NURS 3381 Exam 2 review questions with
|\ |\ |\ |\ |\ |\ |\
answers
theraputic milieu - CORRECT ANSWERS ✔✔"healthy enviornment"
|\ |\ |\ |\ |\ |\
|\
combined with a healthy social structure within an inpatient
|\ |\ |\ |\ |\ |\ |\ |\ |\
setting or structured outpatient clinic is essential to supporting
|\ |\ |\ |\ |\ |\ |\ |\ |\
and treating those with mental illness
|\ |\ |\ |\ |\
parity nursing - CORRECT ANSWERS ✔✔laws set desgined to
|\ |\ |\ |\ |\ |\ |\ |\ |\
ensure that certain types of health plans cover mental health and
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
substamce use disorders.
|\ |\ |\
sympathetic nervous system - CORRECT ANSWERS ✔✔the |\ |\ |\ |\ |\ |\ |\
division of the autonomic nervous system that arouses the body,
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
mobilizing its energy in stressful situations fight or flight
|\ |\ |\ |\ |\ |\ |\ |\
freeze - CORRECT ANSWERS ✔✔Person goes blank and stops
|\ |\ |\ |\ |\ |\ |\ |\ |\
responding.
Result of overwhelming trauma, no hope of escape, car accident
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
or assault
|\
parasympathetic nervous system - CORRECT ANSWERS ✔✔the |\ |\ |\ |\ |\ |\ |\
division of the autonomic nervous system that calms the body,
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
conserving its energy rest and digest |\ |\ |\ |\ |\
,Flashbacks - CORRECT ANSWERS ✔✔acting or feeling as though
|\ |\ |\ |\ |\ |\ |\ |\ |\
the traumatic event is happening again.
|\ |\ |\ |\ |\
-recurrent nightmares |\
-unwanted distressing memories of the event
|\ |\ |\ |\ |\
-having strong physical and emotional responses of stress when
|\ |\ |\ |\ |\ |\ |\ |\ |\
reminded to the traumatic event |\ |\ |\ |\
trauma informed care - CORRECT ANSWERS ✔✔an approach to
|\ |\ |\ |\ |\ |\ |\ |\ |\
treatment that acknowledges the role that trauma can have on
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the mental health of individuals
|\ |\ |\ |\
Psychotherapy - CORRECT ANSWERS ✔✔First line of TX approach |\ |\ |\ |\ |\ |\ |\ |\ |\
for PTSD
|\
cognitve behavioral therapy (CBT) - CORRECT ANSWERS ✔✔a
|\ |\ |\ |\ |\ |\ |\ |\
popular integrative therapy that combines cognitive therapy with
|\ |\ |\ |\ |\ |\ |\
behavior therapy -Cognitve behavioral therapy has the strongest
|\ |\ |\ |\ |\ |\ |\ |\
evidence for reducing the symptoms of PTSD in veterans
|\ |\ |\ |\ |\ |\ |\ |\ |\
cognitive processing therapy - CORRECT ANSWERS ✔✔Therapy
|\ |\ |\ |\ |\ |\ |\
that teaches the person how to evaluate & change upsetting
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
thoughts expeirnced since the trauma.
|\ |\ |\ |\
prolonged exposure therapy - CORRECT ANSWERS ✔✔A
|\ |\ |\ |\ |\ |\ |\
cognitive-behavioral treatment for PTSD that involves repeatedly |\ |\ |\ |\ |\ |\ |\
exposing individuals to stimuli that remind them of their past
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
trauma in order to alter their fear networks.
|\ |\ |\ |\ |\ |\ |\
,Eyemovement desensitization and reprocessing (EMDR) - |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔While thinking of or talking about the
|\ |\ |\ |\ |\ |\ |\ |\ |\
trauma, the indivudal focuses on other stimuli, such as eye
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
movements, hand taps and sounds. |\ |\ |\ |\
What are the two primary medications approved by the FDA to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
treat PTSD - CORRECT ANSWERS ✔✔Setraline and Paroxotine
|\ |\ |\ |\ |\ |\ |\ |\
-Monitor closely |\
-Discointiuation symptoms problematic |\ |\
Off labeled meds used to treat PTSD. 1st line of deffense drugs -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔Fluoxetine(SSRI) & Venlaflaxine(SNRI)
|\ |\ |\ |\
-Reccommended for first line of deffense for PTSD |\ |\ |\ |\ |\ |\ |\
Off labeled meds used to treat PTSD. 2nd line of deffense drugs -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔Vortioxetine & Topirate
|\ |\ |\ |\ |\ |\
-Vortioxetine, modulates GABA and Glutimate neurotransmission |\ |\ |\ |\ |\ |\
-Topirate Anticovulsion med |\ |\
Marijuana is used as an adjuncitve medication.
