MH Wk 3 - Exam 2

Slides (80)

1. 1 - Freestyle

2. 2 - Freestyle

3. 3 - Image Choice What is the brain’s response to any demand?

   1. Anxiety

   2. Stress

   3. Stimulation

   4. Depression

4. 4 - Pick Answer Which neurotransmitter is primarily enhanced by benzodiazepines?

   1. Dopamine

   2. GABA

   3. Norepinephrine

   4. Serotonin

5. 5 - Pick Answer Which of the following medications is classified as an SSRI?

   1. Amitriptyline

   2. Sertraline

   3. Bupropion

   4. Selegiline

6. 6 - Pick Answer A client on MAOI's should avoid which foods?

   1. Aged Cheese

   2. Yogurt

   3. Fresh Fruit

   4. Whole Grain Bread

7. 7 - Pick Answer A nurse is educating a patient about lithium toxicity. Which symptom requires immediate attention?

   1. Fine hand tremors

   2. Blurred vision and confusion

   3. Mild thirst

   4. GI upset

8. 8 - Pick Answer What is the therapeutic level of lithium?

   1. 1.5-2.5 mEq/L

   2. 0.6-1.2 mEq/L

   3. 0.2-0.6 mEq/L

   4. 2.5-3.0 mEq/L

9. 9 - Pick Answer Which class of drugs is most associated with extrapyramidal symptoms?

   1. Mood stabilizers

   2. SSRI's

   3. Benzodiazepines

   4. First-generation Antipsychotics

10. 10 - Pick Answer What is a serious side effect of Clozapine?

    1. Orthostatic Hypotension

    2. Agranulocytosis

    3. Sexual Dysfunction

    4. Tardive Dyskinesia

11. 11 - Pick Answer Buspirone is best described as which type of medication?

    1. Benzodiazepine

    2. Atypical anxiolytic

    3. SSRI

    4. Mood stabilizer

12. 12 - Pick Answer Which psychotropic medication carries a high risk of hypertensive crisis if taken with tyramine-rich foods?

    1. SSRI

    2. Atypical antipsychotic

    3. SNRI

    4. MAOI

13. 13 - Pick Answer Methylphenidate is used for which condition?

    1. Anxiety

    2. Bipolar disorder

    3. ADHD

    4. Schizophrenia

14. 14 - Pick Answer Which of the following is a side effect of stimulants?

    1. Weight gain

    2. Sedation

    3. Insomnia

    4. Hypotension

15. 15 - Pick Answer Which neurotransmitter imbalance is linked to Schizophrenia?

    1. Decreased norepinephrine

    2. Increased serotonin

    3. Excess dopamine

    4. Low GABA

16. 16 - Pick Answer Which adverse effect is associated with neuroleptic malignant syndrome?

    1. Drowsiness

    2. Increased appetite

    3. Diarrhea

    4. Muscle rigidity & fever

17. 17 - Pick Answer Which antidepressant carries the risk of seizures at high dose?

    1. Bupropion

    2. Paroxetine

    3. Sertraline

    4. Duloxetine

18. 18 - Pick Answer What patient education is most important for a client starting an SSRI?

    1. Immediate effect is expected

    2. can be stopped abruptly

    3. Risk of weight loss

    4. May take 2-4 weeks to take effect

19. 19 - Pick Answer What is a common anticholinergic side effect of tricyclic antidepressants?

    1. Diarrhea

    2. Excess salivation

    3. Urinary retension

    4. Bradycardia

20. 20 - Pick Answer Which medication is an SNRI?

    1. Sertraline

    2. Venlafaxine

    3. Bupropion

    4. Imipramine

21. 21 - Pick Answer A client on Valproate should be monitored for which lab abnormality?

    1. Elevated glucose

    2. High sodium

    3. Liver dysfunction

    4. Low potassium

22. 22 - Pick Answer Which of the following medications can cause gynecomastia in male patients?

