NUR 172 Block 2 Psych Exam 1 (MCC) questions
with verified answers
**Divalproex (Depakote) Ans✓✓✓ Do not use with pregnant patients
May cause liver dysfunction and pancreatitis
•Desvenlafaxine (Pristiq) Ans✓✓✓ •Administer with food
•Can cause orthostatic hypotension
•Early studies on Desvenlafaxine show improvement of perimenopausal
symptoms including night sweats, insomnia, and depression
•Venlafaxine (Effexor) Ans✓✓✓ •Can increase B/P & pulse
•Can cause drowsiness
•Administer with food
•Can have significant withdrawal symptoms with abrupt discontinuation
8 stages for achievement of life's virtues Ans✓✓✓ Hope
Purpose
FIdelity
Love
Caring
Wisdom
Ability to refuse Ans✓✓✓ Treatment
Send and receive sealed mail
,Refuse visitors
Acute Stress Disorder Ans✓✓✓ - Occurs in individuals who have survived a
severe or terrifying physical or emotional event.
- Occurs within 4 weeks after event, lasts 2 days to 4 weeks -if more than 4 weeks
then it will most likely be diagnosed with PTSD.
- Has 3 or more dissociative symptoms: numbing, detachment, depersonalization,
de-realization, amnesia for important aspects of the trauma. Likely more
pronounced in ASD than PTSD
- Re-experience the event through recurrent nightmares or vivid memories of the
event; flashbacks
- Causes impairment in work or social functioning
Additional symptoms seen in Depressed patients (select 4 or more to be
diagnosed) Ans✓✓✓ •Changes in weight
•Changes in Sleep
•Changes in Energy
•Changes in Concentration
•Changes in Decision-making
•Changes in Self-esteem
•Changes in goals
•Changes in libido
,ADHD Etiology Ans✓✓✓ •Cause unknown: possible cortical-arousal, information-
processing, maturational abnormalities in the brain
•Other theories: environmental toxins, prenatal influences, heredity/genetic link,
damage to brain structure and functions
•Risk factors
•Occurrence in various cultures
Genetics - High heritability
Neurobiological
•Perinatal stress and low birth weight
•Severe early deprivation
•Traumatic brain injury (TBI)
•Maternal smoking in pregnancy
•Associated with dopamine (DA) and serotonin (5-HT)
•Volume deficit in frontal and temporal lobes
Environmental
•Diet?
ADHD Goals of Treatment Ans✓✓✓ > Reduce/ eliminate ADHD symptoms
> Improve academic and/or occupational functioning
> Improve social skills
ADHD medication Considerations Ans✓✓✓ •HTN / CV issues
•Long-Term Growth Suppression
•Tics
•Mood swings
, •Insomnia
•Anorexia
•OCD symptoms
•Agitation
•Not effective for 20-30% of patients
•Otherwise, tends to be effective for many patients.
•Is believed to have direct stimulant effect, not paradoxical effect
ADHD Medications Ans✓✓✓ methylphenidate (Ritalin, Concerta)
dexmethylphenidate (Focalin)
amphetamine mixture or compound (Adderall)
lisdexamfetamine dimesylate (Vyvance)
Dextroamhetamin (Dexedrine)
Hypotensive agents (Clonidine)
Guanfacine (Intuniv)
Atomoxetine (Strattera)
Advanced-level functions (PMHNP) for psychiatric nurse practice Ans✓✓✓
•Psychotherapy
•Prescriptive authority for drugs
•Consultation, liaison
•Evaluation
with verified answers
**Divalproex (Depakote) Ans✓✓✓ Do not use with pregnant patients
May cause liver dysfunction and pancreatitis
•Desvenlafaxine (Pristiq) Ans✓✓✓ •Administer with food
•Can cause orthostatic hypotension
•Early studies on Desvenlafaxine show improvement of perimenopausal
symptoms including night sweats, insomnia, and depression
•Venlafaxine (Effexor) Ans✓✓✓ •Can increase B/P & pulse
•Can cause drowsiness
•Administer with food
•Can have significant withdrawal symptoms with abrupt discontinuation
8 stages for achievement of life's virtues Ans✓✓✓ Hope
Purpose
FIdelity
Love
Caring
Wisdom
Ability to refuse Ans✓✓✓ Treatment
Send and receive sealed mail
,Refuse visitors
Acute Stress Disorder Ans✓✓✓ - Occurs in individuals who have survived a
severe or terrifying physical or emotional event.
- Occurs within 4 weeks after event, lasts 2 days to 4 weeks -if more than 4 weeks
then it will most likely be diagnosed with PTSD.
- Has 3 or more dissociative symptoms: numbing, detachment, depersonalization,
de-realization, amnesia for important aspects of the trauma. Likely more
pronounced in ASD than PTSD
- Re-experience the event through recurrent nightmares or vivid memories of the
event; flashbacks
- Causes impairment in work or social functioning
Additional symptoms seen in Depressed patients (select 4 or more to be
diagnosed) Ans✓✓✓ •Changes in weight
•Changes in Sleep
•Changes in Energy
•Changes in Concentration
•Changes in Decision-making
•Changes in Self-esteem
•Changes in goals
•Changes in libido
,ADHD Etiology Ans✓✓✓ •Cause unknown: possible cortical-arousal, information-
processing, maturational abnormalities in the brain
•Other theories: environmental toxins, prenatal influences, heredity/genetic link,
damage to brain structure and functions
•Risk factors
•Occurrence in various cultures
Genetics - High heritability
Neurobiological
•Perinatal stress and low birth weight
•Severe early deprivation
•Traumatic brain injury (TBI)
•Maternal smoking in pregnancy
•Associated with dopamine (DA) and serotonin (5-HT)
•Volume deficit in frontal and temporal lobes
Environmental
•Diet?
ADHD Goals of Treatment Ans✓✓✓ > Reduce/ eliminate ADHD symptoms
> Improve academic and/or occupational functioning
> Improve social skills
ADHD medication Considerations Ans✓✓✓ •HTN / CV issues
•Long-Term Growth Suppression
•Tics
•Mood swings
, •Insomnia
•Anorexia
•OCD symptoms
•Agitation
•Not effective for 20-30% of patients
•Otherwise, tends to be effective for many patients.
•Is believed to have direct stimulant effect, not paradoxical effect
ADHD Medications Ans✓✓✓ methylphenidate (Ritalin, Concerta)
dexmethylphenidate (Focalin)
amphetamine mixture or compound (Adderall)
lisdexamfetamine dimesylate (Vyvance)
Dextroamhetamin (Dexedrine)
Hypotensive agents (Clonidine)
Guanfacine (Intuniv)
Atomoxetine (Strattera)
Advanced-level functions (PMHNP) for psychiatric nurse practice Ans✓✓✓
•Psychotherapy
•Prescriptive authority for drugs
•Consultation, liaison
•Evaluation
