORRECT
ANSWER >>>respect
Native Americans can view mental illness as... - CORRECT ANSWER >>>an imbalance
between the individuals' relationship with the world
While completing a education in a community with lots of cultures.. what type of assessment
parameters would you use? - CORRECT ANSWER >>>ethnospecific assessment parameters
What is the range for TSH - CORRECT ANSWER >>>0.5-5
Symptoms of hypothyroidism - CORRECT ANSWER >>>weigh gain, fatigue, slow heart
rate and respiration rate, cold intolerance, low libido
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Download LMR FINAL EXAM COMPLETE QUESTIONS & DETAILED ANSWERS (WELL VERIFIED) ALREADY GRADED A+ and more Exams Nursing in PDF only on Docsity!

LMR FINAL EXAM COMPLETE QUESTIONS & DETAILED

ANSWERS (WELL VERIFIED) ALREADY GRADED A+

What is another name for a cultural assessment? - CORRECT ANSWER >>> cultural

formulation interview

For a cultural syndrome what is our intervention? - CORRECT ANSWER >>> brief supportive

therapy

What ethnicity has the highest rate of suicide and suicide attempts in the US? - CORRECT

ANSWER >>> native americans

What comes before assessment and interventions in cultural quetsions? - CORRECT

ANSWER >>> respect

Native Americans can view mental illness as... - CORRECT ANSWER >>> an imbalance

between the individuals' relationship with the world While completing a education in a community with lots of cultures.. what type of assessment

parameters would you use? - CORRECT ANSWER >>> ethnospecific assessment parameters

What is the range for TSH - CORRECT ANSWER >>> 0.5- 5

Symptoms of hypothyroidism - CORRECT ANSWER >>> weigh gain, fatigue, slow heart

rate and respiration rate, cold intolerance, low libido

symptoms of hyperthyroidism - CORRECT ANSWER >>> agitation, heat intolerance,

anxiety, irritability, tachycardia, weight loss, mood swings

When T4 and T3 are low, TSH secretion - CORRECT ANSWER >>> increases

When T4 and T3 are high, TSH secretion: - CORRECT ANSWER >>> decreases

Therapeutic drug range for Depakote - CORRECT ANSWER >>> 50 - 125

Signs of hepatotoxicity - CORRECT ANSWER >>> dark colored urine, abdominal pain in the

right abdomen, yellowing of skin and whites of eyes, fatigue

If a patient taking depakote presents with symptoms of hepatotoxicity, what test should I run? -

CORRECT ANSWER >>> Liver function test (ALT and AST)

What are signs of depakote toxicity? - CORRECT ANSWER >>> disorientation, lethargy,

respiratory depression, N/V

Interventions in Depakote Toxicity? - CORRECT ANSWER >>> DC the med, check valproic acid

level Check LFT Check amonia levels

What is Kava Kava used for? - CORRECT ANSWER >>> anxiety, stress, insomnia

What can kava kava casue? - CORRECT ANSWER >>> liver damage?

If lithium levels are 1.3-1.4 with signs of tox what do you do? - CORRECT ANSWER >>> DC

what medication is neuroprotective in bipolar disorder? - CORRECT ANSWER >>> lithium

Which meds have anti suicidal effects? - CORRECT ANSWER >>> clozaril and Lithium

Why do we check a UA for kidney dysfunction - CORRECT ANSWER >>> proteins... 4+ can

indicate risk for toxicity (decreased renal clearance of medication)

side effects of lithium - CORRECT ANSWER >>> hypothyroidism, fine hand tremors,

maculopapular rash, GI upset, polyruia, polydipsia, diabetes insipidus, T wave inversions, leukocytosis

Signs of lithium toxicity - CORRECT ANSWER >>> severe nausea, vomiting, diarrhea, ataxia,

confusion, drowsiness, muscle weakness, coarse hand tremors, heart palpitations

Patient presents with signs of lithium tox what is first action?? -^ CORRECT ANSWER

