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

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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

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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

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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

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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

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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

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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

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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?”

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9
Q

What is an example of a non therapeutic communication technique?

Summarizing
Silence
Giving approval
Voicing doubt

A

Giving approval

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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

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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

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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

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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?

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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

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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

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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

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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?”

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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

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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

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20
Q

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

How?
Why?
Where?
What?

A

Why?

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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

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22
Q

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

Depression

Reminiscing

Confusion

Anxiety

A

Anxiety

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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

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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

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25
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
26
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
27
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
28
Which of the following regulates sleep, mood, appetite, pain, and vomiting? A) Serotonin B) Norepinphrine C) Dopamine D) Glutamate
A
29
Which of the following neurotransmitters is important for psychological arousal, sleep, and learning? A) Norepinephrine B) Glutamate C) Dopamine D) GABA
A
30
Which neurotransmitter is associated with depression? A) Glutamate B) Histamine C) Endorphin D) Serotonin
D
31
Pain control is an example of which of the following neurotransmitters? A) Glutamate B) Dopamine C) Endorphins D) GABA
C
32
# Jeopardy; Antidepressants sertraline, escitalopram, and citalopram are members of this drug class
SSRI's
33
# Jeopardy; Antidepressants These neurotransmitters can be increased when taking an antidepressant
norepinephrine, serotonin, and dopamine
34
# Jeopardy; Antidepressants As antidepressants start to take effect and a patient has more energy the nurse should be concerned about this...
Suicidality
35
# Jeopardy; Antidepressants A client must avoid foods that are high in Tyramine when taking a medication from this drug class
MAOIs
36
# Jeopardy; Antidepressants Rapid discontinuation of antidepressants can cause these symptoms
Withdrawal Nausea Vertigo Insomnia Headache Malaise Nightmares
37
# Jeopardy; Mood Stabilizers and Lab Values This Medication was the drug of choice for the tx of mania in bipolar disorder
Lithium
38
# 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
39
# Jeopardy; Mood Stabilizers and Lab Values This is the target serum lithium level for acute mania
0.6-1.2 mEq/L
40
# 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
41
# Jeopardy; Mood Stabilizers and Lab Values Patients should avoid consuming this when taking a mood stabilizer or anticonvulsant
Alcohol
42
# Jeopardy; Antipsychotics Weight gain and metabolic syndrome are commonly seen in these antipsychotics
Atypical/SGA/2nd Generation
43
# Jeopardy; Antipsychotics The major uses for antipsychotics
(+) and (-) Symptoms of Schizophrenia Severe Depression Bipolar Disorders
44
# Jeopardy; Antipsychotics Antipsychotic medications help manage delusions, hallucinations, thought disorders, and bizarre behavior, which are classified as these kinds of target symptoms
Positive Pymptoms
45
# 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
46
# Jeopardy; Antipsychotics These negative symptoms are successfully treated with atypical antipsychotics
Affective Flattening Apathy Attentional impairment Restricted thought and speech
47
# Jeopardy; Anxiolytics These drug classes are considered first line treatment in anxiety disorders
SSRI's and newer antidepressants
48
# Jeopardy; Anxiolytics This class of anxiety medication can cause dependency
benzodiazepines
49
# 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
50
# Jeopardy; Anxiolytics Benzodiazepines are often used to manage withdrawal symptoms from this substance
Alcohol
51
# Jeopardy; Anxiolytics Antidepressants are a frontline treatment for anxiety symptoms for this reason
Depression and anxiety are often co-morbid illnesses
52
# Jeopardy; Side Effects/Adverse Reactions There is an increased risk for agranulocytosis when taking this medication
clozapine (Clozaril)
53
# 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
54
# 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
55
# Jeopardy; Side Effects/Adverse Reactions Tricyclic Antidepressants commonly cause these side effects
Drowsiness Low blood pressure Urinary rentention
56
# 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
57
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
58
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
59
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
60
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
61
Which of the following are Extrapyramidal symptoms..Select all that apply Pseudoparkinsonism Anergia Akathisia Dystonia
Pseudoparkinsonism Akathisia Dystonia
62
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
63
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)
64
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
65
Apathy can be described as…
Indifference to or disinterest in the environment
66
Avolition can be described as…
General lack of drive or motivation to pursue meaningful goals
67
Anergia can be defined as…
A deficiency of energy to carry out activities of daily living
68
Flat Affect can be defined as…
Lack of emotional reactivity
69
Anhedonia can be defined as…
Feeling of NO joy or pleasure from life or any activities
70
Alogia can be defined as…
Tendency to speak little, poverty of content
71
Ideas of reference is a ____ symptom of schizophrenia
Positive
72
Apathy is a ___ symptom of schizophrenia
Negative
73
Paranoid delusion is when…
A patient believes that “others” are planning to harm him or her or that others are spying on him
74
Grandiose delusions is when…
The patient claim’s to be a famous person or celebrities, or the patient claims that they are famous
75
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
76
Dopamine is a neurotransmitter involved in…
Cognition, motivation, and movement. It controls emotional responses and the brain’s reward and pleasure center
77
Serotonin is a neurotransmitter that…
Helps, regulate mood, arousal, attention, sleep, and behavior
78
GABA is a major…
Inhibitory neurotransmitter that induces relaxation, reduces stress, and increases alertness
79
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
80
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
81
Typical anti-psychotic drugs, such as haldol, work by blocking the action of which neurotransmitter? Acetylcholine Serotonin Dopamine Norepinephrine
Dopamine
82
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
83
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