1|Page
MENTAL HEALTH EXAM 3 WITH
ACTUAL CORRECT QUESTIONS AND
VERIFIED DETAILED RATIONALES
ANSWERS 2024 (NEWEST) ALREADY
GRADED A+
What are examples of behavior therapy?
Modeling - mimicking appropriate behaviors
Systematic desensitization - gradual exposure
Exposure and response prevention - starts w the prevention of compulsion and decreases the time
spent on rituals
Thought stopping - snapping a rubber band
Flooding - prolonged exposure to feared object or situation, leads to exhaustion
Aversion therapy - undesirable behavior is associated with an unpleasant stimulus
What is cognitive behavioral therapy?
how thoughts contribute to anxiety and how individuals behave and react
What is Acceptance and commitment therapy (ACT)?
accept distress then commit to making a change
What is meditation?
state of relaxation or restful alertness
What is mindfulness?
be aware of the present moment
What is Mindfulness-based stress reduction (MBSR)?
combine both meditation and mindfulness and detach oneself.
What are Benzodiazepines (anxiolytics) prescribed for?
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for short-term treatment only; not for patients with substance use problems
What is Buspirone prescribed for, and what are its benefits?
Management of anxiety disorders.
Non-addictive; excellent for long-term relief of anxiety symptoms, e.g. GAD
SSRIs are the first line treatment option for what?
for anxiety disorders, OCD, and BDD
What are examples of Benzodiazepines?
alprazolam, diazepam, lorazepam
What is the pathophysiology of Benzodiazepines?
enhance the inhibitory effects of gamma-aminobutyric acid in the central nervous system.
Relief from anxiety occurs rapidly following administration.
What is the therapeutic effect of Benzodiazepines?
Short-term treatment for generalized anxiety disorder and panic disorder
What are the adverse effects of Benzodiazepines?
´CNS depression
´Anterograde amnesia
´Acute toxicity
´Paradoxical response
´Withdrawal effects
What are the contraindications of Benzodiazepines?
´Pregnancy Cat D
´Schedule IV
´C/I: respiratory depression, sleep apnea, glaucoma
´ST use
What type of drug is buspirone?
atypical anxiolytic
When do effects of buspirone develop?
initial effects 1 week; full effects 4 weeks
What are contraindications for buspirone?
´Pregnancy Category B
´Not recommended for breastfeeding
´C/I for concurrent use with MAOI or for 14 days after MAOI D/Cd à hypertensive crisis
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What are nursing actions associated with buspirone?
Take at the same time every day
Take with meals
What biochemical is an important regulator of sleep, appetite, and libido?
Serotonin, 5-hydroxytryptamine (5-HT)
What can a serotonin-circuit dysfunction can result in?
poor impulse control, low sex drive, decreased appetite, disturbed regulation of body temperature, and
irritability
What do decreased levels of norepinephrine cause?
anergia (reduction in or lack of energy), anhedonia (an inability to find meaning or pleasure in
existence), decreased concentration, and diminished libido.
What does dopamine neurons do?
thought to play a role in the reward and incentive behavior processes, emotional expression, and
learning processes that are disrupted in depression
What is the stress-diathesis model of depression?
explains depression from an environmental, interpersonal, and life-events perspective combined with
biological vulnerability or predisposition (diathesis).
Psychosocial stressors and interpersonal events can trigger certain neurophysiological and
neurochemical changes in the brain.
What is beck's cognitive triad?
1. Negative, self-deprecating view of self..."I never do anything right"
2. Pessimistic view of the world..."When you are down you can't get back up"
3. Belief that negative reinforcement will continue..."No matter what you do it will always be the same"
Look at slide 36 "Common Cognitive Distortions"
SIG E CAPS (All forms of depression share some of these common symptoms)
-Sleep disturbances/Sadness
-Interest, loss of
-Guilt
-Energy/Esteem loss
-Concentration problems
-Appetite/weight change
MENTAL HEALTH EXAM 3 WITH
ACTUAL CORRECT QUESTIONS AND
VERIFIED DETAILED RATIONALES
ANSWERS 2024 (NEWEST) ALREADY
GRADED A+
What are examples of behavior therapy?
