Maryville NURS 663 Exam 3 Megadeck Revised
Latest Update 2024-2025 Actual Exam from
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abused child - CORRECT ANSWER: fear, guilt, anxiety, depression, and ambivalence
regarding disclosure
Acute phase of schizophrenia - CORRECT ANSWER: Onset or exacerbation of
symptoms with loss of functional abilities. positive s/s
Acute stress disorder dx timeline - CORRECT ANSWER: 3 days to one month
aggressive children - CORRECT ANSWER: had significantly greater relative right frontal
brain activity at rest comparitively. Frontal resting brain electrical activity has been
hypothesized to reflect the ability to regulate emotion
Alpha2 agonists - CORRECT ANSWER: decrease norepinephrine release, such as, are
Anhedonia - CORRECT ANSWER: inability to experience pleasure
Antiadrenergic agents - CORRECT ANSWER: treat dysregulation of the noradrenergic
system in adults and youth with PTSD
Are whites or blacks (adolescents) more likely to drink alcohol? - CORRECT ANSWER:
whites
Ask Suicide-Screening Questions (ASQ) toolkit - CORRECT ANSWER: 1. screening
youth ages 10-24 (for patients with mental health chief complaints, consider screening
below age 10).
,2. recommended that screening be conducted without the parent/guardian present.
3. Patients who screen positive should receive a brief suicide safety assessment
(BSSA) conducted by a trained clinician to determine if a more comprehensive mental
health evaluation is needed
Attachment - CORRECT ANSWER: --develops when a child is repeatedly soothed,
comforted, and cared for, and when the caregiver consistently meets the child's needs
--creates love and trust others, to become aware of others' feelings and needs, to
regulate his or her emotions, and to develop healthy relationships and a positive self-
image
Attachment Neuropsych - CORRECT ANSWER: 1. right hemispheres forge neural
connections between infants subcortical, bodily-based affective states with conscious
emotional states in the higher brain regions of the right hemisphere;
2. these circuits are vital to emotional processing, empathy and development of self
3. Right hemisphere and limbic system develop rapidly during the first year and
responsible for habitual responses to stress
atypical antipsychotic Side effects - CORRECT ANSWER: Weight gain, DM,
dyslipidemia,
HoTN, sedation
Monitor weight, BP, fasting glucose and lipids
Less risk of extrapyramidal sx and hyperprolactinemia
Negative symptoms respond well
BCA 0.05 % - CORRECT ANSWER: thought, judgment, and restraint are loosened and
sometimes disrupted.
BCA 0.1 to 0.15 - CORRECT ANSWER: In most states, legal intoxication ranges
BCA 0.1% - CORRECT ANSWER: voluntary motor actions usually become perceptibly
clumsy
,BCA 0.2 % - CORRECT ANSWER: the function of the entire motor area of the brain is
measurably depressed, and the parts of the brain that control emotional behavior are
also affected
BCA 0.3% - CORRECT ANSWER: a person is commonly confused or may become
stuporous
BCA 0.4 to 0.5 % - CORRECT ANSWER: the person falls into a coma. At higher levels,
the primitive centers of the brain that control breathing and heart rate are affected, and
death ensues secondary to direct respiratory depression or the aspiration of vomitus.
Benzo immediate risks - CORRECT ANSWER: large margin of safety when taken in
overdoses
lethal dose to effective dose is about 200 to 1; minimal respiratory depression.
Benzo MOA - CORRECT ANSWER: Stimulation of the inhibitory GABAergic activity,
either by endogenous ligands or _______ or results in sedation, amnesia and ataxia,
while attenuation of the GABAergic system leads to arousal, anxiety, restlessness,
insomnia and exaggerated reactivity
Benzo w/d mood and cognition - CORRECT ANSWER: Anxiety, apprehension,
dysphoria, pessimism, irritability, obsessive rumination, and paranoid
ideation
Benzo w/d perception - CORRECT ANSWER: Hyperacusis, depersonalization, blurred
vision, illusions, and hallucinations
Benzo w/d phys s/sx - CORRECT ANSWER: Tachycardia, elevated blood pressure,
hyperreflexia, muscle tension, agitation/motor
restlessness, tremor, myoclonus, muscle and joint pain, nausea, coryza, diaphoresis,
ataxia,
tinnitus, and grand mal seizures
, Benzo w/d sleep - CORRECT ANSWER: Insomnia, altered sleep-wake cycle, and
daytime drowsiness
Benzo w/d timeline - CORRECT ANSWER: onset of withdrawal symptoms usually
occurs 2 to 3 days after the cessation of use, but with long-acting drugs, the latency
before onset can be 5 or 6 days
benzodiazepines - CORRECT ANSWER: no controlled trials supporting use in children
benzodiazepines w/d - CORRECT ANSWER: anxiety, dysphoria, intolerance for bright
lights and loud noises, nausea, sweating, muscle twitching, and sometimes seizures
Benzos w/d states - CORRECT ANSWER: recurrence: return of the original anxiety sx
rebound: worsening of the original anxiety sx rue withdrawal emergence of new sx
Best treatment for borderline personality - CORRECT ANSWER: DBT
Best treatment for ODD - CORRECT ANSWER: Family Therapy-reinforce positive
behaviors
biological factors addiction - CORRECT ANSWER: Genetic vulnerability (accounts for
40-60%). Birth.
Adoption.
Diet and nutrition.
Mental disorders.
