Download Mental Health NU160 Exam 3 Questions with complete solutions.ALREADY SCORED A+ and more Exams Nursing in PDF only on Docsity!
Mental Health NU160 Exam 3 Questions
with complete solutions.ALREADY
SCORED A+
Akathisia - CORRECT ANSWER -the inability to sit still
Akinesia - CORRECT ANSWER -absence of physical and mental movement
Drug-induced parkinsonism - CORRECT ANSWER -term used to describe a
group of symptoms that mimic Parkinson's disease
Dyskinesia - CORRECT ANSWER -the inability to execute voluntary movements
Dystonia - CORRECT ANSWER -impaired muscle tone (rigidity in the muscles
that control gait, posture, and eye movements)
Neuroleptic Malignant Syndrome - CORRECT ANSWER -A serious and
potentially fatal side effect with unstable vital signs, fever, confusion, muscle rigidity, tremor, and incontinence
Tardive dyskinesia - CORRECT ANSWER -irreversible side effect of long term
treatment that produces involuntary, repeated movements of muscles in the face, trunk, arms, and legs
Type 1: Positive Symptoms of Schizophrenia - CORRECT ANSWER -
Maladaptive behaviors and thoughts, ACTIONS, ACT OUT Delusions, hallucinations, illusions, speech problems, bizarre behaviors, agitation, catatonic behavior Too much dopamine, brain size and structure normal Response to antipsychotics is usually good
Type 2: Negative Symptoms of Schizophrenia - CORRECT ANSWER -Lack of
adaptive mechanisms, THOUGHTS, DON'T ACT OUT Anergia, anhedonia, apathy, avolition, flat affect, won't speak unless spoken to Too little dopamine, decreased blood flow to brain, increased size of ventricles in brain, decrease in size of brain Response to antipsychotics is usually poor
The inability to recognize reality, relate to others, and cope with life's demands is -
CORRECT ANSWER -psychosis
The most common psychotic disorder is - CORRECT ANSWER -schizophrenia
Catatonia - CORRECT ANSWER -disrupts how your brain works, disrupting how
a person processes and reacts to the world around them
Schizophrenia Subtype: Catatonic - CORRECT ANSWER -immobility or
excessive activity with no purpose, odd movements, rigid posture, echopraxia (mimics movements of others), echolalia (echoes others' speech), may suffer from malnutrition, dehydration, exhaustion, prognosis is fair
Schizophrenia Subtype: Disorganized - CORRECT ANSWER -disordered
thinking, speech, and behavior, unable to perform ADL's, early onset, prognosis is poor
Schizophrenia Subtype: Paranoid - CORRECT ANSWER -organized delusions of
grandeur or persecution, auditory hallucinations, high anxiety, suspicious, angry, can be violent or suicidal, late onset, prognosis is good with treatment
Schizophrenia Subtype: Residual - CORRECT ANSWER -at least one acute
episode of schizophrenia, is free of acute psychosis but has symptoms of disorder, emotional changes, schizophrenia present for many years, time is limited between acute episodes, prognosis is poor
hallucinations - CORRECT ANSWER -false sensory inputs with no external
stimuli
delusions - CORRECT ANSWER -fixed false ideas that are not based in reality
illusions - CORRECT ANSWER -false perceptions of real stimuli
agnosia - CORRECT ANSWER -inability to recognize familiar objects or people
ideas of reference - CORRECT ANSWER -The idea that people or the media are
talking about oneself
derealization - CORRECT ANSWER -A loss of ego boundaries with an inability to
tell where one's body ends and the environment begins
An individual with schizophrenia that cannot set goals - CORRECT ANSWER -
negative symptom
Phases of becoming Disorganized: Acute Phase - CORRECT ANSWER -
disturbances in thought, perception, behavior, and emotion lose contact with reality
Phases of becoming Disorganized: Residual Phase - CORRECT ANSWER -lack
of energy, no interest in goal-directed activities, negative outlook
Brief Psychotic Disorder - CORRECT ANSWER -psychotic disturbance that lasts
longer than 1 day and less than 1 month, delusions, hallucinations, impaired functioning and speech, disorganized behavior, return to normal state
Delusional Disorder - CORRECT ANSWER -characterized by more than 1 month
of nonbizarre (reality-based) fixed ideas, can complete ADL's but has delusions
Schizoaffective Disorder - CORRECT ANSWER -show signs of a mood disorder
(depression or mania) as well as schizophrenia, experience changes in mood What is the least desirable side effect of antipsychotics, reason why many people stop
taking them or don't take them - CORRECT ANSWER -Weight Gain
Four risk factors for schizophrenia - CORRECT ANSWER -genetics
complications during pregnancy/birth biochemical imbalances environmental factors
Theories of Psychophysical Disorders: Stress Response Theory - CORRECT
ANSWER -Individuals are biochemically patterned to react to stress
Theories of Psychophysical Disorders: Organic Weakness - CORRECT
ANSWER -Every individual has one body system that is more sensitive than other
systems
Theories of Psychophysical Disorders: Psychoanalytic Theory - CORRECT
ANSWER -Focuses on symbolism attached to symptom or illness, Carl Jung
Theories of Psychophysical Disorders: Psychodynamic Theories - CORRECT
ANSWER -Certain personality types are prone to develop certain illnesses
Somatization - CORRECT ANSWER -feeling physical symptoms either in the
absence of disease or out of proportion to an ailment, stress reducing mechanism
Somatic Symptom Disorder - CORRECT ANSWER -persistent symptoms
suggest the presence of a medical illness, but no physical causes can be found
Polysymptomatic Disorder - CORRECT ANSWER -associated with many s/s,
begins before age 30, possess a long history of vague problems GI tract and sexual problems, pain, and false neurological symptoms are most common anxiety and depression common, involvement of multiple organ systems, early onset and chronic course, absence of any significant lab values
Criteria for diagnosis of Somatic Symptom Disorder - CORRECT ANSWER -1.
