Mental Health Test One

Front 1

low potency drugs (names)

Back 1

chlorpromazine (Thorazine) and Thioridazine

Front 2

high potency drugs (names)

Back 2

haldol, prolixin

Front 3

Atypical name

Back 3

abilitify, clozaril, zyprexa, invega, seroquel, risperdal, geodon

Front 4

High risk for EPSEs

Back 4

Traditional High potency drugs and high doses of Risperdal (atypical)

Front 5

High risk for dry mouth, constipation, blurred vision and other anticholinergic effects?

Back 5

Traditional low potency drugs and Clozaril (atypicals)

Front 6

Name the class and side effects associated with: Chlorpromazine

Back 6

Traditional Antipsychotic: low potency, may cause moderate rate of EPSE and anticholinergic effects. High rate of orthostasis and weight gain.

Front 7

Name the class and side effects associated with: Clozaril

Back 7

Atypical Antipsychotic, may cause agranulocytosis, high rate of anti-chol effects, sedation and wt gain. Very expensive

Front 8

Name the class and side effects associated with: abilify

Back 8

Atypical antipsychotic, low risk of SEs

Front 9

Name the class and side effects associated with: Prolixin

Back 9

Tradiational antipsychotic: high potency, may cause high rate of EPSEs. Cheap

Front 10

Name the class and side effects associated with: Haldol

Back 10

Tradiational antipsychotic: high potency, may cause high rate of EPSEs. Cheap

Front 11

Name the class and side effects associated with: Geodon

Back 11

Atypical antipsychotic, risk of heart troubles. Expensive

Front 12

Name the class and side effects associated with: Perphenazine (Ertafon, Trilafon)

Back 12

Tradiational Antipsychotic, Moderate potency, may cause high rate of EPSEs and moderate sedation. 102$/mnth

Front 13

Name the class and side effects associated with: Risperidone (Risperdal)

Back 13

Atypical antipsychotic, most freq atypical prescribed. Orthostatic hypotension, sedation, wt gain (moderate rate)

Front 14

Name the class and side effects associated with: (Seroquel) Quetiapine

Back 14

Atypical antipsychotic, orthostatic hypotension, sedation, wt gain (similar to risperdal and Invega)

Front 15

Name the class and side effects associated with: Thioridazine

Back 15

Traditional antipsychotic: Low dose. High rate of antichol se, orthostasis, sedation, wt gain. cheap

Front 16

Positive of negative symptom of schizophrenia: abnormal thoughts

Back 16

pos

Front 17

Positive of negative symptom of schizophrenia: alogia (poverty of speech)

Back 17

neg

Front 18

Positive of negative symptom of schizophrenia: Anergia (lack of energy)

Back 18

neg

Front 19

Positive of negative symptom of schizophrenia: Hostility

Back 19

pos

Front 20

Positive of negative symptom of schizophrenia: Feelings of persecution

Back 20

pos

Front 21

Positive of negative symptom of schizophrenia: difficulty with abstractions

Back 21

neg

Front 22

Positive of negative symptom of schizophrenia: avolition (lack of drive)

Back 22

neg

Front 23

Positive of negative symptom of schizophrenia: hallucinations

Back 23

pos

Front 24

Positive of negative symptom of schizophrenia: excitement

Back 24

pos

Front 25

Positive of negative symptom of schizophrenia: blunted affect

Back 25

neg

Front 26

Where is dopamine synthesized in the brain?

Back 26

substantia nigra and ventral tegmental areas in the midbrain

Front 27

Describe what the neuronal tract 1(nigrostriatal tract) for dopamine affects

Back 27

Movement. Tradiational antipsychotic blockade can cause EPSEs

Front 28

Neuronal tract 2 (tuberoinfundibular tract)

Back 28

Pituitary fx. Traditional antipsychotic blockade can lead to elevation in prolactin levels

Front 29

neuronal tract 3 (mesolimbic tract)

Back 29

Emotional and sensory processes. Traditional antipsychotic blockade normalizes these processes in individuals with schizophrenia, relieving or eliminating hallucinations and delusions.

