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NUR 2459 Mental and Behavioral Health Nursing Exam | Actual Exam Questions and Answers with Rationale | Already Verified Answers | Rasmussen University

1) Which nursing diagnosis is likely to apply to an individual with severe and persistent
mental illness who is homeless?
a. Insomnia
b. Substance abuse
c. Chronic low self-esteem
d. Impaired environmental interpretation syndrome -----CORRECT ANSWER--------
ANS: C
Many individuals with severe mental illness do not live with their families and are
homeless. Life on the street or in a shelter has a negative influence on the
individual's self-esteem, making this nursing diagnosis one that should be
considered. Insomnia may be noted in some patients but is not a universal
problem. Substance abuse is not an approved North American Nursing Diagnosis
Association (NANDA) International diagnosis. Impaired environmental
interpretation syndrome refers to persistent disorientation, which is not observed
in a majority of the homeless.
2) A patient with depression is receiving imipramine (Tofranil) 200 mg every night at
bedtime. Which assessment finding would prompt the nurse to collaborate with the
health care provider regarding potentially hazardous side effects of this drug?
a. Dry mouth
c. Nasal congestion
b. Blurred vision
d. Urinary retention -----CORRECT ANSWER--------ANS: D. Urinary retention
All the side effects mentioned are the result of the anticholinergic effects of the
drug. Only urinary retention and severe constipation warrant immediate medical
attention. Dry mouth, blurred vision, and nasal congestion may be less
troublesome as therapy continues.

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Subject: Nursing
All documents for this course ›
Document
Section: Examinations
Made on: 10-17-2023
Type: .pdf
Pages: 17
Language: English
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