Hx of pain related to at least 4 different sites
- Hx of at least 2 GI symptoms other than pain
- Hx of 1 sexual problem other than pain
- Hx of at least 1 neurological symptom
Somatic symptom disorders - CORRECT ANSWER -somatic symptom disorder
hypochondriasis (illness anxiety disorder) conversion disorder (functional neurological symptom disorder factitious disorder
Criteria for Diagnosis of Conversion Disorder - CORRECT ANSWER -1. At least
one of the signs or symptoms involves the voluntary motor or sensory system and suggests the presence of a neurological problem.
- The signs and symptoms are brought on or worsened by the presence of a conflict or other stressor.
- The signs and symptoms are not intentionally produced.
- The signs and symptoms cause significant distress and impairment in daily functions.
- After extensive investigation, the signs and symptoms cannot be explained by a pathological condition or the effects of a substance and are not culturally appropriate behaviors.
Conversion Disorder (Functional Neurological Symptom Disorder) - CORRECT
ANSWER -presents problems related to sensory or motor functions
10 women to every 1 man diagnosed Men=associated w/ military service, industrial accidents, antisocial personalities thought to be result of emotional conflict La belle indifference-lack of concern about s/s Tx-eliminate any physical causes, help identify conflicts responsible for clients s/s
Factitious Disorder - CORRECT ANSWER -intentionally produce s/s of illness or
disability in order to assume the sick role 2 types - imposed on self and imposed on others imposed on others = Munchausen's syndrome
control of behavior, each personality is unique and represents the individual at different developmental stages
5 stages of assault cycle - CORRECT ANSWER -Trigger
Escalation Crisis Recovery Depression
Stage 1: Trigger - CORRECT ANSWER -stress producing event elicits anger,
fear, or anxiety coping mechanisms attempt to gain control ability to solve problems decreases
Stage 2: Escalation - CORRECT ANSWER -Building stage, behavior moves
toward total loss of control ineffective at gaining control frustration and anger increase intense emotions make aggression escalate intervention is crucial
Stage 3: Crisis - CORRECT ANSWER -Potential for danger increases
assaultive behavior occurs unable to listen to reason or follow instructions
Stage 4: Recovery - CORRECT ANSWER -cool down period
slowly calms and returns to normal behavioral responses interventions-assess for injury or trauma, provide safe quiet environment
Stage 5: Depression - CORRECT ANSWER -experiences guilt and attempts to
reconcile with others may offer loving care to victim assaultive event is slowly placed in the past
Levels of Intervention for Anger - CORRECT ANSWER -Level 1-prevent violence
Level 2-protect Level 3-control violence
Anger Control Disorders - CORRECT ANSWER -conduct disorders
impulse control disorders adjustment disorders
Conduct disorders - CORRECT ANSWER -occurs in childhood, behavior
patterns that violate the rights of others, no empathy for others, often dx with antisocial personality disorders as adults, oppositional defiant disorder
Impulse Control disorders - CORRECT ANSWER -usually develop later in life,
inability to control an impulse to perform acts that are harmful to self or others, lack of self control over emotions and behaviors intermittent explosive disorder=failure to resist aggressive impulses that result in destruction of property or assault, must have physical damage
Adjustment disorders - CORRECT ANSWER -emotional or behavioral problems
that develop in response to stressor, difficulty adapting to new situations
Fetal Alcohol Syndrome S/S - CORRECT ANSWER -small at birth, microcephaly
(small heads), fail to develop normally, CNS deficits, various degrees of intellectual disability, hyperactivity, irritability, poor feeding habits, slow rates of growth, developmental delays, behavioral problems, poor judgment, distinctive facial characteristics
Withdrawal from alcohol is - CORRECT ANSWER -a medical emergency
Common stimulant that most people don't view as a drug - CORRECT
ANSWER -caffeine
Heroin is an opioid drug that causes - CORRECT ANSWER -constricted pupils
PCP can produce feelings of - CORRECT ANSWER -being separated from one's
body and environment
An example of a designer drug is - CORRECT ANSWER -ecstasy
Stages of Addiction - CORRECT ANSWER -1. Early stage
- Excessive Use
- Middle (crucial) stage-tolerance develops
- Chronic (late) stage
Criteria for Dx of substance-related disorder - CORRECT ANSWER -pattern of
substance use must be disabling and lead to significant impaired functioning and distress must demonstrate signs of tolerance, withdrawal, and dependence
