FOUNDATIONS OF PSYCHIATRIC MENTAL HEALTH NURSING

Question 1

Disorders that affect mood, behavior, and thinking,such as depression, schizophrenia, anxiety disorders, and addictive disorders.

Answer 1

MENTALL ILLNESS

Question 2

a state of complete physical,
mental, and social wellness, not merely the absence of disease or infirmity.

Answer 2

MENTAL HEALTH

Question 3

a taxonomy published by the American Psychiatric Association. Describes all mental disorders, outlining
specific diagnostic criteria for each based on clinical experience and research.

Answer 3

Diagnostic and Statistical Manual of Mental Disorders, fifth edition
(DSM-5)

Question 4

drugs used to treat mental illness.

Answer 4

PSYCHOTROPIC DRUGS

Question 5

What were the first (2) drugs to be developed.

Answer 5

1. Chlorpromazine (Thorazine)-antipsychotic drug
2. Lithium (Antimanic agent)

Question 6

Antianxiety agents called

Answer 6

BENZODIAZEPINES

Question 7

the first American psychiatric nurse;
she believed that “the mentally sick should be at least as well cared for as the
physically sick”

Answer 7

LINDA RICHARDS

Question 8

authoritative statements by professional organizations that describe the responsibilities for which nurses are accountable.

Answer 8

STANDARD OF CARE

Question 9

therapeutic nurse–client relationship

Answer 9

HILDEGARD PEPLAU

Question 10

moral treatment of the mentally ill

Answer 10

DOROTHY DIX

Question 11

The primary purpose of the Community Mental Health Center Act of
1963 was to

Answer 11

move patients to their home communities for treatment.

Question 12

A drug will prove effective for a disease that differs from the one involved in original
testing and FDA approvaL

Answer 12

OFF LABEL USED

Question 13

the time it takes for half of the drug to be removed from the bloodstream

Answer 13

HALF LIFE

Question 14

package inserts must have a highlighted box, separate from the text, which contains a warning about the serious or life-threatening side effects.

Answer 14

BLACK BOX WARNING

Question 15

Two first-generation antipsychotics use sesame oil as the vehicle for these injections, so the
medication is absorbed slowly over time; thus, less frequent administration isneeded to maintain the desired therapeutic effects

Answer 15

FLEPHENAZINE (Prolixin)
HALOPERIDOL (Haldol)

Question 16

Dystonia is most likely to occur in the

Answer 16

FIRST WEEK

Question 17

Antidepressants are divided into four groups:

Answer 17

1.Tricyclic and the related cyclic antidepressants
2. Selective serotonin reuptake inhibitors (SSRIs)
3. MAO inhibitors (MAOIs)
4. Other antidepressants such as desvenlafaxine (Pristiq)

Question 18

common side effects of MAOIs

Answer 18

daytime sedation
insomnia,
weight gain, dry mouth, orthostatic hypotension, and sexual dysfunction.

Question 19

Avoid When Taking
Monoamine Oxidase Inhibitors, ecause the combination produces a hypertensive
crisis that can become life-threatening.

Answer 19

TYRAMINE (E.g. cheese, aged meat, broad beans, avocado, beers, soybeans condiments, yogurts and MSG.

Question 20

DAILY DOSAGE OF LITHIUM

Answer 20

900-3,600 MG

Question 21

therapeutic levels of Lithium

Answer 21

0.5 mEq/l - 1.5 mEq/l

Question 22

used to treat anxiety and anxiety
disorders, insomnia, obsessive-compulsive disorder (OCD), depression,
posttraumatic stress disorder, and alcohol withdrawal.

Answer 22

ANXIOLYTICS

Question 23

the major
inhibitory neurotransmitter in the brain.

Answer 23

GABA

Question 24

mediate the actions of the amino acid GABA

Answer 24

BENZODIAZEPINES

Question 25

Potential for abuse is high. Administration for prolonged periods may lead to
drug dependence

Answer 25

AMPHETAMINES

Question 26

inhibits the enzyme aldehyde dehydrogenase, which is involved in the metabolism of ethanol

Answer 26

DISULFIRAM