Test 2 Study

Question 1

general adaptation syndrome (GAS)

Answer 1

predictable response to stress

Question 2

Which of the following clinical manifestations are consistent with severe or panic level of anxiety?

Answer 2

nausea.
pounding headache.
elevated volume and rate of speech.
“ i feel like im having a heart attack”

Question 3

Excoriation disorder

Answer 3

behavior defined by the recurrent picking at one’s skin, resulting in lesions.

Question 4

Trichotillomania

Answer 4

behavior defined by serially and intentionally pulling out one’s hair.

Question 5

managing anxiety when it reaches a panic level

Answer 5

mindful deep breaths.
dim the lights.
active listening.

Question 6

Risk for developing OCD

Answer 6

• sexually abused as a child by family member.
• tobacco use.
• sibling has been treated for OCD.

Question 7

Which of the following statements is accurate about eating disorders?

Answer 7

Eating disorders have a 10% mortality rate, making them the most lethal of all psychiatric disorders.

Question 8

anorexia nervosa

Answer 8

Self-induced starvation and fear of being fat.

Question 9

bulimia nervosa

Answer 9

repeated binge-purge cycle. (to eat alot and throw it out).

s/sx: loss of bone density, irregular menses, dental erosion and esophageal tears.

Question 10

orthorexia

Answer 10

Obsession with “healthful” ​​​eating, resulting in malnutrition and weight loss. ​​​​​​

Question 11

pica

Answer 11

Consuming inedible objects, such as clay, dirt, or paint, and is more commonly exhibited by children.

Question 12

Russell’s Sign

Answer 12

Callouses and bruising on the knuckles resulting from self-induced vomiting by sticking one’s fingers down the throat

Question 13

refeeding syndrome

Answer 13

dangerous shift of fluids when calories are reintroduced too quickly, can result in heart failure and death.

Question 14

medication approved for eating disorder

Answer 14

SSRI

Question 15

factors that can lead to eating disorders

Answer 15

genetics, psychosocial, cultural

Question 16

most common type of eating disorder

Answer 16

binge eating

Question 17

manifestation of anorexia

Answer 17

patches of hairloss caused by malnutrition.

s/sx include: severe diet, fear of gaining weight and amenorrhea.

Question 18

lab results of client with bulimia nervosa

Answer 18

elevated pancreatic enzyme levels

Question 19

Cognitive behavioral therapy

Answer 19

Cognitive behavioral therapy focuses on identifying and restructuring distorted thoughts in effort to improve emotional status and perceptions about self, world, and the future,

Question 20

behavioral therapy

Answer 20

The use of reinforcements and a reward system to encourage treatment-enhancing behaviors

Question 21

Interpersonal therapy

Answer 21

Interpersonal therapy focuses on improving interpersonal interactions and satisfaction with social relationships

Question 22

characteristics of Binge-eating disorder

Answer 22

binge- episodes and feeling powerlessness, shame, and embarrassment

Question 23

manifestations of GAD

Answer 23

• excessive worry over 6 months.
• sleep disturbance
• restlessness

Question 24

Schizoid Personality Disorder

Answer 24

prefers solo activities, does not seek relationships and is detached.

Question 25

Schizotypical Personality Disorder

Answer 25

Desires social connections but struggles due to eccentric behavior, social anxiety, and odd beliefs

Question 26

Cluster A

Answer 26

Odd or eccentric : Schizoid/ schizotypical

Question 27

Cluster B

Answer 27

Dramatic / erratic: Antisocial, borderline , histrionic, narcissistic

Question 28

Cluster C

Answer 28

Anxious / fearful: Dependent, avoidant and OCD

Question 29

Histrionic Personality Disorder

Answer 29

dramatic, emotional and attention seeking behavior

Question 30

Narcissistic Personality Disorder

Answer 30

lack of empathy, sense of entitlement, arrogance and success fantasies.

Question 31

Dependent Personality disorder

Answer 31

lack confidence being alone or making decision, need reassurrance and confidence from people.

Question 32

Avoidant Personality Disorder

Answer 32

lack friends, avoids people and relationships for fear of criticism and embarassment.

Question 33

Borderline personality disorder

Answer 33

Impulsive behavior, unstable relationships , extreme thinking - all good or all bad.

Question 34

somatic symptom disorder (SSD)

Answer 34

physical symptoms such as pain.

Question 35

malingering

Answer 35

pretending to be sick or exaggerating symptoms

Question 36

Dissociation

Answer 36

Feeling detached from your body.

Question 37

dissociative identity disorder (DID)

Answer 37

(multiple personality disorder) , having two or more distinct identity.

Question 38

Illness anxiety disorder

Answer 38

fear of developing a serious illness.

Question 39

Functional neurological symptom disorder

Answer 39

(also called conversion disorder). condition where a person experiences neurological symptoms

Question 40

Factitious disorder

Answer 40

a person fakes symptoms of illness, either in themselves or someone in their care, without any reward.

Question 41

what is the best treatment for somatic symptom disorder?

Answer 41

combination of medication and therapy

Question 42

medications for dissociative identify disorder

Answer 42

SSRI's Benzodiazepines and Beta Blockers

Question 43

Depersonalization

Answer 43

feeling of being detached from yourself

Question 44

A nurse on an inpatient mental health unit is caring for a client who is experiencing panic level anxiety. Which of the following findings should the nurse expect? Poor concentration Depersonalization Shakiness Voice tremors

Answer 44

Depersonalization

Question 45

A nurse is teaching a client how to use the mental health continuum self-check to monitor changes in mood. Which of the following information should the nurse include? "If you feel angry or anxious, you are in danger of injuring yourself or others and require emergency care." "If you experience a sudden change in mood, such as excessive anxiety and panic attacks, you should contact your health care provider." "It is not expected for your mood to fluctuate, so seek professional care if any mood change occurs." "Being unable to perform usual daily activities means you are in the reacting zone."

