Exam 1

Question 0

Caring theory

Answer 0

Watson

Question 1

Energy field

Answer 1

Rogers

Question 2

Environmental theory

Answer 2

Nightingale

Question 3

Interpersonal relationship

Answer 3

Paplau

Question 4

Tarasoff case

Answer 4

Landmark court decision in CA which holds a mental health therapist responsible for being proactive in preventing harm by a particular patient.
Duty to protect
Duty to inform
Duty to report
Charting
Assess. Violence
Parameters: type of harm, seriousness, imminence, likelihood. 
Discharge the duty

Question 5

Physiological

Answer 5

Breathing 
Food
Water
Sex
Sleep
Homeostasis
Excretion

Question 6

Safety

Answer 6

Security of:
Body
Employment
Resources
Morality
Family
Health
Poverty

Question 7

Love and belonging

Answer 7

Friendship
Family
Sexual intimacy

Question 8

Self-esteem

Answer 8

Self esteem
Confidence
Achievement
Respect of others

Question 9

Self actualization

Answer 9

Morality
Creativity
Spontaneity 
Problem solving 
Lack of prejudice
Acceptance of facts

Question 10

Axis 1

Answer 10

Clinical disorders:
Depression
Bipolar
Insomnia
Anorexia
Dementia
Autism

Question 11

Axis 2

Answer 11

Personality disorders and mental retardation:
Paranoid personality disorder
Borderline personality disorder
Antisocial personality disorder
Dependent personality disorder
Mental retardation

Question 12

Axis 3

Answer 12

General medical conditions: 
Asthma
CHF
Diabetes
Liver disease
Cancer

Question 13

Axis 4

Answer 13

Psychosocial and environmental problems: 
Divorce 
Abuse
Homelessness
Poverty 
Educational problems
Unemployed
Inadequate health care

Question 14

Axis 5

Answer 14

Global assessment of functioning:

Individuals overall level of functioning

Question 15

5150

Answer 15

Involuntary hold
DTS DTO
72 hour hold

Question 16

Traditional antipsychotics

Answer 16

Used for schizophrenia acute & chronic psychoses.
Action: alters effects of dopamine in the CNS.
SE: neuroleptic malignant syndrome, extrapyramidal RXN, sedation, tardive dyskinesia, agranulocytosis.
Haldol
Thorazine
Prolixin
Navane

Question 17

SE of traditional antipsychotics

Answer 17

SE: neuroleptic malignant syndrome, extrapyramidal RXN, sedation, tardive dyskinesia, agranulocytosis.
Haldol
Thorazine
Prolixin
Navane

Question 18

Examples of Traditional Antipyschotics

Answer 18

Haldol
Thorazine
Prolixin
Navane

Question 19

Examples of atypical Antipsychotics

Answer 19

Abilify
Zyprexa
Resperidal
Geodone
Clozapine

Question 20

Indication for atypical antipsychotics

Answer 20

Schizophrenia
Bipolar disorder
Action: antagonizes dopamine and serotonin type 2 in CNS

Question 21

SE of atypical antipsychotics

Answer 21

Extrapyramidal symptoms, Akathisia, tardive dyskinesia, acute dystonia, neuroleptic malignant syndrome. Agranulocytosis, sedation, contra indicated in dementia patients.

Question 22

Examples of Anticholinergics

Answer 22

Cogentin
Benadryl
Artane

Question 23

Indication of Anticholinergics

Answer 23

Drug induced extrapyramidal effects and acute dystonic RXNs

Action: block the action of neurotransmitter acetylcholine.

Question 24

SE of Anticholinergics

Answer 24

``` Dry mouth, nose and throat. Constipation Drowsiness Blurred vision Confusion Memory loss. ```

Question 25

Examples of Tricyclic antidepressants

Answer 25

Amitriptyline Desipramine Imipramine

Question 26

Indication for tricyclic antidepressants

Answer 26

Depression | Action: block the reabsorption of serotonin.

Question 27

SE of tricyclic antidepressants

Answer 27

``` Arrhythmias Drowsiness fatigue Blurred vision Hypotension Constipation ```

Question 28

Examples of MAOI antidepressants

Answer 28

Nardil | Pamate

Question 29

Indication for MAOI antidepressants

Answer 29

Pt. W/ depression. Tricyclic, SSRI, SSNRI, and electroconvulsive therapy were ineffective. Action: inhibits serotonin reuptake

Question 30

SE of MAOI antidepressants

Answer 30

HTN crisis, seizures, Arrhythmias, dizziness, headache.

Question 31

Patient teaching for MAOI antidepressants.

Answer 31

Avoid tyramine: | Cheese, meats, wine. Can cause HTN crisis.

Question 32

Examples: SSRI antidepressants

Answer 32

Prozac Paxil Zoloft

Question 33

Indications for SSRI

Answer 33

Depression Bulimia nervosa Panic disorder Action: inhibits serotonin reuptake.

Question 34

SE of SSRI

Answer 34

Seizures, drowsiness, sexual dysfunction, insomnia, nervousness.

Question 35

Examples of Mood stabilizers

Answer 35

Lithium Depakote Carbamazepin Trileptal

Question 36

Examples: Anxiolytics Benzodiazepines

Answer 36

Valium Xanax Ativan Klonopin

Question 37

Indication of anxiolytics and benzodiazepines

Answer 37

Anxiety disorders Action: depresses the CNS Potentiating GABA sedation, and decreased anxiety.

Question 38

SE of anxiolytics and benzodiazepines

Answer 38

Apnea, cardiac arrest, dizziness, drowsiness, lethargy.

Question 39

Pt teaching for anxiolytics and benzodiazepines

Answer 39

Habit forming and overdose can be fatal.