Front 30

neuronal tract 4 (mesocortical tract )

Back 30

-cognitive process. traditional antipsychotic blockade can intensify negative and cognitive problems

Front 31

symptoms of neuroleptic malignant syndrome

Back 31

high fever and rigidity

Front 32

symptoms of anticholinergic side effects

Back 32

constipation, decreased sweating, dilated pupils, dry mouth, slowed bowels and bladder

Front 33

Name the anxiety level: feedling uncomfortable, on edge, keyed up, motivated to decrease anxiety, decreased confidence, difficulty concentrating, tangental, loose association, problem solving with effort or assistance.

Back 33

Moderate: +2

Front 34

Type of coping mech used by someone having moderate anxiety?

Back 34

Pallative coping mech

Front 35

Nursing interventions for person experiencing moderate anxiety

Back 35

decrease anxity w/ ventilation, crying, exercise, relaxation. Refocus attention; problem solve, oral meds if needed

Front 36

Name the anxiety level: extreme discomfort, feeling of dread, hypersensitivity, defensiveness with threats, distorted perceptions, difficulty focusing, disorientation, delusions and hallucinations, suicidal or homicidal, poor eye contact, sleep disturbance

Back 36

Severe: +3

Front 37

Name the anxiety level: good eye contact, sligh irritablity, confident, alert, concentrated, attentive, logical reasoning, energetic

Back 37

Mild: +1

Front 38

Name the anxiety level: suicide attemts, eyes fixed, hysterical or mute, incoherent, rage, desperation, out of contact with reality, disorganization, neologisms, word salad

Back 38

Panic: +4

Front 39

Type of coping mech used by someone having mild anxiety?

Back 39

Adaptive coping mech

Front 40

Type of coping mech used by someone having severe anxiety?

Back 40

Maladaptive coping mech

Front 41

Type of coping mech used by someone having panic anxiety?

Back 41

dysfunctional coping mech

Front 42

Nursing intervention for mild anxiety?

Back 42

discuss source of anxiety, problem solve, accept anxiety as natural

Front 43

Nursing intervention for panic anxiety?

Back 43

guide firmly, physically take control, give intramuscular med, order restraints if needed

Front 44

Nursing intervention for severe anxiety?

Back 44

decrease anxiety, stimuli and pressure. Use kind, firm, simple directions, use time outs (seclusion) give IM meds if needed

Front 45

What is adaptive coping?

Back 45

solves problem that is causing anxiety

Front 46

What is pallitive coping?

Back 46

temporarily decreases the anxiety but does not solve the problem, so anxiety usually returns

Front 47

What is maladaptive coping?

Back 47

unsuccessful attempts to decrease the anxiety without attempting to solve the problem

Front 48

What is Dysfunctional coping?

Back 48

is not successful in reducing anxiety or solving problems that even minimal fx beccomes difcult and creaste new problems.

Front 49

What are Bleulers four As?

Back 49

primary symptoms found in all pp with schizophrenia.
1. Associate looseness
2. Affective disturbance
3. Autism
4. ambivalence

Front 50

What percentage of the schizophrenic population kills themselves?

Back 50

10%

Front 51

Define schizophrenia subtype:paranoid

Back 51

preoccupation with hallucinations (auditory), delusions

Front 52

Define schizophrenia subtype:disorganized

Back 52

disorganized speech and behavior, flat or inappropriate affect

Front 53

Define schizophrenia subtype: catatonic

Back 53

at least two of the following:
A. motoric immobility, waxy flexability, stupor
B. Excessive motor activity (purposeless)
C. extreme negativism or mutism
D. Peculiar movements, stereotype of movements,
E. Echolalia or echopraxia

Front 54

Define schizophrenia subtype: undifferentiated

Back 54

have symptoms of schizophrenia, but does not meet criteria for paranoid, disorganized or catatonic subtypes

Front 55

Define schizophrenia subtype:residual

Back 55

continuing evidence for symptoms

Front 56

Positive schizophrenia

Back 56

increased dopamine. positive symptoms, use tradiational drugs.

