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PMHW1 2019 Flashcards | StudBud
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PMHW1 2019
PMHW1 2019
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1
Initial MH Assessment includes...
FRAMP
Full Blood Count
Risk Assessment
Waterlow Scale
2
Benzodiazepines are used to treat ...
Anxiety Disorders
Schizophrenia
Bipolar Disorder
Numerous Phobias
3
Signs of Alcohol intoxication include...
Feeling dizzy, slow reaction time, blurred vision
Dyspnoea, bradycardia, muscle twitching
Psychosis, febrile, restlessness
Tachycardia hypotension Ataxia
4
In 2030, it is expected that what percentage of the population will be over 65yrs?
25%
35%
20%
30%
5
Why are some people more likely to take/use drugs?
Biological, Social, Personality Traits
Social, Friends, Employment stresses
Personality, Genetics, Mentally ill
Family, Pets, Friends, children
6
Effective family support includes...
Model effective communication and problem-solving approaches
Focusing on concerning behaviours
No pressure applied to complete household chores
Encouragement focused on promoting higher qualifications
7
Self harm is more prevalent in
teen females
adult males
teen males
adult females
8
Signs of alcohol intoxication include ...
Loss of inhibition, slurred speech, and increasing drowsiness
Feeling of wellbeing, euphoria, slurred speech
Delusions, hallucinations, hearing voices
Dilated pupils, tachycardia, tachypnoea
9
Signs of Amphetamine intoxication includes...
Dyspnoea, bradycardia, muscle twitching
Tachycardia hypotension Ataxia
Psychosis, febrile, restlessness
Feeling dizzy, slow reaction time, blurred vision
10
Patients diagnosed with Panic Disorders
typically experience this disorder after the age of 30 years
might believe they are having a heart attack when a panic attack occurs
often have fewer attacks if they have agoraphobia
rarely have a co-morbid condition of depression
11
An example of a life stressor...
Getting stuck in traffic
Being late to Uni
Missing a flight
Getting married or having children
12
SSRI's
inhibit the re-uptake of sputum at the presynaptic cleft
inhibit the re-uptake of noradrenaline at the presynaptic cleft
inhibit the re-uptake of serotonin at the postsynaptic cleft
inhibit the re-uptake of serotonin at the presynaptic cleft
13
Which drug is responsible for most hospital admissions?
alcohol
opioids
amphetamines
tobacco
14
Conditions which can mask drug and alcohol intoxication include
infections
psychosis
head injury
all of the above
15
Which neurotransmitter is targeted when using SSRI medications?
Endorphine
Serotonin
Dopamine
Norepinephrine
16
The national drug strategy of 2017-2026 is built around the approach of...
Abstinence and access control
Harm minimisation
supply minimisation
demand minimisation
17
What is the Stress Vulnerability Model?
Link between stress and vulnerability in developing a mental illness
Algorithm to understand stress threshold in people with mental illness
A table showing what peoples everyday stress looks like
A framework to describe how vulnerability is causes to mental illness
18
Cocaine, Ecstasy, Methamphetamine, Nitrous Oxide, & Tobacco are Depressants
False
True
19
Depression & Anxiety are common comorbidities
True
False
20
The most common form of Dementia is...
Lewy Bodies Fronto-temporal Dementia
Vascular (multi-infarct)
Generalised Dementia
Alzheimer's Disease
21
Nicotine withdrawal onset is
within several hours of last cigarette
within several minutes of last cigarette
within a day or so
within several days of last cigarette
22
Medication is the first line of treatment for children with MH concerns
False
True
23
Which of the following is NOT a symptom of Depression?
Fatigue or loss of energy nearly every day
Feeling sad about failing an exam
Diminished ability to think or concentrate
Significant weight loss or weight gain when not dieting
24
Suicide is more common in adult females
True
False
25
What are the major strategies of harm reduction?
Demand reduction, supply reduction, harm reduction
Increase demand, Increase supply, reduce harm
Reduce demand, reduce harm, increase supply
Increase demand, reduce harm, increase supply
26
Within the MSE, Affect refers to...
