NRSG 1340 EXAM 1 | 174 QUESTIONS AND ANSWERS |
2026 UPDATE | WITH COMPLETE SOLUTION
What are three factors contributing to mental illness? Answer - Individual
- biological makeup
- intolerable or unrealistic worries or fearas
Interpersonal
- ineffective communication
- inadequate social support
Social/cultural
- unwarranted negative view of the world
- discrimination
What is the DSM-5? Answer - Diagnostic and statistical manual of mental
disorders
Manual published by the APA to establish
- defining characteristics or symptoms
- identification of the underlying causes of disorders
What are the five axis of the DSM-5? Answer - Axis I: Is a clinical syndrome,
such as a mood, anxiety, or learning disorder present?
,Axis II: Is a personality disorder or mental retardation present?
Axis III: Is a general medical condition such as heart disease, diabetes, or cancer
present?
Axis IV: Are social or environmental problems such as homelessness, divorce,
school problems, or other stressors present?
Axis V: What is the global assessment of this person's functioning (ranging from
"persistent danger of hurting oneself or others" to "superior functioning in a
wide range of activities")?
What is the leading cause of disability in the United States? Answer - Mental
illness
What is the "revolving door" concept? Answer - Shorter hospital stays leads to
decompensation which leads to rehospitalization and a diagnosis of both
mental illness and substance abuse
Mental illness affects what percentage of the homeless population? Answer -
33%
What are basic-level psychiatric nursing practices? Answer - - counseling
- milieu therapy
- self-care
- psychobiologic interventions
- health teaching
- case management
,- health promotion and maintenance
What are advanced-level psychiatric nursing practices? Answer - -
psychotherapy
- prescriptive authority for drugs
- consultation and liaison
- evaluation
- program development and management
- clinical supervision
True or false: The Diagnostic and Statistical Manual of Mental Disorders (DSM)
is a published document that outlines specific diagnostic criteria for mental
disorders that are based on clinical research and experience. Answer - True
_______ drugs are those that are used to change brain function and result in
alterations in perception, mood, or consciousness. Answer - Psychotropic
Psychotropic is affecting the mind of mental processes. Antipsychotic is
preventing or counteracting psychosis.
_______ management involves the use of an individual who coordinates and
manages all of the care required by a client. Answer - Case management
Give four examples of excitatory neurotransmitters. Answer - - dopamine:
complex movements, motivation, cognition, regulation of emotional response
- norepinephrine: attention, learning, memory, sleep, wakefulness, mood
regulation
- epinephrine: fight or flight response
- glutamate: neurotoxic effects at high levels
, Gove two examples of inhibitory neurotransmitters. Answer - - serotonin: food
intake, sleep, wakefulness, temperature regulation, pain control, sexual
behaviors, regulation of emotions
- GABA: major inhibitory neurotransmitter, modulation of other
neurotransmitters
Give an example of an excitatory/inhibitory neurotransmitter. Answer - -
acetylcholine: sleep and wakefulness cycle, signals muscles to become alert
Give five examples of first generation (conventional) antipsychotics. Answer - -
chlorpromazine
- fluphenazine
- thioridazine
- haloperidol
- loxapine
Give three examples of second generation (atypical) antipsychotics. Answer - -
clozapine
- risperidone
- olanzapine
Give an example of a third generation antipsychotic. Answer - Aripiprazole
What is the use and MOA of antipsychotics? Answer - Use: treatment of
psychosis
MOA: blocks dopamine receptors
2026 UPDATE | WITH COMPLETE SOLUTION
What are three factors contributing to mental illness? Answer - Individual
- biological makeup
- intolerable or unrealistic worries or fearas
Interpersonal
- ineffective communication
- inadequate social support
Social/cultural
- unwarranted negative view of the world
- discrimination
What is the DSM-5? Answer - Diagnostic and statistical manual of mental
disorders
Manual published by the APA to establish
- defining characteristics or symptoms
- identification of the underlying causes of disorders
What are the five axis of the DSM-5? Answer - Axis I: Is a clinical syndrome,
such as a mood, anxiety, or learning disorder present?
,Axis II: Is a personality disorder or mental retardation present?
Axis III: Is a general medical condition such as heart disease, diabetes, or cancer
present?
Axis IV: Are social or environmental problems such as homelessness, divorce,
school problems, or other stressors present?
Axis V: What is the global assessment of this person's functioning (ranging from
"persistent danger of hurting oneself or others" to "superior functioning in a
wide range of activities")?
What is the leading cause of disability in the United States? Answer - Mental
illness
What is the "revolving door" concept? Answer - Shorter hospital stays leads to
decompensation which leads to rehospitalization and a diagnosis of both
mental illness and substance abuse
Mental illness affects what percentage of the homeless population? Answer -
33%
What are basic-level psychiatric nursing practices? Answer - - counseling
- milieu therapy
- self-care
- psychobiologic interventions
- health teaching
- case management
,- health promotion and maintenance
What are advanced-level psychiatric nursing practices? Answer - -
psychotherapy
- prescriptive authority for drugs
- consultation and liaison
- evaluation
- program development and management
- clinical supervision
True or false: The Diagnostic and Statistical Manual of Mental Disorders (DSM)
is a published document that outlines specific diagnostic criteria for mental
disorders that are based on clinical research and experience. Answer - True
_______ drugs are those that are used to change brain function and result in
alterations in perception, mood, or consciousness. Answer - Psychotropic
Psychotropic is affecting the mind of mental processes. Antipsychotic is
preventing or counteracting psychosis.
_______ management involves the use of an individual who coordinates and
manages all of the care required by a client. Answer - Case management
Give four examples of excitatory neurotransmitters. Answer - - dopamine:
complex movements, motivation, cognition, regulation of emotional response
- norepinephrine: attention, learning, memory, sleep, wakefulness, mood
regulation
- epinephrine: fight or flight response
- glutamate: neurotoxic effects at high levels
, Gove two examples of inhibitory neurotransmitters. Answer - - serotonin: food
intake, sleep, wakefulness, temperature regulation, pain control, sexual
behaviors, regulation of emotions
- GABA: major inhibitory neurotransmitter, modulation of other
neurotransmitters
Give an example of an excitatory/inhibitory neurotransmitter. Answer - -
acetylcholine: sleep and wakefulness cycle, signals muscles to become alert
Give five examples of first generation (conventional) antipsychotics. Answer - -
chlorpromazine
- fluphenazine
- thioridazine
- haloperidol
- loxapine
Give three examples of second generation (atypical) antipsychotics. Answer - -
clozapine
- risperidone
- olanzapine
Give an example of a third generation antipsychotic. Answer - Aripiprazole
What is the use and MOA of antipsychotics? Answer - Use: treatment of
psychosis
MOA: blocks dopamine receptors
