Week 1&2 Success Kahoot Questions + Quiz Neurotransmitters + Jeopardy Flashcards
Nurse Hazel is caring for a male client who experiences false sensory perceptions with no basis in reality. This is a
Hallucination
Calling the client by name and spending time with the client are examples of what?
Empathy
Acceptance
Positive regard
Values
Positive regard
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
Observe her
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?
Limiting unnecessary interactions
A client with schizophrenia is hallucinating. Which communication technique may the RN use to redirect the…
Presenting reality?
Making observations?
Reflecting?
Seeking information?
Presenting reality
When the nurse states, “Tell me more about that” the nurse is utilizing which communication technique?
Accepting?
Focusing?
Formulating a plan of action?
Exploring?
Exploring
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?
Self-exploration of feelings by the nurse
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?”
“Can you explain to me what made you so angry?”
What is an example of a non therapeutic communication technique?
Summarizing
Silence
Giving approval
Voicing doubt
Giving approval
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
Incongruent
When assessing SI, which of the following is not an important assessment?
Unemployment
Lethality of method
Degree of hopelessness
Previous suicide attempt
Unemployment
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
Concentrating fully on what the client says
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
Would you like me to talk with you?
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
Helplessness and hopelessness
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
Sitting behind a desk
Which therapeutic communication technique is utilized when the RN asks, “Is there something you’d like to talk about?”
Exploring
Accepting
Broad opening
Focusing
Broad opening
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?”
“Do you think that your illness prevents you from functioning well? If so, how?”
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
Access
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 patient that has been riesed
Which question should be avoided because it may be perceived as criticism by the client?
How?
Why?
Where?
What?
Why?
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
Client who is demonstrating resistance
High-pitched, rapid delivery of a massage often indicates what?
Depression
Reminiscing
Confusion
Anxiety
Anxiety
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
D
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
B
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
C
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
B
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
B
Which of the following regulates sleep, mood, appetite, pain, and vomiting?
A) Serotonin
B) Norepinphrine
C) Dopamine
D) Glutamate
A
Which of the following neurotransmitters is important for psychological arousal, sleep, and learning?
A) Norepinephrine
B) Glutamate
C) Dopamine
D) GABA
A
Which neurotransmitter is associated with depression?
A) Glutamate
B) Histamine
C) Endorphin
D) Serotonin
D
Pain control is an example of which of the following neurotransmitters?
A) Glutamate
B) Dopamine
C) Endorphins
D) GABA
C
Jeopardy; Antidepressants
sertraline, escitalopram, and citalopram are members of this drug class
SSRI’s
Jeopardy; Antidepressants
These neurotransmitters can be increased when taking an antidepressant
norepinephrine, serotonin, and dopamine
Jeopardy; Antidepressants
As antidepressants start to take effect and a patient has more energy the nurse should be concerned about this…
Suicidality
Jeopardy; Antidepressants
A client must avoid foods that are high in Tyramine when taking a medication from this drug class
MAOIs
Jeopardy; Antidepressants
Rapid discontinuation of antidepressants can cause these symptoms
Withdrawal
Nausea
Vertigo
Insomnia
Headache
Malaise
Nightmares
Jeopardy; Mood Stabilizers and Lab Values
This Medication was the drug of choice for the tx of mania in bipolar disorder
Lithium
Jeopardy; Mood Stabilizers and Lab Values
In addition to treating bipolar disorder; valproic acid, lamotrigine, and gabapentin are also in this drug class
antiepileptic/anticonvulsant
Jeopardy; Mood Stabilizers and Lab Values
This is the target serum lithium level for acute mania
0.6-1.2 mEq/L
Jeopardy; Mood Stabilizers and Lab Values
A patient with a lithium level greater than 1.5 will begin to show these signs of toxicity
Blurred vision
Ataxia
N/V/D
Diarrhea
Polyuria
Mental Confusion
Tremor
Jeopardy; Mood Stabilizers and Lab Values
Patients should avoid consuming this when taking a mood stabilizer or anticonvulsant
Alcohol
Jeopardy; Antipsychotics
Weight gain and metabolic syndrome are commonly seen in these antipsychotics
Atypical/SGA/2nd Generation
Jeopardy; Antipsychotics
The major uses for antipsychotics
(+) and (-) Symptoms of Schizophrenia
Severe Depression