    1. Fluoxetine

    2. Lorazepam

    3. Risperidone

    4. Bupropion

23. 23 - Pick Answer Which Medication is indicated for Alzheimer's disease?

    1. Lithium

    2. Olanzapine

    3. Memantine

    4. Diazepam

24. 24 - Pick Answer A patient prescribed lorazepam for anxiety reports excessive drowsiness. Which is the most appropriate nursing action?

    1. Increase the dose

    2. Advise to take at bedtime

    3. Instruct to take with caffeine

    4. Discontinue medication immediately

25. 25 - Pick Answer A nurse is teaching about SSRIs. Which statement by the client indicates a need for further teaching?

    1. "I will avoid St. John's Wort"

    2. "I might have delayed sexual responses"

    3. "It's safe to stop taking this medication when I feel better"

    4. "It may take a few weeks to feel the effects"

26. 26 - Pick Answer Which are symptoms of serotonin syndrome? (SATA)

    1. Agitation

    2. Seizures

    3. Constipation

    4. Bradycardia

    5. Confusion

27. 27 - Pick Answer A client is taking Lithium. Which serum level indicates toxicity?

    1. 1.1 mEq/L

    2. 0.6 mEq/L

    3. 0.8 mEq/L

    4. 1.5 mEq/L

28. 28 - Pick Answer A client on Clozapine develops a fever and sore throat. What is the priority action?

    1. Notify the provider

    2. Advise rest and fluids

    3. Document and monitor

    4. Administer acetaminophen

29. 29 - Freestyle

30. 30 - Pick Answer Which stage of the General Adaptation Syndrome is associated with depleted resources and risk of disease?

    1. Exhaustion

    2. Alarm

    3. Recovery

    4. Resistance

31. 31 - Pick Answer What physiological changes occur in the "Flight-or-flight" response? (SATA)

    1. Increased heart rate

    2. Decreased renal filtration

    3. Increased GI motility

    4. Elevated blood pressure

    5. Pupil constriction

32. 32 - Pick Answer A nurse is teaching about eustress. Which statement is correct?

    1. "It motivates and enhances well-being"

    2. "It is always harmful"

    3. "It causes fatigue"

    4. "It leads to anxiety and confusion"

33. 33 - Pick Answer A patient asks for help managing stress. Which nursng intervention is appropriate?

    1. Suggest skipping meals

    2. Teach deep breathing exercises

    3. Prescribe medication

    4. Recommend caffeine

34. 34 - Pick Answer Which coping style reflects resilience?

    1. Isolating from others

    2. Excessive alcohol intake

    3. Journaling and physical activity

    4. Ignoring stressors

35. 35 - Pick Answer Which theorist developed the fight-or-flight response?

    1. Erikson

    2. Cannon

    3. Freud

    4. Selye

36. 36 - Pick Answer The stage of resistance in the GAS model is characterized by....

    1. Physical collapse

    2. High alert & hormone production

    3. Initiation of the immune response

    4. Sustained resistance to stress

37. 37 - Pick Answer Which scale is used to assess life stress levels?

    1. Beck Inventory

    2. Holmes-Rahe Scale

    3. Glasgow Coma Scale

    4. DSM-5

38. 38 - Pick Answer A patient reports stress and decreased immune function. Which phase of GAS does this represent?

    1. Alarm

    2. Resistance

    3. Exhaustion

    4. Rebound

39. 39 - Pick Answer ACEs contribute to stress by ...

    1. Increasing resilience

    2. Sensitizing to future stress

    3. Reducing cortisol

    4. Improving adaptation

40. 40 - Pick Answer Which of the following is a cognitive technique for stress reduction?

    1. Progressive relaxation

    2. Deep breathing

    3. Guided imagery

    4. Cognitive reframing

41. 41 - Pick Answer Spirituality can reduce stress by...

    1. Increasing cognitive load

    2. Causing confusion

    3. Offering a sense of meaning

    4. Decreasing social interaction

42. 42 - Pick Answer Which is an example of a negative stress response (distress)?

