Week 1&2 Success Kahoot Questions + Quiz Neurotransmitters + Jeopardy Flashcards

You may prefer our related Brainscape-certified flashcards:
1
Q

Nurse Hazel is caring for a male client who experiences false sensory perceptions with no basis in reality. This is a

A

Hallucination

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Calling the client by name and spending time with the client are examples of what?

Empathy
Acceptance
Positive regard
Values

A

Positive regard

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

The RN is caring for a client who has suicidal tendencies. When accompanying the client to the restroom, the RN should…

Give her privacy?
Open the window to give her fresh air?
Close the door and allow her to urinate?
Observe her

A

Observe her

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Nurse Anna can minimize agitation in a disturbed client by…

Increasing agitation?
Limiting unnecessary interactions?
Increasing appropriate sensory perceptions?
Ensuring constant client and staff contact?

A

Limiting unnecessary interactions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

A client with schizophrenia is hallucinating. Which communication technique may the RN use to redirect the…

Presenting reality?
Making observations?
Reflecting?
Seeking information?

A

Presenting reality

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

When the nurse states, “Tell me more about that” the nurse is utilizing which communication technique?

Accepting?
Focusing?
Formulating a plan of action?
Exploring?

A

Exploring

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Which would not be considered a goal of therapeutic communication?

Establishing rapport?
Self-exploration of feelings by the nurse?
Active listening?
Guiding the client in problem solving?

A

Self-exploration of feelings by the nurse

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Which statement by the RN demonstrates an understanding of the 1st step in helping a client learn problem solving?

“What are you going to do the next time you get angry?”

“Can you explain to me what made you so angry?”

“What could you d when you are angry that doesn’t involve throwing things?”

“What do you think is the best thing to do when you are angry?”

A

“Can you explain to me what made you so angry?”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is an example of a non therapeutic communication technique?

Summarizing
Silence
Giving approval
Voicing doubt

A

Giving approval

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

When a client talks about the loss of a family member while laughing, this type of affect would be labeled as what?

Flat
Blunted
Incongruent
Restricted

A

Incongruent

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

When assessing SI, which of the following is not an important assessment?

Unemployment
Lethality of method
Degree of hopelessness
Previous suicide attempt

A

Unemployment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

A psychiatric-mental health RN is engaging in active listening with a client. Which technique would the RN most likely use?

Allowing the client to talk as long as the client wishes
Concentrating fully on what the client says
Changing the subject to gather more information
Using yes/no questions to accurately collect important data

A

Concentrating fully on what the client says

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Linda is pacing the floor and is anxious. The RN approaches in an attempt to alleviate her anxiety. The most therapeutic

Would you like to watch tv?
Are you feeling upset now?
Would you like me to talk with you?
Ignore the client

A

Would you like me to talk with you?

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

To further assess a client’s suicidal potential. Nurse Katrina should be especially alert to the client expression of:

Frustration and fear of death
Anger and resentment
Helplessness and hopelessness
Anxiety and loneliness

A

Helplessness and hopelessness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

The nurse indicates interest in and acceptance of the client by all of the following except

Maintaining a non-threatening eye contact
Slightly leaning toward the client
Facing the client
Sitting behind a desk

A

Sitting behind a desk

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Which therapeutic communication technique is utilized when the RN asks, “Is there something you’d like to talk about?”

Exploring
Accepting
Broad opening
Focusing

A

Broad opening

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Which of the nurse’s assessment questions would best identify whether the client has insight into the illness?

“Do you ever hear voices or see things that other people do not see?”

“Do you think that your illness prevents you from functioning well? If so, how?”

“Has anyone ever spoken to you about having a mental illness?”

“Has anything like this happened to you before?”

A

“Do you think that your illness prevents you from functioning well? If so, how?”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

When the RN asks, “How would you carry out this plan?” The nurse is questioning which component of a sliced assessment?”

Method
Ideation
Plan
Access

A

Access

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Which patient does not have the ability to refuse medications?

An involuntary committed client
A client who has been deemed competent by the court
A voluntarily committed client
A patient that has been riesed

A

A patient that has been riesed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Which question should be avoided because it may be perceived as criticism by the client?

How?
Why?
Where?
What?

A

Why?

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

The RN decides to use silence during the interview which situation would it not be therapeutic?