Front 57

Negative schizophrenia

Back 57

decrease of dopamine or brain structure or vascular. neg symptoms, use atypical antipsychotics

Front 58

Objective or subjective sign of schizophrenia? hostility

Back 58

objective

Front 59

Objective or subjective sign of schizophrenia? hallucinations

Back 59

subjective

Front 60

Objective or subjective sign of schizophrenia? illusions

Back 60

subjective

Front 61

Objective or subjective sign of schizophrenia? paranoid thinking

Back 61

subjective

Front 62

Objective or subjective sign of schizophrenia?withdrawal

Back 62

objective

Front 63

Objective or subjective sign of schizophrenia?decreased attention to appearance and social amentities related to introspection and autism

Back 63

objective

Front 64

Objective or subjective sign of schizophrenia? inadequate or inappropriate communication

Back 64

objective

Front 65

Objective or subjective sign of schizophrenia? exhopraxia

Back 65

objective

Front 66

Type of delusion: after med test confirms otherwise, pt still insists he has cancer.

Back 66

somatic delusion

Front 67

Type of delusion: "I am president"

Back 67

grandiose delusion

Front 68

Type of delusion: "The devil told me to kill my children."

Back 68

Religious delusion

Front 69

Type of delusion: "I am dead."

Back 69

Nihilistic delusion

Front 70

Type of delusion: "The TV is talking about me."

Back 70

Delusions of reference

Front 71

Type of delusion: "I can control her with my thoughts."

Back 71

Delusions of influence

Front 72

Type of delusion: "They all think that I am a homosexual."

Back 72

Paranoid delusions

Front 73

Axis I

Back 73

Clinical disorders (e.g. schizophrenia)

Front 74

Axis II

Back 74

Personality or developmental disorder (e.g paranoid or mental retardation)

Front 75

Axis III

Back 75

General medical conditions (e.g diabetes)

Front 76

Axis IV

Back 76

Psychosocial and envt problems (e.g divorce, ecuagtion, housing, bankruptcy)

Front 77

Axis V

Back 77

Global assessment of functioning (scale of 0-100)

Front 78

How do you manage milieu for: disruptive patients

Back 78

set limits, decrease stimuli, intervene before acting out occurs, minimize objects that can be used as weapons, set boundaries, eval pt in restraints (nutrition, hydration, elimination needs, circulation)

Front 79

How do you manage milieu for: Withdrawn pts

Back 79

nonthreatening activities
semicircle seating arrangement
reinforce approriate grooming and hygiene
work on social skills

Front 80

How do you manage milieu for: suspicious pts

Back 80

be matter-of-fact
staff should not laugh or whisper unless pt can hear what is being said
don't touch
be consisten with activities (time, staff, approach)
Maintian eye contract

Front 81

How do you manage milieu for: impaired communication

Back 81

be patient
no group activities

Front 82

How do you manage milieu for: pt with hallucinations

Back 82

provide distracting activities
monitor TV selection
have real person available for pt to talk to

Front 83

How do you manage milieu for: disorganized patients

Back 83

low stimuli envt
calm envt
calm staff
safe and simple activities

Front 84

what is schizoaffective disorder?

Back 84

psychosis char by both affective (mood disorder) and schizophrenic (though disorder) symptoms

Front 85

What is delusional disorder?

Back 85

delusions based in reality. pt is relatively normal except in relation to delusion

Front 86

What is brief psychotic disorder?

Back 86

less than 1 month

Front 87

What is schizophreniform disorder?

Back 87

at least 1 month but no longer than 6 months

Front 88

What is the most prevalent mental disorder in the US?

Back 88

Anxiety disorder (18% of pop older than 17 yrs)

Front 89

what does the continuum of care consist of?

Back 89

Milieu mgnt, psychopharmacology, and nurse-pt relationship

Front 90

What are the six environmental elements to milieu?

Back 90

1. safety
2. structure: regs and schedules
3. norms: behavior expected
4. limit setting: enforeable limits
5. Balance: dep vs. indep
6. envt modification

Front 91

What type of self help group is this an example of: AA, NA, Overeaters Anonymous

Back 91

Addiction-based

Front 92

What type of self help group is this an example of: Survivors of suicide, Incest Survivors, Adult children of alcoholics

Back 92

Survivor-based

Front 93

What type of self help group is this an example of: eating disorders, bipolar disorder, family and caregiver support grouip

Back 93

Disorder-based group

Front 94

What type of self help group is this an example of: grief, divorce

Back 94

loss-based

Front 95

What type of self help group is this an example of: lupus, cancer, aids, fatigue

Back 95

medically-based

Front 96

What type of self help group is this an example of: parenting, tough love

Back 96

Prevention-based groups

Front 97

What Assertive Community Treatment?

