MH Wk 3 - ການສອບເສັງ 2
80
0
H
Harley Cleek ແຜ່ນສະໄລ້ກວມເອົາການແຊກແຊງການພະຍາບານສໍາລັບຄວາມຜິດປົກກະຕິຂອງອາການ somatic, ຄວາມກະຈ່າງແຈ້ງໃນການວິນິດໄສ, ການຄຸ້ມຄອງຢາ, ການຕອບສະຫນອງຄວາມກົດດັນ, ແລະຍຸດທະສາດການຮັບມືກັບປະສິດທິພາບ.
ປະເພດ
ສະໄລ້ (80)
1 -
2 -
3 -
What is the brain’s response to any demand?
1. ຊຶມເສົ້າ
2. ຄວາມກັງວົນ
3. Stimulation
4. ຄວາມກົດດັນ
4 -
Which neurotransmitter is primarily enhanced by benzodiazepines?
1. Norepinephrine
2. GABA
3. Dopamine
4. ເຊໂຣໂທນິນ
5 -
Which of the following medications is classified as an SSRI?
1. Selegiline
2. Amitriptyline
3. Sertraline
4. Bupropion
6 -
A client on MAOI's should avoid which foods?
1. ນົມສົ້ມ
2. Whole Grain Bread
3. Aged Cheese
4. Fresh Fruit
7 -
A nurse is educating a patient about lithium toxicity. Which symptom requires immediate attention?
1. Mild thirst
2. Fine hand tremors
3. GI upset
4. Blurred vision and confusion
8 -
What is the therapeutic level of lithium?
1. 0.6-1.2 mEq/L
2. 2.5-3.0 mEq/L
3. 1.5-2.5 mEq/L
4. 0.2-0.6 mEq/L
9 -
Which class of drugs is most associated with extrapyramidal symptoms?
1. SSRI's
2. Benzodiazepines
3. First-generation Antipsychotics
4. Mood stabilizers
10 -
What is a serious side effect of Clozapine?
1. Agranulocytosis
2. Sexual Dysfunction
3. Orthostatic Hypotension
4. Tardive Dyskinesia
11 -
Buspirone is best described as which type of medication?
1. Benzodiazepine
2. Atypical anxiolytic
3. Mood stabilizer
4. SSRI
12 -
Which psychotropic medication carries a high risk of hypertensive crisis if taken with tyramine-rich foods?
1. Atypical antipsychotic
2. MAOI
3. SNRI
4. SSRI
13 -
Methylphenidate is used for which condition?
1. ຄວາມກັງວົນ
2. Schizophrenia
3. Bipolar disorder
4. ADHD
14 -
Which of the following is a side effect of stimulants?
1. Sedation
2. ການເພີ່ມນ້ໍາຫນັກ
3. ຄວາມດັນເລືອດສູງ
4. ນອນບໍ່ຫລັບ
15 -
Which neurotransmitter imbalance is linked to Schizophrenia?
1. Low GABA
2. Excess dopamine
3. Decreased norepinephrine
4. Increased serotonin
16 -
Which adverse effect is associated with neuroleptic malignant syndrome?
1. ຖອກທ້ອງ
2. Increased appetite
3. ງ້ວງນອນ
4. Muscle rigidity & fever
17 -
Which antidepressant carries the risk of seizures at high dose?
1. Bupropion
2. Paroxetine
3. Sertraline
4. Duloxetine
18 -
What patient education is most important for a client starting an SSRI?
1. Risk of weight loss
2. can be stopped abruptly
3. May take 2-4 weeks to take effect
4. Immediate effect is expected
19 -
What is a common anticholinergic side effect of tricyclic antidepressants?
1. Bradycardia
2. ຖອກທ້ອງ
3. Excess salivation
4. Urinary retension
20 -
Which medication is an SNRI?
1. Imipramine
2. Bupropion
3. Sertraline
4. Venlafaxine
21 -
A client on Valproate should be monitored for which lab abnormality?
1. Low potassium
2. Elevated glucose
3. High sodium
4. Liver dysfunction
22 -
Which of the following medications can cause gynecomastia in male patients?
1. Risperidone
2. Fluoxetine
3. Bupropion
4. Lorazepam
23 -
Which Medication is indicated for Alzheimer's disease?
1. Memantine
2. Olanzapine
3. Diazepam
4. Lithium
24 -
A patient prescribed lorazepam for anxiety reports excessive drowsiness. Which is the most appropriate nursing action?
1. Discontinue medication immediately
2. Advise to take at bedtime
3. Instruct to take with caffeine
4. Increase the dose
25 -
A nurse is teaching about SSRIs. Which statement by the client indicates a need for further teaching?
1. "It's safe to stop taking this medication when I feel better"
2. "I will avoid St. John's Wort"
3. "I might have delayed sexual responses"
4. "It may take a few weeks to feel the effects"
26 -
Which are symptoms of serotonin syndrome? (SATA)
1. ທ້ອງຜູກ
2. Agitation
3. ຄວາມສັບສົນ
4. Bradycardia
5. Seizures
27 -
A client is taking Lithium. Which serum level indicates toxicity?