Client who is pondering the question

Client who is demonstrating resistance

Client who is constructing a response

Client who is experiencing depression

A

Client who is demonstrating resistance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

High-pitched, rapid delivery of a massage often indicates what?

Depression

Reminiscing

Confusion

Anxiety

A

Anxiety

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Which of the following function match with the neurotransmitter Acetylcholine?

A) Inhibits central nervous system and regulates anxiety
B) Major excitatory neurons in the CNS; important for learning and memory
C) Inhibitory neurotransmitter that controls posture and movement
D) Excitatory neurotransmitter related to movement of all muscles, as well as arousal, attention, anger, aggression, sexuality, and thirst

A

D

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Which of the following functions best matches with the neurotransmitter, DA?

A) Major excitatory neurons in the CNS; important for learning and memory
B) Involved in involuntary motor movements, some role in mood states, pleasure and components in reward system
C) Inhibits the CNS and regulates anxiety
D) Excitatory neurotransmitter related to movement of all muscles, as well as arousal, attention, anger, aggression, sexuality, and thirst

A

B

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Which of the following functions best matches the neurotransmitter, GABA?

A) Inhibitory neurotransmitter that controls posture and movement
B) Important for psychological arousal, mood changes, sleep, and learning
C) Inhibits the excitability of the neurons and therefore
D) Suppresses pain, and modulates mood and stress

A

C

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Which of the following functions best matches the neurotransmitter, Glutamate?

A) Inhibits CNS and regulates anxiety
B) Major excitatory neurons in the CNS; important for learning and memory
C) Inhibitory neurotransmitter that controls posture and movement
D) Important for psychological arousal, mood changes, sleep, and learning

A

B

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Which neurotransmitters are associated with memory loss and Alzheimer’s Disease?

A) Dopamine and Serotonin
B) Acetylcholine and Glutamate
C) Norepinephrine and Dopamine
D) Acetylcholine and Dopamine

A

B

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

Which of the following regulates sleep, mood, appetite, pain, and vomiting?

A) Serotonin
B) Norepinphrine
C) Dopamine
D) Glutamate

A

A

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

Which of the following neurotransmitters is important for psychological arousal, sleep, and learning?

A) Norepinephrine
B) Glutamate
C) Dopamine
D) GABA

A

A

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

Which neurotransmitter is associated with depression?

A) Glutamate
B) Histamine
C) Endorphin
D) Serotonin

A

D

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

Pain control is an example of which of the following neurotransmitters?

A) Glutamate
B) Dopamine
C) Endorphins
D) GABA

A

C

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

Jeopardy; Antidepressants

sertraline, escitalopram, and citalopram are members of this drug class

A

SSRI’s

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

Jeopardy; Antidepressants

These neurotransmitters can be increased when taking an antidepressant

A

norepinephrine, serotonin, and dopamine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

Jeopardy; Antidepressants

As antidepressants start to take effect and a patient has more energy the nurse should be concerned about this…

A

Suicidality

35
Q

Jeopardy; Antidepressants

A client must avoid foods that are high in Tyramine when taking a medication from this drug class

A

MAOIs

36
Q

Jeopardy; Antidepressants

Rapid discontinuation of antidepressants can cause these symptoms

A

Withdrawal
Nausea
Vertigo
Insomnia
Headache
Malaise
Nightmares

37
Q

Jeopardy; Mood Stabilizers and Lab Values

This Medication was the drug of choice for the tx of mania in bipolar disorder

A

Lithium

38
Q

Jeopardy; Mood Stabilizers and Lab Values

In addition to treating bipolar disorder; valproic acid, lamotrigine, and gabapentin are also in this drug class

A

antiepileptic/anticonvulsant

39
Q

Jeopardy; Mood Stabilizers and Lab Values

This is the target serum lithium level for acute mania

A

0.6-1.2 mEq/L

40
Q

Jeopardy; Mood Stabilizers and Lab Values

A patient with a lithium level greater than 1.5 will begin to show these signs of toxicity

A

Blurred vision
Ataxia
N/V/D
Diarrhea
Polyuria
Mental Confusion
Tremor

41
Q

Jeopardy; Mood Stabilizers and Lab Values

Patients should avoid consuming this when taking a mood stabilizer or anticonvulsant