The patient's individual perception of the world
The patient's observed emotional responses
The patient's physical appearance
The patient's awareness of their illness
27
What does Dysphoria mean?
overt excitement
under the weather
unpleasant feeling of mood
pleasant feeling of mood
28
PTSD is NOT a form of anxiety
False
True
29
SSRIs include all the following except
Fluoxetine
Citalopram
Escitalopram
Amitriptyline
30
Which of the following is the least restrictive environment?
In Isolation
Psychiatric Hospital
Within Community
General Hospital
31
Hallucinations are...
a disorder of people
a disorder of perception
a disorder of thought
a disorder of euphoria
32
A person who has developed PTSD experiences...
Intrusive and reoccurring thoughts
Feelings that the traumatic event is happening again
Aggression and Violent thoughts
Nightmares & Insomnia
33
Dementia is
an organic brain disorders
a curable mental illness
a burden for health services
an induced brain disorder
34
People self harm for numerous reasons, EXCEPT
To hurt other people
To take control of their bodies & mind
Emotional Numbness
To hurt themselves
35
Signs of Cannabis intoxication include...
Dyspnoea, bradycardia, muscle twitching
Tachycardia hypotension Ataxia
Psychosis, febrile, restlessness
feeling dizzy, slow reaction time, blurred vision
36
How long is a Community Treatment Order in place?
9 months
12 months
1-2 months
18 months
37
There are no effective treatments for Dementia
False
True
38
What are the 4 Steps that help guide health professionals in assessing people with mental health issues
Introduction, Discussion, Development, Conclusion
Discussion, Decision, Direction, Debrief
Reflection, Relationship, Recording, Reporting
Prepare, Pause, Proceed, Plan
39
The onset of alcohol withdrawal is typically...
Avoided in dependent drinkers by reducing consumption level
6-24 hours after the last drink
2 days after the last drink
Precipitated by nystagmus
40
Medications that treat Anxiety include the following EXCEPT
Corticosteroids
Anxiolytics
Antidepressants
Sedatives
41
It is not the nurses responsibility to complete a drug and alcohol assessment
False
True
42
MHCC stands for Mental Health Coordinating Council
True
False
43
Which of the following medications are MOST common in treating depression?
Selective Norepinephrine & Dopamine Releasing Agent (NDRAs)
Selective Norepinephrine Reuptake Inhibitor (SNRI)
Trycyclics (TCSs)
Selective Serotonin Reuptake Inhibitor (SSRI)
44
Delirium is ...
Chronic Confusion
Lewy's Confusion
Acute Confusion
Piaget's Confusion
45
A person experiencing a panic attack will experience feelings of...
euphoria
dysphoria
completely out of control
intense fear
46
Anxiety Disorders include...
PTSD, GAD, OCD, Panic Disorder
PSTD , OCD, ASAP, GAD
GAD, Pain disorder, RSVP, OCD
PTSD, OCD, RSVP, GAD
47
Using an AWS will not be applicable for a person experiencing withdrawals from benzodiazepines.
True
False
48
Delusions are...
a disorder of perception
a disorder of delusion
a disorder of disorders
a disorder of thought
49
The onset of Delirium in older persons is
It only occurs at night
It only occurs at night
Slow and progressive
Sudden, usually hours or days
50
What are the 2 types of stressors identifies int he Stress Vulnerability Model?
life events and work stress
life events and ambient
acquired and innate
innate and genetic
51
Trauma Informed Care is based on which principles?
Focusing on the consumer's symptoms when they are re-traumatised
Telling consumer the trauma is over and they have nothing to worry about
Safety, trustworthiness, choice, collaboration, empowerment, respect
Making sure the consumer never has to talk about their trauma
52
Term used for fluctuating moods during the day
Anhedonia
Dysphoria
Labile
Diurnal variation
53
High dose Cannabis belongs to the family of drugs known as...
depressants
sedatives
stimulants
hallucinogens
54
According to the MH Act, a mentally disorders person is....
