2 months ago, Natasha's husband a
died suddenly and she has been
overwhelmed with grief. When
Natasha is subsequently diagnosed
with major depressive disorder, her
daughter, Nadia, makes what true
statement?
a. "depression often beings after a
major loss. Losing dad was a major
loss"
b. "bereavement and depression are
the same problem"
c. "mourning is pathological and not
normal behavior"
d. "antidepressant medications will
not help this type of depression"
1
, NUR 340 Exam 2 Quiz Questions & Answers
24 hour observation is a good a
choice for restraint in which of the
following patients?
a. inmate with suicidal ideation on
hospice care
b. a sex offender in the psychiatric
ICU
c. an aggressive female with
antisocial personality disorder
d. an inmate diagnosed with
paranoid schizophrenia
A 33 year old female diagnosed c
with bipolar I disorder has been
functioning well on lithium for 11
months. At her most recent check
up, the psychiatric nurse practitioner
states, "You are ready to enter the
maintenance therapy stage, so at
this time I am going to adjust your
dosage by prescribing":
a. higher dosage
b. once a week dosing
c. lower dosage
d. a different drug
2
, NUR 340 Exam 2 Quiz Questions & Answers
The activity of gamma-aminobutyric a
acid (GABA) contributes to a
slowing of neural activity. Which of
the following drugs facilitates the
action of GABA?
a. Benzodiazepines
b. Antihistamines
c. Anticonvulsants
d. Noradrenergic
muscles stiffness/lock muscles, can lock diaphragm and inhibit
Acute dystonic reaction
breathing (treat with antihistamine and stop antipsychotic)
Be nonjudgmental and tactfully honest (the way their condition is
impacting their life and our observations of their response).
Offer empathy and support.
Assure patient that feelings and behaviors are typical (lessens feeling of
being alone).
Help patient see the connection between trauma and current feelings.
Acute Stress Disorder and PTSD Help patient evaluate past behaviors in context of trauma in order to
Interventions reduce guilt and self-judgment.
Provide for safe verbalization of feelings, especially anger (process in a
healthy way).
Encourage adaptive coping strategies (pts totally avoid their stressors).
Facilitate progressive review of trauma and its consequences to reduce
re-experiencing the trauma.
Encourage to establish or reestablish relationships.
3
, NUR 340 Exam 2 Quiz Questions & Answers
Defined as "primary, chronic disease of brain reward, motivation,
memory, and related circuitry"
Disease of dysregulation in the hedonic (pleasure-seeking) or reward
pathway of the brain.
Addicted individuals are unable to consistently abstain from the
substance/activity
Addiction
Unable to recognize the extent to which the addictions are creating
serious problems in functioning, interpersonal relationships, and
emotional responses
There are cycles of relapse and remission; ultimately without treatment,
addiction is progressive and often results in disability or premature
death
Advantage of First Generation less expensive than second generation
Antipsychotics
is a movement disorder characterized by a feeling of inner restlessness
Akathisia
and inability to stay still
Sedative creating an initial feeling of euphoria
Decreased inhibitions
Alcohol Binge-drinking versus heavy drinking
Intoxication and withdrawal
Alcohol-induced amnestic disorder (blackout)
with impaired reality testing the person believes that hallucinations or
delusions are real
Alterations in Reality Testing
delusions
concrete thinking
4