All notes up to midterm

Question 1

schizotypal personality disorder

Answer 1

patterns of social isolation and detachment from the environment

Question 2

homelessness with mental illness is often associated with:

Answer 2

decreased availability of community resources

Question 3

A patient on a 24-hour emergency psychiatric hold is believed to need further treatment. In order to keep the patient in the facility, what legal action is required?

Answer 3

Filing of a probable cause statement

Question 4

What legally qualifies a person to be placed in conservatorship?

Answer 4

if person is disabled due to mental illness

Question 5

What are the criteria needed to plead guilty by reason of insanity?

Answer 5

1. inability to understand charges filed against him.
2. no mental capacity to advise an attorney
3. no mental ability to understand legal process of the charges

Question 6

Conservator

Answer 6

person who makes decision for the mentally disabled

Question 7

rights of patients who are involuntarily admitted.

Answer 7

1. right to participate in plan of care
2. right to refuse any treatment
3. right to receive explanation of their mental condition

Question 8

The Tarasoff court case involves which nursing duty?

Answer 8

to protect others from harm

Question 9

Which term describes the basic functional unit of the nervous
system?

Neuron

Synapse

Receptor

Neurotransmitter

Answer 9

Neuron

Question 10

Which brain structure is responsible for basic vital life functions?

Cerebrum

Brainstem

Cerebellum

Hippocampus

Answer 10

Brainstem

Question 11

Which brain structure responds to stimuli, conducts electrical
impulses, and releases neurotransmitters?

Neuron

Synapse

Cerebellum

Receptor

Answer 11

Neuron

Question 12

First-generation antipsychotics have which mechanism of action
and therapeutic effect?

Increase levels of dopamine to decrease positive symptoms in
schizophrenia

Decrease levels of dopamine to decrease positive symptoms in
schizophrenia

Increase levels of dopamine to increase positive symptoms in
schizophrenia

Decrease levels of dopamine to increase positive symptoms in
schizophrenia

Answer 12

Decrease levels of dopamine to decrease positive symptoms in
schizophrenia

Question 13

Which neurotransmitter is selectively blocked by the
antidepressant effect of citalopram?

Gamma-aminobutyric acid (GABA)

Serotonin

Glutamate

Dopamine

Answer 13

Serotonin

Question 14

Which imaging study would show the health care provider the
parts of the brain that are particularly active in a patient suspected
of having obsessive compulsive disorder?

Computed tomography (CT)

Positron emission tomography (PET)

Ventriculography

Electroencephalography (EEG)

Answer 14

Positron emission tomography (PET)

Question 15

Which effect would a psychotropic drug that enhances gamma-
aminobutyric (GABA) receptor activity have on a patient?

Sedation

Pain relief

Stimulation of gastric secretion

Improvement of cognitive performance

Answer 15

Sedation

Question 16

Which medication when administered calls for careful nursing
assessment of fluid and electrolyte balance?

Fluvoxamine

Clozapine

Lamotrigine

Lithium

Answer 16

Lithium

Question 17

Which event would be responsible for a patient’s symptoms of
profound depression based on the current understanding of
neurotransmitters?

An increase in dopamine level

A decrease in serotonin level

An increase in norepinephrine level

A decrease in acetylcholine level

Answer 17

A decrease in serotonin level

Question 18

Side effects that include dry mouth, constipation, and blurred
vision for a patient prescribed a psychotropic drug are most likely
caused by blocking of which receptors?

Alpha (a1)

Acetylcholine (ACh)

Serotonin (5-HT2)

Histamine (H1)

Answer 18

Acetylcholine

Question 19

Which abnormality in neurotransmitter levels is a possible cause
of depression?

Answer 19

Deficient production of norepinephrine & serotonin

Question 20

Which priority teaching would the nurse include for a patient
who is beginning therapy with a monoamine oxidase inhibitor
(MAOI) medication? Select all that apply.

Take the medication at bedtime.

Monitor blood pressure.

Report double vision.

Reduce tyramine intake.

Do not take over-the-counter medication without provider approval.

Answer 20

Monitor blood pressure.

Reduce tyramine intake

Do not take over-the-counter medication without provider approval.

Question 21

Which education would the nurse prioritize for a patient
beginning clozapine therapy?

Weekly liver function tests

Daily prothrombin time and international normalized ratio

Monthly creatinine levels

Regular absolute neutrophil count

Answer 21

Regular absolute neutrophil count

Question 22

which antidepressant medication used for anxiety has low risk for sedation?

Answer 22

Buspirone

Question 23

Which condition is likely the cause of fatigue in a nurse who is
otherwise healthy?

Secondary stress trauma

Acute stress disorder

Posttraumatic stress disorder

Traumatic brain injury

Answer 23

Secondary stress trauma

Question 24

Which agency has overall responsibility to coordinate responses to
disasters in the United States?

World Health Organization (WHO)

Department of Homeland Security (DHS)

Federal Emergency Management Agency (FEMA)

National Incident Management System (NIMS)

Answer 24

Department of Homeland Security (DHS)

Question 25

Which coping mechanism is commonly adopted during a crisis?

Engaging in other physical activity

Setting realistic goals

Avoiding talking with others

Avoiding eating

Answer 25

Engaging in other physical activity

Question 26

developmental crisis

Answer 26

A developmental crisis occurs during significant life transitions or milestones, such as becoming a parent.

Question 27

External crisis

Answer 27

External crisis refers to crises triggered by events outside the individual, such as financial hardship or loss.

Question 28

Situational crisis

Answer 28

Situational crisis involves unexpected, often traumatic events, like losing a job or experiencing illness.

Question 29

Adventitious crisis

Answer 29

Adventitious crisis includes crises resulting from rare, unplanned events like natural disasters or violence.

Question 30

Which class of medications has been shown to be helpful in
treating somatic symptom disorders? Select all that apply.

Anxiolytics

Antipsychotics

Antidepressants

Mood stabilizers

Benzodiazepines

Answer 30

Anxiolytics
Antidepressants
Benzodiazepines

Question 31

Which instruction would the nurse include on the diet chart for a
patient experiencing mania and is receiving lithium therapy?

Reduce sodium intake.

Take lithium with meals.

Take lithium on an empty stomach.

Avoid taking lithium before going to bed.

Answer 31

Take lithium with meals.

Question 32

Provides notice of approaching emergencies worldwide

Answer 32

FEMA

Question 33

Focuses on terrorist attacks

Answer 33

CCTA

Question 34

Provides funds for mental health needs during disasters

Answer 34

NIMH

Question 35

Provides food and shelter during disasters

Answer 35

American Red Cross

Question 36

Steps of crisis intervention include the following:

Answer 36

1.Assess and gather data from a variety of sources.

2.Develop a list of problems focusing on immediate needs.

3.Plan interventions for immediate problems.

4.Implement interventions to alleviate anxiety and meet immediate needs.

5.Evaluate anxiety levels and effectiveness of immediate interventions.

6.Develop an individual plan of care for long-term needs.