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MH EXAM 2
What is dementia ?
Hamilton depression rating of a 13 indicates
MH EXAM 2
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1
Hamilton depression rating of a 13 indicates
moderate depression
severe depression
mild depression
no evidence of depression
2
What is dementia ?
can be treated with risperidone
can be treated with donepezil
an acute mental status change
slow progress decline of cognitive ability
reversible
irreversible
3
What is apraxia?
loss of balance/posture
loss of motor function
forgetting the meaning of something
loss of vocabulary
4
Anxiety is an emotional response to anticipation of danger, the source is largely unknown
False
True
5
During this stage individual attempt to adapt to the stressor and recover homeostasis
GAS exhaustion stage
GAS alarm stage
GAS disorientation stage
GAS resistance stage
6
Patient education for antidepressants
Monitor indications of increased depression
sexual dysfunction may occur
depresses CNS
avoid hazardous activities
is safe to take with MAOIs
do not stop suddenly
7
Phase 1 Crisis
previous problem-solving techniques do not relieve the stressor,
Tension mounds beyond threshold, breaking point, psychotic thinking
individual is exposed to a precipitating stressor, Anxiety increases
All possible resources both internal and external are called for resolution
8
This drug is given to treat hallucinations and delusions in Parkinson’s psychosis
olanzapine
pimavanserin (nuplazid)
haloperidol
donepezil
9
A person goes blind after seeing a murder scene is an example of which disorder
conversion disorder
amnesia
illness anxiety disorder
fictitious
10
When is the best time to administer antidepressants meds
in the morning, upon waking up
before going to PT
in the afternoon when patient is most anxious
before bedtime
11
Illness anxiety disorders
loss of or change in bodily function
must be treated as real
ex. pseudocyesis- false pregnancy
hypochondriasis
unrealistic or inaccurate interpretation of physical symptoms
long history of “doctor shopping”
12
This drug is a SSRI
proxetine
olanzapine
sertraline
donepezil
13
Phase 1 Crisis is the individual exposed to a precipitating stresso, increased anxiety
False
True
14
Lewy Body Dementia
transmitted as a mendelian dominant gene
highly sensitive EPS effects of antipsychotic medications
account for as many as 25% of all NCD cases
second most common cause of dementia in the elderly
usually occurs between age 30 and 50 years
eosinophilic inclusion bodies seen in the cerebral cortex and brainstem
15
Phase 4 Crisis Tension mounds beyond threshold, breaking point, psychotic thinking
False
True
16
Patient education for lithium carbonate
maintain fluid intake of 2-3L/day
Monitor labs regularly for toxicity
Decrease sodium intake
Take with food to minimize GI effects
17
Stage 5 AD
moderately severe cognitive decline
mild-to-moderate cognitive decline
moderate-to-severe cognitive decline
mild cognitive decline
18
This GAS phase implores fight or flight, high HR, cortisol release for energy, brain has heightened activity
exhuastion
resistance
alarm
termination
19
Indications that patient needs more education when taking SSRIs
SSRIs will help with my depression
I can use St. John Warts
medication affects maybe take 4-6 weeks
I can take this medication with MAOIs
20
Patient with OCD spends 45 min washing hands, what would be a good initial intervention by the nurse
administer antianxiety medications
discuss what is provoking them.how are you feeling/ what are your thoughts?
stop the patient immediately
Leave the patient alone
21
the physiological responses of the fight-or-flight syndrome are initiated.
GAS resistenace stage
GAS disorientation stage
GAS exhaustion stage
GAS alarm stage
22
What is ataxia
loss of balance/posture
loss of motor function
forgetting the meaning of something
loss of vocabulary
23
What is a crisis?
overwhelming feeling of terror or impending doom
s/s of sweating, trembling, SOB, fear, dizziness
has unpredictable onset and is recurrent
lasts no longer than 5-20 min
the stage after panic extending beyong 20 min.