1. 1.5 mEq/L
2. 0.8 mEq/L
3. 1.1 mEq/L
4. 0.6 mEq/L
28 -
A client on Clozapine develops a fever and sore throat. What is the priority action?
1. Document and monitor
2. Advise rest and fluids
3. Administer acetaminophen
4. Notify the provider
29 -
30 -
Which stage of the General Adaptation Syndrome is associated with depleted resources and risk of disease?
1. Resistance
2. ປຸກ
3. Exhaustion
4. ການຟື້ນຕົວ
31 -
What physiological changes occur in the "Flight-or-flight" response? (SATA)
1. ອັດຕາການເຕັ້ນຫົວໃຈເພີ່ມຂຶ້ນ
2. Pupil constriction
3. Elevated blood pressure
4. Increased GI motility
5. Decreased renal filtration
32 -
A nurse is teaching about eustress. Which statement is correct?
1. "It causes fatigue"
2. "It leads to anxiety and confusion"
3. "It is always harmful"
4. "It motivates and enhances well-being"
33 -
A patient asks for help managing stress. Which nursng intervention is appropriate?
1. Suggest skipping meals
2. Prescribe medication
3. Recommend caffeine
4. Teach deep breathing exercises
34 -
Which coping style reflects resilience?
1. Isolating from others
2. Journaling and physical activity
3. Ignoring stressors
4. Excessive alcohol intake
35 -
Which theorist developed the fight-or-flight response?
1. Selye
2. Erikson
3. ຟອດ
4. Cannon
36 -
The stage of resistance in the GAS model is characterized by....
1. High alert & hormone production
2. Sustained resistance to stress
3. Initiation of the immune response
4. Physical collapse
37 -
Which scale is used to assess life stress levels?
1. DSM-5
2. Beck Inventory
3. Holmes-Rahe Scale
4. Glasgow Coma Scale
38 -
A patient reports stress and decreased immune function. Which phase of GAS does this represent?
1. Rebound
2. ປຸກ
3. Resistance
4. Exhaustion
39 -
ACEs contribute to stress by ...
1. Sensitizing to future stress
2. Improving adaptation
3. Reducing cortisol
4. Increasing resilience
40 -
Which of the following is a cognitive technique for stress reduction?
1. ຫາຍໃຈເລິກ
2. Guided imagery
3. Cognitive reframing
4. Progressive relaxation
41 -
Spirituality can reduce stress by...
1. Offering a sense of meaning
2. Decreasing social interaction
3. Increasing cognitive load
4. Causing confusion
42 -
Which is an example of a negative stress response (distress)?
1. Taking a break after work
2. Feeling motivated before an exam
3. Fatigue & hopelessness
4. Exercising to relieve tension
43 -
The body's ability to maintain internal stability is known as :
1. Cognition
2. ການປັບຕົວ
3. Homeostasis
4. ຄວາມຢືດຢຸ່ນ
44 -
Which hormone is primarily involved in the stress response?
1. ເຊໂຣໂທນິນ
2. Cortisol
3. ອິນຊູລິນ
4. ອົກຊີໂຕຊິນ
45 -
A stressed patient chooses journaling and talking to friends. This is an example of:
1. Healthy coping
2. Passive behavior
3. Maladaptive coping
4. ການຫຼີກລ້ຽງ
46 -
Which intervention is recommended to improve sleep hygiene under stress?
1. Caffeine use
2. Fixed bedtime routine
3. Napping in the evening
4. Late night snacks
47 -
Which of the following is considered a relaxation technique?
1. ຫາຍໃຈເລິກ
2. Rumination
3. ການຫຼີກລ້ຽງ
4. Emotional suppression
48 -
What effect does stress have on the GI system?
1. Improves absorption
2. Slows motility
3. Increases digestion
4. Enhances hunger
49 -
Which finding is most concering is a stressed patient?
1. Spending time with pets
2. Journaling daily
3. Reports of deep breathing
4. Insomnia & weight loss
50 -
A nurse recommends meditation for stress. Which is true?
1. Reduces awareness
2. Improves focus and relaxation
3. Raises blood pressure
4. Increases cortisol
51 -
Support groups help stress by:
1. Providing community and empathy
2. Limiting conversation
3. Reducing social connection
4. Promoting Isolation
52 -
Which activity would best help manage chronic stress?
1. Engaging in consistant physical activity
2. Increasing caffeine
3. Ignoring symptoms
4. Avoiding all tasks
53 -
The hormone most associated with sympathetic nervous system activation is:
1. Melatonin
2. Testosterone
3. Epinephrine
4. estrogen
54 -
Progressive muscle relaxation involves:
1. Isolating
2. Alternating tensing and relaxing muscles
3. Emotional supression
4. Avoiding movement
55 -
56 -
A client believes they have cancer despite normal diagnostic tests. Which disorder does this best represent?
