PMH/Final Exam Questions With Complete Solutions
Abnormal Involuntary Movement Scale (AIMS) Correct
Answers Tool used to identify and track involuntary
movements (Tardive Dyskinesia) .It is the key nursing role in
treating
-0= none
-1= Minimal, may be extreme normal
-2= mild
-3= Moderate
-4= severe
-Facial and Oral movements, extremity movements, trunk
movements, global judgments, dental status are the are rated.
Advanced signs of lithium toxicity (2.0-2.5 mEq/L) Correct
Answers -Ataxia
-Giddiiness
-Serious electrocephalographic changes
-Blurred vision
-Clonic movements
-Large output of dilure urine
-Seizures
-Stupor
-Severe hypotennsion
-Coma
-Death is usually secondary to pulmonary complications
Adventitious Crisis Correct Answers A crisis that is not part of
everyday life. It is caused by events that are unplanned and may
be accidental, caused by nature, or human-made-Serious PTSD
include acute stress disorder, and major depressive disorder.
,Psychological first aid through crisis intervention and debriefing
can reduce the incidence of these disorders
-This type of crisis results from (1) a natural disaster (flood, fire,
earthquake), (2) a national disaster (acts of terrorism, war, riots,
airplane crashes), or (3) a crime of violence (rape, assault or
murder in the workplace or school, bombing in crowded areas,
spousal or child abuse)
Aggression symptoms in BPD & pharmacological treatment
Correct Answers -Predatory or cruel behavior, impulsivity, poor
social judgment, and emotional lability)
-Lithium, anticonvulsant mood stabilizers, benzodiazepines, and
low-dose neuroleptics
Alcohol intoxication levels and symptoms Correct Answers -20
mg/dL (0.02 g/dL): two alcoholic drinks: slower motor
performance, decreased thinking ability, altered mood, and
reduced ability to multitask
- 50 mg/dL (0.05 g/dL): Three alcoholic drinks: Impaired
judgment, exaggerated behavior, euphoria, and lower alterness
-80 mg/dL (0.08 g/dL): four alcoholic drinks: Poor muscle
coordination, altered speech and hearing, difficulty detecting
danger, impaired judgment, poor self-control, and decreased
reasoning
-100 mg/dL (0.10 g/dL): Five alcoholic drinks: Slurred speech,
poor coordination, and slowed thinking
-150mg/dL (0.15 g/dL): Six alcoholic drinks: vomiting (unless
high tolerance) and major loss of balance
-200mg/dL (0.20 g/dL): eight to 10 alcoholic drinks: memory
blackouts, nausea, and vomiting
,-300 mg/dL (0.30 g/dL): more than 10 alcoholic drinks:
reduction of body tempareture, BP, respiratory rate, sleeping and
amnesia
-400 mg/dL (0.40 mg/dL): impaired VS and possible death
Amitriptyline (Elavil) Correct Answers -tricyclic (TCA)
antidepressant
-Action: potentiates the effect of serotonin and norepinephrine in
the CNS. Has significant anticholinergic properties.
(antidepressant action)
-Therapeutic effects similar to SSRIs, but side effects are more
prominent
Indication: Depression; unlabeled uses- anxiety, insomnia,
treatment-resistant depression, chronic pain syndromes
-Side effects: suicidal thoughts, arrhythmias, blurred vision, dry
eyes, dry mouth, hypotension, constipation, urinary retention,
cardiac toxicity, sedation
-Teaching: Take medication as directed, avoid driving and other
activities requiring alertness until response to drug is known.
Advise patients to change positions slowly. Avoid alcohol
during and for 3-7 days after therapy has been discontinued.
Notify HCP of any suicidal thoughts or attempts.
Anorexia Nervosa Correct Answers -Refusal or inability to
maintain a minimally normal body weight
-Intense fear of gaining weight or becoming fat
-Significatly disturbed perception of the shape or size of the
body
-Steadfast inability or refusal to acknowledge the seriousness of
the problem or event that one exists
, -These patients dont see they have a problem and they starve to
gain no weight
-85% or less of expected body weight-Preoccupation with food
and food-related activities
-Pts witht his disorder have amenorrhea (no period)
-Restricting subtype loses weight dieting, fasting, or excessively
exercising
-Binge eating and purging subtype engages in binge eating
followed by purging
Anticholinergic toxicity Correct Answers Reduced or absent
peristalsis (can lead to bowel obstruction); urinary retention;
mydraiasis; hyperpyrexia without diaphoresis (hot dry skin);
delirium with tachycardia, unstable VS, agitation, disorientation,
hallucinations, reduced responsiveness; worsening of psychotic
symptoms; seizure; repetitive motor movements
Antidepressants Correct Answers -Drug that combat depression
-SSRIs
-TCAs
-MAOIs
Antisocial Personality Disorder Correct Answers Pervasive
pattern of disregard for, and violation of, right of other; deceit
and manipulation
-Most commonly referred to as sociopaths
-It is in the adult, as kids they could have been diagnosed with
conduct disorder early on and are to antisocial personality
disorder
Abnormal Involuntary Movement Scale (AIMS) Correct
Answers Tool used to identify and track involuntary
movements (Tardive Dyskinesia) .It is the key nursing role in
treating
-0= none
-1= Minimal, may be extreme normal
-2= mild
-3= Moderate
-4= severe
-Facial and Oral movements, extremity movements, trunk
movements, global judgments, dental status are the are rated.
