NURS 3381 Exam 2 review Questions
with All Correct Solutions 2025-2026
Updated.
therapeutic milieu - Answer "healthy environment"
combined with a healthy social structure within an inpatient setting or structured outpatient
clinic is essential to supporting and treating those with mental illness
parity nursing - Answer laws set designed to ensure that certain types of health plans cover
mental health and substance use disorders.
sympathetic nervous system - Answer the division of the autonomic nervous system that
arouses the body, mobilizing its energy in stressful situations fight or flight
freeze - Answer Person goes blank and stops responding.
Result of overwhelming trauma, no hope of escape, car accident or assault
parasympathetic nervous system - Answer the division of the autonomic nervous system
that calms the body, conserving its energy rest and digest
Flashbacks - Answer acting or feeling as though the traumatic event is happening again.
-recurrent nightmares
-unwanted distressing memories of the event
-having strong physical and emotional responses of stress when reminded to the traumatic
event
trauma informed care - Answer an approach to treatment that acknowledges the role that
trauma can have on the mental health of individuals
Psychotherapy - Answer First line of TX approach for PTSD
cognitve behavioral therapy (CBT) - Answer a popular integrative therapy that combines
cognitive therapy with behavior therapy -Cognitve behavioral therapy has the strongest
evidence for reducing the symptoms of PTSD in veterans
cognitive processing therapy - Answer Therapy that teaches the person how to evaluate &
change upsetting thoughts expeirnced since the trauma.
,prolonged exposure therapy - Answer A cognitive-behavioral treatment for PTSD that
involves repeatedly exposing individuals to stimuli that remind them of their past trauma in
order to alter their fear networks.
Eyemovement desensitization and reprocessing (EMDR) - Answer While thinking of or talking
about the trauma, the indivudal focuses on other stimuli, such as eye movements, hand taps
and sounds.
What are the two primary medications approved by the FDA to treat PTSD - Answer Setraline
and Paroxotine
-Monitor closely
-Discointiuation symptoms problematic
Off labeled meds used to treat PTSD. 1st line of deffense drugs - Answer Fluoxetine(SSRI) &
Venlaflaxine(SNRI)
-Reccommended for first line of deffense for PTSD
Off labeled meds used to treat PTSD. 2nd line of deffense drugs - Answer Vortioxetine &
Topirate
-Vortioxetine, modulates GABA and Glutimate neurotransmission
-Topirate Anticovulsion med
Marijuana is used as an adjuncitve medication.
intrusive symptoms of PTSD - Answer Obsessive thoughts, dreams/nightmares, flashbacks,
hallucinations, rumination, dissociative amnesia.
-It is important to stay with Pt and offer reassurance and emotional saftey.
negative cognitive symptoms of PTSD - Answer Inability to recall key features of the event,
negative mood or emotions, feeling distanced from others, and a persistent negative view of the
world thus leading to INCREASED SUICIDE RISK.
DSM-5 Criteria for DID - Answer - disruption of identity characterized by two or more distinct
personality states
- host personality may not know alters
- recurrent gaps in the recall of everyday events, important personal , and/or traumatic events
that are "too extensive to be explained by ordinary forgetfulness."
, - Patient "Lost time" lose memory recollition during X time during X an alter personality will be
in control of the host person.
- symptoms cause clinically significant distress or impairment in social, occupational, or other
important areas of functioning
- not part of a broadly accepted cultural or religious practice, or attributable to imaginary play
- not attributable to the physiological effect of a substance or another medical condition
Etiology of DID - Answer history of severe physical and/or sexual trauma in childhood.
Comorbid with PTSD, symptoms cause significant distress and impaired functioning.
Expected Behavior of DID - Answer -Finding clothing or other unfamiliar items in your
possession
-Being recognized by unfamiliar persons
-Diffrent hand writing on documents
-Losing periods of time
DSM-5 Criteria for Depersoalization/Derealization Disorder - Answer -Recurrent periods of
feeling unreal, detached from the body, numb or dream-like
-experiencing a distorted sense of time or visual perception
-Specifically, people who experience episodes of unreality from one's mind self, or body.
-Unreality or detachment from one's surroundings.
DSM-5 criteria for dissociative amnesia - Answer -Inability to recall info. about self, usually of
traumatic nature
-Memory impairment may be selective for the traumatic event(s).
-Symptoms are not a result of drug misuse or medical condtions like "head trauma".
DSM-5 Criteria for dissociative amnesia W/fugue - Answer -Associated with amnesia for
one's identity or other important autobiographical info.
-KEY POINT: Bewildered wandering or purposeful travel.
