Maryville NURS 663 Exam 3 Megadeck Revised
with complete solutions
Difference in conduct disorder and ODD - (ANSWERS)Conduct try to control others, ODD
doesnt.
Conduct disorder often progresses to - (ANSWERS)Antisocial disorder
This diagnosis does not include torchering animals - (ANSWERS)ODD
This is a screening tool for opioids - (ANSWERS)COWS
Drugs for Opioid withdrawal - (ANSWERS)Clonidine, Methdaone, Naltrexone
This drug causes paranoia, hallucinations, sensory disorientation, sweating, dehydration,
increased body temp - (ANSWERS)LSD
What part of the brain does PTSD have an effect on - (ANSWERS)Amygdala, Prefrontal cortex,
hippocampus, hypothalmus
Best treatment for ODD - (ANSWERS)Family Therapy-reinforce positive behaviors
Medication treatment for PTSD - (ANSWERS)SSRI, Sertraline Paroxetine, Prazosin for
nightmares
PTSD symptoms in children - (ANSWERS)Crying headache thumb sucking
Therapy for PTSD - (ANSWERS)Trauma focused CBT and EMDR
This type of substance causes respiratory depression - (ANSWERS)Opioid
Medication to reverse Opioid - (ANSWERS)Narcan
Stimulant withdrawal causes what physical life threatening issue - (ANSWERS)Cardiac sx
Difference in Alcohol and Heroin withdrawal - (ANSWERS)Heroin feels like dying, Alcohol can
actually cause death
What neurotransmitter is the reward pathway - (ANSWERS)Dopamine
Kids who have lack of remorse have this disorder - (ANSWERS)Conduct Disorder
By what age most teens tried alcohol - (ANSWERS)13
,Maryville NURS 663 Exam 3 Megadeck Revised
with complete solutions
With Alcohol consumption, Vitamin B1 or thiamine deficient causes what -
(ANSWERS)Wornicke-Korsakoff syndrome
Heroin withdrawal - (ANSWERS)peaks 1-3 days, subside in 1 week
Cocaine withdrawal begins - (ANSWERS)within 90 minutes
Cocaine and Nicotine have an effect on this - (ANSWERS)Dopamine reward feeling
Example of date rape drugs - (ANSWERS)Rohypnol, GHB, Ketamine, Chloral hydrate
This drug is known as ice - (ANSWERS)meth
Most common reason adolescent has eval - (ANSWERS)Suicidal
What is the origin of ADHD - (ANSWERS)Hereditary, Biological
Best treatment for borderline personality - (ANSWERS)DBT
For diagnosis of ODD the symptoms must be present for how long - (ANSWERS)6 months
This parenting style relates to conduct disorder - (ANSWERS)Harsh/ Punitive
Why is ketamine a date rape drug, what is onset and length - (ANSWERS)15 minutes and 30-60
minutes
Children who receive grossly negligent care and no emotional attachment are subject to what
disorder - (ANSWERS)Reactive Attachment disorder
Symptoms of Reactive Attachment Disorder - (ANSWERS)Social anxiety, regression
Meds for conduct disorder - (ANSWERS)Mood stabilizer, or atypicals Abilify, Risperidone,
Geodon, Seroquel
With alcohol when is the greatest risk of dts - (ANSWERS)at 3-5 days into withdrawal
In PTSD what affect is on amygdala - (ANSWERS)Increase fight or flight startle response/anxiety
In PTSD, what affect is on prefrontal cortex - (ANSWERS)Inappropriate response to situation,
difficulty concentrating
DBT stage 1 - (ANSWERS)Focus on behavior can't control
,Maryville NURS 663 Exam 3 Megadeck Revised
with complete solutions
DBT stage 2 - (ANSWERS)Focus on past trauma and emotional factors, continue to suffer in
silence, interpersonal effectiveness
DBT stage 3 - (ANSWERS)Owning behavior happens in this stage
Distress tolerance
Pharmacologic agents for PTSD - (ANSWERS)med tx is focused on diminishing intrusive
thoughts, hyperarousal, and avoidance, with some success and mixed results
PTSD frequent comorbidity - (ANSWERS)depressive disorder, anxiety disorders, and behavioral
problems associated with ______________
Sertraline and paroxetine - (ANSWERS)that __________and ______________ are approved by the
Food and Drug Administration (FDA) in the treatment of PTSD in adults, there is scant evidence
to support its use for the core symptoms of PTSD in youth
Risperidone and aripiprazole - (ANSWERS)FDA approval for use in children and adolescents
with aggression, severe behavioral dyscontrol, and severe psychiatric disorders
Antiadrenergic agents - (ANSWERS)treat dysregulation of the noradrenergic system in adults
and youth with PTSD
Clonidine and guanfacine - (ANSWERS)Alpha2-agonists examples
Alpha2 agonists - (ANSWERS)decrease norepinephrine release, such as, are
Propranolol - (ANSWERS)centrally acting β-antagonists example
Prazosin - (ANSWERS)α-1-antagonists example
Propranolol use - (ANSWERS)hypothesized to improve hyperarousal and intrusive thoughts
through attenuation of norepinephrine postsynaptically
Prazosin use - (ANSWERS)nightmares associated with trauma
Modify PTSD sx - (ANSWERS)Off-label medications including antidepressants, atypical
antipsychotics, adrenergic modulators/sympatholytics, and anticonvulsants/mood stabilizers
Clonidine and propanolol - (ANSWERS)nightmares and exaggerated startle response: some
evidence in adults, but children case report only
, Maryville NURS 663 Exam 3 Megadeck Revised
with complete solutions
Guanfacine and clonidine - (ANSWERS)__________ may reduce nightmares in children with
PTSD and ____________may diminish symptoms of reenactment of traumatic events in children
Mood-stabilizing agents - (ANSWERS)divalproex, carbamazepine, topiramate, and gabapentin
have been utilized for adults with PTSD with modest improvement; some
Clonidine with dosage ranges of 0.05 to 0.1 mg twice daily - (ANSWERS)may provide some relief
for the symptoms of hyperarousal, impulsivity, and agitation in young children with PTSD; in
children some evidence
Benzodiazepines - (ANSWERS)no controlled trials supporting use in children
Trauma-Focused CBT - (ANSWERS)10-16 treatment sessions, including 9 components itemized
in the acronym PRACTICE
PRACTICE elements - (ANSWERS)Psychoeducation on typical reactions to PTSD.