A

Alcohol

42
Q

Jeopardy; Antipsychotics

Weight gain and metabolic syndrome are commonly seen in these antipsychotics

A

Atypical/SGA/2nd Generation

43
Q

Jeopardy; Antipsychotics

The major uses for antipsychotics

A

(+) and (-) Symptoms of Schizophrenia
Severe Depression
Bipolar Disorders

44
Q

Jeopardy; Antipsychotics

Antipsychotic medications help manage delusions, hallucinations, thought disorders, and bizarre behavior, which are classified as these kinds of target symptoms

A

Positive Pymptoms

45
Q

Jeopardy; Antipsychotics

Because of a higher side effect profile, nurses must consider this when administering and managing a patient taking antipsychotics

A

Non-adherence to medication regimen

46
Q

Jeopardy; Antipsychotics

These negative symptoms are successfully treated with atypical antipsychotics

A

Affective Flattening
Apathy
Attentional impairment
Restricted thought and speech

47
Q

Jeopardy; Anxiolytics

These drug classes are considered first line treatment in anxiety disorders

A

SSRI’s and newer antidepressants

48
Q

Jeopardy; Anxiolytics

This class of anxiety medication can cause dependency

A

benzodiazepines

49
Q

Jeopardy; Anxiolytics

These classes of drugs are used off label to treat anxiety through the blocking of peripheral or central nonadrenergic activity

A

Beta blockers (olol) and alpha 2 receptor agonists such as;
propranolol and clonidine

50
Q

Jeopardy; Anxiolytics

Benzodiazepines are often used to manage withdrawal symptoms from this substance

A

Alcohol

51
Q

Jeopardy; Anxiolytics

Antidepressants are a frontline treatment for anxiety symptoms for this reason

A

Depression and anxiety are often co-morbid illnesses

52
Q

Jeopardy; Side Effects/Adverse Reactions

There is an increased risk for agranulocytosis when taking this medication

A

clozapine (Clozaril)

53
Q

Jeopardy; Side Effects/Adverse Reactions

Severe msucle rigidity, diaphoresis, labile pulse and blood pressure, stupor, coma, and death are the symptoms of this severe adverse reaction seen in antipsychotics

A

Neuroleptic Malignant Syndrome

54
Q

Jeopardy; Side Effects/Adverse Reactions

There is an increase risk of seizures with this antidepressant

A

buproprion (Wellbutrin)

An NDRI that lowers the seizure threshold increasing the risk of seizures

NDRI = Norepinphrine and Dopamine Reuptake Inhibitor

55
Q

Jeopardy; Side Effects/Adverse Reactions

Tricyclic Antidepressants commonly cause these side effects

A

Drowsiness
Low blood pressure
Urinary rentention

56
Q

Jeopardy; Side Effects/Adverse Reactions

Tongue protrusion, lip smacking, choreiform movements, chewing are symptoms of this side effect, seen at times in patients taking conventional antipsychotics

A

Tardive diskinesia seen in chronic antipsychotic use

57
Q

Alprazolam (xanax), a benzodiazepine, is prescribed for an adult with panic attacks. The nurse recognized that this drug exerts its therapeutic effect by interacting with which neurotransmitter?

A) Acetylcholine
B) Norepinephrine
C) GABA
D) Serotonin

A

C) GABA

58
Q

All of the following are symptoms of tardive dyskinesia. Select all that apply

Bizarre facial and tongue movements
Difficulty swallowing
Stiff neck
Fever and malaise

A

Bizarre facial and tongue movements
Difficulty swallowing
Stiff neck

59
Q

A nurse would recognize which medication as most effective in providing a client immediate relief from neuroleptic induced extrapyramidal symptoms?

Diazepam (valium) 5 mg PO
Benzotropine (Cogentin) 2 mg PO
Haloperidol (Haldol) 2 mg IM
Lorazepam (Ativan) 1 mg by mouth (PO)

A

Benztropine

60
Q

A client hass been adherent with olanzapine (Zyprexa) 4 mg QHS for the past year. On assessment the nurse notes that the client has bizarre facial and tongue movements. Which is the priority intervention?

