Medications used for Alcohol withdrawal include...

Benzodiazepines and adjunct meds

Risk factors of illness anxiety disorder include

Chilhood trauma, abuse, or negect or major life stressor, Previous losses resulting in anger, guilt, or hostility, Depressive or anxiety disorder

What is the purpose of CNS Stimulant medications?

To raise norepinephrine and dopamine levels in the CNS

What are some disorders that can appear during childhood and adolescence?

Feeding and eating disorders, Depressive, anxiety, substance use, bipolar, and related disorders, Stressor, neurodevelopment, and self harm disorders, Tic, Schizophrenia, communication, impulse control (disruptive or not)

Delirium Tremens s/sx is

Disorientation, pyschotic manifestations, severe HTN, cardiac dysrhythmias

Confabulation is a defense mechanism that

Fills in events that they don't remember but not intended to be deceptive

Please Review Chapter 28

Because, and I am lazy, information, it is a lot of

Any loss of a valued person or item

Complicated grief: distorted or exaggerated - experiences feelings and somatic manifestations associated with

Normal grief but to an exaggerated level

Alpha2 Adrenergic Agonists are used for children and adolescents with ADHD, tic disorders, and...

Conduct/oppositional defiant disorders

How would you, the nurse, facilitate mourning?

Identify expected behaviors, Educate on the stages of grief, Allow time, Use therapeutic communication

What are some risk factors of children and adolescence mental health disorders?

Social, environmental, and cultural factors, Biochemical and resiliency, Traumatic events of any sort

What are the manifestations of opioid withdrawal

Occur within hours to several days after cessation, Agitation, insomnia, flu-like sx, CNS effects, pupillary dilation

Complications of atypical antipsychotics are diabetes, weight gain, and...

Increased cholesterol levels, Orthostatic hypotension, Mild extrapyramidal effects, Anticholinergic effects

What is an important factor when taking Disulfiram?

A medical alert bracelet needs to be warn, The smallest drop of alcohol while on this med can be fatal, Check aftershave ingredients very closely

Somatic symptom disorder is a disorder that portrays

Psychological stress through physical symptoms

Expected findings of disruptive, impulse control, and conduct disorders

Behavioral problems at school, home, and publicly, Comorbid disorder may be present

Wernicke's encephalopathy

Thiamine deficiency due to alcohol abuse

What is necessary loss?

Part of the cycle of life; anticipated

Complicated grief: chronic or prolonged - this maladaptive response is difficult to identify due to...

Varying lengths of time for clients to work through the grief process

Expected findings of Depressive disorder

Sadness and Tempers, Loss of energy and irritability, Loss of appetite and weight changes

Worden's Four tasks of mourning

Find an enduring connection with the lost entity in the midst of new life, Adjust to the world without the lost entity, Process the pain of grief