Modeling - mimicking appropriate behaviors
Systematic desensitization - gradual exposure
Exposure and response prevention - starts w the prevention of compulsion and decreases the time
spent on rituals
Thought stopping - snapping a rubber band
Flooding - prolonged exposure to feared object or situation, leads to exhaustion
Aversion therapy - undesirable behavior is associated with an unpleasant stimulus
What is cognitive behavioral therapy?
how thoughts contribute to anxiety and how individuals behave and react
What is Acceptance and commitment therapy (ACT)?
accept distress then commit to making a change
What is meditation?
state of relaxation or restful alertness
What is mindfulness?
be aware of the present moment
What is Mindfulness-based stress reduction (MBSR)?
combine both meditation and mindfulness and detach oneself.
What are Benzodiazepines (anxiolytics) prescribed for?
,2|Page
for short-term treatment only; not for patients with substance use problems
What is Buspirone prescribed for, and what are its benefits?
Management of anxiety disorders.
Non-addictive; excellent for long-term relief of anxiety symptoms, e.g. GAD
SSRIs are the first line treatment option for what?
for anxiety disorders, OCD, and BDD
What are examples of Benzodiazepines?
alprazolam, diazepam, lorazepam
What is the pathophysiology of Benzodiazepines?
enhance the inhibitory effects of gamma-aminobutyric acid in the central nervous system.
Relief from anxiety occurs rapidly following administration.
What is the therapeutic effect of Benzodiazepines?
Short-term treatment for generalized anxiety disorder and panic disorder
What are the adverse effects of Benzodiazepines?
´CNS depression
´Anterograde amnesia
´Acute toxicity
´Paradoxical response
´Withdrawal effects
What are the contraindications of Benzodiazepines?
´Pregnancy Cat D
´Schedule IV
´C/I: respiratory depression, sleep apnea, glaucoma
´ST use
What type of drug is buspirone?
atypical anxiolytic
When do effects of buspirone develop?
initial effects 1 week; full effects 4 weeks
What are contraindications for buspirone?
´Pregnancy Category B
´Not recommended for breastfeeding
´C/I for concurrent use with MAOI or for 14 days after MAOI D/Cd à hypertensive crisis
, 3|Page
What are nursing actions associated with buspirone?
Take at the same time every day
Take with meals
What biochemical is an important regulator of sleep, appetite, and libido?
Serotonin, 5-hydroxytryptamine (5-HT)
What can a serotonin-circuit dysfunction can result in?
poor impulse control, low sex drive, decreased appetite, disturbed regulation of body temperature, and
irritability
What do decreased levels of norepinephrine cause?
anergia (reduction in or lack of energy), anhedonia (an inability to find meaning or pleasure in
existence), decreased concentration, and diminished libido.
What does dopamine neurons do?
thought to play a role in the reward and incentive behavior processes, emotional expression, and
learning processes that are disrupted in depression
What is the stress-diathesis model of depression?
explains depression from an environmental, interpersonal, and life-events perspective combined with
biological vulnerability or predisposition (diathesis).
Psychosocial stressors and interpersonal events can trigger certain neurophysiological and
neurochemical changes in the brain.
What is beck's cognitive triad?
1. Negative, self-deprecating view of self..."I never do anything right"
2. Pessimistic view of the world..."When you are down you can't get back up"
3. Belief that negative reinforcement will continue..."No matter what you do it will always be the same"
Look at slide 36 "Common Cognitive Distortions"
SIG E CAPS (All forms of depression share some of these common symptoms)
-Sleep disturbances/Sadness
-Interest, loss of
-Guilt
-Energy/Esteem loss
-Concentration problems
-Appetite/weight change
