3/23/25, 8:05 NURS661 EXAM 1 (Based on Dr. Stiles Study Guide) Flashcards |
AM
NURS661 EXAM 1 (BASED ON DR. STILES STUDY GUIDE) EXAM QUESTIONS AND
ANSWERS WITH COMPLETE SOLUTIONS
Terms in this set (116)
Involuntary muscle contractions that cause repetitive twisting movements.
The condition can affect one part of the body- focal dystonia; two or more adjacent
parts- segmental; or all parts- general dystonia.
Symptoms of dystonia Cervical dystonia- cause head to twist and turn to one side.
Eyelids- rapid blinking or involuntary spasms
Jaw/tongue- slurred speech, drooling, difficulty chewing
Hand/Forearm- repetitive activity (writers or musicians dystonia)
Neurological condition characterized by the inability of a person to properly convey
Symptoms of aprosodia
or interpret emotional prosody (ranges of rhythm, pitch, stress, intonation).
Differentiate between short term and long- 30 seconds to several days
term memory. Short-term memory is what
length of period?
Distortions of real images or sensations. Can occur in schizophrenia patients during
What is an illusion? active phases but can also occur during the prodromal phases and during periods of
remissions.
Any of the five senses may be affected. The most common are auditory with voices
that are often threatening, obscene, accusatory, or insulting. Two or more voices may
converse among themselves or a voice may comment on the patient's life or
What is an hallucination?
behavior. Visual are common but tactile olfactory and gustatory are unusual (their
presence should prompt clinician to consider underlying medical or neurological
disorder).
May assume persecutory, grandiose, religious, or somatic forms--fixed beliefs that
What is a delusion?
do not change.
Decisional Capacity; ability to communicate a choice/ability to understand
information necessary for the specific decision at hand/ ability to appreciate the
How is competency determined? implications and significance of the provided information or the choice of being
made/ ability to reason by weighting the comparing options as well as
consequences of the potential decision.
Why is an MRI an appropriate study for a Differentiates between dementia of Alzheimer's type and vascular dementia.
dementia diagnosis?
What is the minimum duration of symptom GAD is defined as excessive anxiety and worry about several events or activities for
presentation to make a diagnosis of most days during at least a 6-month period
generalized anxiety disorder
Severe episode of elevated/euphoric or irritable mood and increased energy that
What is mania? usually lasts at least a week and severely interferes with the sufferers ability to
function
It is characterized by somewhat elevated or irritable mood that may more mildly
What is hypomania?
interfere with a person's functioning.
Clients with sleep disorder, shift workers, OCD with seasonal variation and jet
Which type of patients could benefit from
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7
, 3/23/25, 8:05 NURS661 EXAM 1 (Based on Dr. Stiles Study Guide) Flashcards |
AM
lag. Seasonal Affective Disorder. Women represent 75% of patients with SAD
bright light therapy?
with the mean age of 40 years. Patients rarely present older than 55 years with
SAD.
Why is interviewing a catatonic Client may may have mutism, staring, refusal to eat, echolalia and an impaired
patient challenging? ability to care for themselves and therefore requires hospitalization
a clinical syndrome characterized by striking behavioral abnormalities that
What is catatonia? may include motoric immobility or excitement, profound negativism, or
echolalia, or echopraxia (mimicry of movement).
Know which antidepressant is most Duloxetine (an SNRI)
effective for patients who also
have neuropathic pain
Which antidepressant has also been used Wellbutrin (Bupropion)
for smoking cessation?
What is the potential symptom Linezolid is a weak monoamine oxidase inhibitor and has been reported to interact
presentation when prescribing sertraline with selective serotonin reuptake inhibitors--Confusion, incoordination, HTN
and linezolid?
Which mood-stabilizing agent is most lamotrigine (Lamictal)
frequently associated with Steven-Johnson
Syndrome?
What is the most commonly used self Beck depression inventory
reporting depression survey?
There is a surge of dopamine in the brain, so overtime the brain stops making its own.
Why can dextroamphetamine cause a
When the medication is stopped, the brain is not making dopamine on its own,
substance induced depressive disorder?
leading to a depletion, ultimately resulting in depression.
When does normal bereavement begin? Immediately after or within a few months after the death of a loved one.
Sadness, preoccupation with thoughts about the deceased, tearfulness, irritability,
What are typical signs and symptoms of insomnia, and difficulties concentrating and carrying out daily activities. On the
bereavement? basis of the cultural group, bereavement is limited to a varying time, usually 6
months, but it can be longer.
Yes, some grieving individuals present with symptoms characteristic of a major
Can normal bereavement lead to major depressive episode such as depressed mood, insomnia, anorexia, and weight
depressive disorder? loss. The duration of grief and bereavement vary considerably among different
cultural groups and with the same cultural group.
(1) guilt about things other than actions taken or not taken by the survivor at the time
of the death, (2) thoughts of death other than the survivor feeling that he or she
What are some certain characteristics that would be better off dead or should have died with the deceased person, (3) morbid
are not indicative of bereavement, but of preoccupation with worthlessness, (4) marked psychomotor retardation, (5)
something more? prolonged and marked functional impairment, and (6) hallucinatory experiences
other than thinking that he or she hears the voice of or transiently sees the image
of the deceased person.
The loss of pleasure is a symptom of True.
depression and a major medical illness,
true or false?
Which anxiety disorder has the oldest GAD. Has its onset in late adolescence or early adulthood, although cases are
median onset? commonly seen in older adults.
Extreme fear and a sense of impending death and doom. Patients usually cannot
What are the major mental symptoms of
name the source of their fear; they may feel confused and have trouble
panic disorder?
concentrating.
