NUR 356 Mental Health Modules 4, 5, 6
Panic – answer A sudden, overwhelming feeling of terror or impending doom. This most
severe form of emotional anxiety is usually accompanied by behavioral, cognitive, and
physiological signs and symptoms considered extremely intense and frightening.
A nurse is assessing a client in urgent care who has palpitations, tachycardia,
diaphoresis, tremor, and reports feelings of choking, chest pain, nausea and feeling light
headed. Which anxiety disorder should she suspect? - answer panic disorder
____________ is considered a disorder (or pathological) when fears and anxieties are
excessive (in a cultural context), and there are associated behavioral disturbances such
as interference with social and occupational functioning. - answer anxiety
True or False: In hoarding disorders, changes happen quickly, and the relapse rate is
relatively low once the individual receives treatment. - answer Change is slow, and the
relapse rate is high; when possessions or animals are taken away, they are often
quickly replaced to provide emotional comfort
Which of the following treatments is priority for clients with hoarding disorder?
a) Perform a head to toe assessment
b) Collect subjective data from family and friends
c) prescribe SSRI to address unresolved grief
d) provide psychoeducation about the disorder - answerd) provide psychoeducation
about the disorder
phobia - answerAn irrational fear of a specific object or situation resulting in an intense
aversion toward the feared stimulus. Exposure to the feared object or situation is
typically accompanied by intense anxiety or panic attacks.
Characterized by persistent, unrealistic, and excessive anxiety and worry that have
occurred more days than not for at least 6 months and cannot be attributed to specific
organic factors, such as caffeine intoxication or hyperthyroidism. - answerGeneralized
anxiety disorder (GAD)
______________ disorders are more common in women than in men by at least
_____________ to one. - answeranxiety/two
behavioral therapies - answerTeach clients ways to decrease anxiety or avoidant bx
and allow an opportunity to practice techniques:
- relaxation training
-modeling
,-systematic desensitization
- flooding
-response prevention
- thought stopping
major or minor neurocognitive disorder is also known as what? - answerdementia
In this stage of neurocognitive disorders the person may forget major life changes and
confabulate, or tell stories, to fill in the gaps in memory. - answerStage 4 - moderate
cognitive decline
Select the correct characteristics of delirium.
a) has a rapid onset
b) disturbance in attention and awareness.
c) disorientation to time and place, and impairment of recent memory.
d) patients are always suicidal
e) Misperceptions of the environment (illusions)
f) Emotional instability, which may be evidenced by crying, calls for help, cursing,
muttering, moaning, acts of self-destruction.... etc. - answerall except for e
physical symptoms of a client with delirium - answertachycardia, sweating, flushed face,
dilated pupils, and elevated BP.
Select the statement made by the student nurse about major neurocognitive disorder
characteristics which requires for further teaching.
a) major NCD has a slow, insidious onset and progressive nature.
b) the client may be irritable, moody, but not exhibit sudden outbursts over trivial issues
c) clients with NCD present with disorganized thinking.
d) Impairment in abstract thinking, judgment, and impulse control are common in major
NCD. - answerb) the client may be irritable, moody, but not exhibit sudden outbursts
over trivial issues
they may exhibit sudden outbursts over trivial issues
Which statement about NCDs and delirium is correct?
a) Dementia is typically reversible with the right treatment.
b) In delirium, the person is unlikely to regain their previous level of functioning even
after successfully treating the underlying cause, such as an infection.
c) nurses can help family by assessing and identifying dementia symptoms in their early
stages which helps slow the progression of the disease
d) Stage 2 of NCDs are marked by moderately severe cognitive decline - answerTrue
statement
, c) nurses can help family by assessing and identifying dementia symptoms in their early
stages which helps slow the progression of the disease
a) Dementia is not reversible. b) In delirium, the client is likely to regain their previous
level of functioning even after successfully treating the underlying cause, such as an
infection.
d) Stage 4 is the stage of NCDs marked by moderately severe cognitive decline, not
stage 2. Stage 2 consists of very mild effects and often include some short-term
memory loss.
True or False: In stage 7 of NCDs the person often feels happy and regains some
cognitive skills. - answerFalse: Stage 7, the end stage, results in very severe cognitive
decline. The person in Stage 7 is often confined to bed and has a high risk of death
from an opportunistic infection.
Depression, also known as ___________________, is one of the most common mental
illnesses in the elderly. - answerpseudodementia
True or False:
Pseudodementia has a slow onset of symptoms and presents more like general
forgetfulness. The person remains oriented to time and place with intact attention and
concentration. They also communicate distress in their symptoms. - answerFalse:
Pseudodementia has a rapid onset of symptoms and presents more like general
forgetfulness.
Neurocognitive disorder due to Lewy body dementia - answermemory loss,
rapid progression,
hallucinations,
depression,
delusions
etiological theories of Alzheimer's dementia - answerfamily patterns,
beta amyloid plaques,
excess glutamate
cerebrovascular disease,
traumatic brain injury,
diagnostics laboratory evaluations for NCDs include all but one of the following.
a) CT scan
b) lumbar puncture
c) thyroid tests
d) rapid plasma reagin
e) chest x-ray - answerchest x-ray - not applicable
Panic – answer A sudden, overwhelming feeling of terror or impending doom. This most
severe form of emotional anxiety is usually accompanied by behavioral, cognitive, and
physiological signs and symptoms considered extremely intense and frightening.
