Nur 125 Exam 1 Mental Health
Questions and Answers
Stuporous - ANSWER-Client requires vigorous or painful stimuli to elicit a brief
response
comatose - ANSWER-unconscious and does not respond to painful stimuli
Regression - ANSWER-sudden use of childlike or primitive behaviors that do not
correlate with the persons current development level
Displacement - ANSWER-shifting feelings related to an object, person, or situation to
another less threatening object, person, or situation
reaction formation - ANSWER-Defense mechanism by which people behave in a way
opposite to what their true but anxiety-provoking feelings would dictate.
Undoing - ANSWER-Performing an act to make up for prior behavior
Rationalization - ANSWER-creating reasonable and acceptable explanations for
unacceptable behavior
Dissociation - ANSWER-disruption in consciousness, memory, identity, or perception of
the environment that results in compartmentalizing uncomfortable or unpleasant
aspects of oneself
Denial - ANSWER-pretending the truth is not reality to manage the anxiety of
acknowledging what is real
compensation - ANSWER-Emphasizing strengths to make up for weaknesses
identification - ANSWER-conscious or unconscious assumption of the characteristics of
another individual or group
Intellectualization - ANSWER-separation of emotions and logical facts when analyzing
or coping with a situation or event
Conversion - ANSWER-Responding to stress through the unconscious development of
physical manifestations not caused by a physical illness
, Splitting - ANSWER-demonstrating an inability to reconcile negative and positive
attributes of self or others
Projection - ANSWER-attributing ones unacceptable thoughts and feelings onto another
who does not have them
flooding - ANSWER-exposing a client to a great deal of the stimulus that causes the
undesirable response
response prevention - ANSWER-preventing a client from performing a compulsive
behavior with the intent that anxiety will diminish
thought stopping - ANSWER-teaching a client, when negative thoughts or compulsive
behaviors arise, to say or shout, "stop," and substitute a positive thought;
the goal over time is for the client to use the command silently
validation therapy - ANSWER-process of communication with a disorientated older adult
client by respecting and validating their feelings in a time or place that is real to them
ECT - ANSWER-ELECTROCONVULSIVE THERAPY
meds aren't working, suicidal, homicidal, contraindicated in recent CV disorders or CVA
disorders. may cause short term memory loss
generalized anxiety disorder - ANSWER-the client exhibits uncontrollable, excessive
worry for at least 6 months
SSRIs (selective serotonin reuptake inhibitors) - ANSWER-citalopram=celexa
fluoxetine= prozac
sertraline=zoloft
sexual dysfunction, serotonin syndrome, weight gain
tricyclic antidepressants - ANSWER-Amitriptyline, nortriptyline, imipramine,
desipramine, clomipramine, doxepin, amoxapine.
tricyclic antidepressants affects - ANSWER-orthostatic hypotension, anticholinergic
effects
How to minimize anticholinergic effects - ANSWER-chew sugarless gum, eat foods high
in fiber, increase fluid intake to 2 to 3L per day from both food and beverage sources.
MAOI - ANSWER-phenelzine
MAOI effects - ANSWER-risk for hypertensive crisis, avoid foods with tyramine, high
risk for drug interactions
Questions and Answers
Stuporous - ANSWER-Client requires vigorous or painful stimuli to elicit a brief
response
comatose - ANSWER-unconscious and does not respond to painful stimuli
Regression - ANSWER-sudden use of childlike or primitive behaviors that do not
correlate with the persons current development level
Displacement - ANSWER-shifting feelings related to an object, person, or situation to
another less threatening object, person, or situation
reaction formation - ANSWER-Defense mechanism by which people behave in a way
opposite to what their true but anxiety-provoking feelings would dictate.
Undoing - ANSWER-Performing an act to make up for prior behavior
Rationalization - ANSWER-creating reasonable and acceptable explanations for
unacceptable behavior
Dissociation - ANSWER-disruption in consciousness, memory, identity, or perception of
the environment that results in compartmentalizing uncomfortable or unpleasant
aspects of oneself
Denial - ANSWER-pretending the truth is not reality to manage the anxiety of
acknowledging what is real
compensation - ANSWER-Emphasizing strengths to make up for weaknesses
identification - ANSWER-conscious or unconscious assumption of the characteristics of
another individual or group
Intellectualization - ANSWER-separation of emotions and logical facts when analyzing
or coping with a situation or event
Conversion - ANSWER-Responding to stress through the unconscious development of
physical manifestations not caused by a physical illness
, Splitting - ANSWER-demonstrating an inability to reconcile negative and positive
attributes of self or others
Projection - ANSWER-attributing ones unacceptable thoughts and feelings onto another
who does not have them
flooding - ANSWER-exposing a client to a great deal of the stimulus that causes the
undesirable response
response prevention - ANSWER-preventing a client from performing a compulsive
behavior with the intent that anxiety will diminish
thought stopping - ANSWER-teaching a client, when negative thoughts or compulsive
behaviors arise, to say or shout, "stop," and substitute a positive thought;
the goal over time is for the client to use the command silently
validation therapy - ANSWER-process of communication with a disorientated older adult
client by respecting and validating their feelings in a time or place that is real to them
ECT - ANSWER-ELECTROCONVULSIVE THERAPY
meds aren't working, suicidal, homicidal, contraindicated in recent CV disorders or CVA
disorders. may cause short term memory loss
generalized anxiety disorder - ANSWER-the client exhibits uncontrollable, excessive
worry for at least 6 months
SSRIs (selective serotonin reuptake inhibitors) - ANSWER-citalopram=celexa
fluoxetine= prozac
sertraline=zoloft
sexual dysfunction, serotonin syndrome, weight gain
tricyclic antidepressants - ANSWER-Amitriptyline, nortriptyline, imipramine,
desipramine, clomipramine, doxepin, amoxapine.
tricyclic antidepressants affects - ANSWER-orthostatic hypotension, anticholinergic
effects
How to minimize anticholinergic effects - ANSWER-chew sugarless gum, eat foods high
in fiber, increase fluid intake to 2 to 3L per day from both food and beverage sources.
MAOI - ANSWER-phenelzine
MAOI effects - ANSWER-risk for hypertensive crisis, avoid foods with tyramine, high
risk for drug interactions