Lasts from 4-6 weeks
24
Example of warning signs for suicide
sudden and extreme mood swings
Improved mood
adolescent giving away loved possessions
withdrawing from socializing
engagement in CBT
taking care of themselves
25
Body dysmorphic disorder
identified by a fear of specific objects or situations conceivable to harm
an excessive fear of situations in which a person might feel embarass
exaggerated belief that their body is deformed or defective in some way
fear of being in open public places
26
Phase 2 Crisis
previous problem-solving techniques do not relieve the stressor
All possible resources both internal and external are called for resolution
Tension mounds beyond threshold, breaking point, psychotic thinking
individual is exposed to a precipitating stressor, Anxiety increases
27
Suicide risk factors
untreated depression
middle social class
family history of suicide
highest social class
engagement in social activities
poor relationships
28
Repetitive, ritualistic, behavior or thoughts to try to prevent dreaded events
obsession
compulsions
depression
panic attack
29
Alteration of mood expressed by sadness, despair, and pessimism
anxiety
dementia
panic attack
depression
30
Agnosia is forgetting the meaning of something
True
False
31
Assessment data for persistent depressive disorder
poor appetite or overeating
insomnia or hypersomnia
low energy, fatigued
poor concentration
32
Phase 3 crisis
Tension mounds beyond threshold, breaking point, psychotic thinking
individual is exposed to a precipitating stressor, Anxiety increases
previous problem-solving techniques do not relieve the stressor,
All possible resources both internal and external are called for resolution
33
loss of or change in body function that cannot be explained by any known medical disorder
factitious disorder
malingering
hypochondriasis
conversion disorder
34
What is delirium
donepezil is used as a treatment to improve cholinergic effect
acute change in mental status, cognition
sudden onset
reversible
irreversible
process is slow
35
During the GAS exhaustion stage adaptive energy is depleted, infection is acquired, can be fatal
True
False
36
Preferred treatment for season affect disorder (SAD)
occupational therapy
physical therapy
light therapy
massage therapy
37
Hamilton depression rating scale 0-6 indicates no evidence of depression illness
True
False
38
Patient's with delirium can be given olanzapine
False
True
39
Tricyclic antidepressants (TCA)
protriptyline
nortriptyline
selegeline
amtriptyline
clompramine
phenelzine
40
Stage 2 AD
difficulty with ADLs
mild forgetfulness, idividual is aware of decline intellect
incontinence, wandering, delusion becomes apparent
confabulation, create stories
no apparent symptoms
bedridden
41
Stage 7 AD
difficulty performing ADLs
bedridden, unable to recognize family
no apparent symptoms of cognitive decline
moderate-to-severe cognitive decline
42
broad range of typical human emotional responses that accompany everyday disappointments in life.
transient depression
MDD
dysthymia
Persistent depression disorder
43
depression and pain are indicators for this drug
buproprion
duloxetine
fluoxetine
escitalopram
44
Stage 4 AD
filling memory gap with imaginary stories
individual becomes aware of cognitive decline
moderate to severe cognitive decline
bedridden
45
level of depression are like those associated with uncomplicated grieving
severe depression
mild depression
transient depression
MDD
46
Hamilton depression rating scale 18-24 indicates
mild depression
moderate depression
severe depression
no evidence of depression
47
is an example of moderate depression and represents a more problematic disturbance enduring for at least 2 years
MDD
transient depressio
dysthymia
moderate depression
48
Stage 3 AD mild cognitive decline, other people starts to notice
True
False
49
Stage 6 AD is severe cognitive decline
False
True
50
50-80% of all people who kill themselves has a history or previous attempts
False
True
51
Antihistamines, tricyclic antidepressants, and conventional antipsychotics can reduce the effects of donepezil
True
False
52
It is safe for dementia patients to take risperidone
True
False
53
Fictitious disorder is an act which involves pretending to have a physical or psychological condition for rewards
True
False
54
Stage 1 AD
no apparent symptoms in declined memory
confabulation, denies problem, creates imaginary event to fill memory gap
moderately severe cognitive decline, difficulty perform ADLs
mild cognitive decline, other people start noticing
bedridden, unable to recognize family
mild forgetfulness, displacing things
55
Patient education benzodiazepines
should be taken before bed
Caffeine boosts the effects of medication
safe to stop abruptly
safe to drive after administration
may cause sedation, lightheadedness, ataxia, decreased cognitive function
stimulates CNS
56
PTSD related to SA
flashbacks
unable to cope with the associated anxiety and has nightmares
hallucinations
panic attack
57
A young woman brought into the ED by the police do not know who she is or anything about her life
GAD
localized amnesia
selective amnesia
generalized amnesia
58
Neurocognitive Disorder Due to Lewy Body Dementia
eosinophilic inclusion bodies seen in the cerebral cortex and brainstem
25% of all NCD cases
the second most common cause of dementia in the elderly
EPS effects of antipsychotic medications
result of shrinking of the frontal and temporal anterior lobes of the brain
usually occurs between age 30 and 50 years
59
Recurrent pulling out one’s hair
Hoarding
separation anxiety
body dysmorphic disorder
trichotillomania
60
Patient taking SSRIs are least likely to follow through suicidial ideations
True
False
61
Hans Selye called this combination of symptoms known as the fight-or-flight syndrome “general adaptation syndrome”
False
True
62
This drug is a 2nd-gen antipsychitic that has a contraindication of dementia patient's
aricept {donepezil)
olanzapine (zyprexa)
paroxetine (paxil)
sertraline (zoloft)
63
What drug is given the early stages of dementia
paroxetine (paxil)
olanzapine (zyprexa)
aricept (donezepil)
setraline (zoloft)
64
Recurrent thoughts, impulses or images that are intrusive and stressful
depression
obsession
compulsions
crisis