>>> DC MED

even before vitals

Hyponatremia can do what to lithium levels? - CORRECT ANSWER >>> increase

What migrane medications can cause SS? - CORRECT ANSWER >>> triptains (Imitrex)-

sumatriptan

If a patient is taking a triptan medication what should you not give and why? - CORRECT

ANSWER >>> antidepressants with serotonin effects due to SS

You could give wellbutrin (NDRI)

What antidepressant is good in cancer patients and why? -^ CORRECT ANSWER

>>> citalopram and Escitalopram less

drug drug interactions If your patient is depressed and has neuropathic pain what should you give first? What are two

other alternative options? - CORRECT ANSWER >>> SNRI

TCAs or GABA meds

You start a 16 year old on prozac... you want to assess for what at every visit? - CORRECT

ANSWER >>> suicidal thoughts

If your patient is depressed what should you assess for that could be a barrier to treatment? -

CORRECT ANSWER >>> alcohol use

used to self medicate depressive symptoms

Should you take prozac in the morning or at night? - CORRECT ANSWER >>> morning instead

of adding a medication for insomnia, switch prozac to the morning

What dx is the highest risk for suicide? - CORRECT ANSWER >>> Depression... followed

second by bipolar and third by alcohol abuse

What dx is the highest risk for homicide? - CORRECT ANSWER >>> Antisocial personality

disorder followed by schizoaffective second and BPD third

mental status exam of a preschooler (3-5 years old) relys on - CORRECT ANSWER >>> clinical

observation

What is another name for the MMSE? - CORRECT ANSWER >>> Folstein scale

What area of the brain is implicated in an abnormal clock drawing test? - CORRECT ANSWER

>>> right hemisphere, specifically the parietal lobe

Decreased dopamine in the mesocortical projection to the ............ is postulated to be

responsible for negative symptoms - CORRECT ANSWER >>> dorsolateral prefrontal cortex

What other medication can cause TD? - CORRECT ANSWER >>> Reglan (metoclopramide)

Increased levels of prolactin in the tuberoinfundibular pathway can case... - CORRECT

ANSWER >>> ammenorhea, sexual dysfunction, gynecomastia and galactorhea

What are normal prolactin levels? - CORRECT ANSWER >>> Men less than 20

Women less than 25 If your patient is taking an antipsych and you are looking for effects in the tuberoinfundibular

pathway what would you assess for? - CORRECT ANSWER >>> galactorhea, ammenorhea,

sexual dysfunction, osteopersosi

Tegretol is an inducer or an inhibitor? - CORRECT ANSWER >>> inducer

Clarithromycin is an inducer or inbibitor? - CORRECT ANSWER >>> inhibitor

If your patient is taking Tegretol and Clarithromycin what will happen to the drug levels of

Tegretol? - CORRECT ANSWER >>> Tegretol will increase leading to increased risk for tox or

side effects becuase the inhibitor properties of clarithromycin will take over

Acutane can cause both... - CORRECT ANSWER >>> depression and birth defects

If your patient is pregnant and presents on acutane what do you do? -^ CORRECT ANSWER

>>> tell them to stop due to birth defects

What two neurotransmitters are involved in addiction? - CORRECT ANSWER >>> dopaine

and GABA An anorexic patient complains of bloating and feeling extra full after eating.. this could be

caused by what? - CORRECT ANSWER >>> delayed gastric emptying

What medications can delay gastric emptying? - CORRECT ANSWER >>> ranitidine,

famotidine, omeprazole

Give medications how long apart between PPIs/Antacids and other meds - CORRECT

ANSWER >>> 2 hours

In oppositional defiant disorder they are not aggressive, just.... -^ CORRECT ANSWER

>>> defiant

What meds can you give in conduct disorder? - CORRECT ANSWER >>> antipsychotics and

mood stabilizers to try and treat agression and agitation, while SSRIs and alpha agonists to try and target symptoms

When do tics usually disappear? - CORRECT ANSWER >>> 12 years old (motor)

