NURS 420 Exam 2 questions with verified answers
Acute Dystonic Reactions - Torticollis Ans✓✓✓ head inclined to one side
involuntarily because of contraction of muscle on that side of neck
Acute Dystonic Reactions -Oculogyric crisis Ans✓✓✓ Eyes involuntarily
in fixed position, usually up and sideways, for minutes or several hours
Acute Dystonic Reactions Ans✓✓✓ -Spasms of major muscle groups of
neck, back, or eyes that occur suddenly
-Frightening, painful, and need treatment with medication
-Occur mostly with high-potency drugs; dyskinesia may also occur with
abrupt withdrawal
-Oculogyric crisis
-Torticollis
Akathisia Ans✓✓✓ -Inability to remain still
-Pacing
-Inner restlessness
-Leg aches relieved by movement
-Need to rule out anxiety or agitation, then medicate patient
Alogia Ans✓✓✓ Tendency to speak little or to convey little substance of
meaning (poverty of content)
,Ambivalence Ans✓✓✓ holding seemingly contradictory beliefs or
feelings about the same person, event or situation
Anhedonia Ans✓✓✓ Feeling no joy or pleasure from life or any activities
or relationships
Anticonvulsants Ans✓✓✓ Used for mood stabilization
-Divalproex (Depakote)
-Lamotrigine (Lamictal)
-Carbamazepine (Tegretol, Equetro)
-Tiagabine (Gabitril)
-Topiramate: only anticonvulsant mood stabilizer not associated with
weight gain; in fact associated with weight loss in up to 50% of patients
Antisocial Personality Disorder and Nursing Process - Assessment
Ans✓✓✓ -History (acts of cruelty, enuresis, sleepwalking, abusive
parenting)
-General appearance and motor behavior (usually normal)
-Mood and affect (display of false emotions)
-Thought process and content (narrowed view of world)
-Sensorium and intellectual processes (oriented, average or above
average IQ)
-Judgment and insight (do not consider morals or ethics)
,-Self-concept (appear confident, but the self is shallow and empty)
-Roles and relationships (manipulate and exploit those around them)
Antisocial Personality Disorder and Nursing Process - Intervention
Ans✓✓✓ -Therapeutic relationship; promoting responsible behavior
(limit setting, confrontation)
-Problem-solving; control of emotions (taking a time-out)
-Enhancing role performance
Antisocial Personality Disorder and Nursing Process Ans✓✓✓ -
Characterized by disregard for right of others, deceit and manipulation
Atypical Antidepressants for major depressive disorder Ans✓✓✓ *if
they have hx of suicide they need to start on antidepressant in the
hospital
Bupropion (Wellbutrin)
Maprotiline (Ludiomil)
Mirtazapine (Remeron)
Nefazodone (Serzone)
Trazodone (Desyrel)
Duloxetine (Cymbalta) - SNRI
Venlafaxine (Effexor) - SNRI
, Avoidant Personality Disorder Ans✓✓✓ -Clinical picture:
Social discomfort; low self-esteem; hypersensitive to negative
evaluation; fear rejection; shy and awkward
-Nursing interventions: Self-affirmations; positive self-talk; reframing
and decatastrophizing; social skills training
Avolition or lack of volition Ans✓✓✓ Absence of will, ambition, or drive
to take action or accomplish tasks
Behaviors that can mask depression - adolescents Ans✓✓✓ substance
abuse, gangs, risky behaviors, dropping out of school
Behaviors that can mask depression - adults Ans✓✓✓ ubstance abuse,
eating disorders, compulsive behaviors
Behaviors that can mask depression - children Ans✓✓✓ school phobia,
hyperactivity, learning disorders, failing grades, antisocial behaviors
Biologic Theories - Genetic Theories Ans✓✓✓ -transmission of major
depression in first-degree relatives who are at twice the risk for
developing depression compared with the general population
-First-degree relatives of people with bipolar disorder have a sevenfold
risk for developing bipolar disorder compared with a 1% risk in the
