Mental Health/Addiction

Question 1

False distortion in perception

Answer 1

Hallucinations

Question 2

Rigid, false beliefs that aren’t reality based

Answer 2

Delusions

Question 3

Distorted perception of actual sights, sounds, and other stimuli

Answer 3

Illusions

Question 4

Non-sensical, illogical thought patterns manifested in both oral and written, loose associations/word salad

Answer 4

Disorganized thinking

Question 5

Positive symptoms of schizophrenia

Answer 5

• Adds to normal experiences
• Delusions
• Hallucinations
• Abnormal movements
• Formal thought disorder

Question 6

Negative symptoms of schizophrenia

Answer 6

• Diminished affects and behaviors
• Flat/blunted affect
• Thought blocking
• Avolition
• Poverty of speech
• Social withdrawal

Question 7

Cognitive symptoms of schizophrenia

Answer 7

• Memory deficits
• Attention deficits
• Language difficulties
• Loss of executive function

Question 8

Typical antipsychotics (1st gen)

Answer 8

• Haloperidol (Haldol)
• Chlorpromazine (Thorazine)

Question 9

What do typical antipsychotics treat in schizophrenia

Answer 9

• Positive symptoms
• Psychosis with agitation

Question 10

Side effects of typical antipsychotics

Answer 10

• Abnormal movements (Tardive dyskinesia)
• Extrapyramidal symptoms (EPS)

Question 11

Nursing role in typical antipsychotics

Answer 11

Monitor for side effects

Question 12

Atypical antipsychotics (2nd gen)

Answer 12

• Clozapine (Clozaril)
• Olanzapine (Zyprexa)
• Risperidone (Risperdal)
• Ziprasidone (Geodon)
• Quetiapine (Seroquel)

Question 13

Nursing role in Clozapine

Answer 13

Monitor WBC

Question 14

Nursing role in Risperidone

Answer 14

Monitor for gynecomastia

Question 15

Nursing role in Ziprasidone

Answer 15

Monitor for prolonged QT interval and arrythmias

Question 16

What do atypical antipsychotics treat

Answer 16

Positive and negative symptoms

Question 17

Anticholinergic symptoms of antipsychotics

Answer 17

• Dry mouth
• Sedation
• constipation
• Postural hypotension
• Urinary retention

Question 18

Binge drinking for men

Answer 18

5 or more drinks on a single occasion

Question 19

Binge drinking in women

Answer 19

4 or more drinks on a single occasion

Question 20

Heavy drinking for men

Answer 20

15 drinks or more/week

Question 21

Heavy drinking for women

Answer 21

8 drinks or more/week

Question 22

Short term effects of alcohol abuse

Answer 22

• Increased risk of injury from car accidents, falls, firearms, assaults, drowning, burns

Question 23

Long term effects of alcohol abuse (7)

Answer 23

• HTN
• Heart disease
• Stroke
• Cirrhosis
• Pancreatitis
• Vitamin deficiencies
• Malnutrition

Question 24

Alcohol withdrawal syndrome (AUW)

Answer 24

Happens due to abrupt cessation of alcohol

Question 25

When does AUW happen

Answer 25

• 6-8 hours after last drink
• Peaks at 24 hours

Question 26

Delirium tremens (DT)

Answer 26

• Occurs 3-5 days after last drink
• Can appear as late as 14 days

Question 27

Delirium tremens symptoms (4)

Answer 27

• Disorientation
• Hallucinations
• Increased hyperactivity
• Seizures

Question 28

S/S of AUW (8)

Answer 28

• Agitation
• Anxiety
• Increased hr, BP
• Sweating
• Nausea
• Tremors
• Insomnia
• Hyperactivity

Question 29

Benzos do what during AUW

Answer 29

Prevent seizures, delirium

Question 30

Beta 1 blockers/a2 agonists to treat what during AUW

Answer 30

Stabilize vitals, decrease autonomic nervous system stimulation