A nurse is assessing a client in urgent care who has palpitations, tachycardia,
diaphoresis, tremor, and reports feelings of choking, chest pain, nausea and feeling light
headed. Which anxiety disorder should she suspect? - answer panic disorder
____________ is considered a disorder (or pathological) when fears and anxieties are
excessive (in a cultural context), and there are associated behavioral disturbances such
as interference with social and occupational functioning. - answer anxiety
True or False: In hoarding disorders, changes happen quickly, and the relapse rate is
relatively low once the individual receives treatment. - answer Change is slow, and the
relapse rate is high; when possessions or animals are taken away, they are often
quickly replaced to provide emotional comfort
Which of the following treatments is priority for clients with hoarding disorder?
a) Perform a head to toe assessment
b) Collect subjective data from family and friends
c) prescribe SSRI to address unresolved grief
d) provide psychoeducation about the disorder - answerd) provide psychoeducation
about the disorder
phobia - answerAn irrational fear of a specific object or situation resulting in an intense
aversion toward the feared stimulus. Exposure to the feared object or situation is
typically accompanied by intense anxiety or panic attacks.
Characterized by persistent, unrealistic, and excessive anxiety and worry that have
occurred more days than not for at least 6 months and cannot be attributed to specific
organic factors, such as caffeine intoxication or hyperthyroidism. - answerGeneralized
anxiety disorder (GAD)
______________ disorders are more common in women than in men by at least
_____________ to one. - answeranxiety/two
behavioral therapies - answerTeach clients ways to decrease anxiety or avoidant bx
and allow an opportunity to practice techniques:
- relaxation training
-modeling
,-systematic desensitization
- flooding
-response prevention
- thought stopping
major or minor neurocognitive disorder is also known as what? - answerdementia
In this stage of neurocognitive disorders the person may forget major life changes and
confabulate, or tell stories, to fill in the gaps in memory. - answerStage 4 - moderate
cognitive decline
Select the correct characteristics of delirium.
a) has a rapid onset
b) disturbance in attention and awareness.
c) disorientation to time and place, and impairment of recent memory.
d) patients are always suicidal
e) Misperceptions of the environment (illusions)
f) Emotional instability, which may be evidenced by crying, calls for help, cursing,
muttering, moaning, acts of self-destruction.... etc. - answerall except for e
physical symptoms of a client with delirium - answertachycardia, sweating, flushed face,
dilated pupils, and elevated BP.
Select the statement made by the student nurse about major neurocognitive disorder
characteristics which requires for further teaching.
a) major NCD has a slow, insidious onset and progressive nature.
b) the client may be irritable, moody, but not exhibit sudden outbursts over trivial issues
c) clients with NCD present with disorganized thinking.
d) Impairment in abstract thinking, judgment, and impulse control are common in major
NCD. - answerb) the client may be irritable, moody, but not exhibit sudden outbursts
over trivial issues
they may exhibit sudden outbursts over trivial issues
Which statement about NCDs and delirium is correct?
a) Dementia is typically reversible with the right treatment.
b) In delirium, the person is unlikely to regain their previous level of functioning even
after successfully treating the underlying cause, such as an infection.
c) nurses can help family by assessing and identifying dementia symptoms in their early
stages which helps slow the progression of the disease
d) Stage 2 of NCDs are marked by moderately severe cognitive decline - answerTrue
statement
, c) nurses can help family by assessing and identifying dementia symptoms in their early
stages which helps slow the progression of the disease
a) Dementia is not reversible. b) In delirium, the client is likely to regain their previous
level of functioning even after successfully treating the underlying cause, such as an
infection.
d) Stage 4 is the stage of NCDs marked by moderately severe cognitive decline, not
stage 2. Stage 2 consists of very mild effects and often include some short-term
memory loss.
True or False: In stage 7 of NCDs the person often feels happy and regains some
cognitive skills. - answerFalse: Stage 7, the end stage, results in very severe cognitive
decline. The person in Stage 7 is often confined to bed and has a high risk of death
from an opportunistic infection.
Depression, also known as ___________________, is one of the most common mental
illnesses in the elderly. - answerpseudodementia
True or False:
Pseudodementia has a slow onset of symptoms and presents more like general
forgetfulness. The person remains oriented to time and place with intact attention and
concentration. They also communicate distress in their symptoms. - answerFalse:
Pseudodementia has a rapid onset of symptoms and presents more like general
forgetfulness.
Neurocognitive disorder due to Lewy body dementia - answermemory loss,
rapid progression,
hallucinations,
depression,
delusions
etiological theories of Alzheimer's dementia - answerfamily patterns,
beta amyloid plaques,
excess glutamate
cerebrovascular disease,
traumatic brain injury,
diagnostics laboratory evaluations for NCDs include all but one of the following.
a) CT scan
b) lumbar puncture
c) thyroid tests
d) rapid plasma reagin
e) chest x-ray - answerchest x-ray - not applicable
