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Exam 2 Mental Health Galen 2025/2026 Questions With Complete Solutions Adventitious Human Crisis Correct Answers Things that go wrong that are extroidinary Ex.) tornado, bombing, murder, child abuse, riots Anti-Anxiety Medication (Non-benzo's) Correct Answers Buspirone, Benadryl, Propanolol, hydroxyzine Non-habit forming Benzodiazepines Correct Answers Alprazolam, Lorazepam, Diazepam Addictive Cause CNS depression No etoh or driving Benztropine (Cogentin) Correct Answers Used for treatment of EPS, pseudo-parkinson symptoms Bipolar I Disorder Correct Answers Episodes of mania (super elation, super energy, doesn't eat/drink/sleep, takes risks, spends excessive, hypersexual) May have hallucinations
Bipolar II Disorder Correct Answers Episodes of hypomania (elation, high energy, but less than bipolar I) Does not experience psychosis Body Dysmorphic Disorder Correct Answers Normal in appearance but are obsessed with perceived imperfections of their bodies Frequently have plastic surgery or seek psychiatric help Catharsis Correct Answers Expressing of feelings or emotions Catonia Correct Answers Moves very little or not at all Evaluate for hazards of immobility (edema, cyanosis, injury, skin impairment) Causes of Schizophrenia Correct Answers Increased Levels of Dopamine Genetics/Biologics Environmental Issues Conduct Disorder Correct Answers Children involved with pyromania, kleptomania, or criminal activities No remorse Break Laws/ Involved in justice system
Generation One Antipsychotics Correct Answers Treats positive symptoms of schizophrenia Extrapyramidal Side Effects Chlorpromazine, Haloperidol, Fluphenazine Generation Three Antipsychotics Correct Answers Aripiprazole (Abilify) Better side effect profile than generation one or two Treats positive and negative symptoms of schizophrenia Generation Two Antipsychotics (Atypical) Correct Answers First line treatment, less chance of EPS Treats positive and negative symptoms of schizophrenia Clozapine, Olanzapine, Quetiapine, Risperadone, Ziprasidone Hallucinations Correct Answers Things that are not present, but are perceived through one of the five senses You see spiders on the walls Illusions Correct Answers You see/ hear something, but perceive it wrong You see an IV pole and believe its a large snake.
Intermittent Explosive Disorder Correct Answers Becomes enraged over something, has an angry outburst, followed by remorse Ex.) Road rage Lithium Correct Answers Mood stabilizer, used for treatment of bipolar disorder Narrow therapeutic window Lithium Levels Correct Answers 0.4-1.0 therapeutic 1.5 mild toxicity 1.5-2.0 advanced toxicity 2.0- 2.5 severe toxicity
2.5 death Maturational Human Crisis Correct Answers Cannot adjust to the stage of development Ex.) Just married cries every day and wants to move back with parents Metabolic Syndrom Correct Answers Occurs with generation two antipsychotics (atypical) Weight gain, hyperglycemia, hyperlipidemia Mild Anxiety Correct Answers Necessary for motivation
Nursing Interventions for Delusions Correct Answers Do not say you believe the delusion, don't try to talk the patient out of the delusion Explore delusion and how they feel about it If afraid of poisoning, let them eat prepackaged or wrapped food to establish trust Nursing Interventions for Hallucinations Correct Answers Non-harmful: divert from hallucination and focus of feelings Command Hallucinations: Explore the hallucination and assess for safety ("What are the voices saying? Do you recognize them?") Obsessive Compulsive Disorder Treatment Correct Answers Gradually limit time spent of these while working on underlying anxiety Oppositional Defiant Disorder Correct Answers Blames others, noncompliant, seeks retaliation, annoys others, defiant "No, I won't do it!" Needs structure & guidance Redirect- "Why don't we go for a walk." Firm tone if harmful
Orientation Correct Answers Group normals, HIPAA, boundries, trust, rapport, start termination Panic Anxiety Correct Answers Fight or Flight Symptoms Increase Cannot problem solve Distorted perceptions May have hallucinations Panic Disorder Correct Answers Feels like you're having a heart attack/ choking Comes out of the blue without warning Cannot process or discuss until it is over Physical work up may be done to rule out medical issue Paranoid Schizophrenics Correct Answers Most Dangerous If they feel that someone will harm them, they may assault them You do not know whom they feel is harmful Phobias Correct Answers Unrealistic Fears Know fear is unfounded, telling them will not help
Situations Human Crisis Correct Answers Things that go wrong that are a part of everyday life Ex.) car accident, illness, divorce, death of spouse Social Anxiety Disorder Correct Answers Not afraid of crowds or groups, but afraid of being judged or making a fool of themselves Disrupts interpersonal relationships Stress Reduction Techniques Correct Answers Deep Breathing, Progressive Muscle Relaxation, Meditation, Mindfulness, Guided Imagery, Exercise, Journaling, Humor Termination Correct Answers Review positive accomplishments, goodbye/good luck, cut all ties Tertiary Intervention Correct Answers Occurs after the crisis or disaster Rebuilding & Rehabilitation Universality Correct Answers I am not alone, others share my problems What is a priority when a Manic Bipolar I patient arrives at the ED? Correct Answers 1. Medically evaluate
- IVF
- Benzodiazepines
Working Correct Answers Set goals, develop coping skills, problem solve