Someone who refuses to take their prescribed medications
Someone who does not want to see their doctor or nurse
Someone who does not get of bed
Someone whose behaviour is irrational there are grounds to place them in te
55
It is important to assess a patients alcohol and drug use to ...
establish correct diagnosis
predict withdrawal
ensure duty of care and assess risk
all of the above
56
Term used for intense & frequent shifting emotional extremes
Diurnal Variation
Labile
Dysphoria
Anhedonia
57
What does Anhedonia mean?
feelings of helplessness
marked lack in pleasure
marked increase in pleasure
feelings of intense happiness
58
Always assume the person knows their drug use is a problem.
False
True
59
Electroconvulsive therapy
Is best administered on a full stomach
Is dangerous due to its severe side-effects
A highly effective treatment for severe depressive disorders
Works by "jump-starting" a disordered brain
60
Harm minimisation is a key component of the NSW governments policy addressing drugs and alcohol issues
True
False
61
Anxiety theories include the following EXCEPT
Stress Theory
Existential Theory
Biological Theory
Vulnerability Theory
62
ECT stands for
Electro Cerebral Therapy
Endangered Chinese Tigers
Electric Computing Towers
Electro Convulsive Therapy
63
Cognitive Behavioural Therapy is the most holistic type of therapy for a number of mental disorders
True
False
64
Why is assessing Suicidality in adolescents difficult?
They are impulsive and risk can be transitory, difficult to quantify risk
They don't like talking to adults and this makes it hard to get information
Less likely to tell the truth, hard to know what is really happening
Adolescents like to over dramatize problems in their life
65
Who can renew a Community Treatment Order?
Tribunal
Mental Health Nurse
Patients Doctor/s
Judges
66
When assessing an intoxicated patient, you should maintain constant eye contact.
True
False
67
People with alcohol & drug issues do not seek help because
fear of being judged
fear of being labled
all of the above
they can't afford it
68
Signs of Opioid intoxication include...
Psychosis, febrile, restlessness
Dyspnoea, bradycardia, muscle twitching
Tachycardia hypotension Ataxia
Feeling dizzy, slow reaction time, blurred vision
69
In 2013, which age group of males had the highest rates of death by suicide?
15-19 year olds
50-54 year olds
40-44 year olds
85 years and over
70
Nurses should withhold a hospital patients methadone if...
they cannot be roused easily and are breathing slowly
they are complaining of joint pain
they say they are "hanging out"
they ask for it, it is obvious that is all they care about
71
Most common signs & symptoms of an Older person experiencing Depression.
Complaining about being sad
Not being able to remember things
Complaining of chronic and unexplained physical symptoms
Being confused when they are asked the time
72
Side effects of ECT include...
Headache, Memory and cognition loss
Nausea, Death, Spinal cord injury
Muscle soreness, Headache, Nausea
Headache, Vomiting, Excessive Eating
73
Cannabis, Ecstasy, MDMA, & Synthetic Drugs are Hallucinogens
True
False
74
The Australian College of mental Health Nursing (ACMH) is...
hospital where people with lived experiences of mental illness
Is a national professional body for mental health nursing
school for students who have lived with mental illness
Where nurses can go to study instead of attending university
75
How would nurses prevent drug and alcohol withdrawal from worsening?
use an AWS on admission
take a good drug history
start medication promptly
look for tremors
76
The time, amount of last dose, and half-life of a drug would indicate which or the following?
persons level of drug dependence
persons usual pattern of drug use
persons likely onset of withdrawal
persons risk of delerium & dehydration
77
Recovery language should...
Emphasise the person's limitation if they are living with a mental illness
Use terms such as "suffers with" is "afflicted with" or "is a victim of"
Be respectful, non-judgemental, carrying a sense of commitment and hope
Show how a person with a mental illness is superhuman if they graduate
78
Rates of Depression & Anxiety are higher in people diagnosed with ODC?
True
False
79
An example of ambient stressors...
Chronic Illness
Death
Incarceration
Crowded shopping centres
80
People CANNOT be diagnosed with multiple forms of Anxiety
True
False
81
in 2013, suicide accounted for what % of deaths in males aged 15-19yrs?
50.8&
27.9%
62.4%
29.6%
82
Delirium can result from ...
Medications
Depression
Sundowning
Untreated Infection
