and Answers 100% Pass
What are three factors contributing to mental illness? - ✔✔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? - ✔✔Diagnostic and statistical manual of mental disorders
Manual published by the APA to establish
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,- defining characteristics or symptoms
- identification of the underlying causes of disorders
What are the five axis of the DSM-5? - ✔✔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? - ✔✔Mental illness
What is the "revolving door" concept? - ✔✔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? - ✔✔33%
What are basic-level psychiatric nursing practices? - ✔✔- counseling
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,- milieu therapy
- self-care
- psychobiologic interventions
- health teaching
- case management
- health promotion and maintenance
What are advanced-level psychiatric nursing practices? - ✔✔- 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. - ✔✔True
_______ drugs are those that are used to change brain function and result in alterations
in perception, mood, or consciousness. - ✔✔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. - ✔✔Case management
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, Give four examples of excitatory neurotransmitters. - ✔✔- 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. - ✔✔- 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. - ✔✔- acetylcholine:
sleep and wakefulness cycle, signals muscles to become alert
Give five examples of first generation (conventional) antipsychotics. - ✔✔-
chlorpromazine
- fluphenazine
- thioridazine
- haloperidol
- loxapine
Give three examples of second generation (atypical) antipsychotics. - ✔✔- clozapine
- risperidone
- olanzapine
Give an example of a third generation antipsychotic. - ✔✔Aripiprazole
What is the use and MOA of antipsychotics? - ✔✔Use: treatment of psychosis
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