Ask the physician to increase the dose of zyprexa to assist with the bizarre behaviors

Explain to the client that these side effects are temporary and should subside in 2 to 3 weeks

Notify the physician of the observed side effects, place a hold on the Zyprexa, and request discontinuation of the medication

With the next dose of Zyprexa give the ordered prn dose of Benztropine (cogentin)

A

Notify the physician of the observed side effects, place a hold on the Zyprexa, and request discontinuation of the medication

61
Q

Which of the following are Extrapyramidal symptoms..Select all that apply

Pseudoparkinsonism
Anergia
Akathisia
Dystonia

A

Pseudoparkinsonism
Akathisia
Dystonia

62
Q

The nurse assesses the patient and find he has a tremor, shuffling gait, is drooling and has muscle rigidity. The nurse concludes that patient has

Akathesia
Dystronia
Pseudoparkinsonism
Anticholinergic side effects

A

Pseudoparkinsonism

63
Q

A nurse has received a client’s white blood cell count (WBC) result. Which client was most likely to have this blood work ordered?

A client diagnosed with schizophrenia prescribed respiradone (risperdal)

A client diagnosed with schizophrenia prescribed haloperidol (haldol)

A client diagnosed with schizophrenia prescribed aripiprazole (Abilify)

A client diagnosed with schizophrenia prescribed clozapine (Clozaril)

A

A client diagnosed with schizophrenia prescribed clozapine (Clozaril)

64
Q

A client diagnosed with schizophrenia exhbits a flat affect, apathy, and avolition. Which medication should a nurse expect a physcian to address these symptoms?

Risperidone (risperidal) to address these Positive symptoms

Olanzapine (Zyprexa) to address these negative symptoms

Chlorpromazine (thorazine) to address these negative symptoms

Haloperidol (Haldol) to adress these negative symptoms

A

Olanzapine (Zyprexa) to address these negative symptoms

65
Q

Apathy can be described as…

A

Indifference to or disinterest in the environment

66
Q

Avolition can be described as…

A

General lack of drive or motivation to pursue meaningful goals

67
Q

Anergia can be defined as…

A

A deficiency of energy to carry out activities of daily living

68
Q

Flat Affect can be defined as…

A

Lack of emotional reactivity

69
Q

Anhedonia can be defined as…

A

Feeling of NO joy or pleasure from life or any activities

70
Q

Alogia can be defined as…

A

Tendency to speak little, poverty of content

71
Q

Ideas of reference is a ____ symptom of schizophrenia

A

Positive

72
Q

Apathy is a ___ symptom of schizophrenia

A

Negative

73
Q

Paranoid delusion is when…

A

A patient believes that “others” are planning to harm him or her or that others are spying on him

74
Q

Grandiose delusions is when…

A

The patient claim’s to be a famous person or celebrities, or the patient claims that they are famous

75
Q

Ideas of reference is when…

A

The patient believes that television broadcasts, conversations, music, or newspaper articles have special meaning for him or that they are involving him

76
Q

Dopamine is a neurotransmitter involved in…

A

Cognition, motivation, and movement. It controls emotional responses and the brain’s reward and pleasure center

77
Q

Serotonin is a neurotransmitter that…

A

Helps, regulate mood, arousal, attention, sleep, and behavior

78
Q

GABA is a major…

A

Inhibitory neurotransmitter that induces relaxation, reduces stress, and increases alertness

79
Q

You are caring for a patient with the diagnosis of major depression. Which of the following medication would not likely be prescribed?

Zyprexa/Olanzapine
Prozac/Fluoxetine
Tofranil/imipramine
Parnate/Tranylcypromine

A

Zyprexa/olanzapine

80
Q

Which of the following should be included in the health teaching for your patient receiving Valium/diazepam

Avoid using alcohol, a CNS depressant
There are no restrictions in activities
Limit fluid intake
Beverages like coffee may be used

A

Avoid using alcohol, a CNS depressant

81
Q

Typical anti-psychotic drugs, such as haldol, work by blocking the action of which neurotransmitter?

Acetylcholine
Serotonin
Dopamine
Norepinephrine

A

Dopamine

82
Q

The nurse caring for a client receiving an SSRI will develop outcome criteria based on?

Minimal EPS
Logical thought processes
Reduced anxiety
Mood improvement

A

Mood improvement

83
Q

Atypical anti-psychotics are preferred over typical ones because…?

A

They only need to be take once
They have no food restrictions
They target both the positive and negative symptoms
None of the above