Rasmussen: Mental Health Exam 2 Study Guide
Acute Stress Disorder: Correct Answer - can occur after the
same kind of triggers that exist in posttraumatic stress disorder,
which include experiencing a violent event or repeatedly
witnessing a violent or traumatic event (e.g., first responders at
the scene of a mass casualty incident, police officers repeatedly
exposed to details of child abuse).
- Possible precipitating traumatic events are the same as those
listed under Posttraumatic Stress Disorder.
- However, in an acute stress disorder, the resolution of the
symptoms is
within 1 month.
Akathisia Correct Answer Distressing motor inner-driven
restlessness (e.g., tapping foot incessantly, rocking forward and
backward in chair, shifting weight from side to side).
Beck's Cognitive Triad (p. 199) Correct Answer Beck believed
that three automatic negative thoughts (cognitive triad) is
responsible for the development of depression.
Benzodiazepines Correct Answer Anxiolytic effects result from
depressing neurotransmission in the limbic system and cortical
areas. Useful for short-term treatment of anxiety; dependence
and tolerance develop. These drugs are NOT indicated as a
primary treatment for OCD or PTSD.
,Buspirone (Buspar) Correct Answer Alleviates anxiety, but
works best before benzodiazepines have been tried. Less
sedating than benzodiazepines. Does not appear to produce
physical or psychological dependence. Requires 3 or more
weeks to be effective.
Compensation : Defense Mechanism Correct Answer -
Covering up a real or perceived weakness by emphasizing a trait
one considers more desirable.
EX: A handicapped boy is unable to participate in football, so he
compensates by becoming a great scholar.
Conversion defense mechanism Correct Answer unconscious
transformation of anxiety into a physical symptom with no
organic cause
Adaptive (Example):
- Student is unable to take a final examination because of a
terrible headache.
Maladaptive (Example):
- Man becomes blind after seeing his wife flirt with other men.
Denial (defense mechanism) Correct Answer - Refusing to
acknowledge the existence of a real situation or the feelings
associated with it.
EX: A women drinks alcohol every day and cannot stop, failing
to acknowledge that she has a problem.
, Depressed pt Intervention:
Nutrition - Anorexia Correct Answer 1. Offer small, high-
calorie, and high-protein snacks frequently throughout the day
and evening.
2. Offer high-protein and high-calorie fluids frequently
throughout the day and evening.
3. When possible, encourage family or friends to remain with
the patient during meals.
4. Ask the patient which foods or drinks he or she likes. Offer
choices. Involve the dietitian.
5. Weigh the patient weekly and observe the patient's eating
patterns.
Depressed pt Interventions:
Elimination - Constipation Correct Answer 1. Monitor intake
and output, especially bowel movements.
2. Offer foods high in fiber and provide periods of exercise.
3. Encourage the intake of fluids.
4. Evaluate the need for laxatives and enemas.
Depressed pt Interventions:
Self-care deficits Correct Answer 1. Encourage the use of
toothbrush, washcloth, soap, makeup, shaving equipment, and so
forth.
2. When appropriate, give step-by-step reminders such as,
"Wash the right side of your face, now the left."
Depressed pt Interventions:
Sleep - Insomnia Correct Answer 1. Provide periods of rest
after activities.
Acute Stress Disorder: Correct Answer - can occur after the
same kind of triggers that exist in posttraumatic stress disorder,
which include experiencing a violent event or repeatedly
witnessing a violent or traumatic event (e.g., first responders at
the scene of a mass casualty incident, police officers repeatedly
exposed to details of child abuse).
- Possible precipitating traumatic events are the same as those
listed under Posttraumatic Stress Disorder.
- However, in an acute stress disorder, the resolution of the
symptoms is
within 1 month.
Akathisia Correct Answer Distressing motor inner-driven
restlessness (e.g., tapping foot incessantly, rocking forward and
backward in chair, shifting weight from side to side).
Beck's Cognitive Triad (p. 199) Correct Answer Beck believed
that three automatic negative thoughts (cognitive triad) is
responsible for the development of depression.
Benzodiazepines Correct Answer Anxiolytic effects result from
depressing neurotransmission in the limbic system and cortical
areas. Useful for short-term treatment of anxiety; dependence
and tolerance develop. These drugs are NOT indicated as a
primary treatment for OCD or PTSD.
,Buspirone (Buspar) Correct Answer Alleviates anxiety, but
works best before benzodiazepines have been tried. Less
sedating than benzodiazepines. Does not appear to produce
physical or psychological dependence. Requires 3 or more
weeks to be effective.
Compensation : Defense Mechanism Correct Answer -
Covering up a real or perceived weakness by emphasizing a trait
one considers more desirable.
EX: A handicapped boy is unable to participate in football, so he
compensates by becoming a great scholar.
Conversion defense mechanism Correct Answer unconscious
transformation of anxiety into a physical symptom with no
organic cause
Adaptive (Example):
- Student is unable to take a final examination because of a
terrible headache.
Maladaptive (Example):
- Man becomes blind after seeing his wife flirt with other men.
Denial (defense mechanism) Correct Answer - Refusing to
acknowledge the existence of a real situation or the feelings
associated with it.
EX: A women drinks alcohol every day and cannot stop, failing
to acknowledge that she has a problem.
, Depressed pt Intervention:
Nutrition - Anorexia Correct Answer 1. Offer small, high-
calorie, and high-protein snacks frequently throughout the day
and evening.
2. Offer high-protein and high-calorie fluids frequently
throughout the day and evening.
3. When possible, encourage family or friends to remain with
the patient during meals.
4. Ask the patient which foods or drinks he or she likes. Offer
choices. Involve the dietitian.
5. Weigh the patient weekly and observe the patient's eating
patterns.
Depressed pt Interventions:
Elimination - Constipation Correct Answer 1. Monitor intake
and output, especially bowel movements.
2. Offer foods high in fiber and provide periods of exercise.
3. Encourage the intake of fluids.
4. Evaluate the need for laxatives and enemas.
Depressed pt Interventions:
Self-care deficits Correct Answer 1. Encourage the use of
toothbrush, washcloth, soap, makeup, shaving equipment, and so
forth.
2. When appropriate, give step-by-step reminders such as,
"Wash the right side of your face, now the left."
Depressed pt Interventions:
Sleep - Insomnia Correct Answer 1. Provide periods of rest
after activities.