Back 97

professionals provide 24/7 care to consumer. community based

Front 98

Name the defense mechanism: unconscoius refusal to admit an unacceptable idea or behavior

Back 98

denial

Front 99

Name the defense mechanism: Ms. Young is a victim of incest and no longer remmbers the reason she always hated her uncle.

Back 99

repression

Front 100

Name the defense mechanism: conscious exclusion from awareness anxiety-producing feelings, ideas, and situations

Back 100

supression

Front 101

Name the defense mechanism: Mr jones has schizophrenia, states he cannot go to work b/c his co-workers are mean, instead of admitting htat his illness interferes with working.

Back 101

rationalization

Front 102

Name the defense mechanism: using only logical explanations without feelings or an affective component

Back 102

intellectualization

Front 103

Name the defense mechanism:separation of painful feelings and emotions from an unaccepatable idea, situatin, or object

Back 103

dissociation

Front 104

Name the defense mechanism: "When I get out of the hospital, I want to be a nurse just like you."

Back 104

Identification

Front 105

Name the defense mechanism: unconsciously incorporting values and attitudes of other as if they were your own

Back 105

introjection

Front 106

Name the defense mechanism: Pt is depressed and unable to share feelings so he writes expressive poetry

Back 106

compensation

Front 107

Name the defense mechanism:channeling instintual drives into acceptable activities

Back 107

sublimation

Front 108

Name the defense mechanism: unconsicouly wish mom was dead, continuously tells staff that her mother is wonderful.

Back 108

reaction formation

Front 109

Name the defense mechanism: consciously doing something to counteract or make up for a transgression or wrongdoing

Back 109

undoing

Front 110

Name the defense mechanism: unconciously discharging pent-up feelings to less threatening object

Back 110

displacement

Front 111

Name the defense mechanism: blaming someone else

Back 111

projection

Front 112

Name the defense mechanism: unconscious expression of intrapsychiic conflict symbolically through physical symptoms

Back 112

conversion

Front 113

Name the defense mechanism: wetting bed at night since birth of baby sister

Back 113

regression

Front 114

Which Erikson's stgs of development: 7 yrs old

Back 114

industry vs inferiority

Front 115

Which Erikson's stgs of development: 16 yrs

Back 115

Identity vs. role diffusion

Front 116

Which Erikson's stgs of development: 12 mo

Back 116

trust v. mistrust

Front 117

Which Erikson's stgs of development: 3 yrs

Back 117

autonomy v. shame and doubt

Front 118

Which Erikson's stgs of development: 4 yrs

Back 118

initiative v. guilt

Front 119

Which Erikson's stgs of development: 20

Back 119

intimacy isolation

Front 120

Which Erikson's stgs of development:40

Back 120

generative v stagnation

Front 121

Which Erikson's stgs of development: 70 yrs

Back 121

integrity v. despair

Front 122

Which Erikson's stgs of development: values one life

Back 122

integrity (65 yrs to death)

Front 123

Which Erikson's stgs of development: productive, constructive, responsible

Back 123

generative lifestyle (30-65 yrs)

Front 124

Which Erikson's stgs of development: seeking of intimacy through casual sexual encounters, possessive, jealous, loss of interest in marriage, prejudicse against others

Back 124

isolation (18-25 or 30 years)

Front 125

Which Erikson's stgs of development: self-control and willpower, pride, simple cooperativeness, knows when to give and take, delayed gratification when necessary

Back 125

autonomy(18mo-3yr)

Front 126

Which Erikson's stgs of development: naive and gullible, dependence on others for approval, feeling of being exposed or attacked

Back 126

shame and doubt (18mo-3yr)

Front 127

Which Erikson's stgs of development: feeling too old to start over

Back 127

despair (65 yr to death)

Front 128

Which Erikson's stgs of development: ability to give and receive love, commitments and mutuality with others, sacrificing for others, responsible sexual behaviors