general population
Acute Dystonic Reactions - Torticollis Ans✓✓✓ head inclined to one side
involuntarily because of contraction of muscle on that side of neck
Acute Dystonic Reactions -Oculogyric crisis Ans✓✓✓ Eyes involuntarily
in fixed position, usually up and sideways, for minutes or several hours
Acute Dystonic Reactions Ans✓✓✓ -Spasms of major muscle groups of
neck, back, or eyes that occur suddenly
-Frightening, painful, and need treatment with medication
-Occur mostly with high-potency drugs; dyskinesia may also occur with
abrupt withdrawal
-Oculogyric crisis
-Torticollis
Akathisia Ans✓✓✓ -Inability to remain still
-Pacing
-Inner restlessness
-Leg aches relieved by movement
-Need to rule out anxiety or agitation, then medicate patient
Alogia Ans✓✓✓ Tendency to speak little or to convey little substance of
meaning (poverty of content)
,Ambivalence Ans✓✓✓ holding seemingly contradictory beliefs or
feelings about the same person, event or situation
Anhedonia Ans✓✓✓ Feeling no joy or pleasure from life or any activities
or relationships
Anticonvulsants Ans✓✓✓ Used for mood stabilization
-Divalproex (Depakote)
-Lamotrigine (Lamictal)
-Carbamazepine (Tegretol, Equetro)
-Tiagabine (Gabitril)
-Topiramate: only anticonvulsant mood stabilizer not associated with
weight gain; in fact associated with weight loss in up to 50% of patients
Antisocial Personality Disorder and Nursing Process - Assessment
Ans✓✓✓ -History (acts of cruelty, enuresis, sleepwalking, abusive
parenting)
-General appearance and motor behavior (usually normal)
-Mood and affect (display of false emotions)
-Thought process and content (narrowed view of world)
-Sensorium and intellectual processes (oriented, average or above
average IQ)
-Judgment and insight (do not consider morals or ethics)
,-Self-concept (appear confident, but the self is shallow and empty)
-Roles and relationships (manipulate and exploit those around them)
Antisocial Personality Disorder and Nursing Process - Intervention
Ans✓✓✓ -Therapeutic relationship; promoting responsible behavior
(limit setting, confrontation)
-Problem-solving; control of emotions (taking a time-out)
-Enhancing role performance
Antisocial Personality Disorder and Nursing Process Ans✓✓✓ -
Characterized by disregard for right of others, deceit and manipulation
Atypical Antidepressants for major depressive disorder Ans✓✓✓ *if
they have hx of suicide they need to start on antidepressant in the
hospital
Bupropion (Wellbutrin)
Maprotiline (Ludiomil)
Mirtazapine (Remeron)
Nefazodone (Serzone)
Trazodone (Desyrel)
Duloxetine (Cymbalta) - SNRI
Venlafaxine (Effexor) - SNRI
, Avoidant Personality Disorder Ans✓✓✓ -Clinical picture:
Social discomfort; low self-esteem; hypersensitive to negative
evaluation; fear rejection; shy and awkward
-Nursing interventions: Self-affirmations; positive self-talk; reframing
and decatastrophizing; social skills training
Avolition or lack of volition Ans✓✓✓ Absence of will, ambition, or drive
to take action or accomplish tasks
Behaviors that can mask depression - adolescents Ans✓✓✓ substance
abuse, gangs, risky behaviors, dropping out of school
Behaviors that can mask depression - adults Ans✓✓✓ ubstance abuse,
eating disorders, compulsive behaviors
Behaviors that can mask depression - children Ans✓✓✓ school phobia,
hyperactivity, learning disorders, failing grades, antisocial behaviors
Biologic Theories - Genetic Theories Ans✓✓✓ -transmission of major
depression in first-degree relatives who are at twice the risk for
developing depression compared with the general population
-First-degree relatives of people with bipolar disorder have a sevenfold
risk for developing bipolar disorder compared with a 1% risk in the
general population