Answer 45

"If you experience a sudden change in mood, such as excessive anxiety and panic attacks, you should contact your health care provider."

Question 46

A nurse is providing teaching about stress with a client. The nurse should identify that which of the following client statements indicates an understanding of the teaching? "I am only stressed due to my lack of sleep." "I am not really stressed; it is just my perception." "Certain practices can increase my awareness of my stress." "I can modify all of my stress triggers."

Answer 46

"Certain practices can increase my awareness of my stress."

Question 47

A nurse is caring for a client who experiences severe anxiety when going to work. The nurse should identify that which of the following areas of the autonomic nervous system is stimulated when the client goes to work? Parasympathetic nervous system Limbic system Vagus nerve Sympathetic nervous system

Answer 47

Sympathetic nervous system

Question 48

A nurse is discussing a trauma-informed approach to care with a peer. Which of the following statements by the nurse reflects an understanding of self- reflection? "Sometimes after a shift on my drive home I realize I don't remember what I said." "I use a checklist when I prepare for client-centered care so I do not miss any of the important details." "To keep clients safe and promote healing, it is important to intentionally consider my words and actions." "I find letting go of what just happened and moving on the best way to survive as a nurse."

Answer 48

"To keep clients safe and promote healing, it is important to intentionally consider my words and actions."

Question 49

A nurse is caring for a client who has posttraumatic stress disorder (PTSD). The nurse anticipates the provider might prescribe which of the following medications? Tramadol Paroxetine Semaglutide Zaleplon

Answer 49

Paroxetine. The first treatment for PTSD is a selective serotonin reuptake inhibitor (SSRI), such as paroxetine.

Question 50

The Psychiatrist has ordered Paroxetine (Paxil) 40mg by mouth 3 times a day. The times to be administered are 08:00, 12:00, 1600. After 3 days, and 9 doses administered. How much Paroxetine has been given?

Answer 50

40mg x 9 (doses) = 360 mg

Question 51

anhedonia

Answer 51

Inability to feel pleasure or joy due to depression.

Question 52

electroconvulsive therapy (ECT)

Answer 52

Deliberate induction of seizures under anesthesia to treat depression.

Question 53

serotonin syndrome

Answer 53

A potentially fatal medication reaction that can occur from medications such as SSRIs and SSNRIs. Manifestations include alterations in mental cognition, tremors, muscle rigidity, diaphoresis, extreme elevation in temperature, tachycardia, hypertension, dilation of the pupils, abdominal pain, and alterations in bowel activity.

Question 54

endorphins

Answer 54

Hormones that act as the body’s natural pain relievers.

Question 55

therapeutic milieu

Answer 55

Creation of a safe environment.

Question 56

Disruptive mood dysregulation disorder

Answer 56

a disorder diagnosed in children who exhibit extreme irritability, tantrums, and trouble in school.

Question 57

factors that contribute to schizophrenia.

Answer 57

Age. Gender (males esp). Family history. Environmental. Cannibis/ drug use.

Question 58

catatonic behavior

Answer 58

severe decrease in reaction to environmental stimuli, ranging from ignoring commands to a complete lack of response

Question 59

anosognosia

Answer 59

unaware of their own mental health.

Question 60

derealization

Answer 60

Feeling like nothing is real or something is strange

Question 61

Neologism

Answer 61

making up new words or phrases

Question 62

Loose association

Answer 62

disorganized, fragmented, or confusing communication, often seen in conditions like schizophrenia

Question 63

Echolalia

Answer 63

Repeated or echoed speech of what was heard

Question 64

Alogia

Answer 64

Lack of speech

Question 65

Mania

Answer 65

High energy of extreme mood and emotions

Question 66

atypical antipsychotics

Answer 66

The first choice for treatment of schizophrenia due to decreased side effects.

Question 67

Which of the following adverse effects are known with aripiprazole?

Answer 67

Headache Nausea Sleepiness

Question 68

age when schizophrenia is usually diagnosed

Answer 68

late teens to early 30's

Question 69

the exploitation phase

Answer 69

discussion of interventions

Question 70

which is used to determine diagnosis for schizophrenia?

Answer 70

clinical observation only.

Question 71

Difference between psychosis and schizophrenia

Answer 71

psychosis is a condition in which a person has lost contact with reality and displays manifestations such as delusions and hallucinations. Schizophrenia is a mental health disorder where people experience psychosis and behaviors that impair their ability to function.

Question 72

what is the physiological change of the brain from schizophrenia?

Answer 72

Decreased gray matter volume in the brain.

Question 73

why is it required to have weekly blood draw while on clozapine ?

Answer 73

Clozapine can cause agranulocytosis and place the client at risk for infection.

Question 74

Anticipatory grief

Answer 74

Grief experienced by someone who is expecting the person to die in a specified period of time.

Question 75

Disenfranchised grief

Answer 75

Grief that is not socially acceptable to express or the expression of grief may not be allowed.

Question 76

Which antipsychotic medication maybe prescribed for a client that’s overweight and has hypertension?

Answer 76

Aripiprazole