Primary neurotransmitters involved in tourettes - CORRECT ANSWER >>> DNS

FDA approved pharmacological management of Tourettes? -^ CORRECT ANSWER^ >>> Haldol,

Pimozide, Aripiprazole

If patient has tics what med do you want to eliminate that is contraindicate? - CORRECT

ANSWER >>> stimulants

Time frame with acute stress disorder - CORRECT ANSWER >>> within 4 weeks of event

symptoms are occurring. Can look like PTSD but HAS TO BE LESS THAN 4 WEEKS A nurse was assaulted by a patient 3 weeks ago and has symptoms of insomnia, increased

startle response and avoidance.. .what is the dx - CORRECT ANSWER >>> acute stress

disorder

Phases of EMDR - CORRECT ANSWER >>> DIB

Desensitation: visualizing the event, verbalizing negative thoughts, attentive to physical sensations. Happens while patient is moving their eyes rhythmically. They block out negative thoughts and breath deeply, verbalize feelings Installation: installs and increases the strength of positive thought that will replace negative thought related to traumatic event Body scan: visual trauma while thinking of positive thought. Scan body to idenitfy any tension

ADHD has problems in what three areas of the brain - CORRECT ANSWER >>> prefrontal

IF patient presents with depressed, irritable or labile mood.. administer what? - CORRECT

ANSWER >>> mood questionnaire

If a child presents with nightmares what do you assess for first? -^ CORRECT ANSWER

>>> familial history of nightmares

what neurotransmitters are implicated in ASD? - CORRECT ANSWER >>> glutamate, GABA

and Serotonin

What is the broken mirror theory of autism? - CORRECT ANSWER >>> Dysfunction of the

mirror neuron system may be a cause of poor social interaction and cognition

Treating Delerium with what med - CORRECT ANSWER >>> low dose haldol

If an older adult presents depressed what is an important thing to assess for? - CORRECT

ANSWER >>> cognitive screening/assessment

What levels need checked in dementia? - CORRECT ANSWER >>> folic acid and vitamin B

preferred treatment for HIV dementia - CORRECT ANSWER >>> anti retroviral drugs (refer

to PCP to start)

How to treat psychosis and agitation in dementia? - CORRECT ANSWER >>> atypicals first

For psychosis in DEMENTIA use atypicals

For psychosis in DELIRIUM use Haldol

Hippocampus function - CORRECT ANSWER >>> emotions, stress, learning and memory

Where is Norepinephrine produced? - CORRECT ANSWER >>> locus coeruleus and

medullary reticular formation

Where is dopamine produced? - CORRECT ANSWER >>> substantia nigra and ventral

tegmental area, and nucleus acumens

Signs of lead poisoning - CORRECT ANSWER >>> developmental delay and learning

disabilities, irritability, loss of appetite, weight loss, sluggishness/fatigue, abd pain, vomiting, constipation, hearing loss, seizures, pica. order lead test if presenting with these symptoms

An intact family leads to... - CORRECT ANSWER >>> easier adaptation

naurotransmitters implicated in mood - CORRECT ANSWER >>> DNS, Glutamate and

GABA

(G squared and DNS)

Risk factors for osteoporosis - CORRECT ANSWER >>> smoking, obesity, lack of exercise

(weight bearing), lack of diet rich in calcium and D, drinking caffiene

A patient part of group therapy is not participating what do you do? -^ CORRECT ANSWER

>>> encourage them to keep coming to group therapy but add on individual therapy to promote

interpersonal learning

If a child is unable to construct a narrative in the MSE what do you do? - CORRECT

ANSWER >>> used closed ended or yes/no questions

Use this before going to parents for information

If a patient has Rheumatoid Arthritis you need to check for what -^ CORRECT ANSWER

>>> ESR level

why might an infant have a shrill cry? - CORRECT ANSWER >>> increased intracranial

pressure

What stage is a child in when they play with their genitals -^ CORRECT ANSWER^ >>> phallac

and this is normal

Is it normal for boys 9-16 to develop swelling and tenderness under nipples? - CORRECT

