ECPI Mental Health Exam One Practice
Questions and Answers
Mental iihealth iipioneer/ iinurse iiasylums iito iideinstitutionalize iiand iiprevent iiabuse ii-
iiAnswers ii-Dorothea iiDix
year iithat iipsychotropic iimedications iistarted iiemerging ii- iiAnswers ii-1950s
Healthy iiPeople ii2030 iiObjectives ii- iiAnswers ii--Reduce iisuicide iirate
-Increase iithe iiproportion iiof iichildren ii& iiadolescents iiwho iiget iitreatment
-Increase iithe iiproportion iiof iiadults iiwith iimental iihealth iidisorders iiwho iireceive
iitreatment
Hildegard iiPeplau ii- iiAnswers ii-Therapeutic iinurse iiclient iirelationship
self iiawarness iiissues ii- iiAnswers ii--gaining iirecognition iiof iione iiown iifeelings, iibeliefs,
iiand iiattitudes ii
-everyone iihas iiunique iiand iidifferent iivalues, iiideas, iiand iibeliefs
-possible iiconflict iibetween iipersonal iivalues/beliefs, iithose iiof iiclient ii
-need iito iiaccept iidifferences; iiview iieach iiclient iias iiworthwhile iiregardless iiof iiopinions
iior iilifestyle
-self-awareness iithrough iireflection
frontal iilobe iifunction ii- iiAnswers ii-Thought, iibody iimovement, iimemories, iiemotions,
iimoral iibehavior
hypothalamus iifunction ii- iiAnswers ii-temperature iiregulation, iiappetite iicontrol,
iiendocrine iifunction, iisexual iidrive, iiimpulsive iibehavior
Neurotransmitters iiExcitatory: ii- iiAnswers ii-Dopamine ii
Norepinephrine ii
Epinephrine ii
Glutamate
Dopamine ii- iiAnswers ii-Complex iimovements, iimotivation, iicognition, iiregulation iiof
iiemotional iiresponse
Norepinephrine ii- iiAnswers ii-Attention, iilearning, iimemory, iisleep, iiwakefulness, iimood
iiregulation
Epinephrine ii- iiAnswers ii-Fight iior iiflight iiresponse
, Glutamate ii- iiAnswers ii-Neurotoxic iieffects iiat iihigh iilevels
Neurotransmitters iiInhibitory: ii- iiAnswers ii-Serotonin
Gamma-aminobutyric iiacid ii(GABA)
Serotonin ii- iiAnswers ii-Food iiintake, iisleep, iiwakefulness, iitemperate iiregulation, iipain
iicontrol, iisexual iibehaviors, iiregulation iiof iiemotions
Gamma-aminobutyric iiacid ii(GABA) ii- iiAnswers ii-Major iiinhibitory iineurotransmitter;
iimodulation iiof iiother iineurotransmitters
Antipsychotic iidrugs iimechanism iiof iiaction ii- iiAnswers ii-block iidopamine iireceptors
Antipsychotic iiSide iiEffects iiTreatment ii- iiAnswers ii--Acute iidystonia: iiTorticollis,
iiopisthotonos, iioculogyric iicrisis
-Treatment: iianticholinergic iidrugs ii(benztropine/ iicogentin iior iidiphenhydramine/
iiBenadryl)
-Pseudoparkinsonism ii(stooped iiposture, iimasklike iifacies, iishuffling iigait)
-Akathisia ii(restlessness, iianxiety, iiagitation)
-Neuroleptic iimalignant iisyndrome ii(NMS)
-Anticholinergic iiside iieffects ii(e.g., iidry iimouth, iiconstipation, iiurinary iihesitancy iior
iiretention) ii
-Sudden iichange iiin iimental iistatus iiand iifever iiare iivery iibad iiin iimental iihealth iiPt
-Tardive iidyskinesia ii(irreversible iiinvoluntary iimovements): iihand iitremors, iiblinking
iioften, iietc. iivery iiprogressive iiand iitakes iiprolonged iiuse
-Agranulocytosis ii(a iidisorder iithat iicauses iilow iiWBC iicount)
Antidepressants ii- iiAnswers ii-SSRIs
Cyclic iiantidepressants ii
MAOIs
SSRIs iiside iieffects ii- iiAnswers ii--Suicidal iiideation/ iiincreased iidepression ii
-Anxiety, iiagitation, iiakathisia, iinausea, iiinsomnia, iisexual iidysfunction
-Weight iigain
Cyclic iiantidepressants iiside iieffects ii- iiAnswers ii--Anticholinergic iieffects iidry iimouth,
iiconstipation, iiurinary iiretention, iisedation, iiorthostatic iihypotension, iiweight iigain,
iitachycardia
-Sexual iidysfunction
MAOIs iiside iieffects ii- iiAnswers ii--daytime iisedation, iiinsomnia, iiweight iigain, iidry
iimouth, iiorthostatic iihypotension, iisexual iidysfunction
-Hypertensive iicrisis ii(tyrosine/tyramine iicontaining iifoods)