Parenting skills- praise, time-out, reinforcement
Relaxation- muscle, breathing, cognitive tech
Affective Expression and Modulation- ID feelings
Cognitive Coping and Processing Cognitive Triangle
Trauma Narrative:developed over time by child,
In Vivo Exposure and Mastery of Trauma Reminders- how to deal with reminders
Conjoint Child-Parent Sessions- this component may involve several sessions in which the
child and parent share their understanding
Enhancing future safety-family changes
EMDR - (ANSWERS)exposure and cognitive reprocessing interventions are paired with directed
eye movements, alternating tones or tapping
CBITS - (ANSWERS)Cognitive Behavioral Interventions for Trauma in Schools
CBITS description - (ANSWERS)intervention that administers treatment in the school setting for
children who screen positive for PTSD and whose parents agree to treatment in school.
CBITS elements - (ANSWERS)Consists of 10 weekly group sessions
1-3 individual imaginal exposure sessions
2-4 optional sessions with parents
1 parent education session.
Similar to trauma-focused CBT, incorporates psychoeducation, relaxation, training, cognitive
coping skills, gradual exposure to traumatic memories
SPARCS - (ANSWERS)Structured Psychotherapy for Adolescents Responding to Chronic Stress
with complete solutions
Difference in conduct disorder and ODD - (ANSWERS)Conduct try to control others, ODD
doesnt.
Conduct disorder often progresses to - (ANSWERS)Antisocial disorder
This diagnosis does not include torchering animals - (ANSWERS)ODD
This is a screening tool for opioids - (ANSWERS)COWS
Drugs for Opioid withdrawal - (ANSWERS)Clonidine, Methdaone, Naltrexone
This drug causes paranoia, hallucinations, sensory disorientation, sweating, dehydration,
increased body temp - (ANSWERS)LSD
What part of the brain does PTSD have an effect on - (ANSWERS)Amygdala, Prefrontal cortex,
hippocampus, hypothalmus
Best treatment for ODD - (ANSWERS)Family Therapy-reinforce positive behaviors
Medication treatment for PTSD - (ANSWERS)SSRI, Sertraline Paroxetine, Prazosin for
nightmares
PTSD symptoms in children - (ANSWERS)Crying headache thumb sucking
Therapy for PTSD - (ANSWERS)Trauma focused CBT and EMDR
This type of substance causes respiratory depression - (ANSWERS)Opioid
Medication to reverse Opioid - (ANSWERS)Narcan
Stimulant withdrawal causes what physical life threatening issue - (ANSWERS)Cardiac sx
Difference in Alcohol and Heroin withdrawal - (ANSWERS)Heroin feels like dying, Alcohol can
actually cause death
What neurotransmitter is the reward pathway - (ANSWERS)Dopamine
Kids who have lack of remorse have this disorder - (ANSWERS)Conduct Disorder
By what age most teens tried alcohol - (ANSWERS)13
,Maryville NURS 663 Exam 3 Megadeck Revised
with complete solutions
With Alcohol consumption, Vitamin B1 or thiamine deficient causes what -
(ANSWERS)Wornicke-Korsakoff syndrome
Heroin withdrawal - (ANSWERS)peaks 1-3 days, subside in 1 week
Cocaine withdrawal begins - (ANSWERS)within 90 minutes
Cocaine and Nicotine have an effect on this - (ANSWERS)Dopamine reward feeling
Example of date rape drugs - (ANSWERS)Rohypnol, GHB, Ketamine, Chloral hydrate
This drug is known as ice - (ANSWERS)meth
Most common reason adolescent has eval - (ANSWERS)Suicidal
What is the origin of ADHD - (ANSWERS)Hereditary, Biological
Best treatment for borderline personality - (ANSWERS)DBT
For diagnosis of ODD the symptoms must be present for how long - (ANSWERS)6 months
This parenting style relates to conduct disorder - (ANSWERS)Harsh/ Punitive
Why is ketamine a date rape drug, what is onset and length - (ANSWERS)15 minutes and 30-60
minutes
Children who receive grossly negligent care and no emotional attachment are subject to what
disorder - (ANSWERS)Reactive Attachment disorder
Symptoms of Reactive Attachment Disorder - (ANSWERS)Social anxiety, regression
Meds for conduct disorder - (ANSWERS)Mood stabilizer, or atypicals Abilify, Risperidone,
Geodon, Seroquel
With alcohol when is the greatest risk of dts - (ANSWERS)at 3-5 days into withdrawal
In PTSD what affect is on amygdala - (ANSWERS)Increase fight or flight startle response/anxiety