ANSWER >>> yes and it goes away with 6 months

why might elderly female patients have decreased sex drive? -^ CORRECT ANSWER

>>> decreased blood flow to pelvic region and decreased testosterone

Where is alcohol dehydrogenase found - CORRECT ANSWER >>> mucosal lining of the

stomach men have more of it meaning women get drunk faster and have increased risk for liver problems compared to men

When does the grasp/palmer reflex dissapear - CORRECT ANSWER >>> 5 - 6 months

When does the moro/startle reflex disappear? - CORRECT ANSWER >>> 5 - 6 months

When does the babinski reflex dissapear - CORRECT ANSWER >>> 2 years

Viagra does what - CORRECT ANSWER >>> rapidly absorbs after oral administration What do

you check for in normocytic macrocytic anemia? - CORRECT ANSWER >>> folic

acid levels, B12 and iron levels

acupuncture is used for both - CORRECT ANSWER >>> pain and depression

what is Habeas Corpus - CORRECT ANSWER >>> legal concept that protects patients with

mental illness against unlawful hospitalization. They can use this to leave AMA if they were involuntarily admitted and want to leave

What is disseminated encephalomyelitis? - CORRECT ANSWER >>> nervous system is

affected and can cause fatigue, paresthesias, asymmetrical movements of extremities Important to do a neuro exam if they have this disease

What technique do you use if your patient is unable to report an accurate timeline of events? -

CORRECT ANSWER >>> Ask them specific anchor questions

You want to anchor memory or link memorable events

what is an iatrogenic disease - CORRECT ANSWER >>> disease produced by drugs

If they present with this ASSESS MED HISTORY

If a patient is pregnant and presents with alcohol or opioid intox/withdrawal what do you do? -

CORRECT ANSWER >>> send them to residential treatment center

do not report to cps FIRST

Scope of practice vs standard of practice - CORRECT ANSWER >>> scope: determined by

each state. Defines roles and actions Standard: does not vary between state. Determined by ANA. Judges nature of care provided If you have to start a pt on a medication and they cannot sign for consent or are very sick what

do you do? - CORRECT ANSWER >>> assess the patient for involuntary treatment

Justice - CORRECT ANSWER >>> doing what is fair despite social status, financial status,

sexual orientation or ethnicity

Non-maleficence - CORRECT ANSWER >>> do no harm

beneficence - CORRECT ANSWER >>> doing good

fidelity - CORRECT ANSWER >>> faithfulness; loyalty

veracity - CORRECT ANSWER >>> truthfulness

autonomy - CORRECT ANSWER >>> right to self-determination

A nurse made a medication error and you are employing a just culture... what do you do first -

CORRECT ANSWER >>> assess the patient

A patient is using the recovery model after a relapse from drinking... what do they do? -

CORRECT ANSWER >>> share what they have learned from the experience

In the recovery model you let your patient know... - CORRECT ANSWER >>> they are the

center!!!

four components of health policy - CORRECT ANSWER >>> 1. process: formulation,

implementation, and evaluation

  1. policy reform: changes in programs and practices
  2. policy environment: Arena of the process takes place in- government, media, public 4. policy makers: key players and stakeholders

Donaldson vs. O'Connor - CORRECT ANSWER >>> 1975 - Supreme Court case that ended in

the decision to deinstitutionalize patients in state mental hospitals; barred mental instatutions from committing patients involuntarily if they were not a threat to themselves or others

Rennie vs Klein - CORRECT ANSWER >>> In 1979, Rennie vs. Klein determined that patients

have the right to refuse any treatment and use an appeal process if they have not been found incompetent, absent an emergency

Tarasoff principle - CORRECT ANSWER >>> Duty to warn if there is danger to self and/or

others.

universality - CORRECT ANSWER >>> participants discover that others have similar

problems, thoughts and feelings and they are not alone