Exam 1 NUR 3678 Questions With Complete Solutions
· No consistent line exists between mental illness and Correct
Answers mental health
A simple Mnemonic to remember general symptoms is
TRAUMA Correct Answers Traumatic event
Re-experiencing the trauma (intrusive memories and
nightmares)
Avoiding things associated with the trauma and emotional
numbing
Unable to function
For 1 Month
Increased Arousal (hypervigilance, startle response)
acetylcholine Correct Answers -Increases: Depression
-Decreases: Alzheimer disease, Huntington chorea, Parkinson
disease
active listening Correct Answers Observing the patient's
nonverbal behaviors
Listening and understanding the patient's verbal message social
context, and "false notes"
Most people want (in communication) the other person to be
there for them psychologically, socially, and emotionally.
Active listening helps strengthen the patient's ability to use
critical thinking to solve problems.
,By giving the patient undivided attention, the nurse
communicates that the patient is not alone
acute anxiety Correct Answers Precipitated by imminent loss or
threat
Acute grief usually lasts about 6 to 8 weeks; longer in older
adults Correct Answers The grief process is very individual;
may last for many years
admission to the hospital Correct Answers -illness must present
an immediate crisis
-psychiatric problem must be based on the DSM-5
-involuntary or voluntary admission
adventitious crisis Correct Answers It is accidental, uncommon,
unanticipated results in multiple losses may be because of
environmental changes. (natural disasters like floods,
earthquakes, contamination of large areas by toxic waste
products, famine, nuclear wars etc.)
Agoraphobia Correct Answers Is an intense and excessive level
of anxiety and a fear of being in places and situations from
which escape is impossible.
Feared places are avoided to control anxiety.
Avoidance behaviors (important in diagnosis) can be debilitating
and life constricting.
Responds well to CBT
,Antidepressants such as SSRIs help reduce the anxiety and can
treat comorbid depression
Alertness heightened: stress Correct Answers -circulating
adrenaline increases: increased HR, bloodflow, BP,
Respirations,
-brain stimulates hypothalamus, which stimulates ANS, SNS
signals adrenal system, epinephrine (adrenaline) is released,
pituitary releases ACTH
Antagonism of the histamine1 receptors Correct Answers
Sedation and weight gain
Antianxiety and Hypnotic Drugs (Nonbenzodiazepines):
buspirone (Buspar) Correct Answers An anxiolytic agent with
less potential for dependence
antianxiety meds affect Correct Answers GABA
Antianxiety or Anxiolytic Drugs:Benzodiazepines Correct
Answers -Anxiety:diazepam (Valium), clonazepam (Klonopin),
alprazolam (Xanax)
-Lorazepam (Ativan) and alprazolam (Xanax) reduce anxiety
without being as soporific (sleep producing) at lower therapeutic
doses.
-Insomnia:flurazepam (Dalmane), triazolam (Halcion)
anticholinesterases affect Correct Answers acetylcholine
, Antidepressant drugs-Monoamine Oxidase Inhibitors Correct
Answers Drugs that increase concentrations of monoamines by
inhibiting the action of MAO
Monoamines:
Catecholamines (e.g., norepinephrine, epinephrine, dopamine)
Indolamines (e.g., serotonin)
Many drugs and food substances
phenelzine (Nardil)
tranylcypromine (Parnate)
Antidepressant drugs: Tricyclics Correct Answers -
amitriptylene (Elavil), nortriptyline (Pamelor)
-Increase norepinephrine
-Side effects include anticholinergic effects
antidepressants affect Correct Answers serotonin
Antipsychotic Drugs/ First-Generation Agents (FGA) Correct
Answers chlorpromazine (Thorazine)fluphenazine
(Prolixin)haloperidol (Haldol)
-positive symptoms of schizophrenia
-Also called dopamine receptor agonists (DRAs)
-Bind to dopamine type 2 (D2) receptors
-Reduce dopamine transmission
antipsychotics affect Correct Answers dopamine
anxiety Correct Answers -Is the most basic emotion.
