Mental Health Midterm Drexel ACE

The auditory cortex is responsible for hearing and language. In which part of the cerebral cortex is it located A - Occipital lobe B - Parietal lobe C - Frontal lobe D - Temporal lobe - D The visual cortex processes visual information. In which part of the cerebral cortex is it located? A - Frontal lobe B - Occipital lobe C- Parietal lobe D - Temporal lobe - B Carbon monoxide poisoning often damages the occipital lobe of the brain. What might we expect when this part of the brain is damaged? A - Problems feeling touches to the skin on the opposite side of the body B - Problems processing visual information C - Problems retrieving long term memories D - Problems moving parts of the body on the same side as the damage - B A patient approached the nurse and stated "my doctor started me on medication to work with neurotransmitters, what are neurotransmitters? The RN best response would be: A - I should refer your question to your doctor B - Neurotransmitters are structures in the brain that assist in vision and movement C - Neurotransmitters are the chemicals in your brain that effect your mood and behavior D - Neurotransmitters connect the four lobes of the brain in order for functioning - C A patient presents to the psychiatric unit after an automobile accident with impaired social judgment by laughing at other patients, decreased motivation to get out of bed and inability to make decisions. The nurse would suspect, that the patient has damage to which area of the brain A - Frontal lobe B - Occipital lobe C - Parietal lobe D - Temporal lobe - A Some of the structures that make up the "emotional brain" are the following. Select all that apply. A - Hippocampus B - Amygdala C - Frontal lobe D - Hypothalmus - A B D The deficient neurotransmitter in Alzheimer's disease is? A - GABA B - Dopamine C - Acetylcholine D - Norepinephrine - C A pt presented to the inpatient psychiatric unit with symptoms that include low mood and changes in appetite. The nurse would know which neurotransmitter is suspected to be deficient? A - Dopamine B - GABA C - Serotonin D - Glutamate - C A patient was admitted to the psychiatric unit and placed on a psychotropic medication that effects the neurotransmitter dopamine. The nurse would expect to asses for which potential side effects of the medication prescribed? A - Extra pyramidal symptoms B - Cardiac effects C - Hives D - Hypertensive crisis - A 1. Anticholinergic side effects include (Select all that apply) A - Constipation B - Dry mouth C - Extrapyramidal symptoms D - Orthostatic hypotension - A B D 1. Tricyclic antidepressants are not usually the first line of choice for the treatment of depression because: A - They are less effective in the treatment of depression B - They can cause many side effects including weight gain, sedation, and cardiac dysfunction C - They block the re-uptake of GABA D - They block the enzyme monoamine oxidase - B 1. There are ethnic variations to psychotropic medication. The nurse would know, that one ethnic variation for African Americans includes: A - Respond faster to antipsychotic medication B - Require lower dosing of antipsychotic medication C - Have less extrapyramidal side effects D - Do not require genetic testing - A Which structure in the Limbic system maintains homeostasis? A - Hypothalmus B - Thalmus C - Hippocampus D - Amygdala - A The limbic structure that plays a major role in processing fear and anxiety is the A - Amygdala B - Hippocampus C - Thalamus D - Hypothalamus - A Which limbic structure filters sensory information before it reaches the cerebral cortex? Selected Answer: A - Amygdala B - Hypothalamus C - Thalamus D - Hippocampus - C Which neurotranmitters when deficient are primarily associated with depression? Select all that apply. A - Serotonin B - GABA C - Norepinephrine D - Histamine - A C 5 out of 5 points Selective Serotonin Reuptake Inhibitors (SSRIs) inhibit the reuptake of serotonin, making it less available in the synaptic space. True or False? - False Which medication is a Mood Stabilizer? A - Haloperidol (Haldol) B - Lithium C - Fluphenazine (Prolixin) D - Amitriptyline (Elavil) - B Conventional or First-generation antipsychotics are referred to as dopamine receptor agonists (DRAs) because they bind to dopamine type 2 (D2) receptors and reduce dopamine transmission. True or False? - True Antianxiety medications increase or decrease (select the correct word) the effectiveness of GABA? - increase The nurse is seeking clarification of a statement that was made by a patient. What is the best way for the nurse to seek clarification? A- "What would you say is the main point of what you just said?" B - "Tell me everything from the beginning." C - "Go on." D - "What are you thinking about?" - A In using a hierarchical rating system to evaluate evidence, what form provides the strongest form of evidence in which to base clinical practice? A - systematic reviews of descriptive or qualitative studies B - systematic review or meta-analysis of randomized control trial (RCT) C - controlled trial without randomization D - opinion of authorities or reports of expert committees - B What attribute is inherent to the "art" of nursing that refers to an intensity of presence, being there for and in tune with the patient? - Attending What is the current official guidebook for categorizing and diagnosing psychiatric mental health disorders in the United States? A - APNA B - PMHCNS C - DSM-5 D - ICD-10 - C Select the true statements about mental health and culture. Select all that apply. A - Health care providers must consider the norms and influence of culture in determining the mental health or mental illness of the individual. B - Throughout history, people have interpreted health or sickness according to their own cultural views. . C - Cultures do not differ in the way they both view mental illness and express the symptoms. D - A number of culture-bound syndromes appear only in particular cultures and do not appear globally in all societies or parts of the world. - A B D The function of the prefrontal cortex (PFC) is to A - regulate temperature and blood pressure. B - process fear and anxiety. C- regulate the cycle of sleep and wakefulness. D - coordinate complex cognitive functions and enables individuals to plan and execute goals - D The purpose of the mental status examination is to evaluate an individual's A - social and cultural beliefs. B - current medical conditions. C - current cognitive processes. D - interpersonal relationships - C The distinctive phases of the nurse-patient relationship are generally recognized as follows (Select all that apply): A - Working Phase B - Termination phase C - Nursing phase D - Orientation phase - A B D The circle of structures known as the emotional brain are: Select all that apply. A - Hippocampus B - Brainstem C - Amygdala D - Hypothalmus E - Thalmus - A C D E