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Psych final
Psych final exam
| Question | Answer |
|---|---|
| T or F? Positive symptoms of schizophrenia include a flat affect and social withdrawal? | false; those are negative symptoms |
| Which would be considered a neurologic side effect of antipsychotic therapy? a-blurred vision b-agranulocytosis c-sedation d-tardive dyskinesia | d-tardive dyskinesia; all other answers are nonneurologic side effects |
| T or F? The nurse should confront a patient's delusions. | false, nurse should focus on the reality and not confront or reinforce delusions |
| Which would be considered an autism spectrum disorder? a-expressive language disorder b-learning disorder c-Rett's disorder d-intellectual disability | c-Rett's disorder |
| T or F? Atomoxetine is a stimulant agent used to treat ADHD. | false; it's a nonstimulant agent, an SSNRI (trade name-Strattera), it is used to treat ADHD |
| Which would the nurse most likely assess in a child with ADHD? a-high self-esteem b-aggression towards animals c-impulsiveness d-limited gestures to communicate | c-impulsiveness |
| T or F? A treatment option for ADHD includes educational interventions. | true |
| T or F? There is usually an identifiable cause for the development of delirium. | true; delirium is usually d/t an identifiable physiologic, metabolic, or cerebral disturbance or disease, or caused from drug intox. or withdrawal |
| T or F? A patient with dementia experiences changes in his/her LOC. | false; patients with dementia do not typically experience altered LOC but do exhibit multiple cognitive defecits along with aphasia, apraxia, agnosia, or disturbance in executive functioning |
| A patient makes up answers to fill in memory gaps. The nurse identifies this as what? a-echolalia b-palilalia c-aphasia d-confabulation | d-confabulation |
| T or F? The cerebellum consists of 4 lobes. | false; cerebrum has 4 lobes |
| T or F? Single photon emission tomography is considered the best type of brain imaging technique to diagnose disease. | false; many changes in the brain are not currently detectable with any of the current techniques |
| T or F? Hostility and aggression are terms that can be used interchangeably. | false; hostility=verbal aggression, aggression=attack or injury on another person or destruction of property |
| T or F? A patient with a history of violent or aggressive behavior is more likely to exhibit similar behavior in the future. | true |
| During which phase does staff debriefing occur? a-escalation phase b-crisis phase c-recovery phase d-postcrisis phase | c-recovery phase |
| T or F? The honeymoon phase of violence often occurs before the first episode of violence. | false |
| T or F? Adults who were abused as children are more likely to abuse their own children. | true |
| Which statement about rape is most accurate? a-It is a highly reported crime b-most rapes are premeditated c-rape requires ejaculation d-provocative dress invites rape | b-premeditated |
| T or F? Alcohol is a CNS stimulant. | false; CNS depressant |
| T or F? A person who abuses hallucinogens will experience a withdrawal syndrome on cessation of use. | false; no withdrawal with hallucinogens |
| T or F? A patient who abuses substances will commonly state that they can control their use of the substance. | true; denial |
| T or F? The first stage of grieving according to Kubler-Ross is anger. | false; first stage is denial |
| Which culture most likely would practice washing of the deceased body by a member of the same gender? | Muslim American |
| T or F? Nurses commonly experience complicated grief. | false; more likely to experience disenfranchised grief |
| Kubler-Ross' 5 stages of grieving | DABDA; denial, anger, bargaining, depression, acceptance |
| While conducting an admission interview with a client, the nurse suspects the client may be in alcohol withdrawal. Which screening tool can help the nurse identify the severity of withdrawal symptoms? | CIWA-Ar |
| A client with chronic alcoholism has been found to have Korsakoff's psychosis. This irreversible complication is characterized by what? | Thiamine, or vitamin B1, deficiency |
| A client admitted for acute alcohol intoxication begins to experience mild sweating, tachycardia, fever, and nausea and vomiting. What would be a drug treatment of choice? | chlordiazepoxide (Librium) |
| false sensory perceptions, or perceptual experiences that do not exist in reality | hallucination |
| a thing that is or is likely to be wrongly perceived or interpreted by the senses | illusion |
| a fixed, false belief not based in reality | delusion |
| client’s inaccurate interpretation that general events are personally directed to him or her, such as hearing a speech on the news and believing the message has personal meaning | ideas of reference |
| loss of ability to understand or express speech; deterioration of language function | aphasia |
| inability to perform particular purposive actions; no motor function | apraxia |
| inability to recognize or name objects despite intact sensory abilities | agnosia |
| a mood state characterized by period of at least one week where an elevated, expansive, or unusually irritable mood exists | manic episode |
| showing no facial expression | flat affect |
| showing little or a slow-to-respond facial expression; few observable facial expressions | blunted affect |
| an individual's sense of his or her value or worth, or the extent to which a person values, approves of, appreciates, prizes, or likes him or herself | self-esteem |
| the understanding of a specific cause and effect within a specific context. This term can have several related meanings: a piece of information; the act or result of understanding the inner nature of things or of seeing intuitively; an introspection | insight |
| the evaluation of evidence to make a decision | judgment |
| use of a substance that results in maladaptive behavior | intoxication |
| the need for increased amount of a substance to produce the same effect | tolerance |
| refers to the negative psychological and physical reactions that occur when use of a substance ceases or dramatically decreases | withdrawal syndrome |
| a maladaptive coping pattern on the part of family members or others that results from a prolonged relationship with the person who uses substances | codependence |
| a behavior that seems helpful on the surface but actually perpetuates the substance use | enabling |
| self-help group where people use only their first names so their identities are not divulged | 12-step program |
| repetition or imitation of what someone else says; mimicking | echolalia |
| repeating words or sounds over and over | palilalia |
| diagnosis that is characterized by inattentiveness, overactivity, and impulsiveness | ADHD |
| diagnosis that consists of an enduring pattern of uncooperative, defiant, disobedient, and hostile behavior toward authority figures without major antisocial violations | ODD |
| a breakdown in the relation between thought, emotion, and behavior, leading to faulty perception, inappropriate actions and feelings, withdrawal from reality and personal relationships into fantasy and delusion, and a sense of mental fragmentation | schizophrenia |
| Who's gonna kick ass on this exam? | You are! You're a freakin rockstar!!! |
| An autism spectrum disorder typically seen in females after 6 to 18 months of age | Rett's disorder |
| the involuntary and repetitive use of obscene language | coprolalia |
Created by:
nurse savage
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