    1. Exercising to relieve tension

    2. Feeling motivated before an exam

    3. Taking a break after work

    4. Fatigue & hopelessness

43. 43 - Pick Answer The body's ability to maintain internal stability is known as :

    1. Resilience

    2. Homeostasis

    3. Adaptation

    4. Cognition

44. 44 - Pick Answer Which hormone is primarily involved in the stress response?

    1. Cortisol

    2. Insulin

    3. Oxytocin

    4. Serotonin

45. 45 - Pick Answer A stressed patient chooses journaling and talking to friends. This is an example of:

    1. Avoidance

    2. Passive behavior

    3. Maladaptive coping

    4. Healthy coping

46. 46 - Pick Answer Which intervention is recommended to improve sleep hygiene under stress?

    1. Napping in the evening

    2. Caffeine use

    3. Fixed bedtime routine

    4. Late night snacks

47. 47 - Pick Answer Which of the following is considered a relaxation technique?

    1. Deep breathing

    2. Emotional suppression

    3. Rumination

    4. Avoidance

48. 48 - Pick Answer What effect does stress have on the GI system?

    1. Improves absorption

    2. Enhances hunger

    3. Increases digestion

    4. Slows motility

49. 49 - Pick Answer Which finding is most concering is a stressed patient?

    1. Reports of deep breathing

    2. Spending time with pets

    3. Journaling daily

    4. Insomnia & weight loss

50. 50 - Pick Answer A nurse recommends meditation for stress. Which is true?

    1. Increases cortisol

    2. Improves focus and relaxation

    3. Raises blood pressure

    4. Reduces awareness

51. 51 - Pick Answer Support groups help stress by:

    1. Promoting Isolation

    2. Limiting conversation

    3. Reducing social connection

    4. Providing community and empathy

52. 52 - Pick Answer Which activity would best help manage chronic stress?

    1. Increasing caffeine

    2. Engaging in consistant physical activity

    3. Avoiding all tasks

    4. Ignoring symptoms

53. 53 - Pick Answer The hormone most associated with sympathetic nervous system activation is:

    1. Estrogen

    2. Epinephrine

    3. Testosterone

    4. Melatonin

54. 54 - Pick Answer Progressive muscle relaxation involves:

    1. Emotional supression

    2. Alternating tensing and relaxing muscles

    3. Isolating

    4. Avoiding movement

55. 55 - Freestyle

56. 56 - Pick Answer A client believes they have cancer despite normal diagnostic tests. Which disorder does this best represent?

    1. Somatic Symptom Disorder

    2. Factitious Disorder

    3. Illness Anxiety Disorder

    4. Conversion Disorder

57. 57 - Pick Answer What are appropriate nursing interventions for somatic symptom disorder? (SATA)

    1. Avoid unnecessary tests

    2. Directly challenge the patient's beliefs

    3. Offer consistent reassurance

    4. Encourage journaling symptoms daily

    5. Focus initially on physical symptoms

58. 58 - Pick Answer A client suddenly experiences blindness but shows no distress. What term describes this behavior?

    1. Illness anxiety

    2. Dissociative amnesia

    3. La Belle indifference

    4. Factitious Disorder

59. 59 - Pick Answer Which intervention is most appropriate for conversion disorder?

    1. Direct confrontatin of symptoms

    2. Immediate psychiatric hospitalization

    3. Recommend more tests

    4. Reassurance and therapeutic communication

60. 60 - Pick Answer A patient exaggerates symptoms for financial gain. What is the term for this behavior?

    1. Factitious Disorder

    2. Somatic symptom disorder

    3. Conversion Disorder

    4. Malingering

61. 61 - Pick Answer Which therapy is commonly used to treat somatic symptom disorder?

