MH exam 1 Flashcards

(49 cards)

1
Q

positive symptoms of schizophrenia

A

delusions
hallucinations
disorganized speech
bizarre behaviors

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2
Q

negative symptoms of schizophrenia

A

social discomfort
inability to enjoy activities
lack of goal directed behavior

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3
Q

A nurse is assessing a client who is taking buspirone to treat generalized anxiety disorder. Which of the following findings should the nurse identify as an adverse effect of this medication?

A

Xerostomia (dry mouth)

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4
Q

what is the medical term for dry mouth.

A

Xerostomia

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5
Q

A nurse in a mental health facility is meeting with a client who has a diagnosis of major depression. During the conversation, the client stops speaking, and the nurse sits silently next to the client for several minutes. The nurse should identify that the therapeutic communication technique of silence is used for which of the following purposes?

A

To encourage the client to express feelings or concerns

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6
Q

A nurse is caring for a client who has schizophrenia and started taking a first-generation antipsychotic medication 3 weeks ago. The client reports a feeling of inner restlessness, rocks back and forth when sitting down, and paces frequently. The nurse should identify that the client is experiencing which of the following adverse effects of antipsychotic medications?

A

Akathisia

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7
Q

A nurse is teaching a client who has generalized anxiety disorder to perform a deep-breathing exercise. Which of the following actions should the nurse instruct the client to take?

A

Breathe in through the nose

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8
Q

A nurse is assessing a client who takes phenelzine for the treatment of depression. Which of the following findings is the priority for the nurse to report to the provider?

A

Elevated blood pressure

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9
Q

what MAOI can cause a hypertensive crisis

A

phenelzine

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10
Q

A nurse is observing a client with schizophrenia in the dayroom. Another client asks him if several items of clothing match. He replies, “A match. I like matches. They are the givers of light, the light of the world. Let your light shine on.” The nurse should identify these statements as which of the following speech alterations?

A

associative looseness

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11
Q

A nurse is providing teaching to a client who has a new prescription for clozapine. Which of the following statements should the nurse include in the teaching?

A

“You should have your white blood cell count checked once per week for 6 months.”

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12
Q

A nurse is providing discharge teaching for a client who has a new prescription for doxepin. Which of the following adverse effects is associated with this medication?

A

drowsiness

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13
Q

A nurse is teaching an assistive personnel (AP) about dietary restrictions for a client who is taking phenelzine to treat depression. The AP’s selection of which of the following foods for the client’s lunch indicates an understanding of the teaching?

A

chicken salad

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14
Q

what kind of drug is phenelzine

A

MAOI inhibitor

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15
Q

what adverse effect can chlorpromazine cause and what is used to treat it?

A

parkinsonism and treated with amantadine

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16
Q

what is the first line SSRI for PTSD

A

paroxetine

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17
Q

do you have to keep restricted diet after stopping MAOIs

A

yes for 2 weeks

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18
Q

A nurse is teaching a client who has schizophrenia about involuntary commitment. Which of the following statements should the nurse identify as an indication that the client understands the teaching?

A

“At least 2 doctors must support the commitment application.”

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19
Q

official mental health disorder diagnosis guidebook

A

DSM-5

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20
Q

what gender does schitzophrenia appear in earlier

21
Q

what is disorder appears before agoraphobia

A

panic disorder

22
Q

what is agoraphobia

A

fear of open spaces

23
Q

which psychologists theory is that childhood affects adult personaility traits

24
Q

levels of conciousness

A

concious
preconscious
unconscious

25
focusing on strengths rather weakness is a what defense mechanism
compensation
26
ignoring anything that gives you anxiety or loss of self esteem is what defense mechanism
denial
27
redirecting negative emotions to a safer focus is what defense mechanism
displacement
28
overthinking challenge to avoid dealing with emotions is what defense mechanism
intellectualization
29
attributing your own motives to another person
prejection
30
explaining personal actions in a way that enhances your own self image
rationalization
31
reverting to behavior associated with earlier stage of development when challenged by stress
regression
32
blocking unacceptable thoughts from conciousness
repression
33
responding to thoughts by demonstrating opposite emotions and actions
reaction formation
34
rechanneling unacceptable impulses into socially acceptable behaviors
sublimation
35
patient projecting intense feelings onto the therapist related to unfinished issues in previous relationships
transference
36
therapist projects intense feelings onto the patient related to unfinished issues in previous relationships
countertransference
37
personality structure that controls pleasure principle
the Id
38
personality structure that is the problem solver and reality tester
Ego
39
personality structure that is the superego
moral component
40
what is the name of the theory that all behavior is to get needs met and avoid anxiety
sullivans interpersonal theory
41
trust vs mistrust is what stage of eriksons eight stages of development
infant stage
42
autonomy vs shame/doubt is what stage of eriksons eight stages of development
toddler
43
initiative vs guilt is what stage of eriksons eight stages of development
preschooler
44
industry vs inferiority is what stage of eriksons eight stages of development
school-age children
45
identity vs role confusion is what stage of eriksons eight stages of development
adolescent
46
intimacy vs isolation is what stage of eriksons eight stages of development
young adult
47
generativity vs stagnation is what stage of eriksons eight stages of development
middle age adult
48
integrity vs despair is what stage of eriksons eight stages of development
older adult
49
tuckmans five