NURS 3381 Exam 2 review questions with accurate
answers
acute dystonia Ans✓✓✓ Acute, often painful, sustained contraction of
muscles, usually of the tongue, head and neck, which typically occurs
from 2 to 5 days after the introduction of antipsychotic medications.
Additional specifcations for Bipolar are? Ans✓✓✓ W/ Anxiety
W/ mixed features
-sig suicide risk
-marked irritability
pessimism and underlying worry and despair
- decreased need for sleep
-rapid cycling
-W/ melancholic features
-W/ atypical features
-W/ peripartum onset
-W/ seasonal patterns
-W/ psychotic features, S&S of psychosis (hallucinations delusions,
paranoia) occur during a mood episode, the psychosis may be mood
congruent, meaning the content of the psychosis goes with the current
mood or vice versa, mood incongruent
-W/ catatonic features, extreme of physical activity, and speech
adventitious crisis Ans✓✓✓ A major natural or man-made disaster or a
crime of violence
,Akasthisia Ans✓✓✓ is an extrapyramidal side effect of antipsychotic
medication characterized by inner restlessness and an inability to sit or
stand in one position. Akathisia is frequently misdiagnosed because the
restlessness is misinterpreted as worsening psychotic agitation.
anticonvulsant drugs (Antiepileptic drugs) AED's Ans✓✓✓ Drugs
commonly used to treat epilepsy suppress the rapid and excessive firing
of neurons and are used as mood stabilizers.
Used alone or in combination W/Lithum
All AEDs increase the risk of suicide!!
Must be tapered off slowly to prevent relapse
Aripiprazole (Abilify) Ans✓✓✓ atypical antipsychotic
Assault stage and restraints Ans✓✓✓
assessing patient perception Ans✓✓✓ The nurse's task is to assess the
individual's and possibly the family's perception of the problem.
Sample questions that may facilitate the assessment
Has anything happened to you within the past few days or weeks?
What was happening in your life before started to feel this way
,that leads you to seek help now?
describe how you are feeling right now.
How does the situation affect your life?
What would need to be done to resolve the situation?
What type of healthcare do you think you need?
associative looseness Ans✓✓✓ shift of ideas from one unrelated topic
to another
Beginning Clinical symptoms of Hypertensive Crisis Ans✓✓✓ Severe
headache, or blurry vision
Increased chest pain and tachycardia
Increased SOB
Diaphoresis and Anxiety
Mental status changes; confusion
N&V
behavioral clue for suicide Ans✓✓✓ giving away prized possessions
writing farewell notes
making out a will
putting personal affairs in order
having global insomnia
having a sudden and unexpected improvement in mood after being
depressed or withdrawn
, neglecting personal hygiene
Carbamazepine Ans✓✓✓ Effective in TX of bipolar disorder Works
better in Pts W/Rapid cycling, mixed states, and acute mania
cause of serotonin syndrome Ans✓✓✓ Casued by too much of dose of
medication or by interaction with other drugs like SSRIs and MAOIs.
Chlorpromazine (Thorazine) Ans✓✓✓ - Chlorpromazine is used to
treat psychotic disorders such as schizophrenia or manic-depression, and
severe behavioral problems in children ages 1 through 12.
Chlorpromazine is also used to treat nausea and vomiting, anxiety before
surgery, chronic hiccups, acute intermittent porphyria, and symptoms of
tetanus.
- This medication can cause photophobic skin reactions and damage to
the retina of the eye if exposed to direct sunlight. PTs taking this should
be reminded to wear protective clothing, apply sunscreen and wear
sunglasses when they are outside.
Clozapine (Clozaril) Ans✓✓✓ - Antipsychotic medication
- Want to watch for tachycardia and seizures
- May cause severe agranulocytosis (weekly blood draws)
answers
acute dystonia Ans✓✓✓ Acute, often painful, sustained contraction of
muscles, usually of the tongue, head and neck, which typically occurs
from 2 to 5 days after the introduction of antipsychotic medications.
Additional specifcations for Bipolar are? Ans✓✓✓ W/ Anxiety
W/ mixed features
-sig suicide risk
-marked irritability
pessimism and underlying worry and despair
- decreased need for sleep
-rapid cycling
-W/ melancholic features
-W/ atypical features
-W/ peripartum onset
-W/ seasonal patterns
-W/ psychotic features, S&S of psychosis (hallucinations delusions,
paranoia) occur during a mood episode, the psychosis may be mood
congruent, meaning the content of the psychosis goes with the current
mood or vice versa, mood incongruent
-W/ catatonic features, extreme of physical activity, and speech
adventitious crisis Ans✓✓✓ A major natural or man-made disaster or a
crime of violence
,Akasthisia Ans✓✓✓ is an extrapyramidal side effect of antipsychotic
medication characterized by inner restlessness and an inability to sit or
stand in one position. Akathisia is frequently misdiagnosed because the
restlessness is misinterpreted as worsening psychotic agitation.
anticonvulsant drugs (Antiepileptic drugs) AED's Ans✓✓✓ Drugs
commonly used to treat epilepsy suppress the rapid and excessive firing
of neurons and are used as mood stabilizers.
Used alone or in combination W/Lithum
All AEDs increase the risk of suicide!!
Must be tapered off slowly to prevent relapse
Aripiprazole (Abilify) Ans✓✓✓ atypical antipsychotic
Assault stage and restraints Ans✓✓✓
assessing patient perception Ans✓✓✓ The nurse's task is to assess the
individual's and possibly the family's perception of the problem.
Sample questions that may facilitate the assessment
Has anything happened to you within the past few days or weeks?
What was happening in your life before started to feel this way
,that leads you to seek help now?
describe how you are feeling right now.
How does the situation affect your life?
What would need to be done to resolve the situation?
What type of healthcare do you think you need?
associative looseness Ans✓✓✓ shift of ideas from one unrelated topic
to another
Beginning Clinical symptoms of Hypertensive Crisis Ans✓✓✓ Severe
headache, or blurry vision
Increased chest pain and tachycardia
Increased SOB
Diaphoresis and Anxiety
Mental status changes; confusion
N&V
behavioral clue for suicide Ans✓✓✓ giving away prized possessions
writing farewell notes
making out a will
putting personal affairs in order
having global insomnia
having a sudden and unexpected improvement in mood after being
depressed or withdrawn
, neglecting personal hygiene
Carbamazepine Ans✓✓✓ Effective in TX of bipolar disorder Works
better in Pts W/Rapid cycling, mixed states, and acute mania
cause of serotonin syndrome Ans✓✓✓ Casued by too much of dose of
medication or by interaction with other drugs like SSRIs and MAOIs.
Chlorpromazine (Thorazine) Ans✓✓✓ - Chlorpromazine is used to
treat psychotic disorders such as schizophrenia or manic-depression, and
severe behavioral problems in children ages 1 through 12.
Chlorpromazine is also used to treat nausea and vomiting, anxiety before
surgery, chronic hiccups, acute intermittent porphyria, and symptoms of
tetanus.
- This medication can cause photophobic skin reactions and damage to
the retina of the eye if exposed to direct sunlight. PTs taking this should
be reminded to wear protective clothing, apply sunscreen and wear
sunglasses when they are outside.
Clozapine (Clozaril) Ans✓✓✓ - Antipsychotic medication
- Want to watch for tachycardia and seizures
- May cause severe agranulocytosis (weekly blood draws)