Examples of moods during deppresion. - Answer -Anxiety, feelings of worthlessness ranging
from feeling inadequate to having an unrealistic evaluation of self-worth. These feelings reflect
low self-esteem. "I am no good" "I'll never amount to anything
-Guilt, "I have committed terrible sins". " I have caused terrible pain and destruction to
everyone I have ever known now I am paying for it.
with All Correct Solutions 2025-2026
Updated.
therapeutic milieu - Answer "healthy environment"
combined with a healthy social structure within an inpatient setting or structured outpatient
clinic is essential to supporting and treating those with mental illness
parity nursing - Answer laws set designed to ensure that certain types of health plans cover
mental health and substance use disorders.
sympathetic nervous system - Answer the division of the autonomic nervous system that
arouses the body, mobilizing its energy in stressful situations fight or flight
freeze - Answer Person goes blank and stops responding.
Result of overwhelming trauma, no hope of escape, car accident or assault
parasympathetic nervous system - Answer the division of the autonomic nervous system
that calms the body, conserving its energy rest and digest
Flashbacks - Answer acting or feeling as though the traumatic event is happening again.
-recurrent nightmares
-unwanted distressing memories of the event
-having strong physical and emotional responses of stress when reminded to the traumatic
event
trauma informed care - Answer an approach to treatment that acknowledges the role that
trauma can have on the mental health of individuals
Psychotherapy - Answer First line of TX approach for PTSD
cognitve behavioral therapy (CBT) - Answer a popular integrative therapy that combines
cognitive therapy with behavior therapy -Cognitve behavioral therapy has the strongest
evidence for reducing the symptoms of PTSD in veterans
cognitive processing therapy - Answer Therapy that teaches the person how to evaluate &
change upsetting thoughts expeirnced since the trauma.
,prolonged exposure therapy - Answer A cognitive-behavioral treatment for PTSD that
involves repeatedly exposing individuals to stimuli that remind them of their past trauma in
order to alter their fear networks.
Eyemovement desensitization and reprocessing (EMDR) - Answer While thinking of or talking
about the trauma, the indivudal focuses on other stimuli, such as eye movements, hand taps
and sounds.
What are the two primary medications approved by the FDA to treat PTSD - Answer Setraline
and Paroxotine
-Monitor closely
-Discointiuation symptoms problematic
Off labeled meds used to treat PTSD. 1st line of deffense drugs - Answer Fluoxetine(SSRI) &
Venlaflaxine(SNRI)
-Reccommended for first line of deffense for PTSD
Off labeled meds used to treat PTSD. 2nd line of deffense drugs - Answer Vortioxetine &
Topirate
-Vortioxetine, modulates GABA and Glutimate neurotransmission
-Topirate Anticovulsion med
Marijuana is used as an adjuncitve medication.
intrusive symptoms of PTSD - Answer Obsessive thoughts, dreams/nightmares, flashbacks,
hallucinations, rumination, dissociative amnesia.
-It is important to stay with Pt and offer reassurance and emotional saftey.
negative cognitive symptoms of PTSD - Answer Inability to recall key features of the event,
negative mood or emotions, feeling distanced from others, and a persistent negative view of the
world thus leading to INCREASED SUICIDE RISK.
DSM-5 Criteria for DID - Answer - disruption of identity characterized by two or more distinct
personality states
- host personality may not know alters
- recurrent gaps in the recall of everyday events, important personal , and/or traumatic events
that are "too extensive to be explained by ordinary forgetfulness."
, - Patient "Lost time" lose memory recollition during X time during X an alter personality will be
in control of the host person.
- symptoms cause clinically significant distress or impairment in social, occupational, or other
important areas of functioning
- not part of a broadly accepted cultural or religious practice, or attributable to imaginary play
- not attributable to the physiological effect of a substance or another medical condition
Etiology of DID - Answer history of severe physical and/or sexual trauma in childhood.
Comorbid with PTSD, symptoms cause significant distress and impaired functioning.
Expected Behavior of DID - Answer -Finding clothing or other unfamiliar items in your
possession
-Being recognized by unfamiliar persons
-Diffrent hand writing on documents
-Losing periods of time
DSM-5 Criteria for Depersoalization/Derealization Disorder - Answer -Recurrent periods of
feeling unreal, detached from the body, numb or dream-like
-experiencing a distorted sense of time or visual perception
-Specifically, people who experience episodes of unreality from one's mind self, or body.
-Unreality or detachment from one's surroundings.
DSM-5 criteria for dissociative amnesia - Answer -Inability to recall info. about self, usually of
traumatic nature
-Memory impairment may be selective for the traumatic event(s).
-Symptoms are not a result of drug misuse or medical condtions like "head trauma".
DSM-5 Criteria for dissociative amnesia W/fugue - Answer -Associated with amnesia for
one's identity or other important autobiographical info.
-KEY POINT: Bewildered wandering or purposeful travel.
Examples of moods during deppresion. - Answer -Anxiety, feelings of worthlessness ranging
from feeling inadequate to having an unrealistic evaluation of self-worth. These feelings reflect
low self-esteem. "I am no good" "I'll never amount to anything
-Guilt, "I have committed terrible sins". " I have caused terrible pain and destruction to
everyone I have ever known now I am paying for it.
