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MH Chap 18-20 Flashcards | StudBud
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MH Chap 18-20
MH Chap 18-20
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1
End Case Study. A couple more Qs... Adjustment Disorder typically requires meds and CBT to achieve remission.
False
True
2
The best treatment for Somatic Sx and related DOs is to medicate them for depression and find the cause of their sx.
True
False
3
As the nurse, your interactions w clients who have Somatic Sx and related DOs should include
Helping them identify healthy, adaptive coping mechanisms.
Validing them and being a soundboard for somatic complaints.
Telling them that their illness is in their head.
Connecting them w new providers after their current provider fails them.
4
M.A. asked if there are any medications that can help him while he undergoes therapy. What is the 1st line med for PTSD?
Tricyclic Antidepressants
Benzos
MAOIs
SSRIs
5
Which key word(s) does the Learning theory utilize to explain why people may be predisposed to developing PTSD?
Negative Reinforcement
Dysfxns in the Hypothalamic-Pituitary-Adrenal Axis
The Traumatic Experience, Individual, and Recovery Environment
Cognitive Appraisal of the event vs Fundamental Beliefs of the World
6
The diagnosis of Post Traumatic Stress Disorder is complex. Which is not a component of the diagnosis?
The disturbance cant be attributed to a substance or medical condition
Experiencing/witnessing a significant traumatic event
Recurrent, intrusive distressing memories or dreams of the trauma
Duration of the disturbance is <1 month
7
Social Anxiety Disorder is a subcategory under the diagnosis of Generalized Anxiety Disorder.
True
False
8
Pts w Somatic Symptom DO are intentionally faking their symptoms and potential illness.
False
True
9
When it comes to Body Dysmorphia, it is important to respond to comments about their body "defect" by
not denying there is a defect, as the defect is real to them.
denying that there is a defect, as they require reality reorientation.
pointing out their physical attributes that are conventionally attractive.
teaching them techniques to disrupt the impending anxiety attact.
10
A common effective treatment for those with Trichotillomania is
Eye Movement Desensitization and Reprocessing (EMDR)
Prolonged Exposure Therapy
Habit Reversal Training
Lithium or other mood stabilizers
11
The diagnosis of Obsessive Compulsive D/o includes those clients...
Who have experienced significant childhood trauma.
Whose obsessions/ compulsions cause clinical distress or are time consuming
Whose disorder can be explained by a substance or medical diagnosis.
Who experience both obsessions and compulsions.
12
Which is important to educate M.A. about the starting SSRIs?
He cannot consume alcohol or aged cheeses while on SSRIs.
Antidepressants are taken in place of therapy, like CBT or EMDR.
Many antidepressants take 4-6 weeks to take full effect.
He should not operate machinary or other vehicles while on antidepressants.
13
After P.A. is calm, she asks, "Why did this happen? I wasn't having a bad day or anything." You educate her that
panic attacks don't cause impairment if they don't happen frequently.
panic attacks are a response to real danger, so its actually functional.
there is no way to intervene when panic attacks begin.
panic attacks aren't usually caused by a specific trigger.
14
The goal of therapy for all clients w DID is
Integration of distinct subpersonalities.
Reduction of anxiety while thinking/talking about trauma.
Maximization of the client's function and potential.
Trick Q-- there is frequently no treatment needed.
15
Trauma-informed care is an essential part of care in many settings, using 4 main principles. Which is 1st of the "4 Rs"?
Realizes the widespread impact of trauma and paths for recovery.
Recognizes the s/sx of trauma in clients, families, staff, and others.
Resists retraumatization actively.
Responds by integrating knowledge about trauma into policies/ procedures.
16
People with hoarding disorder tend to have the following associated characteristics except
Are easily convinced they have a disorder when confronted.
Indecisiveness
Difficulty planning and organizing tasks
Perfectionism
17
Pts w Conversion DO are intentionally faking their symptoms.
False
True
18
Which is an example of localized amnesia for someone who experienced a traumatic event?
They are unable to recall details of the event but also their identity.
They are able to recall some details of the event.
They are unable to recall all details of the event.
They are unable to recall details of their lives entirely and wander away.
19
Which is not a common treatment modality for PTSD?