Disease and illness or other medical disorder. Withdrawals and cravings.
biopsychocial model addiction - CORRECT ANSWER: inherited and an induced
biological component to addictive disorders but also psychological-behavioural and
Latest Update 2024-2025 Actual Exam from
Credible Source with 370 Questions and 100%
Verified Detailed Correct Answers Guaranteed
abused child - CORRECT ANSWER: fear, guilt, anxiety, depression, and ambivalence
regarding disclosure
Acute phase of schizophrenia - CORRECT ANSWER: Onset or exacerbation of
symptoms with loss of functional abilities. positive s/s
Acute stress disorder dx timeline - CORRECT ANSWER: 3 days to one month
aggressive children - CORRECT ANSWER: had significantly greater relative right frontal
brain activity at rest comparitively. Frontal resting brain electrical activity has been
hypothesized to reflect the ability to regulate emotion
Alpha2 agonists - CORRECT ANSWER: decrease norepinephrine release, such as, are
Anhedonia - CORRECT ANSWER: inability to experience pleasure
Antiadrenergic agents - CORRECT ANSWER: treat dysregulation of the noradrenergic
system in adults and youth with PTSD
Are whites or blacks (adolescents) more likely to drink alcohol? - CORRECT ANSWER:
whites
Ask Suicide-Screening Questions (ASQ) toolkit - CORRECT ANSWER: 1. screening
youth ages 10-24 (for patients with mental health chief complaints, consider screening
below age 10).
,2. recommended that screening be conducted without the parent/guardian present.
3. Patients who screen positive should receive a brief suicide safety assessment
(BSSA) conducted by a trained clinician to determine if a more comprehensive mental
health evaluation is needed
Attachment - CORRECT ANSWER: --develops when a child is repeatedly soothed,
comforted, and cared for, and when the caregiver consistently meets the child's needs
--creates love and trust others, to become aware of others' feelings and needs, to
regulate his or her emotions, and to develop healthy relationships and a positive self-
image
Attachment Neuropsych - CORRECT ANSWER: 1. right hemispheres forge neural
connections between infants subcortical, bodily-based affective states with conscious
emotional states in the higher brain regions of the right hemisphere;
2. these circuits are vital to emotional processing, empathy and development of self
3. Right hemisphere and limbic system develop rapidly during the first year and
responsible for habitual responses to stress
atypical antipsychotic Side effects - CORRECT ANSWER: Weight gain, DM,
dyslipidemia,
HoTN, sedation
Monitor weight, BP, fasting glucose and lipids
Less risk of extrapyramidal sx and hyperprolactinemia
Negative symptoms respond well
BCA 0.05 % - CORRECT ANSWER: thought, judgment, and restraint are loosened and
sometimes disrupted.
BCA 0.1 to 0.15 - CORRECT ANSWER: In most states, legal intoxication ranges
BCA 0.1% - CORRECT ANSWER: voluntary motor actions usually become perceptibly
clumsy
,BCA 0.2 % - CORRECT ANSWER: the function of the entire motor area of the brain is
measurably depressed, and the parts of the brain that control emotional behavior are
also affected
BCA 0.3% - CORRECT ANSWER: a person is commonly confused or may become
stuporous
BCA 0.4 to 0.5 % - CORRECT ANSWER: the person falls into a coma. At higher levels,
the primitive centers of the brain that control breathing and heart rate are affected, and
death ensues secondary to direct respiratory depression or the aspiration of vomitus.
Benzo immediate risks - CORRECT ANSWER: large margin of safety when taken in
overdoses
lethal dose to effective dose is about 200 to 1; minimal respiratory depression.
Benzo MOA - CORRECT ANSWER: Stimulation of the inhibitory GABAergic activity,
either by endogenous ligands or _______ or results in sedation, amnesia and ataxia,
while attenuation of the GABAergic system leads to arousal, anxiety, restlessness,
insomnia and exaggerated reactivity
Benzo w/d mood and cognition - CORRECT ANSWER: Anxiety, apprehension,
dysphoria, pessimism, irritability, obsessive rumination, and paranoid
ideation
Benzo w/d perception - CORRECT ANSWER: Hyperacusis, depersonalization, blurred
vision, illusions, and hallucinations
Benzo w/d phys s/sx - CORRECT ANSWER: Tachycardia, elevated blood pressure,
hyperreflexia, muscle tension, agitation/motor
restlessness, tremor, myoclonus, muscle and joint pain, nausea, coryza, diaphoresis,
ataxia,
tinnitus, and grand mal seizures
, Benzo w/d sleep - CORRECT ANSWER: Insomnia, altered sleep-wake cycle, and
daytime drowsiness
Benzo w/d timeline - CORRECT ANSWER: onset of withdrawal symptoms usually
occurs 2 to 3 days after the cessation of use, but with long-acting drugs, the latency
before onset can be 5 or 6 days
benzodiazepines - CORRECT ANSWER: no controlled trials supporting use in children
benzodiazepines w/d - CORRECT ANSWER: anxiety, dysphoria, intolerance for bright
lights and loud noises, nausea, sweating, muscle twitching, and sometimes seizures
Benzos w/d states - CORRECT ANSWER: recurrence: return of the original anxiety sx
rebound: worsening of the original anxiety sx rue withdrawal emergence of new sx
Best treatment for borderline personality - CORRECT ANSWER: DBT
Best treatment for ODD - CORRECT ANSWER: Family Therapy-reinforce positive
behaviors
biological factors addiction - CORRECT ANSWER: Genetic vulnerability (accounts for
40-60%). Birth.
Adoption.
Diet and nutrition.
Mental disorders.
Disease and illness or other medical disorder. Withdrawals and cravings.
biopsychocial model addiction - CORRECT ANSWER: inherited and an induced
biological component to addictive disorders but also psychological-behavioural and