Advanced signs of lithium toxicity (2.0-2.5 mEq/L) Correct
Answers -Ataxia
-Giddiiness
-Serious electrocephalographic changes
-Blurred vision
-Clonic movements
-Large output of dilure urine
-Seizures
-Stupor
-Severe hypotennsion
-Coma
-Death is usually secondary to pulmonary complications
Adventitious Crisis Correct Answers A crisis that is not part of
everyday life. It is caused by events that are unplanned and may
be accidental, caused by nature, or human-made-Serious PTSD
include acute stress disorder, and major depressive disorder.
,Psychological first aid through crisis intervention and debriefing
can reduce the incidence of these disorders
-This type of crisis results from (1) a natural disaster (flood, fire,
earthquake), (2) a national disaster (acts of terrorism, war, riots,
airplane crashes), or (3) a crime of violence (rape, assault or
murder in the workplace or school, bombing in crowded areas,
spousal or child abuse)
Aggression symptoms in BPD & pharmacological treatment
Correct Answers -Predatory or cruel behavior, impulsivity, poor
social judgment, and emotional lability)
-Lithium, anticonvulsant mood stabilizers, benzodiazepines, and
low-dose neuroleptics
Alcohol intoxication levels and symptoms Correct Answers -20
mg/dL (0.02 g/dL): two alcoholic drinks: slower motor
performance, decreased thinking ability, altered mood, and
reduced ability to multitask
- 50 mg/dL (0.05 g/dL): Three alcoholic drinks: Impaired
judgment, exaggerated behavior, euphoria, and lower alterness
-80 mg/dL (0.08 g/dL): four alcoholic drinks: Poor muscle
coordination, altered speech and hearing, difficulty detecting
danger, impaired judgment, poor self-control, and decreased
reasoning
-100 mg/dL (0.10 g/dL): Five alcoholic drinks: Slurred speech,
poor coordination, and slowed thinking
-150mg/dL (0.15 g/dL): Six alcoholic drinks: vomiting (unless
high tolerance) and major loss of balance
-200mg/dL (0.20 g/dL): eight to 10 alcoholic drinks: memory
blackouts, nausea, and vomiting
,-300 mg/dL (0.30 g/dL): more than 10 alcoholic drinks:
reduction of body tempareture, BP, respiratory rate, sleeping and
amnesia
-400 mg/dL (0.40 mg/dL): impaired VS and possible death
Amitriptyline (Elavil) Correct Answers -tricyclic (TCA)
antidepressant
-Action: potentiates the effect of serotonin and norepinephrine in
the CNS. Has significant anticholinergic properties.
(antidepressant action)
-Therapeutic effects similar to SSRIs, but side effects are more
prominent
Indication: Depression; unlabeled uses- anxiety, insomnia,
treatment-resistant depression, chronic pain syndromes
-Side effects: suicidal thoughts, arrhythmias, blurred vision, dry
eyes, dry mouth, hypotension, constipation, urinary retention,
cardiac toxicity, sedation
-Teaching: Take medication as directed, avoid driving and other
activities requiring alertness until response to drug is known.
Advise patients to change positions slowly. Avoid alcohol
during and for 3-7 days after therapy has been discontinued.
Notify HCP of any suicidal thoughts or attempts.
Anorexia Nervosa Correct Answers -Refusal or inability to
maintain a minimally normal body weight
-Intense fear of gaining weight or becoming fat
-Significatly disturbed perception of the shape or size of the
body
-Steadfast inability or refusal to acknowledge the seriousness of
the problem or event that one exists
, -These patients dont see they have a problem and they starve to
gain no weight
-85% or less of expected body weight-Preoccupation with food
and food-related activities
-Pts witht his disorder have amenorrhea (no period)
-Restricting subtype loses weight dieting, fasting, or excessively
exercising
-Binge eating and purging subtype engages in binge eating
followed by purging
Anticholinergic toxicity Correct Answers Reduced or absent
peristalsis (can lead to bowel obstruction); urinary retention;
mydraiasis; hyperpyrexia without diaphoresis (hot dry skin);
delirium with tachycardia, unstable VS, agitation, disorientation,
hallucinations, reduced responsiveness; worsening of psychotic
symptoms; seizure; repetitive motor movements
Antidepressants Correct Answers -Drug that combat depression
-SSRIs
-TCAs
-MAOIs
Antisocial Personality Disorder Correct Answers Pervasive
pattern of disregard for, and violation of, right of other; deceit
and manipulation
-Most commonly referred to as sociopaths
-It is in the adult, as kids they could have been diagnosed with
conduct disorder early on and are to antisocial personality
disorder