In PTSD, what affect is on prefrontal cortex - (ANSWERS)Inappropriate response to situation,
difficulty concentrating
DBT stage 1 - (ANSWERS)Focus on behavior can't control
,Maryville NURS 663 Exam 3 Megadeck Revised
with complete solutions
DBT stage 2 - (ANSWERS)Focus on past trauma and emotional factors, continue to suffer in
silence, interpersonal effectiveness
DBT stage 3 - (ANSWERS)Owning behavior happens in this stage
Distress tolerance
Pharmacologic agents for PTSD - (ANSWERS)med tx is focused on diminishing intrusive
thoughts, hyperarousal, and avoidance, with some success and mixed results
PTSD frequent comorbidity - (ANSWERS)depressive disorder, anxiety disorders, and behavioral
problems associated with ______________
Sertraline and paroxetine - (ANSWERS)that __________and ______________ are approved by the
Food and Drug Administration (FDA) in the treatment of PTSD in adults, there is scant evidence
to support its use for the core symptoms of PTSD in youth
Risperidone and aripiprazole - (ANSWERS)FDA approval for use in children and adolescents
with aggression, severe behavioral dyscontrol, and severe psychiatric disorders
Antiadrenergic agents - (ANSWERS)treat dysregulation of the noradrenergic system in adults
and youth with PTSD
Clonidine and guanfacine - (ANSWERS)Alpha2-agonists examples
Alpha2 agonists - (ANSWERS)decrease norepinephrine release, such as, are
Propranolol - (ANSWERS)centrally acting β-antagonists example
Prazosin - (ANSWERS)α-1-antagonists example
Propranolol use - (ANSWERS)hypothesized to improve hyperarousal and intrusive thoughts
through attenuation of norepinephrine postsynaptically
Prazosin use - (ANSWERS)nightmares associated with trauma
Modify PTSD sx - (ANSWERS)Off-label medications including antidepressants, atypical
antipsychotics, adrenergic modulators/sympatholytics, and anticonvulsants/mood stabilizers
Clonidine and propanolol - (ANSWERS)nightmares and exaggerated startle response: some
evidence in adults, but children case report only
, Maryville NURS 663 Exam 3 Megadeck Revised
with complete solutions
Guanfacine and clonidine - (ANSWERS)__________ may reduce nightmares in children with
PTSD and ____________may diminish symptoms of reenactment of traumatic events in children
Mood-stabilizing agents - (ANSWERS)divalproex, carbamazepine, topiramate, and gabapentin
have been utilized for adults with PTSD with modest improvement; some
Clonidine with dosage ranges of 0.05 to 0.1 mg twice daily - (ANSWERS)may provide some relief
for the symptoms of hyperarousal, impulsivity, and agitation in young children with PTSD; in
children some evidence
Benzodiazepines - (ANSWERS)no controlled trials supporting use in children
Trauma-Focused CBT - (ANSWERS)10-16 treatment sessions, including 9 components itemized
in the acronym PRACTICE
PRACTICE elements - (ANSWERS)Psychoeducation on typical reactions to PTSD.
Parenting skills- praise, time-out, reinforcement
Relaxation- muscle, breathing, cognitive tech
Affective Expression and Modulation- ID feelings
Cognitive Coping and Processing Cognitive Triangle
Trauma Narrative:developed over time by child,
In Vivo Exposure and Mastery of Trauma Reminders- how to deal with reminders
Conjoint Child-Parent Sessions- this component may involve several sessions in which the
child and parent share their understanding
Enhancing future safety-family changes
EMDR - (ANSWERS)exposure and cognitive reprocessing interventions are paired with directed
eye movements, alternating tones or tapping
CBITS - (ANSWERS)Cognitive Behavioral Interventions for Trauma in Schools
CBITS description - (ANSWERS)intervention that administers treatment in the school setting for
children who screen positive for PTSD and whose parents agree to treatment in school.
CBITS elements - (ANSWERS)Consists of 10 weekly group sessions
1-3 individual imaginal exposure sessions
2-4 optional sessions with parents
1 parent education session.
Similar to trauma-focused CBT, incorporates psychoeducation, relaxation, training, cognitive
coping skills, gradual exposure to traumatic memories
SPARCS - (ANSWERS)Structured Psychotherapy for Adolescents Responding to Chronic Stress