Back 128

intimacy (18-25 yrs)

Front 129

Which Erikson's stgs of development: realistic trust, confidence in others, optimism and hope, saring openly with others

Back 129

trust (0-18mo)

Front 130

Which Erikson's stgs of development: sense of competence, comletion of projects, sense of diretion, balance work and play

Back 130

industry (6-12 yrs)

Front 131

Which stage of Stress-adaptation syndrome:
decreased immune response, wt loss, enlarged LN, possible organ failure if stressors continue, disorganized thinking, disorganized personality, stupor or violence

Back 131

Stg III: stg of exhaustion

Front 132

Which stage of Stress-adaptation syndrome:
increased and intensified use of coping mechanisms, tendency to rely on defense-oriented behavior, psychosomatic symptoms deelop, wt returns to normal, hormone levels readjust, LN are normal size

Back 132

Stg II: Stage of resistance

Front 133

Which stage of Stress-adaptation syndrome:
release of NE and epi, increase hormones, wt loss, irritation of gastric lining, alert, task-oreinted, inefficient or maladaptive behavior might occur

Back 133

Stg I:Alarm Reaction

Front 134

Name the therapeutic technique: Pt: “I feel like such a failure in the eyes of my
family.”
Ns: “You feel like such a failure in the eyes of
your family.

Back 134

restatement

Front 135

Name the therapeutic technique:
Pt: “I feel like such a failure in the eyes of my
family.”
Ns: “You feel as though you have let your family
down.”

Back 135

paraphrase

Front 136

Name the therapeutic technique: Pt: “Do you think I should leave my husband?”
Ns: “You sound like you are feeling uncertain.”

Back 136

reflection of feeling

Front 137

Name the therapeutic technique: Pt: “School is such a waste of time.”
Ns: “What about school don’t you like?”

Back 137

open direct question

Front 138

Name the therapeutic technique:Pt: “School is such a waste of time.”
Ns: “Tell me more about your feelings about
school.

Back 138

open indirect question

Front 139

Name the therapeutic technique:Pt. “My father is such a jerk.”
Ns. “What about your father upsets you?”

Back 139

focusing

Front 140

Name the therapeutic technique:Pt. “My mom makes me so sad.”
Ns. “Tell me more about your relationship with
your mother.”

Back 140

exploring

Front 141

Name the therapeutic technique:Pt. “The head of the FBI wants me dead.” (Pt.
with paranoid schizophrenia)
Ns. “I find that hard to believe.”

Back 141

voicing doubt

Front 142

Name the therapeutic technique:“My sweet puppy died last week.” (tears in
eyes)
Ns. “It’s really hard to lose something you care
a lot about.”

Back 142

empathy

Front 143

What are the 4 phases of n-pt relationship

Back 143

1. preinteraction (obtain pt info)
2. orientation (est trust, contract, assess)
3. working phase (maintin trust, problem-solve, continue to eval)
4. Termination phase (goals et, plan for aftercare, feelings regarding termination explored)

Front 144

Which phase of n-pt relationship: goals have been met

Back 144

termination phase

Front 145

Which phase of n-pt relationship: nurse gets report

Back 145

preinteraction phase

Front 146

Which phase of n-pt relationship: pt and nurse set goals together

Back 146

Oreintation or introductory phase

Front 147

Which phase of n-pt relationship: after diagnosing the problem, the nurse an dpt explore ways to cope with problem.

Back 147

Working phase

Front 148

These skills demonstrate what sort of communication: empathy, relect of feeling, silence, paraphrase, restatement, feedback

Back 148

active listening skills

Front 149

Tarasoff vs. the regents of university of california

Back 149

duty to warn

Front 150

M'Naghten Rule:

Back 150

cognitive standard

Front 151

Wyatt v. Stickey

Back 151

right to tx

Front 152

rogers v. okin

Back 152

right to refuse tx

Front 153

tortes law:

Back 153

neglect, malpractice, duty to warn, assualt/battery/false imprisonment

Front 154

statutory law:

Back 154

us constitution

Front 155

Administrative law:

Back 155

state nursing boards, medicare, medicaid (interest of public safety)