NUR 256 MENTAL HEALTH FINAL EXAM QUESTIONS AND
ANSWERS 2022/2023 GALEN COLLEGE OF NURSING
What illnesses are associated with the decrease/increase of Dopamine - ANSWER:
decrease: Parkinson's disease, depression
increase: Schizophrenia, mania
What illnesses are associated with the decrease/increase of Norepinephrine -
ANSWER: decrease: depression
increase: mania, anxiety states, schizophrenia
What illnesses are associated with the decrease/increase of serotonin - ANSWER:
decrease: depression
No increases
What illnesses are associated with the decrease/increase of GABA - ANSWER:
decrease: anxiety disorders, schizophrenia, mania, and Huntington's disease
Increase: reduction of anxiety
What illnesses are associated with the decrease/increase of Glucamate - ANSWER:
decrease: psychosis
increase: neurotoxic (if prolonged) neurodegeneration in Alzheimer's disease
What illnesses are associated with the decrease/increase of acetylcholine - ANSWER:
decrease: Alzheimer's, Huntington's, Parkinson's
increase: depression
_____________ plays a role in learning, and memory. Stimulates ANS for "resting
and digesting" - ANSWER: Acetylcholine
_________ excitatory, AMPA plats a role in learning and memory - ANSWER:
Glucamate
________ 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 - 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 - ANSWER:
Serotonin
_______ level in brain affects mood attention, and arousal. Stimulates "fight or
flight" - ANSWER: Norepinephrine
, Agonist - ANSWER: Mimics the effects of neurotransmitters naturally found in the
brain by binding to and stimulating the receptor site
Antagonist - 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 - ANSWER:
Benzodiazepines
______ Reduces anxiety without having strong hypnotic sedative effects, unlike
benzos. Therefore, patients tolerate this medication better. - ANSWER: Buspirone
(BuSpar)
Buspirone affects _________, unlike benzos affecting GABA - ANSWER: sertonergic
________ are first line treatment options for anxiety, and anxiety related disorders. -
ANSWER: Anti-depressants
Anti-depressants require how many weeks for an anti-anxiety onset - ANSWER: 4-8
weeks
What're anti cholinergic side effects? - ANSWER: Dry mouth, blurred vision,
constipation, sinus tachycardia, urinary retention, and dizziness
When Acetylcholine binds to receptors it has many effects: - ANSWER: Blurred vision,
dry mouth, constipation, sinus tachycardia, urinary retention
When Dopamine binds to a receptor, the effects are: - ANSWER: Decreased
depression, psychomotor activation, anti-parkinson effect
when histamine is released in the body, the following effects occur - ANSWER:
Drowsiness, sedation, hypotension, weight gain
When Serotonin is released in the body, the following effects occur: - ANSWER:
Reduced depression, reduced suicidal behavior, anti-psychotic effects, hypotension,
ejaculatory disfunction
When norepinephrine is released in the body, the following effects occur: - ANSWER:
Reduced depression, tremors, tachycardia, ED
What class does these meds belong to?
Fluexotine, sertraline, parozetine, citalopram, escitalopram, and fluvoxamine -
ANSWER: SSRIs
What would you teach your patient about SSRIs - ANSWER: Decreased dopamine
may lead to low libido
ANSWERS 2022/2023 GALEN COLLEGE OF NURSING
What illnesses are associated with the decrease/increase of Dopamine - ANSWER:
decrease: Parkinson's disease, depression
increase: Schizophrenia, mania
What illnesses are associated with the decrease/increase of Norepinephrine -
ANSWER: decrease: depression
increase: mania, anxiety states, schizophrenia
What illnesses are associated with the decrease/increase of serotonin - ANSWER:
decrease: depression
No increases
What illnesses are associated with the decrease/increase of GABA - ANSWER:
decrease: anxiety disorders, schizophrenia, mania, and Huntington's disease
Increase: reduction of anxiety
What illnesses are associated with the decrease/increase of Glucamate - ANSWER:
decrease: psychosis
increase: neurotoxic (if prolonged) neurodegeneration in Alzheimer's disease
What illnesses are associated with the decrease/increase of acetylcholine - ANSWER:
decrease: Alzheimer's, Huntington's, Parkinson's
increase: depression
_____________ plays a role in learning, and memory. Stimulates ANS for "resting
and digesting" - ANSWER: Acetylcholine
_________ excitatory, AMPA plats a role in learning and memory - ANSWER:
Glucamate
________ 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 - 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 - ANSWER:
Serotonin
_______ level in brain affects mood attention, and arousal. Stimulates "fight or
flight" - ANSWER: Norepinephrine
, Agonist - ANSWER: Mimics the effects of neurotransmitters naturally found in the
brain by binding to and stimulating the receptor site
Antagonist - 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 - ANSWER:
Benzodiazepines
______ Reduces anxiety without having strong hypnotic sedative effects, unlike
benzos. Therefore, patients tolerate this medication better. - ANSWER: Buspirone
(BuSpar)
Buspirone affects _________, unlike benzos affecting GABA - ANSWER: sertonergic
________ are first line treatment options for anxiety, and anxiety related disorders. -
ANSWER: Anti-depressants
Anti-depressants require how many weeks for an anti-anxiety onset - ANSWER: 4-8
weeks
What're anti cholinergic side effects? - ANSWER: Dry mouth, blurred vision,
constipation, sinus tachycardia, urinary retention, and dizziness
When Acetylcholine binds to receptors it has many effects: - ANSWER: Blurred vision,
dry mouth, constipation, sinus tachycardia, urinary retention
When Dopamine binds to a receptor, the effects are: - ANSWER: Decreased
depression, psychomotor activation, anti-parkinson effect
when histamine is released in the body, the following effects occur - ANSWER:
Drowsiness, sedation, hypotension, weight gain
When Serotonin is released in the body, the following effects occur: - ANSWER:
Reduced depression, reduced suicidal behavior, anti-psychotic effects, hypotension,
ejaculatory disfunction
When norepinephrine is released in the body, the following effects occur: - ANSWER:
Reduced depression, tremors, tachycardia, ED
What class does these meds belong to?
Fluexotine, sertraline, parozetine, citalopram, escitalopram, and fluvoxamine -
ANSWER: SSRIs
What would you teach your patient about SSRIs - ANSWER: Decreased dopamine
may lead to low libido