    1. Chemotherapy

    2. Electroconvulsive therapy

    3. Cognitive behavioral therapy

    4. Aversion therapy

62. 62 - Pick Answer A patient intentionally produces symptoms with no obvious external rewards. This behavior reflects:

    1. Factitious disorder

    2. Illness anxiety disorder

    3. Conversion disorder

    4. Somatic symptom disorder

63. 63 - Pick Answer Which disorder involves neurological symptoms without a neurological basis?

    1. Conversion disorder

    2. Generalized anxiety disorder

    3. Ilness anxiety disorder

    4. Depression

64. 64 - Pick Answer A client repeatedly seeks medical help despite no clear illness. What is the likely diagnosis?

    1. Somatic Symptom Disorder

    2. Schizophrenia

    3. Bipolar Disorder

    4. PTSD

65. 65 - Pick Answer Which finding suggests illness anxiety disorder?

    1. Avoids healthcare completely

    2. Fear of serious illness with minimal symptoms

    3. Multiple physical complaints

    4. Intentional symptom creation

66. 66 - Pick Answer A nurse observes a patient experiencing gait disturbances without injury. This may indicate:

    1. Panic attack

    2. Factitious disorder

    3. Somatic Symptom disorder

    4. Conversion disoder

67. 67 - Pick Answer What is the promary goal of therapy for somatic disorder?

    1. Improve coping & functioning

    2. Eliminate all symptoms

    3. Minimize diagnostic tests

    4. Avoid all medications

68. 68 - Pick Answer What is a nursing priority when caring for someone with somatic symptom disorder?

    1. Focus on symptim origin

    2. Avoid discussing emotions

    3. Reinforce the reality of symptoms

    4. Encourage physical inactivity

69. 69 - Pick Answer Which is a characteristic of malingering?

    1. Secondary gain

    2. Honest reporting

    3. Inintentional symptoms

    4. True belief of illness

70. 70 - Pick Answer What is a key feature of factitious disorder imposed on another?

    1. Seeking benefits

    2. Fabricating symptoms in oneself

    3. Intentionally making another sick

    4. Avoiding attention

71. 71 - Pick Answer Which medication might be used in treating somatic disorders with comorbid depression?

    1. Antipsychotic

    2. Benzodiazepine

    3. SSRI

    4. Anticonvulsant

72. 72 - Pick Answer An example of secondary gain is:

    1. Intentional lying

    2. Enjoying attention from illness

    3. Seeing a therapist

    4. Taking medication

73. 73 - Pick Answer A nurse is planning care for a client with illness anxiety disorder. What action is best?

    1. Avoid any discussion of health

    2. Focus on testing

    3. Educate that symptoms are not real

    4. Encourage expression of feelings

74. 74 - Pick Answer Which is a common emotional response underlying somatic symptom disorder?

    1. Joy

    2. Anger

    3. Enthusiasm

    4. Gratitude

75. 75 - Pick Answer A client is diagnosed with conversion disorder. Which symptom is most likely?

    1. Seizure-like episode

    2. Anxiety

    3. Hallucinations

    4. Insomnia

76. 76 - Pick Answer How does trauma affect somatic symptoms?

    1. Eliminates symptoms

    2. Reduces sensitivity

    3. Improves immunity

    4. Increases somatic expression

77. 77 - Pick Answer Which of the following differentiates factitious disorder from malingering?

    1. No clear external rewards

    2. Interntional symptom creation

    3. Seeking attention

    4. Presence of external incentives

78. 78 - Pick Answer Which technique supports self-awareness in somatic symptom disorders?

    1. Medication alone

    2. Avoiding all discussion

    3. Journaling

    4. Group isolation

79. 79 - Pick Answer A client has multiple unexplained symptoms and resists psychiatric care. What should the nurse do?

    1. Build therapeutic rapport

    2. Push for therapy

    3. Only provide medical care

    4. Ignore the client

80. 80 - Pick Answer Which is an appropriate short-term goal for a client with illness anxiety disorder?

    1. Eliminate all concern about health

    2. Accept psychiatric diagnosis immediately

    3. Verbalize understanding of stress impact

    4. Stop all health-seeking behavior