1. Conversion Disorder
2. Illness Anxiety Disorder
3. Somatic Symptom Disorder
4. Factitious Disorder
57 -
What are appropriate nursing interventions for somatic symptom disorder? (SATA)
1. Directly challenge the patient's beliefs
2. Focus initially on physical symptoms
3. Avoid unnecessary tests
4. Offer consistent reassurance
5. Encourage journaling symptoms daily
58 -
A client suddenly experiences blindness but shows no distress. What term describes this behavior?
1. Dissociative amnesia
2. Illness anxiety
3. Factitious Disorder
4. La Belle indifference
59 -
Which intervention is most appropriate for conversion disorder?
1. Reassurance and therapeutic communication
2. Immediate psychiatric hospitalization
3. Direct confrontatin of symptoms
4. Recommend more tests
60 -
A patient exaggerates symptoms for financial gain. What is the term for this behavior?
1. Conversion Disorder
2. Somatic symptom disorder
3. Factitious Disorder
4. Malingering
61 -
Which therapy is commonly used to treat somatic symptom disorder?
1. Cognitive behavioral therapy
2. Chemotherapy
3. Electroconvulsive therapy
4. Aversion therapy
62 -
A patient intentionally produces symptoms with no obvious external rewards. This behavior reflects:
1. Factitious disorder
2. Conversion disorder
3. Illness anxiety disorder
4. Somatic symptom disorder
63 -
Which disorder involves neurological symptoms without a neurological basis?
1. Generalized anxiety disorder
2. Ilness anxiety disorder
3. Conversion disorder
4. ຊຶມເສົ້າ
64 -
A client repeatedly seeks medical help despite no clear illness. What is the likely diagnosis?
1. PTSD
2. Bipolar Disorder
3. Somatic Symptom Disorder
4. Schizophrenia
65 -
Which finding suggests illness anxiety disorder?
1. Multiple physical complaints
2. Avoids healthcare completely
3. Intentional symptom creation
4. Fear of serious illness with minimal symptoms
66 -
A nurse observes a patient experiencing gait disturbances without injury. This may indicate:
1. Somatic Symptom disorder
2. Conversion disoder
3. Panic attack
4. Factitious disorder
67 -
What is the promary goal of therapy for somatic disorder?
1. Eliminate all symptoms
2. Avoid all medications
3. Minimize diagnostic tests
4. Improve coping & functioning
68 -
What is a nursing priority when caring for someone with somatic symptom disorder?
1. Reinforce the reality of symptoms
2. Focus on symptim origin
3. Avoid discussing emotions
4. Encourage physical inactivity
69 -
Which is a characteristic of malingering?
1. Inintentional symptoms
2. Secondary gain
3. True belief of illness
4. Honest reporting
70 -
What is a key feature of factitious disorder imposed on another?
1. Avoiding attention
2. Seeking benefits
3. Fabricating symptoms in oneself
4. Intentionally making another sick
71 -
Which medication might be used in treating somatic disorders with comorbid depression?
1. SSRI
2. Benzodiazepine
3. Anticonvulsant
4. Antipsychotic
72 -
An example of secondary gain is:
1. Intentional lying
2. Seeing a therapist
3. Taking medication
4. Enjoying attention from illness
73 -
A nurse is planning care for a client with illness anxiety disorder. What action is best?
1. Encourage expression of feelings
2. Avoid any discussion of health
3. Educate that symptoms are not real
4. Focus on testing
74 -
Which is a common emotional response underlying somatic symptom disorder?
1. Enthusiasm
2. ຄວາມກະຕັນຍູ
3. ຄວາມສຸກ
4. ໃຈຮ້າຍ
75 -
A client is diagnosed with conversion disorder. Which symptom is most likely?
1. ຄວາມຫຼົງໄຫຼ
2. ນອນບໍ່ຫລັບ
3. ຄວາມກັງວົນ
4. Seizure-like episode
76 -
How does trauma affect somatic symptoms?
1. Eliminates symptoms
2. Reduces sensitivity
3. Improves immunity
4. Increases somatic expression
77 -
Which of the following differentiates factitious disorder from malingering?
1. No clear external rewards
2. Presence of external incentives
3. Interntional symptom creation
4. Seeking attention
78 -
Which technique supports self-awareness in somatic symptom disorders?
1. Avoiding all discussion
2. ວາລະສານ
3. Group isolation
4. Medication alone
79 -
A client has multiple unexplained symptoms and resists psychiatric care. What should the nurse do?
1. Push for therapy
2. Ignore the client
3. Build therapeutic rapport
4. Only provide medical care
80 -
Which is an appropriate short-term goal for a client with illness anxiety disorder?
1. Eliminate all concern about health
2. Stop all health-seeking behavior
3. Verbalize understanding of stress impact
4. Accept psychiatric diagnosis immediately
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