Eye Movement Desensitization and Reprocessing (EMDR)
Prolonged Exposure Therapy
Antihypertensives like propranolol
Amphetamines, like Vyvanse
20
In Somatic Symptom DO, although any 1 sx may not be continuously present, these clients are symptomatic for how long?
> 1 year
> 1 month
> 6 months
> 18 months
21
While the pt is still experiencing a panic attack, it is important to
turn off the lights and close the door to ensure privacy.
put them in restraints so that they can't harm themselves or others.
stay with the pt and reassure her that she is safe.
provide the panicking person education.
22
More Individuals respond w maladaptive behaviors to long-term continuous stressors, than to sudden shock stressors.
False
True
23
Which statement about Somatic Symptom DOs and Dissociative DOs is true?
Clients lack awareness of the relations among sxs, anxiety, and conflicts.
No relation exists btwn these DOs and childhood trauma.
These clients are typically easy for nurses to care for.
An organic basis exists for each group of disorders.
24
M.A. expressed, "Sometimes, I don't feel like I am in my own body or living my own life anymore." This is called
Dissociation
Survivor's Guilt
Grief
Delusion
25
A student saw their 1st code blue and says "I was numb and felt out of my body." Which term describes this experience?
Delusion
Somatization
Derealization
Depersonalization
26
What are is a reasonable short-term goal for M.A.?
He will demonstrate progress through each stage of grief in 1 week.
He will be able to discuss trauma without showing anxiety in 1 week.
He will decrease participation in ritualistic behaviors by half in 1 week.
He will verbalize feelings associated with trauma in 1 week.
27
Which of the following characteristics may be shared by pts w Panic Disorder vs Generalized Anxiety Disorder (GAD)?
Symptoms more days than not for at least 6 months
Identifiable triggers
Depressive symptoms/ Depression comorbidity
Derealization
28
The main difference btwn pts w Somatic Symptom DO (SSD) and Illness Anxiety DO (IAD) is that
Pts w SSD are faking their illness and IAD really believe they are ill.
Pts w SSD really believe they are ill and IAD are faking their illness.
Pts w SSD tend to "doctor shop" and IAD rarely use medical resources.
Pts w SSD have symptoms and IAD do not (or symptoms are very mild).
29
Agoraphobia is a complex phobia that is rooted in the fear that the client will be in a situation in which
they will go insane.
they will feel pain.
they will be attacked by others.
they cannot escape.
30
You suspect this patient is experiencing
A dissociative fugue
Nicotine withdrawal
Delirium Tremens
A panic attack
31
Adjustment DO has multiple presentations. Which subcategory might a pt w AD belong to if they violated others' rights?
AD Unspecified
AD w Disturbance of Conduct
AD w Mixed Anxiety and Depressed Mood
AD w Anxiety
32
Which statement is false about pts w Conversion DO?
They may have psychogenic or nonepileptic seizures.
They may appear indifferent to sx which others may consider very serious.
Their sx resolve spontaneously, usually within a few weeks.
There is always an identifiable psychological stressor.
33
Which is the most widely accepted explanation for the development of Dissociative Identity DO (DID)?
A survival strategy for signficant childhood abuse.
A strong genetic link among families w schizophrenia.
Poor development of the limbic system and related brain stuctures.
PTSD occurring in adulthood.
34
What information should the nurse give to the family of a client who has had a dissociative episode?
Dissociation suggests the possibility of early dementia.
Dissociation is a method for coping with severe stress.
How to intervene to prevent self-mutilation and suicide attempts.
Dissociation suggests this client had a traumatic childhood.
35
There is an FDA-issued Black Box Warning on all antidepressants.
False
True
36
What is the diagnostic timeline for Adjustment Disorders?
S/Sx begin <3 yr of stressor onset and persist for <6 yr
S/Sx begin <1 yr of stressor onset and persist for <3 yr
S/Sx begin <1 mo of stressor onset and persist for <3 mo
S/Sx begin <3 mo of stressor onset and persist for <6 mo
37
You know the gold standard medication class for treating Panic Disorder is
SSRIs
Tricyclic Antidepressants
Anxiolytics like Buspirone (Buspar)
Benzodiazepines
