CMN 548 Final Exam Study Guide
Overview with complete solutions
Primary prevention - Correct Answers -Aimed at decreasing the incidence (number of
new cases) of mental disorders. Example: Stress management classes for graduate
students, smoking prevention classes, Drug Abuse Resistance Education (DARE)
Secondary prevention - Correct Answers -Aimed at decreasing the prevalence (number
of existing cases) of mental disorders. Example: Telephone hotlines, crisis intervention,
disaster responses
Tertiary prevention - Correct Answers -Aimed at decreasing the disability and severity of
a mental disorder. Example: Day treatment programs; case management for physical,
housing, or vocational needs; social skills training
Medication for performance anxiety - Correct Answers -Propanolol 10-40mg.
Benzodiazepine withdrawal symptoms - Correct Answers -Anxiety, depersonalization,
irritability, insomnia, hyperacusis, hyperreflexia, diaphoresis, difficulty concentrating,
nausea, confusion, tremor, myoclonus, seizures, delirium.
Treatment for Haldol side effects - Correct Answers -Antiparkinsonian medications
(benztropine, diphenhydramine) or limit the antipsychotic prescribed.
Median dose of amitriptyline for pain - Correct Answers -75mg/day.
Seizures after MAOI withdrawal - Correct Answers -May occur 24-72 hours after abrupt
withdrawal.
Dystonia - Correct Answers -Muscle spasm; spasticity of muscle group, especially back
or neck muscles; subjectively painful Note: Often mistaken for agitation or unusual,
stereotypic movements characteristic of schizophrenia
Echolalia - Correct Answers -Repetition of the last-heard words of other people
Clanging - Correct Answers -Speech directed by the sound of a word rather than by its
meaning; punning and rhyming
Neologisms - Correct Answers -New word or phrase whose derivation is not
understood, made up word
, Abstract thinking - Correct Answers -Ask the patient what certain proverbs mean or ask
the patient to tell you similarities in two different objects
BMI for anorexia investigation - Correct Answers -Less than 18.5
Cranial nerve assessed during hearing test - Correct Answers -VIII Vestibulocochlear
Cultural humility - Correct Answers -A process that requires humility as individuals
continually engage in self-reflection and self-critique as lifelong learners and reflective
practitioners in an effort to address power imbalances and to advocate for others.
Cultural awareness - Correct Answers -The ability to explore your own cultural identity
and bring your values and biases to a conscious level.
Aphonia - Correct Answers -A loss of voice that accompanies disease affecting the
larynx or its nerve supply
Dysarthria - Correct Answers -A defect in muscular control of speech apparatus (lips,
tongue, palate, pharynx) words may be slurred, nasal, but language remains intact.
Aphasia - Correct Answers -A disorder in producing or understanding language often
caused by brain lesions usually the left hemisphere.
Oral apraxia - Correct Answers -A disorder that makes it difficult to move the lips,
tongue, soft palate and throat for non speech purposes like whistling or smiling.
Mini-Mental State Examination (MMSE) - Correct Answers -Dementia screening test
Core skills of motivational interviewing - Correct Answers -Focused, goal-directed
therapy, motivation is elicited from the client, nonconfrontational, nonadversarial, builds
on the transtheoretical model of change
Autonomy - Correct Answers -Doing for ones self
Nonmaleficence - Correct Answers -Doing no harm
Confidentiality - Correct Answers -The client's right to assume that information given to
the provider will not be disclosed
Beneficence - Correct Answers -Promoting well-being and doing good
Ways to assess a patient's level of attention - Correct Answers -Digit span, serial 7s,
spelling backward
Most likely method for men who commit suicide - Correct Answers -Firearms
Overview with complete solutions
Primary prevention - Correct Answers -Aimed at decreasing the incidence (number of
new cases) of mental disorders. Example: Stress management classes for graduate
students, smoking prevention classes, Drug Abuse Resistance Education (DARE)
Secondary prevention - Correct Answers -Aimed at decreasing the prevalence (number
of existing cases) of mental disorders. Example: Telephone hotlines, crisis intervention,
disaster responses
Tertiary prevention - Correct Answers -Aimed at decreasing the disability and severity of
a mental disorder. Example: Day treatment programs; case management for physical,
housing, or vocational needs; social skills training
Medication for performance anxiety - Correct Answers -Propanolol 10-40mg.
Benzodiazepine withdrawal symptoms - Correct Answers -Anxiety, depersonalization,
irritability, insomnia, hyperacusis, hyperreflexia, diaphoresis, difficulty concentrating,
nausea, confusion, tremor, myoclonus, seizures, delirium.
Treatment for Haldol side effects - Correct Answers -Antiparkinsonian medications
(benztropine, diphenhydramine) or limit the antipsychotic prescribed.
Median dose of amitriptyline for pain - Correct Answers -75mg/day.
Seizures after MAOI withdrawal - Correct Answers -May occur 24-72 hours after abrupt
withdrawal.
Dystonia - Correct Answers -Muscle spasm; spasticity of muscle group, especially back
or neck muscles; subjectively painful Note: Often mistaken for agitation or unusual,
stereotypic movements characteristic of schizophrenia
Echolalia - Correct Answers -Repetition of the last-heard words of other people
Clanging - Correct Answers -Speech directed by the sound of a word rather than by its
meaning; punning and rhyming
Neologisms - Correct Answers -New word or phrase whose derivation is not
understood, made up word
, Abstract thinking - Correct Answers -Ask the patient what certain proverbs mean or ask
the patient to tell you similarities in two different objects
BMI for anorexia investigation - Correct Answers -Less than 18.5
Cranial nerve assessed during hearing test - Correct Answers -VIII Vestibulocochlear
Cultural humility - Correct Answers -A process that requires humility as individuals
continually engage in self-reflection and self-critique as lifelong learners and reflective
practitioners in an effort to address power imbalances and to advocate for others.
Cultural awareness - Correct Answers -The ability to explore your own cultural identity
and bring your values and biases to a conscious level.
Aphonia - Correct Answers -A loss of voice that accompanies disease affecting the
larynx or its nerve supply
Dysarthria - Correct Answers -A defect in muscular control of speech apparatus (lips,
tongue, palate, pharynx) words may be slurred, nasal, but language remains intact.
Aphasia - Correct Answers -A disorder in producing or understanding language often
caused by brain lesions usually the left hemisphere.
Oral apraxia - Correct Answers -A disorder that makes it difficult to move the lips,
tongue, soft palate and throat for non speech purposes like whistling or smiling.
Mini-Mental State Examination (MMSE) - Correct Answers -Dementia screening test
Core skills of motivational interviewing - Correct Answers -Focused, goal-directed
therapy, motivation is elicited from the client, nonconfrontational, nonadversarial, builds
on the transtheoretical model of change
Autonomy - Correct Answers -Doing for ones self
Nonmaleficence - Correct Answers -Doing no harm
Confidentiality - Correct Answers -The client's right to assume that information given to
the provider will not be disclosed
Beneficence - Correct Answers -Promoting well-being and doing good
Ways to assess a patient's level of attention - Correct Answers -Digit span, serial 7s,
spelling backward
Most likely method for men who commit suicide - Correct Answers -Firearms