Physical symptoms of panic disorder? tachycardia, palpitations, dyspnea, and sweating.
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7
AM
NURS661 EXAM 1 (BASED ON DR. STILES STUDY GUIDE) EXAM QUESTIONS AND
ANSWERS WITH COMPLETE SOLUTIONS
Terms in this set (116)
Involuntary muscle contractions that cause repetitive twisting movements.
The condition can affect one part of the body- focal dystonia; two or more adjacent
parts- segmental; or all parts- general dystonia.
Symptoms of dystonia Cervical dystonia- cause head to twist and turn to one side.
Eyelids- rapid blinking or involuntary spasms
Jaw/tongue- slurred speech, drooling, difficulty chewing
Hand/Forearm- repetitive activity (writers or musicians dystonia)
Neurological condition characterized by the inability of a person to properly convey
Symptoms of aprosodia
or interpret emotional prosody (ranges of rhythm, pitch, stress, intonation).
Differentiate between short term and long- 30 seconds to several days
term memory. Short-term memory is what
length of period?
Distortions of real images or sensations. Can occur in schizophrenia patients during
What is an illusion? active phases but can also occur during the prodromal phases and during periods of
remissions.
Any of the five senses may be affected. The most common are auditory with voices
that are often threatening, obscene, accusatory, or insulting. Two or more voices may
converse among themselves or a voice may comment on the patient's life or
What is an hallucination?
behavior. Visual are common but tactile olfactory and gustatory are unusual (their
presence should prompt clinician to consider underlying medical or neurological
disorder).
May assume persecutory, grandiose, religious, or somatic forms--fixed beliefs that
What is a delusion?
do not change.
Decisional Capacity; ability to communicate a choice/ability to understand
information necessary for the specific decision at hand/ ability to appreciate the
How is competency determined? implications and significance of the provided information or the choice of being
made/ ability to reason by weighting the comparing options as well as
consequences of the potential decision.
Why is an MRI an appropriate study for a Differentiates between dementia of Alzheimer's type and vascular dementia.
dementia diagnosis?
What is the minimum duration of symptom GAD is defined as excessive anxiety and worry about several events or activities for
presentation to make a diagnosis of most days during at least a 6-month period
generalized anxiety disorder
Severe episode of elevated/euphoric or irritable mood and increased energy that
What is mania? usually lasts at least a week and severely interferes with the sufferers ability to
function
It is characterized by somewhat elevated or irritable mood that may more mildly
What is hypomania?
interfere with a person's functioning.
Clients with sleep disorder, shift workers, OCD with seasonal variation and jet
Which type of patients could benefit from
1/
7
, 3/23/25, 8:05 NURS661 EXAM 1 (Based on Dr. Stiles Study Guide) Flashcards |
AM
lag. Seasonal Affective Disorder. Women represent 75% of patients with SAD
bright light therapy?
with the mean age of 40 years. Patients rarely present older than 55 years with
SAD.
Why is interviewing a catatonic Client may may have mutism, staring, refusal to eat, echolalia and an impaired
patient challenging? ability to care for themselves and therefore requires hospitalization
a clinical syndrome characterized by striking behavioral abnormalities that
What is catatonia? may include motoric immobility or excitement, profound negativism, or
echolalia, or echopraxia (mimicry of movement).
Know which antidepressant is most Duloxetine (an SNRI)
effective for patients who also
have neuropathic pain
Which antidepressant has also been used Wellbutrin (Bupropion)
for smoking cessation?
What is the potential symptom Linezolid is a weak monoamine oxidase inhibitor and has been reported to interact
presentation when prescribing sertraline with selective serotonin reuptake inhibitors--Confusion, incoordination, HTN
and linezolid?
Which mood-stabilizing agent is most lamotrigine (Lamictal)
frequently associated with Steven-Johnson
Syndrome?
What is the most commonly used self Beck depression inventory
reporting depression survey?
There is a surge of dopamine in the brain, so overtime the brain stops making its own.
Why can dextroamphetamine cause a
When the medication is stopped, the brain is not making dopamine on its own,
substance induced depressive disorder?
leading to a depletion, ultimately resulting in depression.
When does normal bereavement begin? Immediately after or within a few months after the death of a loved one.
Sadness, preoccupation with thoughts about the deceased, tearfulness, irritability,
What are typical signs and symptoms of insomnia, and difficulties concentrating and carrying out daily activities. On the
bereavement? basis of the cultural group, bereavement is limited to a varying time, usually 6
months, but it can be longer.
Yes, some grieving individuals present with symptoms characteristic of a major
Can normal bereavement lead to major depressive episode such as depressed mood, insomnia, anorexia, and weight
depressive disorder? loss. The duration of grief and bereavement vary considerably among different
cultural groups and with the same cultural group.
(1) guilt about things other than actions taken or not taken by the survivor at the time
of the death, (2) thoughts of death other than the survivor feeling that he or she
What are some certain characteristics that would be better off dead or should have died with the deceased person, (3) morbid
are not indicative of bereavement, but of preoccupation with worthlessness, (4) marked psychomotor retardation, (5)
something more? prolonged and marked functional impairment, and (6) hallucinatory experiences
other than thinking that he or she hears the voice of or transiently sees the image
of the deceased person.
The loss of pleasure is a symptom of True.
depression and a major medical illness,
true or false?
Which anxiety disorder has the oldest GAD. Has its onset in late adolescence or early adulthood, although cases are
median onset? commonly seen in older adults.
Extreme fear and a sense of impending death and doom. Patients usually cannot
What are the major mental symptoms of
name the source of their fear; they may feel confused and have trouble
panic disorder?
concentrating.
Physical symptoms of panic disorder? tachycardia, palpitations, dyspnea, and sweating.
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7