Bipolar Disorders
Jeopardy; Antipsychotics
Antipsychotic medications help manage delusions, hallucinations, thought disorders, and bizarre behavior, which are classified as these kinds of target symptoms
Positive Pymptoms
Jeopardy; Antipsychotics
Because of a higher side effect profile, nurses must consider this when administering and managing a patient taking antipsychotics
Non-adherence to medication regimen
Jeopardy; Antipsychotics
These negative symptoms are successfully treated with atypical antipsychotics
Affective Flattening
Apathy
Attentional impairment
Restricted thought and speech
Jeopardy; Anxiolytics
These drug classes are considered first line treatment in anxiety disorders
SSRI’s and newer antidepressants
Jeopardy; Anxiolytics
This class of anxiety medication can cause dependency
benzodiazepines
Jeopardy; Anxiolytics
These classes of drugs are used off label to treat anxiety through the blocking of peripheral or central nonadrenergic activity
Beta blockers (olol) and alpha 2 receptor agonists such as;
propranolol and clonidine
Jeopardy; Anxiolytics
Benzodiazepines are often used to manage withdrawal symptoms from this substance
Alcohol
Jeopardy; Anxiolytics
Antidepressants are a frontline treatment for anxiety symptoms for this reason
Depression and anxiety are often co-morbid illnesses
Jeopardy; Side Effects/Adverse Reactions
There is an increased risk for agranulocytosis when taking this medication
clozapine (Clozaril)
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
Neuroleptic Malignant Syndrome
Jeopardy; Side Effects/Adverse Reactions
There is an increase risk of seizures with this antidepressant
buproprion (Wellbutrin)
An NDRI that lowers the seizure threshold increasing the risk of seizures
NDRI = Norepinphrine and Dopamine Reuptake Inhibitor
Jeopardy; Side Effects/Adverse Reactions
Tricyclic Antidepressants commonly cause these side effects
Drowsiness
Low blood pressure
Urinary rentention
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
Tardive diskinesia seen in chronic antipsychotic use
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
C) GABA
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
Bizarre facial and tongue movements
Difficulty swallowing
Stiff neck
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)
Benztropine
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)
Notify the physician of the observed side effects, place a hold on the Zyprexa, and request discontinuation of the medication
Which of the following are Extrapyramidal symptoms..Select all that apply
Pseudoparkinsonism
Anergia
Akathisia
Dystonia
Pseudoparkinsonism
Akathisia
Dystonia
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
Pseudoparkinsonism
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 client diagnosed with schizophrenia prescribed clozapine (Clozaril)
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
Olanzapine (Zyprexa) to address these negative symptoms
Apathy can be described as…
Indifference to or disinterest in the environment
Avolition can be described as…
General lack of drive or motivation to pursue meaningful goals
Anergia can be defined as…
A deficiency of energy to carry out activities of daily living
Flat Affect can be defined as…
Lack of emotional reactivity
Anhedonia can be defined as…
Feeling of NO joy or pleasure from life or any activities
Alogia can be defined as…
Tendency to speak little, poverty of content
Ideas of reference is a ____ symptom of schizophrenia
Positive
Apathy is a ___ symptom of schizophrenia
Negative
Paranoid delusion is when…
A patient believes that “others” are planning to harm him or her or that others are spying on him
Grandiose delusions is when…
The patient claim’s to be a famous person or celebrities, or the patient claims that they are famous
Ideas of reference is when…
The patient believes that television broadcasts, conversations, music, or newspaper articles have special meaning for him or that they are involving him
Dopamine is a neurotransmitter involved in…
Cognition, motivation, and movement. It controls emotional responses and the brain’s reward and pleasure center
Serotonin is a neurotransmitter that…
Helps, regulate mood, arousal, attention, sleep, and behavior
GABA is a major…
Inhibitory neurotransmitter that induces relaxation, reduces stress, and increases alertness
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
Zyprexa/olanzapine
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
Avoid using alcohol, a CNS depressant
Typical anti-psychotic drugs, such as haldol, work by blocking the action of which neurotransmitter?
Acetylcholine
Serotonin
Dopamine
Norepinephrine
Dopamine
The nurse caring for a client receiving an SSRI will develop outcome criteria based on?
Minimal EPS
Logical thought processes
Reduced anxiety
Mood improvement
Mood improvement
Atypical anti-psychotics are preferred over typical ones because…?
They only need to be take once
They have no food restrictions
They target both the positive and negative symptoms
None of the above
