Dunphy Mental Health Questions And Answers

Dunphy Mental Health Questions And Answers Which of the following is not true regarding clozapine (Clozaril)? - ANSWER -Clozapine has less metabolic risks than other antipsychotic medications Which of the following is true regarding clozapine (Clozaril)? - ANSWER -Clozapine has the lowest association with extrapyramidal symptoms when compared with other antipsychotics Clozapine is used to treat resistant cases of schizophrenia when other medications have failed Routine complete blood count (CBC) monitoring is necessary when managing a patient on clozapine Which of the following blood alcohol levels doesn't correspond with the appropriate associated physical symptom? - ANSWER -0.05—no effect and under the legal limit for driving Which of the following is not a sleep hygiene strategy? - ANSWER Reading in bed to help yourself sleep Which of the following is often used to define the speech of a schizophrenic patient that changes topics of conversation without a coherent sequence? - ANSWER -Derailment Derailment - ANSWER -patient that changes topics of conversation without a logical sequence. Neologisms - ANSWER -creation of new words that have meaning only for the coiner Word salad - ANSWER -mixture of seemingly random words without any specific or sensible meaning Tangentiality - ANSWER -disturbance in thought process in which a patient gets off topic and never directly ANSWERs questions Which of the following medications is first-line treatment for generalized anxiety disorder (GAD)? - ANSWER -Sertraline (Zoloft) Which is not true regarding bupropion (Wellbutrin)? - ANSWER Bupropion is safe for use in patients with epilepsy What is true regarding bupropion (Wellbutrin)? - ANSWER -This medication can cause weight loss This medication can be used for smoking cessation Bupropion causes fewer sexual side effects than many other antidepressants A 46-year-old schizophrenic patient presents to the emergency department. He lives in a group home. The caseworker brought him in because he has been repetitively pulling his hair out of his head for 4 days. His roommate in the group home recently passed away, and the patient has been doing this repetitive hair pulling ever since. What is the name for this patient's compulsion? - ANSWER -Trichotillomania Which of the following is not a characteristic of substance use disorder? - ANSWER -Use Characteristics of substance use disorder - ANSWER -Dependence. Withdrawal. Intoxication. A 40-year-old male presents to the emergency department complaining of rapid, involuntary facial movements. You observe the patient, who is poorly groomed, smacking his lips and making facial grimaces. This patient is a "frequent flyer" at your emergency department and is homeless. He takes haloperidol and has no allergies. What is the most likely diagnosis? - ANSWER -Tardive dyskinesia When first diagnosing depression in your primary care office, which test should be done to rule out another medical diagnosis as a cause of the patient's symptoms? - ANSWER -Thyroid-stimulating hormone (TSH) Which medication is considered first-line treatment for manic episodes associated with bipolar disorder? - ANSWER -Valproic acid A 25-year-old female presents to your primary care clinic complaining of difficulty concentrating in graduate school ever since she was in a car accident 18 days ago. She had to be hospitalized for 1 day due to a concussion and broken ribs. Her car was totaled. She is fearful of driving. She also wakes up in the middle of the night with night terrors that involve getting into a car accident. What is the patient's diagnosis? - ANSWER -Acute stress disorder (PTSD but within 30 days = acute) Which statement best describes bipolar disorder type I? - ANSWER -At least 1 manic episode preceded or followed by a depressive or hypomanic episode.