NUR 172 Block 2 Psych Exam 1 (MCC)
Questions With Complete Solutions
**Divalproex (Depakote) Correct Answers Do not use with
pregnant patients
May cause liver dysfunction and pancreatitis
•Desvenlafaxine (Pristiq) Correct Answers •Administer with
food
•Can cause orthostatic hypotension
•Early studies on Desvenlafaxine show improvement of
perimenopausal symptoms including night sweats, insomnia,
and depression
•Venlafaxine (Effexor) Correct Answers •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 Correct Answers
Hope
Purpose
FIdelity
Love
Caring
Wisdom
Ability to refuse Correct Answers Treatment
,Send and receive sealed mail
Refuse visitors
Acute Stress Disorder Correct Answers - 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) Correct Answers •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 Correct Answers •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 Correct Answers > Reduce/
eliminate ADHD symptoms
> Improve academic and/or occupational functioning
> Improve social skills
ADHD medication Considerations Correct Answers •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 Correct Answers 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 Correct Answers •Psychotherapy
•Prescriptive authority for drugs
•Consultation, liaison
•Evaluation
Adventitious Crises Correct Answers sometimes called social
crises, include natural disasters like floods, earthquakes, or
hurricanes; war; terrorist attacks; riots; and violent crimes such
as rape or murder.
Alarm Phase - GAS Correct Answers Shock Phase
> Fight or flight
> Epinephrine, cortisol, endorphins released
Counter-shock Phase
Questions With Complete Solutions
**Divalproex (Depakote) Correct Answers Do not use with
pregnant patients
May cause liver dysfunction and pancreatitis
•Desvenlafaxine (Pristiq) Correct Answers •Administer with
food
•Can cause orthostatic hypotension
•Early studies on Desvenlafaxine show improvement of
perimenopausal symptoms including night sweats, insomnia,
and depression
•Venlafaxine (Effexor) Correct Answers •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 Correct Answers
Hope
Purpose
FIdelity
Love
Caring
Wisdom
Ability to refuse Correct Answers Treatment
,Send and receive sealed mail
Refuse visitors
Acute Stress Disorder Correct Answers - 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) Correct Answers •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 Correct Answers •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 Correct Answers > Reduce/
eliminate ADHD symptoms
> Improve academic and/or occupational functioning
> Improve social skills
ADHD medication Considerations Correct Answers •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 Correct Answers 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 Correct Answers •Psychotherapy
•Prescriptive authority for drugs
•Consultation, liaison
•Evaluation
Adventitious Crises Correct Answers sometimes called social
crises, include natural disasters like floods, earthquakes, or
hurricanes; war; terrorist attacks; riots; and violent crimes such
as rape or murder.
Alarm Phase - GAS Correct Answers Shock Phase
> Fight or flight
> Epinephrine, cortisol, endorphins released
Counter-shock Phase
