Test #2: Psych

Question 1

What is oppositional defiant disorder?

Answer 1

Uncooperative, defiant, disobedient and hostile behavior towards authority figures WITHOUT major antisocial violations

Question 2

What sex is most affected by oppositional defiant disorder?

Answer 2

Males

Question 3

What is conduct disorder?

Answer 3

Aggression, deceitfulness characterized by harming people or property

Question 4

What is intermittent explosive disorder?

Answer 4

impulsive, aggressive, violent behavior and angry verbal outbursts, usually lasting less than 30 minutes.

Question 5

What drugs are given for intermittent explosive disorder?

Answer 5

fluoxetine (Prozac), lithium, and anticonvulsant mood stabilizers such as valproic acid (Depakote), phenytoin (Dilantin), topiramate (Topimax), and oxcarbazepine (Trileptal)

Question 6

What medications are prescribed for oppositional defiant disorder?

Answer 6

Medications aren’t given for oppositional defiant disorder

Question 7

What are symptoms of conduct disorder?

Answer 7

Aggression to people and animals, destruction of property, deceitfulness and theft, and serious violation of rules

Question 8

Will an overdose on benzo’s kill you?

Answer 8

No, very rarely fatal

Question 9

Will OD on barbiuate’s kill you?

Answer 9

Possibly

Question 10

In children with ADHD, abnormalities would be found in which area of the brain?

Answer 10

The frontal lobe

Question 11

Which medication is the most effective treatment for ADHD?

Answer 11

Ritalin

Question 12

What is the diagnostic criteria for mental retardation?

Answer 12

IQ less than 70

Question 13

What are the notable side effects of Ritalin?

Answer 13

Growth delays and appetite suppresion

Question 14

What is the treatment for Wernicke-Korsakoff syndrome?

Answer 14

Thiamine/Vitamin B1

Question 15

What is “splitting”?

Answer 15

Seeing people/things as totally good or totally bad

Question 16

Someone with Bulimia will most likely have what kind of personality?

Answer 16

Impulsive

Question 17

What is the most commonly used antidepressant medications for children and adolescents?

Answer 17

Selective Serotonin Reuptake Inhibitors

Question 18

What is Disulfiram (Antabuse)?

Answer 18

It is a drug given to alcoholics to help them stop drinking; if they drink while on the drug, they will have a flushing reaction, a throbbing headache, sweating, nausea and vomiting

Question 19

What is the best response to a patient’s need to complete an OCD ritual?

Answer 19

Set aside time for the patient’s anxiety-relieving ritual, communicate acceptance and relieve pressure.

Question 20

A patient with a phobia should be…

Answer 20

allowed to avoid the object of their fears.

Question 21

Why does a patient on tricyclic antidepressants need to be monitored for suicidal thoughts?

Answer 21

Tricyclic antidepressants don’t reach therapeutic levels until 10-14 days of use–they give patients more energy, which may be used to commit the suicide they’ve been thinking of (but didn’t have the energy before)

Question 22

What are side effects of Haldol?

Answer 22

Constipation and dry mouth

Question 23

A depressed patient complains that her stomach is missing; how should the nurse respond?

Answer 23

The nurse should answer with a response that focuses on the patient’s symptoms of depression (rather than the delusion)

Question 24

What is “conversion disorder”?

Answer 24

An anxiety disorder where there are symptoms like blindness or paralysis with no physical basis. Characteristically, the patient will also be indifferent to the symptoms

Question 25

A patient with a history of substance abuse needs what sort of therapeutic environment?

Answer 25

A structured, non-permissive setting; the goal is to allow them to learn to deal with increasing amounts of anxiety without drugs

Question 26

How do clients with conversion disorder usually feel about their symptoms?

Answer 26

Indifferent and unconcerned

Question 27

What is "sublimation"?

Answer 27

sublimation is a type of defense mechanism where socially unacceptable impulses are consciously transformed into socially acceptable actions or behavior

Question 28

What is "undoing"?

Answer 28

An attempt by a client to erase an action; possibly characterized by excessive apologizing

Question 29

What is "projection"?

Answer 29

Attributing your feeling to someone else. For instance, saying that someone you can't stand doesn't like you.

Question 30

What signs and symptoms would a patient have who has recently shot up heroin?

Answer 30

They would have constricted pupils and slowed respirations

Question 31

What is escitalopram?

Answer 31

A SSRI

Question 32

What should a nurse watch for after administering escitalopram?

Answer 32

dizziness

Question 33

What is "milleu therapy"?

Answer 33

The overall environment in the in-patient setting that is designed to have a therapeutic effect on clients

Question 34

What is meant by "biological therapies"?

Answer 34

These are medications or procedures; psychoactive drugs, electroconvulsive therapy, nonconvulsive stimulation

Question 35

What is cognitive behavioral therapy?

Answer 35

It involves teaching a patient to consciously control their thoughts, find problem-solving strategies, modify negative self-talk, etc

Question 36

What is catharsis?

Answer 36

Catharsis includes activities that provide a release of the anger.

Question 37

People addicted to alcohol and drugs have a rate of suicide that is what percentage higher than that of the general population?

Answer 37

20%

Question 38

An aggressive, bipolar patient will be treated with what medication?

Answer 38

Lithium; to treat the underlying diagnosis of bipolar

Question 39

An aggressive patient with dementia, psychosis or a personality disorder would be treated with what med?

Answer 39

carbamazepine (Tegretol) or valproate (Depakote); to treat the underlying disorder

Question 40

What is the therapeutic range of lithium?

Answer 40

0.6-1.2; not to exceed 2

Question 41

Research shows that aggression has been linked to low levels of what neurotransmitter?

Answer 41

Serotonin

Question 42

What is agnosia?

Answer 42

Loss of ability to recognize things

Question 43

What is aphasia?

Answer 43

Loss of ability to communicate

Question 44

What is apraxia?

Answer 44

Disorder of motor planning; cannot execute what they want to

Question 45

What is coprolalia?

Answer 45

Involuntary utterance of obscene words

Question 46

What class of medications would be prescribed for clients with eating disorders?

Answer 46

Antidepressants

Question 47

Which of the following is the drug of choice for Tourette's disorder?

Answer 47

Haldol