NUR 172 Block 2 Psych Exam 2 (MCC)
Questions With Complete Solutions
· Second generation antipsychotics- Less side effects- Atypical-
Serotonin Dopamine antagonist Correct Answers Palpiperidone
Lactation
o Olanzapine
Weight gain (100 lb in one year)
PO disintegrating wafer
o Risperidone
Can cause lactation
PO disintegrating wafer
o Quentapine
Less weight-gain
Used for sleep and agitation
o Ziprasidone
Weight neutral
Slows HR
Take with food
o Lurasidone
Take with food
o Clozapine
Helps a ton with suicide ideation
Drawback: Weekly CBC or WBC
Serious side effect: Agranulocytosis
· Standard Neuroleptics- First generation antipsychotics (Most
side effects) Dopamine receptor blockers
· -like drugs and like to smoke THC* Correct Answers
Haloperidol
,Can be long acting
Chlorpromazine
Trifluoperazine
Abnormal positive signs and symptoms of schizophrenia
Correct Answers •Clang associations - Insignificant,
meaningless rhymes (Neologisms) - "made up" words that have
meaning to client - "that boat hope floats" or "the train brain
rained on me."
•Echolalia - pathological repetition of another's words
•Word Salad - meaningless jumble of words, A jumble of
unconnected and disorganized thoughts that indicate severe
impairment - "You see I am living in the sky where it snowed
yesterday with thunderous wires darting in and out of the
highway."
Acute Battering Stage Correct Answers •Brutal beatings
•No control over degree of violence
•Amnesia possible for perp
•Depersonalization for victim
•Post beating, both in shock
Acute Stress Disorder (ASD) Correct Answers •Occurs after a
traumatic event.
•Difficulties coping with event.
•Event is experienced repeatedly in their heads.
•May also avoid event (talking about it, dealing with it, etc.).
•May experience hyperarousal 3 days to 4 weeks after event.
•If this state continues it may proceed to PTSD.
Cognitive Behavior Therapy can help prevent it from
progressing
,Addiction Meds: Alcohol Withdrawal (PLANDD) Correct
Answers Lorazepam
o For withdrawal
o Prevents seizures
o Use this drug specifically if you have liver damage
Diazepam
o Withdrawal and seizure prevention
Naltrexone
o Prevents relapse and decreases cravings
Phenobarbitol
o Prevents seizures and withdrawal
Disulfiram
o Causes toxic reaction in patients who drink alcohol
Acamprosate calcium
o Relapse prevention
Additional Details of Admission Criteria for eating disorders
Correct Answers •Weight loss over 30% over 6 months
•T below 36 °C or 96.8 °F
•Inability to gain weight as outpatient
•P less than 40 BPM
•Systolic BP less than 70 mm Hg
•Hypokalemia (under 3 mEq/L)
•Arrhythmias
•Suicidal or self-mutilating
•Severe depression/psychosis
•Family crisis
•Failure to comply with treatment ( probably not if this is the
only thing wrong)
, Adjustment Disorder Correct Answers •An abnormal or over-
reactive response to an unexpected stressor or life event.
•Difficulties coping.
•Most common stressors are: Financial, relationship and work-
related.
•Symptoms develop within one month and last less than six
months.
Adverse reactions of antipsychotics - rare Correct Answers
Agranulocytosis
Neuroleptic Malignancy syndrome- stop all meds immediately
and notify provider
· Muscle rigidity
· High fever
· Increased muscle enzymes (creatine phosphokinase)
· Leukocytosis
Anticholinergic toxicity
· Hyperthermia
· Hot/dry/red skin
· Decreased bowel sounds
· Paralytic ileus
· Agitation
· Delirium
· Fluctuating vital signs
· Tachycardia
· Mental status changes or confusion
· Increased psychosis or coma
Liver damage
Prolonged Q-T wave
· All can be fatal!
Questions With Complete Solutions
· Second generation antipsychotics- Less side effects- Atypical-
Serotonin Dopamine antagonist Correct Answers Palpiperidone
Lactation
o Olanzapine
Weight gain (100 lb in one year)
PO disintegrating wafer
o Risperidone
Can cause lactation
PO disintegrating wafer
o Quentapine
Less weight-gain
Used for sleep and agitation
o Ziprasidone
Weight neutral
Slows HR
Take with food
o Lurasidone
Take with food
o Clozapine
Helps a ton with suicide ideation
Drawback: Weekly CBC or WBC
Serious side effect: Agranulocytosis
· Standard Neuroleptics- First generation antipsychotics (Most
side effects) Dopamine receptor blockers
· -like drugs and like to smoke THC* Correct Answers
Haloperidol
,Can be long acting
Chlorpromazine
Trifluoperazine
Abnormal positive signs and symptoms of schizophrenia
Correct Answers •Clang associations - Insignificant,
meaningless rhymes (Neologisms) - "made up" words that have
meaning to client - "that boat hope floats" or "the train brain
rained on me."
•Echolalia - pathological repetition of another's words
•Word Salad - meaningless jumble of words, A jumble of
unconnected and disorganized thoughts that indicate severe
impairment - "You see I am living in the sky where it snowed
yesterday with thunderous wires darting in and out of the
highway."
Acute Battering Stage Correct Answers •Brutal beatings
•No control over degree of violence
•Amnesia possible for perp
•Depersonalization for victim
•Post beating, both in shock
Acute Stress Disorder (ASD) Correct Answers •Occurs after a
traumatic event.
•Difficulties coping with event.
•Event is experienced repeatedly in their heads.
•May also avoid event (talking about it, dealing with it, etc.).
•May experience hyperarousal 3 days to 4 weeks after event.
•If this state continues it may proceed to PTSD.
Cognitive Behavior Therapy can help prevent it from
progressing
,Addiction Meds: Alcohol Withdrawal (PLANDD) Correct
Answers Lorazepam
o For withdrawal
o Prevents seizures
o Use this drug specifically if you have liver damage
Diazepam
o Withdrawal and seizure prevention
Naltrexone
o Prevents relapse and decreases cravings
Phenobarbitol
o Prevents seizures and withdrawal
Disulfiram
o Causes toxic reaction in patients who drink alcohol
Acamprosate calcium
o Relapse prevention
Additional Details of Admission Criteria for eating disorders
Correct Answers •Weight loss over 30% over 6 months
•T below 36 °C or 96.8 °F
•Inability to gain weight as outpatient
•P less than 40 BPM
•Systolic BP less than 70 mm Hg
•Hypokalemia (under 3 mEq/L)
•Arrhythmias
•Suicidal or self-mutilating
•Severe depression/psychosis
•Family crisis
•Failure to comply with treatment ( probably not if this is the
only thing wrong)
, Adjustment Disorder Correct Answers •An abnormal or over-
reactive response to an unexpected stressor or life event.
•Difficulties coping.
•Most common stressors are: Financial, relationship and work-
related.
•Symptoms develop within one month and last less than six
months.
Adverse reactions of antipsychotics - rare Correct Answers
Agranulocytosis
Neuroleptic Malignancy syndrome- stop all meds immediately
and notify provider
· Muscle rigidity
· High fever
· Increased muscle enzymes (creatine phosphokinase)
· Leukocytosis
Anticholinergic toxicity
· Hyperthermia
· Hot/dry/red skin
· Decreased bowel sounds
· Paralytic ileus
· Agitation
· Delirium
· Fluctuating vital signs
· Tachycardia
· Mental status changes or confusion
· Increased psychosis or coma
Liver damage
Prolonged Q-T wave
· All can be fatal!
