Download Final Exam: NU664C/ NU 664C (NEW 2025/ 2026 Update) Guide|100% Correct-Regis and more Exams Nursing in PDF only on Docsity!
Final l Exam: l NU664C/ l NU l 664 C l (NEW l
2025/ l 2026 l Update) l Family l Psychiatric l
Mental l Health l I l Guide| l Questions l & l
Answers| l Grade l A| l 100% l Correct l
(Verified l Solutions)- l Regis
QUESTION
whatl circuitryl playsl al rolel inl mediatingl cognitive-affectivel impairmentsl inl ocd Answer: cortico-striatal-thalmic-cortical
QUESTION
exposurel andl responsel preventionl (ERP) Answer: Al methodl ofl treatingl obsessive-compulsivel behaviorl thatl involvesl prolongedl exposurel tol anxiety-arousingl eventsl whilel notl engagingl inl thel compulsivel behaviorl patternl thatl reducesl thel anxiety.
QUESTION
Subtypesl ofl OCD Answer: Hoardingl disorder Excoriationl (skinl picking)
Trichotillomanial (hairl pulling) Bodyl dysmorphicl disorder
QUESTION
OCDl epidemiology Answer: higherl prevalencel inl women.l meanl onsetl ~19.l earlyl onsetl morel commonl inl males
QUESTION
4 l componentsl ofl informedl consent Answer: capacity,l voluntariness,l decisionl making,l knowledge
QUESTION
whatl isl thel tarasoffl rule Answer: dutyl tol warn
QUESTION
Therapeuticl Communicationl Techniques Answer: 1)l ACTIVEl LISTENINGl - l Showsl clientsl thatl theyl havel yourl undividedl attention 2)l OPEN-ENDEDl QUESTIONSl - l Usedl initiallyl tol encouragel clientsl tol telll theirl storyl inl theirl ownl way.l Askl questionsl inl al languagel thatl al clientl canl understandl
Answer: receivesl sensoryl informationl froml thel olfactoryl bulbl andl isl involvedl inl thel identificationl ofl odors
QUESTION
thalamus Answer: thel brain'sl sensoryl switchboard,l locatedl onl topl ofl thel brainstem;l itl directsl messagesl tol thel sensoryl receivingl areasl inl thel cortexl andl transmitsl repliesl tol thel cerebelluml andl medulla
QUESTION
functionsl ofl thel frontall lobe Answer: Language,l Intellect,l motorl function,l personality
QUESTION
nucleusl accumbens Answer: structurel locatedl inl thel brainsteml andl partl ofl thel dopaminergicl rewardl pathway;l releasesl dopaminel inl responsel tol manyl drugsl contributingl tol addictivel behavior
QUESTION
1.l Inl whatl lobel ofl thel brainl dol thel followingl processesl takel place: ·l Judgment ·l Reasoning ·l Conceptuall planning
·l Abstractl thinking Answer: frontall lobe,l prefrontall cortex
QUESTION
aphasia Answer: impairmentl ofl language,l usuallyl causedl byl leftl hemispherel damagel eitherl tol Broca'sl areal (impairingl speaking)l orl tol Wernicke'sl areal (impairingl understanding).
QUESTION
Whatl systeml incorporatesl thel following: ·l Amygdala ·l Hippocampus ·l Nucleusl accumbens ·l Thalamus Answer: limbic
QUESTION
Whatl structurel isl importantl forl makingl newl memories Answer: hippocampus
Answer: thalamus
QUESTION
thel amygdalal contributesl tol establishingl emotionall memories Answer: true
QUESTION
whatl arel thel 4 l dopaminel pathways Answer: Mesolimbic:l rewardl motivation Mesocortical:l cognitivel functions Nigrostriatal:l purposefull movement Tuberoinfundibular:l prolactinl regulation
QUESTION
Nigrostriatall pathway Answer: Thisl pathwayl isl thoughtl tol bel thel causel ofl thel motorl relatedl sidel effectsl thatl wel seel mostl oftenl withl typicall andl atypicall antipsychoticl medications.
QUESTION
Whatl arel anticholinergicl effects?
Answer: dryl mouth,l blurredl vision,l photophobia,l urinaryl hesitancyl orl retention,l constipation,l tachycardia
QUESTION
Al 21 - year-oldl malel patientl wasl havingl behaviorall difficultiesl inl thel ER,l andl wasl thusl medicatedl withl Haldoll 5 l mg,l Ativanl 1 l mgl xl 3.l Hel finallyl felll asleepl andl wasl transportedl tol yourl inpatientl unit. Later,l whenl youl checkl onl thisl patient,l hel cannotl movel hisl headl awayl froml hisl shoulder.l Youl observel thisl tol al sustained,l involuntaryl musclel contractionl duel tol thel haloperidol.l Whatl typel ofl abnormall movementl isl this? Answer: acutel dystonia
QUESTION
Al complicationl ofl D2l receptorl blockersl thatl includesl al highl fever,l musclel rigidity,l andl canl leadl tol comal andl deathl is Answer: neurolepticl malignantl syndrome
QUESTION
Yourl olderl femalel patientl presentsl tol youl withl repetitive,l periorall movementsl thatl shel doesl notl seeml tol evenl notice.l Shel isl inl herl mid-60sl andl hasl beenl takingl aripiprazolel forl thel lastl 2 l yearsl withl goodl effect.l Whatl movementl disorderl isl shel strugglingl with? Answer: tardivel dyskinesia
Answer: dopaminel inl thel rewardl center
QUESTION
cognitivel function Answer: lowl dopaminel andl norepinephrine
QUESTION
mechanisml ofl actionl methylphenidate Answer: blocksl uptakel ofl dopaminel andl norepinephrine
QUESTION
mechanisml ofl actionl amphetamine Answer: enhancesl releasel andl blocksl reuptakel ofl Dal andl Ne
QUESTION
isl medicationl thel goldl standardl forl adhd Answer: yes
QUESTION
Patientsl takingl Amphetaminel arel morel likelyl tol sufferl symptomsl ofl psychosisl thanl thosel takingl methylphenidate. Answer: true
QUESTION
Ifl al patientl hasl al substancel usel disorder,l wel canl treatl adhdl with Answer: Vyvansel isl generallyl preferredl inl casesl ofl substancel usel disorderl becausel itl isl al prodrugl thatl isl lessl pronel tol abuse.l Methylphenidatel mayl alsol bel consideredl inl somel casesl withl carefull monitoring.l Adderalll isl generallyl avoidedl duel tol itsl higherl abusel potential.