Questions and Answers
Mental iihealth iipioneer/ iinurse iiasylums iito iideinstitutionalize iiand iiprevent iiabuse ii-
iiAnswers ii-Dorothea iiDix
year iithat iipsychotropic iimedications iistarted iiemerging ii- iiAnswers ii-1950s
Healthy iiPeople ii2030 iiObjectives ii- iiAnswers ii--Reduce iisuicide iirate
-Increase iithe iiproportion iiof iichildren ii& iiadolescents iiwho iiget iitreatment
-Increase iithe iiproportion iiof iiadults iiwith iimental iihealth iidisorders iiwho iireceive
iitreatment
Hildegard iiPeplau ii- iiAnswers ii-Therapeutic iinurse iiclient iirelationship
self iiawarness iiissues ii- iiAnswers ii--gaining iirecognition iiof iione iiown iifeelings, iibeliefs,
iiand iiattitudes ii
-everyone iihas iiunique iiand iidifferent iivalues, iiideas, iiand iibeliefs
-possible iiconflict iibetween iipersonal iivalues/beliefs, iithose iiof iiclient ii
-need iito iiaccept iidifferences; iiview iieach iiclient iias iiworthwhile iiregardless iiof iiopinions
iior iilifestyle
-self-awareness iithrough iireflection
frontal iilobe iifunction ii- iiAnswers ii-Thought, iibody iimovement, iimemories, iiemotions,
iimoral iibehavior
hypothalamus iifunction ii- iiAnswers ii-temperature iiregulation, iiappetite iicontrol,
iiendocrine iifunction, iisexual iidrive, iiimpulsive iibehavior
Neurotransmitters iiExcitatory: ii- iiAnswers ii-Dopamine ii
Norepinephrine ii
Epinephrine ii
Glutamate
Dopamine ii- iiAnswers ii-Complex iimovements, iimotivation, iicognition, iiregulation iiof
iiemotional iiresponse
Norepinephrine ii- iiAnswers ii-Attention, iilearning, iimemory, iisleep, iiwakefulness, iimood
iiregulation
Epinephrine ii- iiAnswers ii-Fight iior iiflight iiresponse
, Glutamate ii- iiAnswers ii-Neurotoxic iieffects iiat iihigh iilevels
Neurotransmitters iiInhibitory: ii- iiAnswers ii-Serotonin
Gamma-aminobutyric iiacid ii(GABA)
Serotonin ii- iiAnswers ii-Food iiintake, iisleep, iiwakefulness, iitemperate iiregulation, iipain
iicontrol, iisexual iibehaviors, iiregulation iiof iiemotions
Gamma-aminobutyric iiacid ii(GABA) ii- iiAnswers ii-Major iiinhibitory iineurotransmitter;
iimodulation iiof iiother iineurotransmitters
Antipsychotic iidrugs iimechanism iiof iiaction ii- iiAnswers ii-block iidopamine iireceptors
Antipsychotic iiSide iiEffects iiTreatment ii- iiAnswers ii--Acute iidystonia: iiTorticollis,
iiopisthotonos, iioculogyric iicrisis
-Treatment: iianticholinergic iidrugs ii(benztropine/ iicogentin iior iidiphenhydramine/
iiBenadryl)
-Pseudoparkinsonism ii(stooped iiposture, iimasklike iifacies, iishuffling iigait)
-Akathisia ii(restlessness, iianxiety, iiagitation)
-Neuroleptic iimalignant iisyndrome ii(NMS)
-Anticholinergic iiside iieffects ii(e.g., iidry iimouth, iiconstipation, iiurinary iihesitancy iior
iiretention) ii
-Sudden iichange iiin iimental iistatus iiand iifever iiare iivery iibad iiin iimental iihealth iiPt
-Tardive iidyskinesia ii(irreversible iiinvoluntary iimovements): iihand iitremors, iiblinking
iioften, iietc. iivery iiprogressive iiand iitakes iiprolonged iiuse
-Agranulocytosis ii(a iidisorder iithat iicauses iilow iiWBC iicount)
Antidepressants ii- iiAnswers ii-SSRIs
Cyclic iiantidepressants ii
MAOIs
SSRIs iiside iieffects ii- iiAnswers ii--Suicidal iiideation/ iiincreased iidepression ii
-Anxiety, iiagitation, iiakathisia, iinausea, iiinsomnia, iisexual iidysfunction
-Weight iigain
Cyclic iiantidepressants iiside iieffects ii- iiAnswers ii--Anticholinergic iieffects iidry iimouth,
iiconstipation, iiurinary iiretention, iisedation, iiorthostatic iihypotension, iiweight iigain,
iitachycardia
-Sexual iidysfunction
MAOIs iiside iieffects ii- iiAnswers ii--daytime iisedation, iiinsomnia, iiweight iigain, iidry
iimouth, iiorthostatic iihypotension, iisexual iidysfunction
-Hypertensive iicrisis ii(tyrosine/tyramine iicontaining iifoods)