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Mental Health Final

97 termsStudBud Administration66 plays

17,18,20,25-32

Flashcards97 cardsFPractice quizPHost liveL

Questions 97

Answers

1
Multiple choice
A
B
C
D
2
Bowlby has four stages of grief. They are numbness or protest, disequilibrium, disorganization and despair, and...
Resolution of the loss
Restitution
Recovery
Reorganization
3
Medications used for Alcohol withdrawal include...
Benzodiazepines and adjunct meds
Barbituates and CNS stimulants
SSRIs
Benzodiazepines and CNS depressants
4
Multiple choice
A
C
B
D
5
Risk factors of illness anxiety disorder include
Chilhood trauma, abuse, or negect or major life stressor
Previous losses resulting in anger, guilt, or hostility
Substance abuse
Depressive or anxiety disorder
6
What indication would make you give naloxone
BP systolic less than 100
Elevated BP
HR below 60
RR of 8
7
What is the purpose of CNS Stimulant medications?
To raise norepinephrine and dopamine levels in the CNS
To help reduce norepinephrine from reaching toxic levels
To block receptors from taking too much serotonin and dopamine
To lower norepinephrine and serotonin levels in the CNS
8
What are some disorders that can appear during childhood and adolescence?
Feeding and eating disorders
Depressive, anxiety, substance use, bipolar, and related disorders
Stressor, neurodevelopment, and self harm disorders
Tic, Schizophrenia, communication, impulse control (disruptive or not)
9
Delirium Tremens s/sx is
Disorientation, pyschotic manifestations, severe HTN, cardiac dysrhythmias
Stumbling, recall problems, current intoxication
Pupillary changes, irritability, muscle and bone pain
Slurred speech, altered judgement, liver damage
10
Antidotes for opioids include naloxone and... (per the ATI book)
Gastric lavage
Fumazenil
Administer O2
Obtain airway
11
Complicated grief: delayed or inhibited - the client does not demonstrate expected normal grief behaviors
False
True
12
There are four types of delirium
True
False
13
Illness anxiety disorder is also known as
Parkinson's
Hypochondriasis
Somatic Symptom Disorder
Munchausen Syndrome
14
Some side effects of SNRI in children and adolescents include weight gain, hyperactivity, and drowsiness
True
False
15
Confabulation is a defense mechanism that
Repeats words or phrases because they do not remember
Refusing medical care because you don't believe a diagnosis
Fills in events that they don't remember but not intended to be deceptive
Both client and family can refuse changes are taking places
16
Please Review Chapter 28
Because
and I am lazy
information
it is a lot of
17
Multiple choice
B
C
D
A
18
Multiple choice
A
D
C
B
19
What is actual loss?
Unanticipated loss caused by an external event
Part of the cycle of life; anticipated
Any loss of a valued person or item
Any loss defined by a client that is not obvious to others
20
Multiple choice
D
A
B
C
21
Complicated grief: distorted or exaggerated - experiences feelings and somatic manifestations associated with
Abnormal grief but to a minimal level
Normal grief but to an exaggerated level
Abnormal grief but to an exaggerated level
Normal grief but to a minimal level
22
SATA
B
D
E
A,C
23
Alpha2 Adrenergic Agonists are used for children and adolescents with ADHD, tic disorders, and...
Schizophrenia disorder
Multiple personality disorders
Conduct/oppositional defiant disorders
Bipolar disorders
24
Genetic links or chromosomal abnormalities are associated with schizophrenia, BD, autism, ADHD, and intellectual dev.
False
True
25
Multiple-choice
B
A
D
C
26
Five stages of Kubler-Ross are denial, anger, bargaining, and... (SATA)
Acceptance
Restitution
Depression
Recovery
27
How would you, the nurse, facilitate mourning?
Identify expected behaviors
Educate on the stages of grief
Allow time
Use therapeutic communication
28
Atypical antipsychotics treat bipolar disorder, schizophrenia, and depression in children and adolescents (p.147)
False
True
29
Medications for Illness anxiety disorder
Anticonvulsants
Antidepressants
Analgesics
Anxiolytics
30
Multiple choice
B
C
A
D
31
What are some risk factors of children and adolescence mental health disorders?
Social, environmental, and cultural factors
Biochemical and resiliency
Coping abilities are positive
Traumatic events of any sort
32
What are the manifestations of opioid withdrawal
Occur within hours to several days after cessation
Delirium Tremen's
Respiratory Depression
Agitation, insomnia, flu-like sx, CNS effects, pupillary dilation
33
4 reattribution treatment stages: feeling understood, broadened agenda, making the link, negotiating further treatment
False
True
34
Complications of atypical antipsychotics are diabetes, weight gain, and...
Increased cholesterol levels
Orthostatic hypotension
Mild extrapyramidal effects
Anticholinergic effects
35
What is an important factor when taking Disulfiram?
Taking OTC medications is safe
A medical alert bracelet needs to be warn
The smallest drop of alcohol while on this med can be fatal
Check aftershave ingredients very closely
36
Delirium Tremens is when a patient is withdrawing from alcohol
False
True
37
Multiple choice
B
D
C
A
38
SATA
B,C
E
D
A
39
Multiple choice
D
C
A
B
40
Somatic symptom disorder is a disorder that portrays
Physical abnormalities through emotional distress
Psychological stress through physical symptoms
Emotional distress due to a disorder
Coping issues
41
Expected findings of disruptive, impulse control, and conduct disorders
Behavioral problems at school, home, and publicly
Comorbid disorder may be present
Substance abuse
Aggression
42
Interactions for CNS Stimulants include caffeine and OTC cold medications
False
True
43
The Alpha2 adrenergic agonists Guanfacine and Clonidine are approved for children ages 2 and up
True
False
44
SATA
C,D
A
E
B
45
Perceived loss is defined by the client that is not obvious to others
False
True
46
You should remove a nicotine patch prior to having what done
HTT
Surgery
CT
MRI
47
Wernicke's encephalopathy
Increased RBC count
Increased WBC count
Decreased sodium levels in the blood
Thiamine deficiency due to alcohol abuse
48
What is necessary loss?
Unanticipated loss caused by an external event
Losses normally expected due to developmental processes of life
