Mental Health Exam #2 –Rasmussen questions with
verified answers
2 long term effects of lithium therapy are Ans✓✓✓ hypothyroidism and renal
impairment
Agoraphobia Ans✓✓✓ o Intense, excessive anxiety about or fear or being in
places or situations where help might not be available and escape might be either
difficult or embarrassing
▪ Common avoidances: being alone outside the home, using public
transportation, being in open space, being in enclosed place, being in crowd
Alterations in behavior: Schitzo Ans✓✓✓ • Extreme motor agitation: excited
physical behavior, such as running about
• Stereotyped behaviors: motor patterns that originally had meaning to person
(sweeping floor)
• Automatic obedience performance by catatonic patient of all simple commands
in robotlike fashion
• Waxy flexibility: seen in catatonia; excessive maintenance of posture
• Stupor: catatonic patient is motionless for long periods and may even appear to
be in a coma
• Negativism: resistance
o Active negativism: patient does opposite of what he/she is told
o Passive negativism: person does not perform activities that are normal
expectations (catatonia)
• Lack of impulse control and agitated behaviors
,anergia Ans✓✓✓ Anergia: lack of energy: passivity, lack of persistence at work or
school
anhedonia Ans✓✓✓ Anhedonia: inability to experience any pleasure in activities
that usually produce pleasurable feelings
Anticonvulsants Ans✓✓✓ Anticonvulsants
▪ Carbamazepine (Tegretol),
divalproex (Depakote)
lamotrigine (Lamictil)
USED FOR: Rapid cycling; bipolar depression
antiepileptic drugs Ans✓✓✓ USED TO TX BIPOLAR
▪ Carbamazepine
• Agranulocytosis and aplastic anemia and most serious adverse reactions
• Blood levels should be monitored throughout first 8 weeks
• Prevention of manic episodes; less effective for treatment and prevention of
depression
▪ Valproic acid • Baseline liver function tests
• Bipolar disorder and bipolar depression
▪ Valproate injectable
• Can cause hepatitis (rare)
• Best for men and older women
, • Effective in rapid cyclers and mixed mania
▪ Lamotrigine
• Stevens Johnson in 3/1000
• Rare but potential aseptic meningitis risk
• Caution with renal, hepatic, or cardiac function imparire
• Often used in combination-good for long term therapy
▪ Topamax
• Acute mania or combination
• Weight loss, cognitive side effects. Fatigue, dizziness, and paresthesia
• Used off label (not FDA approved for bipolar)
▪ Oxcarbazepine
• Structural variant of carbamazepine
• Thought to have better side effect profile and more favorable drug interaction
profile
• Used off label (not FDA approve for bipolar)
Anxiety levels perceptual field Ans✓✓✓ ▪ Mild: heightened perceptual field; is
alert and can see, hear, grasp what is happening in the environment; can identify
issue that are disturbing and are producing anxiety
▪ Moderate: has narrow perceptual field, grasps less of what is occurring; can
attend to more if pointed out by another (selective inattention)
verified answers
2 long term effects of lithium therapy are Ans✓✓✓ hypothyroidism and renal
impairment
Agoraphobia Ans✓✓✓ o Intense, excessive anxiety about or fear or being in
places or situations where help might not be available and escape might be either
difficult or embarrassing
▪ Common avoidances: being alone outside the home, using public
transportation, being in open space, being in enclosed place, being in crowd
Alterations in behavior: Schitzo Ans✓✓✓ • Extreme motor agitation: excited
physical behavior, such as running about
• Stereotyped behaviors: motor patterns that originally had meaning to person
(sweeping floor)
• Automatic obedience performance by catatonic patient of all simple commands
in robotlike fashion
• Waxy flexibility: seen in catatonia; excessive maintenance of posture
• Stupor: catatonic patient is motionless for long periods and may even appear to
be in a coma
• Negativism: resistance
o Active negativism: patient does opposite of what he/she is told
o Passive negativism: person does not perform activities that are normal
expectations (catatonia)
• Lack of impulse control and agitated behaviors
,anergia Ans✓✓✓ Anergia: lack of energy: passivity, lack of persistence at work or
school
anhedonia Ans✓✓✓ Anhedonia: inability to experience any pleasure in activities
that usually produce pleasurable feelings
Anticonvulsants Ans✓✓✓ Anticonvulsants
▪ Carbamazepine (Tegretol),
divalproex (Depakote)
lamotrigine (Lamictil)
USED FOR: Rapid cycling; bipolar depression
antiepileptic drugs Ans✓✓✓ USED TO TX BIPOLAR
▪ Carbamazepine
• Agranulocytosis and aplastic anemia and most serious adverse reactions
• Blood levels should be monitored throughout first 8 weeks
• Prevention of manic episodes; less effective for treatment and prevention of
depression
▪ Valproic acid • Baseline liver function tests
• Bipolar disorder and bipolar depression
▪ Valproate injectable
• Can cause hepatitis (rare)
• Best for men and older women
, • Effective in rapid cyclers and mixed mania
▪ Lamotrigine
• Stevens Johnson in 3/1000
• Rare but potential aseptic meningitis risk
• Caution with renal, hepatic, or cardiac function imparire
• Often used in combination-good for long term therapy
▪ Topamax
• Acute mania or combination
• Weight loss, cognitive side effects. Fatigue, dizziness, and paresthesia
• Used off label (not FDA approved for bipolar)
▪ Oxcarbazepine
• Structural variant of carbamazepine
• Thought to have better side effect profile and more favorable drug interaction
profile
• Used off label (not FDA approve for bipolar)
Anxiety levels perceptual field Ans✓✓✓ ▪ Mild: heightened perceptual field; is
alert and can see, hear, grasp what is happening in the environment; can identify
issue that are disturbing and are producing anxiety
▪ Moderate: has narrow perceptual field, grasps less of what is occurring; can
attend to more if pointed out by another (selective inattention)