QUESTION
Bothl girlsl andl boysl arel equallyl likelyl tol bel diagnosedl withl ADHD. Answer: False.l Boysl arel morel commonlyl diagnosedl withl ADHDl thanl girls,l partlyl duel tol differencesl inl symptoml presentationl (e.g.,l boysl morel oftenl exhibitl hyperactive-impulsivel symptoms,l whilel girlsl mayl presentl withl inattentivel symptomsl thatl arel lessl noticeable).
QUESTION
Inl thel researchl ofl ADHD,l whichl ofl thel followingl abnormalitiesl inl brainl structurel orl functionl hasl beenl consistentlyl reported? Answer: neurall circuitl involvingl prefrontall cortexl asl itl connectsl withl striatuml andl cerebellum
Answer: excessivel worry graduall onset tension,l restlessness,l fatigue,l difficultyl concentrating constantl worryl disproportionatel actuall stressors nol trigger
QUESTION
featuresl ofl sociall anxietyl disorder Answer: al severel andl persistentl fearl ofl sociall orl performancel situationsl inl whichl embarrassmentl mayl occur typicallyl beginsl inl teenagel years fearl ofl losingl controll orl dying
QUESTION
keyl brainl structuresl inl adhd Answer: prefrontall cortex basall ganglia cerebellum
QUESTION
mainl neurotransmittersl involvedl inl adhd Answer: dopaminel norepinephrine
QUESTION
isl ocdl morel commonl inl malesl orl females Answer: Childhood:l OCDl isl morel commonl inl boys. Adulthood:l OCDl isl morel commonl inl women.
QUESTION
Piagetl 0 - 2yrs Answer: sensorimotor:l inbornl motorl andl sensoryl reflexes primaryl andl secondaryl circularl reaction usel ofl familiarl meansl tol obtainl ends tertiaryl circularl reachti9nol andl discoverl throughl activel experimentation insightl andl objectl permanence
QUESTION
Piagetl 2 - 7 l yr Answer: Preoperations:l deferredl immitation symbolicl play grapicl imagery mentall imagery language
QUESTION
Piagetl 7 - 11 l yr Answer:
automomyl vsl shamel andl doubt
QUESTION
ericksonl stagel 3 - 5 l yr Answer: initiativel vsl guilt
QUESTION
ericksonl 5 - 13 l yr Answer: industryl vsl inferiority
QUESTION
eriksonl 13 - 20 l yr Answer: identityl vsl rolel confusion
QUESTION
eriksonl 20's Answer: intimacyl vsl isolation
QUESTION
eriksonl 40s Answer: generativityl vsl stagnation
QUESTION
eriksonl 60s Answer: integrityl vsl despair QUESTION
Manic/Hypomanicl withl Mixedl features
Answer:
meetsl fulll criterial forl manicl orl hypomanicl episodel withl atl leastl 3 l ofl thel
followingl s/sxl presentl duringl manicl episode:
- prominentl dysphorial orl depressedl mood
- diminishedl interest
- psychomotorl retardation
- fatiguel orl lossl ofl energy
- feelingsl ofl worthlessnessl orl guilt
- recurrentl thoughtsl ofl death QUESTION
Bipolarl Specifier:l Rapidl Cycling
Answer:
QUESTION
Firstl linel treatment:l severel manicl episode
Answer:
combinationl ofl lithium/valproatel andl antipsychotic
QUESTION
Clinicall Guidelinesl txl forl rapidl cycling
Answer:
mostl difficultl tol treat,l lithiuml andl anticonvulsantsl havel lowl efficacies.l
Atypicall antipsychoticsl appearl promising;l olanzapine
QUESTION
Medicationsl forl Bipolar:
Answer:
Lithiuml - l goldl standard
Anti-convulsants:l valproate,l lamotrigine,l carbamazepine
SGAs:l olanzapine,l risperidone,l quetiapine,l aripiprazole,l ziprasidone
QUESTION
Lithiuml initiall labl workup
Answer:
BUN/Creat,l thyroidl function,l ECGl (ifl overl 40),l andl pregnancyl test
QUESTION
Lithiuml long-terml labl monitoring
Answer:
levels,l renall function,l thyroidl
Q3- 6 l mosl thenl yearly
QUESTION
Lithiuml sidel effects
Answer:
weightl gain,l polyuria,l polydipsia,l coordinationl issues,l cognitivel issues,l
sedation,l GIl issues,l acne,l hairl loss,l metallicl tastel inl mouth
QUESTION
Dexamethasonel suppressionl test Answer: Depressedl ptsl showl anl initiall decreasel butl thenl returnl tol abnormallyl highl levelsl ofl cortisone.l notl diagnostic.
