N3381 - Exam 2 (Psych - S. Justice) questions with
accurate answers
(acute stress disorder)
similarities: same triggers, similar manifestations
difference: ASD "resolves" within 1 month (by definition, not always
true) Ans✓✓✓ PTSD vs ASD
(mnemonic: I Fought Thru a Really Shitty Time Recently)
intro
fact: discuss facts of event/crisis
thought: discuss initial thoughts of event
reaction: free discussion about worse, most painful parts of event
symptom: describe mental, emotional, physical experiences at time of
event and now
teaching: feelings are affirmed, guidance given
reentry: review/summarize Ans✓✓✓ What are the phases of a critical
incident stress debriefing?
(toxic level: 1.5-2.0, therapeutic: 0.6-1.2)
fine hand tremor
polyuria
mild thirst
mild nausea
weight gain Ans✓✓✓ Expected side effects of lithium therapy (6)
,(toxic level: 1.5-2.0, therapeutic: 0.6-1.2)
nausea
vomiting
diarrhea
thirst
polyuria
slurred speech
muscle weakness Ans✓✓✓ Early signs of lithium toxicity (7)
+: hallucinations, delusions, paranoia
-: apathy, anhedonia, poor thought process
cog: impaired memory, inability to reason, disruption in social learning
Ans✓✓✓ Define the following symptoms of schizophrenia (3 each);
positive
negative
cognitive
1-3 day supply
risk of overdose Ans✓✓✓ After the suicide crisis period, how much of
a supply of medications should be given to patient?
1. identify & test negative cognition
,2. developing alternative thinking patterns
3. rehearsing new cognitive & behavioral responses Ans✓✓✓
Cognitive behavioral therapy helps the patient do what? (3)
1. major depression w/ psychotic symptoms (delusions)
2. suicidal or homicidal
3. treatment resistant depression
4. extreme agitation or stupor Ans✓✓✓ Electroconvulsive therapy
(ECT) would be beneficial to patients experiencing (4)
1. no neuromedical or psych condition
2. diagnosed as <6m to live
3. oral & written request approved by 2 different doctors
4. make request again after 15 days Ans✓✓✓ Requirements for PAS
(4)
1. patient's perception of the event: can they identify precipitating event?
2. patient's situational support
3. patient's personal coping skills: evaluate level of anxiety! Ans✓✓✓
During crisis assessment, what are the categories to assess?
1. pre-assaultive stage: de-escalation
2. assaultive stage: medication, seclusion, restraint
, 3. post-assaultive stage: review incident (one w/ patient & one w/ staff)
Ans✓✓✓ What are the stages of violence cycle?
What interventions should be used for each?
1. serotonin & norepi play role in stress regulation, with stress these
neurotrans. become overtaxed and leave self open/vulnerable to
depression
2. short and long transporter gene for serotonin; stress w/ short gene =
↑risk for depression
3. life events combined with diathesis (biological predisposition) leave
vulnerable for depression Ans✓✓✓ Discuss points about the stress-
diathesis model (3)
1. the crisis is temporary
2. the unbearable pain can be survived
3. help is available
4. you are not alone Ans✓✓✓ During a suicidal crisis, the following
information should be conveyed to the patient in all settings (4)
4-6 weeks Ans✓✓✓ How long does it usually take to resolve a crisis?
4-8 weeks after the initial interview
(are they feeling safe, have they used coping skills, etc) Ans✓✓✓ An
evaluation for a person in crisis is usually performed when?
accurate answers
(acute stress disorder)
similarities: same triggers, similar manifestations
difference: ASD "resolves" within 1 month (by definition, not always
true) Ans✓✓✓ PTSD vs ASD
(mnemonic: I Fought Thru a Really Shitty Time Recently)
intro
fact: discuss facts of event/crisis
thought: discuss initial thoughts of event
reaction: free discussion about worse, most painful parts of event
symptom: describe mental, emotional, physical experiences at time of
event and now
teaching: feelings are affirmed, guidance given
reentry: review/summarize Ans✓✓✓ What are the phases of a critical
incident stress debriefing?
(toxic level: 1.5-2.0, therapeutic: 0.6-1.2)
fine hand tremor
polyuria
mild thirst
mild nausea
weight gain Ans✓✓✓ Expected side effects of lithium therapy (6)
,(toxic level: 1.5-2.0, therapeutic: 0.6-1.2)
nausea
vomiting
diarrhea
thirst
polyuria
slurred speech
muscle weakness Ans✓✓✓ Early signs of lithium toxicity (7)
+: hallucinations, delusions, paranoia
-: apathy, anhedonia, poor thought process
cog: impaired memory, inability to reason, disruption in social learning
Ans✓✓✓ Define the following symptoms of schizophrenia (3 each);
positive
negative
cognitive
1-3 day supply
risk of overdose Ans✓✓✓ After the suicide crisis period, how much of
a supply of medications should be given to patient?
1. identify & test negative cognition
,2. developing alternative thinking patterns
3. rehearsing new cognitive & behavioral responses Ans✓✓✓
Cognitive behavioral therapy helps the patient do what? (3)
1. major depression w/ psychotic symptoms (delusions)
2. suicidal or homicidal
3. treatment resistant depression
4. extreme agitation or stupor Ans✓✓✓ Electroconvulsive therapy
(ECT) would be beneficial to patients experiencing (4)
1. no neuromedical or psych condition
2. diagnosed as <6m to live
3. oral & written request approved by 2 different doctors
4. make request again after 15 days Ans✓✓✓ Requirements for PAS
(4)
1. patient's perception of the event: can they identify precipitating event?
2. patient's situational support
3. patient's personal coping skills: evaluate level of anxiety! Ans✓✓✓
During crisis assessment, what are the categories to assess?
1. pre-assaultive stage: de-escalation
2. assaultive stage: medication, seclusion, restraint
, 3. post-assaultive stage: review incident (one w/ patient & one w/ staff)
Ans✓✓✓ What are the stages of violence cycle?
What interventions should be used for each?
1. serotonin & norepi play role in stress regulation, with stress these
neurotrans. become overtaxed and leave self open/vulnerable to
depression
2. short and long transporter gene for serotonin; stress w/ short gene =
↑risk for depression
3. life events combined with diathesis (biological predisposition) leave
vulnerable for depression Ans✓✓✓ Discuss points about the stress-
diathesis model (3)
1. the crisis is temporary
2. the unbearable pain can be survived
3. help is available
4. you are not alone Ans✓✓✓ During a suicidal crisis, the following
information should be conveyed to the patient in all settings (4)
4-6 weeks Ans✓✓✓ How long does it usually take to resolve a crisis?
4-8 weeks after the initial interview
(are they feeling safe, have they used coping skills, etc) Ans✓✓✓ An
evaluation for a person in crisis is usually performed when?
