RNSG2213/RNSG 2213 Mental Health Nursing Review for
Exam 2 Level 3 (Answered) Latest Fall 2022.
1st generation antipsychotic major side effects - gynecomastia, amenorrhea,
anticholinergic effects, weight gain, sedation, sexual dysfunction, extrapyramidal side
effects
1st generation antipsychotic neurotransmitters - ↓dopamine, histamine, acetycholine,
norepinephrine
2nd generation antipsychotic major side effects - weight gain, ↑blood glucose, ↑
tryglycerides, gynecomastia, amenorrhea, low libido, sexual dysfunction.
2nd generation antipsychotic neurotransmitters - ↓ dopamine and serotonin
3rd generation antipsychotic major side effects - insomnia, akathisia
3rd generation antipsychotic neurotransmitters - dopamine stabilizer/partial agonist
ACT - Intensive case management for patients that have repeated visits to inpatient
hospitalization and serious persistent psychiatric symptoms. Daily visits by worker to
ensure medication regimen is followed.
ADHD treated with - Methyphenidate, dextroamphetamine
Agonist - Mimics the effect of a neurotransmitter. It can open the channel at the receptor
even though it is not the same neurotransmitter.
Alzheimers treated with - Cognex, aricept, razadyne
Antagonist - Blocks/opposes the effect of a neurotransmitter. Blocks off the receptor so
that the channel cannot open.
Anti-anxiety major side effects - Can interfere with motor ability, judgement, and
attention..and can cause ataxia
Anticonvulsants major side effects - Rash, blood toxicity, decreased liver function
Anticonvulsants Neurotransmitter - ↓ Glutimate ↑ GABA
Antidepressants major side effects - Anticholinergic effects, weight gain, low libido,
nausea/vomiting, sedation.
Anxiety treated with - Benzodiazepine
Assimilation - incorporation new ideas, objects, or experiences into ones framework of
thought.
,RNSG2213/RNSG 2213 Mental Health Nursing Review for
Exam 2 Level 3 (Answered) Latest Fall 2022.
Automatic thoughts - Rapid unthinking responses based on schemas. Particularly
frequent and intense in depression and anxiety.
Autonomy - Respecting the rights of others to make their own descisions
Aversion therapy - Used widely to treat behaviors. Present a negative stimuli along with
the addicted stimuli to reduce urge. Put a vomiting agent into an alcoholics drink so they
think vomit with alcohol.
Battery - Harmful or offensive touching of another person, treatment w/o consent, threat
of force w/opportunity/ability.
Behavior therapy - A treatment method that is concerned with patterns of behavior
rather than inner motivations. Maladaptive responses are replaced with adaptive
responses.
Beneficence - The duty to act to benefit/promote the good of others
Benzodiazepines neurotransmitter - Increases concentration of GABA.
Betty Neuman - Impact of internal and external stressors on the equilibrium of the
system. Assist patients in discovering and using stress reducing techniques.
bioethics - The study of specific ethical questions that arise in health care
Biofeedback - A technique for gaining conscious control over unconscious body
functions, such as BP and HR. Feedback obtained by sensitive instruments can provide
information on body function, and individuals can learn to monitor and control responses
(anxiety/stress)
Bipolar treated with - Lithium, anticonvulsants
Buspirone's neurotransmitter - Partial agonist ↓ serotonin and affinity to dopamine. Can
cause dizziness and insomnia
Cathartic method - Freuds method to deal with conflicts/stresses known to us as getting
things off our chest.
Characteristics of acetycholine - Cholinergic involved in learning, memory, mood,
mania, sexual aggressions, stimulation of fight or flight.
↓ Alzheimers, huntingtons, parkinsons
↑ Depression
Characteristics of Dopamine - Monoamine that involves fine muscle movement,
emotions, thoughts, decision making, and the hypothalamus.
,RNSG2213/RNSG 2213 Mental Health Nursing Review for
Exam 2 Level 3 (Answered) Latest Fall 2022.
↓ Depression
↑ Mania, schizophrenia
Characteristics of GABA - Amino Acid involved in inhibition (self-conscious),
↓aggression, excitation, and anxiety. Is an anticonvulsant, muscle relaxer, and may
impair cognition/psychomotor.
↓ Anxiety, schizophrenia, mania, huntingtons
↑ Reduction in anxiety
Characteristics of Norepinephrine - Monoamine that effects mood, attention, arousal,
and fight or flight.
↓ Depression
↑ Mania, anxiety, schizophrenia
Characteristics of Serotonin (5-HT) - Monamine involved in sleep, hunger, pain
perception, hormonal activity, aggression, and sexual arousal.
↓ Depression
↑ Anxiety
Cognitive distortions - Irrational thoughts that lead to false assumptions and
misinterpretations. "Unless I get straight A's I'm a failure"
Cognitive-behavioral therapy - An evidence-based therapeutic modality for children,
adolescents, and adults that seeks to identify negative and irrational patterns of thought
and challenge them based on rational evidence and thoughts.
Comorbid condition - When an individual has more than one mental condition at a time.
Conditioning - Involves pairing a behavior with a condition that reinforces or diminishes
that behavior
Countertransference - The tendency to displace, onto the patient, feelings that are a
response to people in your past. Strong positive or strong negative reactions to a
patient.
CT - A series of x-rays that produce slices of the brain. Can detect cortical atrophy,
cognitive disorders/abnormalities in schizophrenia
Decompensation - Deterioration of mental health and loss of control due to an inability
to compensate for mental illness due to stress.
Defense mechanisms - Usually unconscious intrapsychic processes used to ward off
anxiety by preventing conscious awareness of threatening feelings. Can be used in a
healthy or a not-so-healthy manner.
, RNSG2213/RNSG 2213 Mental Health Nursing Review for
Exam 2 Level 3 (Answered) Latest Fall 2022.
Definition of mental health in psychiatry - It evolves over time and is shaped by the
prevailing culture and societal values. It reflects changes in cultural norms, societal
expectations, political climates, and even reimbursement criteria by third-party payers.
Depression treated with - TCA, SSRI, SNRI, SNDI, MAOI
Documentation in crisis - Note behavior leading up to restraint/seclusion, time the
patient is placed/released from restraint, what was observed/needed every 15-30
minutes.
Dorothea Orem - Goal is to get seriously and persistently mental ill patients to be self-
sufficient in their care.
Electronic healthcare - Provision of health care through a non face-to-face medium,
rather through an electronic medium.
elopement - to leave against medical advice
Eriksons later years-death? - Integrity vs despair: Look back over ones life and
accepting its meaning.
URC: Dissatisfaction with life; denial of or despair over prospect of death.
Eriksons stage adolescence-20 years? - Identity vs role confusion: Transition child to
adult
URC: Confusion about who one is, weak sense of self.
Eriksons stage early adult-35 years? - Intimacy vs isolation: Establish bonds of
love/friendship
URC: Emotional isolation, egocentricity.
Eriksons stage early childhood-6 years? - Initiative vs guilt: becoming purposeful and
directive
URC: Aggression/fear conflict, sense of inadequacy and guilt.
Eriksons stage infancy-1.5 years? - Trust vs mistrust: attachment
URC: difficulties relating to people, suspicion, trust/fear conflict.
Eriksons stage middle adult-65 years? - Generativity vs self-absorption: Fulfilling life
goals (family, career, society) and concern future generations
URC: Self absorption, inability to grow as a person.
Eriksons stage preschool-3 years? - Autonomy vs shame and doubt: control some of
self/enviroment
URC: Independence/fear conflict, severe feelings of self-doubt.