Any loss of a valued person or item
Part of the cycle of life; anticipated
49
Complicated grief: chronic or prolonged - this maladaptive response is difficult to identify due to...
How hard it is to lose somebody and not be able to explain the loss
Hiding feelings to stay strong
How different every client's grieving process is from one another
Varying lengths of time for clients to work through the grief process
50
Expected findings of Depressive disorder
Sadness and Tempers
Loss of energy and irritability
Hyperactivity and ADHD like symptoms
Loss of appetite and weight changes
51
Worden's Four tasks of mourning
Find an enduring connection with the lost entity in the midst of new life
Adjust to the world without the lost entity
Process the pain of grief
Accept reality of loss
52
Multiple choice
C
B
A
D
53
When does alcohol withdrawal delirium start (Delirium Tremens)
12-15 hours after cessation
2-3 days after cessation
4-6 days after cessation
5-7 days after cessation
54
Complicated grief: disfranchised - entails an experienced loss that cannot be
Helped
Relatable to
Publicly shared
Imaginable
55
If you take SSRIs with MAOIs, SNRIs, buspirone, or St. Johns wort, what will it cause?
Sick Sinus Syndrome
Respiratory Depression
Hypertensive Crisis
Serotonin Syndrome
56
What is the purpose of SNRI in children and adolescents?
BPD
Substance abuse
Bipolard
ADHD
57
The types of crisis are situation, maturational, and adventitious
True
False
58
Antidotes for opioid use
Flumazenil
Naloxone
Gastric Lavage
IV therapy
59
Malingering is a mental disorder and factitious is driven by personal gain
True
False
60
What medication is used for decreasing nicotine cravings
Clonidine
Naloxone
Bupropion
Buspirone
61
What disorders do children and adolescents take SSRIs for?
Autism and GAD
MDD and bulimia nervosa
Intermittent explosive disorder and OCD
BPD and psychosis
62
Multiple choice
B
A
D
C
63
Atypical antipsychotics can safely interact with CNS depressants and Levodopa (plus others p. 148)
False
True
64
Denial is a defense mechanism of
Both client and family can refuse changes are taking places
Repeats words or phrases because they do not remember
Refusing medical care because you don't believe a diagnosis
Fills in events that they don't remember but not intended to be deceptive
65
Alpha2 adrenergic agonists interact with...
CNS Depressants
Antihypertensives
MAOIs
Foods with high fat content
66
Maturational loss is an expected loss due to...
Poor healing after a procedure
Chronic illness
Developmental life process
A severe condition from a fall
67
Side effects of CNS stimulants (SATA)
Paradoxical reaction
Weight loss
Withdrawal and toxicity
Insomnia, restlessness
68
Tricyclic antidepressants treat autism, ADHD, and social phobia (among others) in children and adolescents
False
True
69
CNS Stimulants contraindicated by hx of substance abuse, cardiovascular disorders, severe anxiety, and psychosis
False
True
70
Anticipatory grief implies letting go before the loss
False
True
71
Maturational Crisis refers to achieving new developmental stages requiring additional learning of coping mechanisms
False
True
72
Multiple choice
A
C
B
D
73
Complications of TCA's in children and adolescents include
Orthostatic hypertension
Diaphoresis
Vomiting
Anticholinergic effects
74
SATA
C,D
E
A
B
75
What diseases or problems contraindicate SNRI's in children and adolescents?
Suicidal ideations
GI bleeding
Cardiovascular disease
CVA
76
Perseveration is a defense mechanism that
Fills in events that they don't remember but not intended to be deceptive
Both client and family can refuse changes are taking places
Refusing medical care because you don't believe a diagnosis
Repeats words or phrases because they do not remember
77
Neelon-Champagne Confusion scale is used for Dementia
True
False
78
Factitious disorder is previously known as
Munchausen syndrome
Hypochondriasis
A neurologic disorder
Illness anxiety disorder
79
Risk Factors for Somatic symptom disorder
Depressive disorder, personality disorder, or anxiety disorder
Substance abuse
Childhood trauma, abuse, neglect
Decreased levels of neurotransmitters: serotonin and endorphins
80
What medications would be prescribed for somatic symptom disorder
Antidepressants
Anticonvulsants
Anxiolytics
Analgesics
81
When do manifestations of alcohol withdrawal start
12-15 hours of last intake lasting 6-10 days
5-7 hours of last intake lasting 4-12 days
4-12 hours of last intake lasting 5-7 days
6-10 hours of last intake lasting 3-7 days
82
Engel's five stages of grief include recovery, resolution of the loss, and three others. They are...
Developing awareness
Restitution
Shock and disbelief
Reorganization
83
Three medications used following alcohol withdrawal are Disulfiram, Naltrexone, and Acamprosate
False
True
84
What is a Confusion Assessment Method used for?
Delirium
Dementia
Alzheimer's Disease
TBI
85
Lab and diagnostic testing to rule out somatic symptom disorder
MRI
HTT
CT
X-ray
86
Adventitious crisis is the occurrence of uncontrollable situations (ex. natural disasters, crimes)
False
True
87
SATA
B
C
D,E
A
88
Complications of Alpha2 adrenergic agonists are CNS effects, weight gain, and...
Anticholinergic effects
Cardiovascular effects
GI effects
Cerebrovascular accident
89
Situational loss is anticipated caused by an external event
True
False
90
SATA
A,C
D
E
B
91
Situational or external crisis refers to
Unanticipated loss or change experienced in every day life
Anticipation of something going wrong at any given moment
Anticipated losses and changes experienced in everyday life
Unanticipated grief over uncontrollable circumstances
92
What is a conversion disorder?
A disorder converting life of substance abuse to better the future
Hypochondriasis
Munchausen Syndrome
A mental disorder that cannot be explained by medical evaluation
93
Medications used to treat ADHD in children or adolescents (SATA)
Olanzapine
Methylphenidate
Risperidone
Quetiapine
94
Buspirone is common in the cessation of smoking?
False
True
95
Normal grief is considered complicated
False
True
96
Atypical antipsychotics are given by which route(s)?
IV
Oral
SC
IM
97
Agitation, anxiety, and sleep disturbances are common side effects of SSRI's
True
False

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