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NUR 256 MENTAL HEALTH FINAL EXAM
QUESTIONS AND ANSWERS 2022/2023 GALEN
COLLEGE OF NURSING/NUR 256 MENTAL HEALTH
FINAL EXAM –GALEN COLLEGE OF NURSING
What illnesses are associated with the decrease/increase of Dopamine --CORRECT
ANSWER-- decrease: Parkinson's disease, depression
increase: Schizophrenia, mania
What illnesses are associated with the decrease/increase of Norepinephrine --
CORRECT ANSWER-- decrease: depression
increase: mania, anxiety states, schizophrenia
What illnesses are associated with the decrease/increase of serotonin --CORRECT
ANSWER-- decrease: depression
No increases
What illnesses are associated with the decrease/increase of GABA --CORRECT
ANSWER-- decrease: anxiety disorders, schizophrenia, mania, and Huntington's
disease
Increase: reduction of anxiety
What illnesses are associated with the decrease/increase of Glucamate --
CORRECT ANSWER-- decrease: psychosis
increase: neurotoxic (if prolonged) neurodegeneration in Alzheimer's disease
What illnesses are associated with the decrease/increase of acetylcholine --
CORRECT ANSWER-- decrease: Alzheimer's, Huntington's, Parkinson's
increase: depression
plays a role in learning, and memory. Stimulates ANS for "resting
and digesting" --CORRECT ANSWER-- Acetylcholine
excitatory, AMPA plats a role in learning and memory --CORRECT
ANSWER-- Glucamate
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plays a role in inhibition, reduces aggression, excitation, and anxiety.
may play a role in pain perception, has anticonvulsant and muscle relaxing
properties. may impair cognition and psychomotor functioning --CORRECT
ANSWER-- GABA
Plays a role in sleep regulation, hunger, mood states, pain perception, and
hormonal activity. Also plays a role in aggression, and sexual behavior --
CORRECT ANSWER-- Serotonin
level in brain affects mood attention, and arousal. Stimulates "fight or
flight" --CORRECT ANSWER-- Norepinephrine
Agonist --CORRECT ANSWER-- Mimics the effects of neurotransmitters
naturally found in the brain by binding to and stimulating the receptor site
Antagonist --CORRECT ANSWER-- Blocks the action of the neurotransmitters,
thereby obstructing the neurotransmitter's action
promotes the activity of GABA, possess antianxiety, hypnotic, anti-
convulsant, amnestic (loss of memory), and muscle relaxant properties --
CORRECT ANSWER-- Benzodiazepines
Reduces anxiety without having strong hypnotic sedative effects, unlike
benzos. Therefore, patients tolerate this medication better. --CORRECT
ANSWER-- Buspirone (BuSpar)
Buspirone affects , unlike benzos affecting GABA --CORRECT
ANSWER-- sertonergic
are first line treatment options for anxiety, and anxiety related disorders.
--CORRECT ANSWER-- Anti-depressants
Anti-depressants require how many weeks for an anti-anxiety onset --CORRECT
ANSWER-- 4-8 weeks
What're anti cholinergic side effects? --CORRECT ANSWER-- Dry mouth,
blurred vision, constipation, sinus tachycardia, urinary retention, and dizziness
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When Acetylcholine binds to receptors it has many effects: --CORRECT
ANSWER-- Blurred vision, dry mouth, constipation, sinus tachycardia, urinary
retention
When Dopamine binds to a receptor, the effects are: --CORRECT ANSWER--
Decreased depression, psychomotor activation, anti-parkinson effect
when histamine is released in the body, the following effects occur --CORRECT
ANSWER-- Drowsiness, sedation, hypotension, weight gain
When Serotonin is released in the body, the following effects occur: --CORRECT
ANSWER-- Reduced depression, reduced suicidal behavior, anti-psychotic effects,
hypotension, ejaculatory disfunction
When norepinephrine is released in the body, the following effects occur: --
CORRECT ANSWER-- Reduced depression, tremors, tachycardia, ED
What class does these meds belong to?
Fluexotine, sertraline, parozetine, citalopram, escitalopram, and fluvoxamine --
CORRECT ANSWER-- SSRIs
What would you teach your patient about SSRIs --CORRECT ANSWER--
Decreased dopamine may lead to low libido
Mirtazapine (remeron) is a medication that belongs to &
specific class of anti-depressants --CORRECT ANSWER--
Norepinephrine and serotonin
SE of Mirtazapine (remeron) --CORRECT ANSWER-- sedation, appetite
stimulation, and weight gain.
Bupropion (Wellbutrin) is a medication that belongs to &
--CORRECT ANSWER-- Norepinephrine and dopamine reuptake inhibitor
Bupropion (Wellbutrin) is what type of medication and often used for.... --
CORRECT ANSWER-- Anti-depressant, and smoking cessation
SE of Bupropion --CORRECT ANSWER-- Insomnia, tremor, anorexia, and
bulima nervousa.