NURS 3381 - Exam 1 2025 Latest | 100 % Actual
Questions Solved | UTA Approved | Graded A Psych
- S. Justice
What effect do TCAs have?
Side effect of TCAs?
(amitriptyline, nortriptyline, clomipramine)
decrease norepinephrine
anticholinergic effect (can't sit, etc.)
What are examples of selective serotonin reuptake inhibitors? (3)
fluoxetine - Prozac
sertraline - Zoloft
paroxetine - Paxil
What effect do SSRIs have?
What side effects occur with SSRIs? (2)
(fluoxetine, sertraline, paroxetine)
decrease serotonin
anticholinergic (fewer than TCAs), N&V
What are examples of serotonin-norepinephrine reuptake inhibitors? (2)
venlafaxine - Effexor
duloxetine - cymbalta
What effect do SNRIs have?
What side effects occur with SNRIs? (1)
(venlafaxine, duloxetine)
increase serotonin and norepi
side effects: fewer anticholin.
What is an example of serotonin-norepinephrine disinhibitors? (1)
mirtazapine - Remeron
,What effect do SNDIs have?
What medication are SNDIs combined with and why?
(mirtazapine)
decrease serotonin & norepi
combined with SSRIs to increase efficacy OR counteract serotonergic side effects (N/V, insomnia)
What are the most commonly prescribed types of antidepressants?
SSRIs (1st)
SNRIs (2nd)
MAOIs can be used to ↑ serotonin but not preferred ∵ vasopressor effects
Example of NDRI
bupropion - Wellbutrin
What effect do NDRIs have?
inhibits nicotine acetylcholine receptors to reduce addictive effects
Example of SARIs
trazodone - Desyrel
Which antidepressant is useful for treating insomnia? How does it work?
What else does it cause?
Discuss high vs low dosage effects
trazodone (Desyrel) (SARIs)
Define milieu therapy
orienting the client to the physical setting, their environment (aka therapeutic environment)
Define veracity
honesty (different than fidelity = loyalty/faithfulness)
(client asks if you were talking about them, you respond "we were discussing ways to help you related to
other patients in a more positive way")
How long can a temporary emergency admission for mental health care be?
, no longer than 15 days
What are the criteria for involuntary admission? (4)
1. presence of mental illness
2. poses danger to self or others
3. demonstrates inability to meet basic necessities (food, water, shelter)
4. requires treatment but unable to seek it voluntarily due to illness
How many physicians are required to certify an involuntary admission?
2 (varies state to state but generally 2)
An involuntary admission is limited to _____.
60 days, then psych & legal review of admission is required
What are the restraint OR seclusion time limits for the following age groups;
18+
9-17
8 or younger
18+ = 4 hours
9-17 = 2 hours
8 and under = 1 hour
Define transference
client views nurse as having same characteristics of another person who is significant in client's life
Define countertransference
nurse displaces characteristics of people in their past onto a client
What are the 4 main models in mental health care?
1. recovery model
2. EBP model (aka medical model)
3. trauma-informed care model
4. patient-centered care
Define recovery model (3)
1. consumer & family driven
Questions Solved | UTA Approved | Graded A Psych
- S. Justice
What effect do TCAs have?
Side effect of TCAs?
(amitriptyline, nortriptyline, clomipramine)
decrease norepinephrine
anticholinergic effect (can't sit, etc.)
What are examples of selective serotonin reuptake inhibitors? (3)
fluoxetine - Prozac
sertraline - Zoloft
paroxetine - Paxil
What effect do SSRIs have?
What side effects occur with SSRIs? (2)
(fluoxetine, sertraline, paroxetine)
decrease serotonin
anticholinergic (fewer than TCAs), N&V
What are examples of serotonin-norepinephrine reuptake inhibitors? (2)
venlafaxine - Effexor
duloxetine - cymbalta
What effect do SNRIs have?
What side effects occur with SNRIs? (1)
(venlafaxine, duloxetine)
increase serotonin and norepi
side effects: fewer anticholin.
What is an example of serotonin-norepinephrine disinhibitors? (1)
mirtazapine - Remeron
,What effect do SNDIs have?
What medication are SNDIs combined with and why?
(mirtazapine)
decrease serotonin & norepi
combined with SSRIs to increase efficacy OR counteract serotonergic side effects (N/V, insomnia)
What are the most commonly prescribed types of antidepressants?
SSRIs (1st)
SNRIs (2nd)
MAOIs can be used to ↑ serotonin but not preferred ∵ vasopressor effects
Example of NDRI
bupropion - Wellbutrin
What effect do NDRIs have?
inhibits nicotine acetylcholine receptors to reduce addictive effects
Example of SARIs
trazodone - Desyrel
Which antidepressant is useful for treating insomnia? How does it work?
What else does it cause?
Discuss high vs low dosage effects
trazodone (Desyrel) (SARIs)
Define milieu therapy
orienting the client to the physical setting, their environment (aka therapeutic environment)
Define veracity
honesty (different than fidelity = loyalty/faithfulness)
(client asks if you were talking about them, you respond "we were discussing ways to help you related to
other patients in a more positive way")
How long can a temporary emergency admission for mental health care be?
, no longer than 15 days
What are the criteria for involuntary admission? (4)
1. presence of mental illness
2. poses danger to self or others
3. demonstrates inability to meet basic necessities (food, water, shelter)
4. requires treatment but unable to seek it voluntarily due to illness
How many physicians are required to certify an involuntary admission?
2 (varies state to state but generally 2)
An involuntary admission is limited to _____.
60 days, then psych & legal review of admission is required
What are the restraint OR seclusion time limits for the following age groups;
18+
9-17
8 or younger
18+ = 4 hours
9-17 = 2 hours
8 and under = 1 hour
Define transference
client views nurse as having same characteristics of another person who is significant in client's life
Define countertransference
nurse displaces characteristics of people in their past onto a client
What are the 4 main models in mental health care?
1. recovery model
2. EBP model (aka medical model)
3. trauma-informed care model
4. patient-centered care
Define recovery model (3)
1. consumer & family driven