|\ |\ |\ |\ |\ |\
intrusive symptoms of PTSD - CORRECT ANSWERS ✔✔Obsessive
|\ |\ |\ |\ |\ |\ |\ |\
thoughts, dreams/nightmares, flashbacks, hallucinations,
|\ |\ |\ |\
rumination, dissociative amnesia. |\ |\
-It is important to stay with Pt and offer reassurance and
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
emotional saftey. |\
, negative cognitive symptoms of PTSD - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\
✔✔Inability to recall key features of the event, negative mood or
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
emotions, feeling distanced from others, and a persistent
|\ |\ |\ |\ |\ |\ |\ |\
negative view of the world thus leading to INCREASED SUICIDE
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
RISK.
DSM-5 Criteria for DID - CORRECT ANSWERS ✔✔- disruption of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
identity characterized by two or more distinct personality states
|\ |\ |\ |\ |\ |\ |\ |\
- host personality may not know alters
|\ |\ |\ |\ |\ |\
- recurrent gaps in the recall of everyday events, important
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
personal , and/or traumatic events that are "too extensive to be
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
explained by ordinary forgetfulness." |\ |\ |\
- Patient "Lost time" lose memory recollition during X time during
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
X an alter personality will be in control of the host person.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
- symptoms cause clinically significant distress or impairment in
|\ |\ |\ |\ |\ |\ |\ |\ |\
social, occupational, or other important areas of functioning
|\ |\ |\ |\ |\ |\ |\
- not part of a broadly accepted cultural or religious practice, or
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
attributable to imaginary play |\ |\ |\
- not attributable to the physiological effect of a substance or
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
another medical condition |\ |\
Etiology of DID - CORRECT ANSWERS ✔✔history of severe
|\ |\ |\ |\ |\ |\ |\ |\ |\
physical and/or sexual trauma in childhood. Comorbid with PTSD,
|\ |\ |\ |\ |\ |\ |\ |\ |\
symptoms cause significant distress and impaired functioning.
|\ |\ |\ |\ |\ |\
Expected Behavior of DID - CORRECT ANSWERS ✔✔-Finding
|\ |\ |\ |\ |\ |\ |\ |\
clothing or other unfamiliar items in your possession
|\ |\ |\ |\ |\ |\ |\
|\ |\ |\ |\ |\ |\ |\
answers
theraputic milieu - CORRECT ANSWERS ✔✔"healthy enviornment"
|\ |\ |\ |\ |\ |\
|\
combined with a healthy social structure within an inpatient
|\ |\ |\ |\ |\ |\ |\ |\ |\
setting or structured outpatient clinic is essential to supporting
|\ |\ |\ |\ |\ |\ |\ |\ |\
and treating those with mental illness
|\ |\ |\ |\ |\
parity nursing - CORRECT ANSWERS ✔✔laws set desgined to
|\ |\ |\ |\ |\ |\ |\ |\ |\
ensure that certain types of health plans cover mental health and
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
substamce use disorders.
|\ |\ |\
sympathetic nervous system - CORRECT ANSWERS ✔✔the |\ |\ |\ |\ |\ |\ |\
division of the autonomic nervous system that arouses the body,
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
mobilizing its energy in stressful situations fight or flight
|\ |\ |\ |\ |\ |\ |\ |\
freeze - CORRECT ANSWERS ✔✔Person goes blank and stops
|\ |\ |\ |\ |\ |\ |\ |\ |\
responding.
Result of overwhelming trauma, no hope of escape, car accident
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
or assault
|\
parasympathetic nervous system - CORRECT ANSWERS ✔✔the |\ |\ |\ |\ |\ |\ |\
division of the autonomic nervous system that calms the body,
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
conserving its energy rest and digest |\ |\ |\ |\ |\
,Flashbacks - CORRECT ANSWERS ✔✔acting or feeling as though
|\ |\ |\ |\ |\ |\ |\ |\ |\
the traumatic event is happening again.