· No consistent line exists between mental illness and Correct
Answers mental health
A simple Mnemonic to remember general symptoms is
TRAUMA Correct Answers Traumatic event
Re-experiencing the trauma (intrusive memories and
nightmares)
Avoiding things associated with the trauma and emotional
numbing
Unable to function
For 1 Month
Increased Arousal (hypervigilance, startle response)
acetylcholine Correct Answers -Increases: Depression
-Decreases: Alzheimer disease, Huntington chorea, Parkinson
disease
active listening Correct Answers Observing the patient's
nonverbal behaviors
Listening and understanding the patient's verbal message social
context, and "false notes"
Most people want (in communication) the other person to be
there for them psychologically, socially, and emotionally.
Active listening helps strengthen the patient's ability to use
critical thinking to solve problems.
,By giving the patient undivided attention, the nurse
communicates that the patient is not alone
acute anxiety Correct Answers Precipitated by imminent loss or
threat
Acute grief usually lasts about 6 to 8 weeks; longer in older
adults Correct Answers The grief process is very individual;
may last for many years
admission to the hospital Correct Answers -illness must present
an immediate crisis
-psychiatric problem must be based on the DSM-5
-involuntary or voluntary admission
adventitious crisis Correct Answers It is accidental, uncommon,
unanticipated results in multiple losses may be because of
environmental changes. (natural disasters like floods,
earthquakes, contamination of large areas by toxic waste
products, famine, nuclear wars etc.)
Agoraphobia Correct Answers Is an intense and excessive level
of anxiety and a fear of being in places and situations from
which escape is impossible.
Feared places are avoided to control anxiety.
Avoidance behaviors (important in diagnosis) can be debilitating
and life constricting.
Responds well to CBT
,Antidepressants such as SSRIs help reduce the anxiety and can
treat comorbid depression
Alertness heightened: stress Correct Answers -circulating
adrenaline increases: increased HR, bloodflow, BP,
Respirations,
-brain stimulates hypothalamus, which stimulates ANS, SNS
signals adrenal system, epinephrine (adrenaline) is released,
pituitary releases ACTH
Antagonism of the histamine1 receptors Correct Answers
Sedation and weight gain
Antianxiety and Hypnotic Drugs (Nonbenzodiazepines):
buspirone (Buspar) Correct Answers An anxiolytic agent with
less potential for dependence
antianxiety meds affect Correct Answers GABA
Antianxiety or Anxiolytic Drugs:Benzodiazepines Correct
Answers -Anxiety:diazepam (Valium), clonazepam (Klonopin),
alprazolam (Xanax)
-Lorazepam (Ativan) and alprazolam (Xanax) reduce anxiety
without being as soporific (sleep producing) at lower therapeutic
doses.
-Insomnia:flurazepam (Dalmane), triazolam (Halcion)
anticholinesterases affect Correct Answers acetylcholine
, Antidepressant drugs-Monoamine Oxidase Inhibitors Correct
Answers Drugs that increase concentrations of monoamines by
inhibiting the action of MAO
Monoamines:
Catecholamines (e.g., norepinephrine, epinephrine, dopamine)
Indolamines (e.g., serotonin)
Many drugs and food substances
phenelzine (Nardil)
tranylcypromine (Parnate)
Antidepressant drugs: Tricyclics Correct Answers -
amitriptylene (Elavil), nortriptyline (Pamelor)
-Increase norepinephrine
-Side effects include anticholinergic effects
antidepressants affect Correct Answers serotonin
Antipsychotic Drugs/ First-Generation Agents (FGA) Correct
Answers chlorpromazine (Thorazine)fluphenazine
(Prolixin)haloperidol (Haldol)
-positive symptoms of schizophrenia
-Also called dopamine receptor agonists (DRAs)
-Bind to dopamine type 2 (D2) receptors
-Reduce dopamine transmission
antipsychotics affect Correct Answers dopamine
anxiety Correct Answers -Is the most basic emotion.
