NR326 NR-326 Exam 2 Latest

NR326 / NR-326 Exam 2 (Latest

Update 2024 / 2025): Mental Health

Nursing | Complete Guide with Questions and Verified Answers | 100% Correct - Chamberlain

Question:

Is mydriasis (pupil dilation) seen in stimulants or depressants?

Answer:

Pupil dilation is seen with stimulants. Pupil constriction (miosis) is seen in intoxication with depressants like opioids BUT dilation is seen when the patient taking opioids is withdrawaling.

Question:

Why is growth and challenges nearly impossible when the brain has experienced trauma?

Answer:

when the brain experiences trauma, it freezes

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Question:

When are diagnoses usually made in child/adolescents?

Answer:

around age 14.. before that, symptoms are just building up.. we aren't sure what the main diagnosis will actually be yet so they tend to have multiple

when younger (example: ADHD in addition to..)

** mood disorder is most common diagnosis

Question:

What do we have to consider in assessment to get the most accurate information in children/adolescents?

Answer:

• age
• culture
• functioning

** make sure they do not think they are in trouble.. we want them to trust us..play therapy may be used

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Question:

• decreased metabolism in the frontal lobes that can be seen on MRIs
• genetic
• usually identified in preschool or early school years

Manifestations:

• inattention
• impulsivity
• hyperactivity
• anxiety, frustration, and agitation are common
• poor judgement; act before thinking

Nursing considerations:

• they are always moving.. make sure they are getting enough calories and

hydration (finger foods when they can't sit still)

• structured daily routine
• simplify instructions
• operant conditioning
• allow for breaks

Teaching:

• monitor weight
• monitor for insomnia
• give every day, with or right after meals
• give at same time every day (at least 6 hours before bed) 3 / 4

• stimulants can make them aggressive

Answer:

ADD/ADHD

Question:

atomoxetine (Strattera) can cause liver damage, what should we look for?

Answer:

dark urine

Question:

• serious neurodevelopment disorder that impairs a child's ability to

communicate and interact with others

• impairment in functioning
• identified between 18 months and 2 years of age

Manifestations:

• repetitive behaviors (hand flapping, rocking), interests, and activities
• tip toe walking
• little eye contact
• unusual reaction to sounds, smells, and other senses
• labile mood
• delayed language
• concrete thinking (black and white)
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