|\ |\ |\ |\ |\
-recurrent nightmares |\
-unwanted distressing memories of the event
|\ |\ |\ |\ |\
-having strong physical and emotional responses of stress when
|\ |\ |\ |\ |\ |\ |\ |\ |\
reminded to the traumatic event |\ |\ |\ |\
trauma informed care - CORRECT ANSWERS ✔✔an approach to
|\ |\ |\ |\ |\ |\ |\ |\ |\
treatment that acknowledges the role that trauma can have on
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the mental health of individuals
|\ |\ |\ |\
Psychotherapy - CORRECT ANSWERS ✔✔First line of TX approach |\ |\ |\ |\ |\ |\ |\ |\ |\
for PTSD
|\
cognitve behavioral therapy (CBT) - CORRECT ANSWERS ✔✔a
|\ |\ |\ |\ |\ |\ |\ |\
popular integrative therapy that combines cognitive therapy with
|\ |\ |\ |\ |\ |\ |\
behavior therapy -Cognitve behavioral therapy has the strongest
|\ |\ |\ |\ |\ |\ |\ |\
evidence for reducing the symptoms of PTSD in veterans
|\ |\ |\ |\ |\ |\ |\ |\ |\
cognitive processing therapy - CORRECT ANSWERS ✔✔Therapy
|\ |\ |\ |\ |\ |\ |\
that teaches the person how to evaluate & change upsetting
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
thoughts expeirnced since the trauma.
|\ |\ |\ |\
prolonged exposure therapy - CORRECT ANSWERS ✔✔A
|\ |\ |\ |\ |\ |\ |\
cognitive-behavioral treatment for PTSD that involves repeatedly |\ |\ |\ |\ |\ |\ |\
exposing individuals to stimuli that remind them of their past
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
trauma in order to alter their fear networks.
|\ |\ |\ |\ |\ |\ |\
,Eyemovement desensitization and reprocessing (EMDR) - |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔While thinking of or talking about the
|\ |\ |\ |\ |\ |\ |\ |\ |\
trauma, the indivudal focuses on other stimuli, such as eye
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
movements, hand taps and sounds. |\ |\ |\ |\
What are the two primary medications approved by the FDA to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
treat PTSD - CORRECT ANSWERS ✔✔Setraline and Paroxotine
|\ |\ |\ |\ |\ |\ |\ |\
-Monitor closely |\
-Discointiuation symptoms problematic |\ |\
Off labeled meds used to treat PTSD. 1st line of deffense drugs -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔Fluoxetine(SSRI) & Venlaflaxine(SNRI)
|\ |\ |\ |\
-Reccommended for first line of deffense for PTSD |\ |\ |\ |\ |\ |\ |\
Off labeled meds used to treat PTSD. 2nd line of deffense drugs -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔Vortioxetine & Topirate
|\ |\ |\ |\ |\ |\
-Vortioxetine, modulates GABA and Glutimate neurotransmission |\ |\ |\ |\ |\ |\
-Topirate Anticovulsion med |\ |\
Marijuana is used as an adjuncitve medication.
|\ |\ |\ |\ |\ |\
intrusive symptoms of PTSD - CORRECT ANSWERS ✔✔Obsessive
|\ |\ |\ |\ |\ |\ |\ |\
thoughts, dreams/nightmares, flashbacks, hallucinations,
|\ |\ |\ |\
rumination, dissociative amnesia. |\ |\
-It is important to stay with Pt and offer reassurance and
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
emotional saftey. |\
, negative cognitive symptoms of PTSD - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\
✔✔Inability to recall key features of the event, negative mood or
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
emotions, feeling distanced from others, and a persistent
|\ |\ |\ |\ |\ |\ |\ |\
negative view of the world thus leading to INCREASED SUICIDE
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
RISK.
DSM-5 Criteria for DID - CORRECT ANSWERS ✔✔- disruption of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
identity characterized by two or more distinct personality states
|\ |\ |\ |\ |\ |\ |\ |\
- host personality may not know alters
|\ |\ |\ |\ |\ |\
- recurrent gaps in the recall of everyday events, important
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
personal , and/or traumatic events that are "too extensive to be
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
explained by ordinary forgetfulness." |\ |\ |\
- Patient "Lost time" lose memory recollition during X time during
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
X an alter personality will be in control of the host person.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
- symptoms cause clinically significant distress or impairment in
|\ |\ |\ |\ |\ |\ |\ |\ |\
social, occupational, or other important areas of functioning
|\ |\ |\ |\ |\ |\ |\
- not part of a broadly accepted cultural or religious practice, or
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
attributable to imaginary play |\ |\ |\
- not attributable to the physiological effect of a substance or
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
another medical condition |\ |\
Etiology of DID - CORRECT ANSWERS ✔✔history of severe
|\ |\ |\ |\ |\ |\ |\ |\ |\
physical and/or sexual trauma in childhood. Comorbid with PTSD,
|\ |\ |\ |\ |\ |\ |\ |\ |\
symptoms cause significant distress and impaired functioning.
|\ |\ |\ |\ |\ |\
Expected Behavior of DID - CORRECT ANSWERS ✔✔-Finding
|\ |\ |\ |\ |\ |\ |\ |\
clothing or other unfamiliar items in your possession
|\ |\ |\ |\ |\ |\ |\
