Mental Health Module 1 reviewed questions and answers
2 views 0 purchase
Module
Mental health
Institution
Mental Health
Mental Health Module 1 reviewed
questions and answers
Mental Health Module 1 reviewed
questions and answers
Mental Health Module 1 reviewed
questions and answers
Mental Health Module 1 reviewed
questions and answers
Mental Health Module 1 reviewed
questions and answers
Mental Health Module 1 reviewed
questions and answers
Acute Dystonic Reaction - CORRECT ANSWER-
Agranulocytosis - associated with clozapine - CORRECT
ANSWER-
Amygdala - CORRECT ANSWER-Fear Area of Brain (avoid
harmful things/escape danger)
- works with prefrontal cortex to control response to
fearful/stressful events
Anterior Cingulate Gyrus - CORRECT ANSWER-- helps focus on
tasks, control emotions, selects the correct response
- involved in major depression; failure to shut down cortisol
here
- Communicates with amygdala, insula, parietal cortex and
prefrontal cortex
Anti Anxiety Medications - CORRECT ANSWER--
Benzodiazepines
- Selective serotonin reuptake inhibitors (SSRIs)
- Serotonin-norepinephrine reuptake inhibitors
(SNRIs)(originally introduced for treatment of depression)
Anti Seizure Medications used as Mood Stabilizers (treat bipolar
disorder) - CORRECT ANSWER-Seizure medications to treat
bipolar disorder
ex. valproate, carbamazepine, lamotrigine
OVERALL MECHANISM OF ACTION:
,- decrease neuronal excitability
- inhibition of sodium channel activity
- inhibition of calcium channel activity
- enhancement of GABAergic neurotransmission pathways
- inhibition of glutamatergic neurotransmission pathways
- inhibit GSK3B like lithium
*may work on many or combo of these mechanisms
*ability to balance excitatory and inhibitory neuronal pathways
to stabilize mood
EACH MED LISTED BELOW...
1. Carbamazepine
MECHANISM OF ACTION:
- inhibit neuronal sodium channels during depolarization events
to decrease neuronal excitability
- works specifically on reducing neurons that fire
frequently/repeatedly (inappropriate excitability)
- less likely to affect normal neuron function
NURSING CONSIDERATIONS:
- baseline lab work for liver function test, complete blood count
(CBC), electrocardiogram, electrolyte levels (to avoid toxicity
but no established therapeutic blood levels)
2. Valproate
MECHANISM OF ACTION:
,- block sodium and calcium channels
- elevate GABA levels by inhibiting degrading enzyme
ADVERSE EFFECTS:
- tremor, weight gain, sedation
*rare but serious include:
- thrombocytopenia, pancreatitis, hepatic failure
- potent teratogen
- cause hepatotoxicity
NURSING CONSIDERATIONS:
- baseline liver function, CBC before treatment (repeat
periodically)
- monitor durg level in blood for therapeutic range
3. Lamotrigine (lamictal)
MECHANISM OF ACTION:
- inhibits neuronal sodium and calcium channels
- modulates release of excitatory neurotransmitters (glutamate
and aspartate)
PROS:
- most effective maint
Area of brain that contains neural pathways to and from the
brain? - CORRECT ANSWER-
Area responsible for the regulation of sex and aggression? -
CORRECT ANSWER-Amygdala and Hypothalamus
- Anger starts with the amygdala stimulating the hypothalamus,
much like in the fear response. In addition, parts of the
prefrontal cortex may also play a role in anger. People with
damage to this area often have trouble controlling their
emotions, especially anger and aggression.
, Area which rhythmic physiological activities (breathing and
heart rate) are regulated? - CORRECT ANSWER-
MECHANISM OF ACTION:
- enhance action of GABA by binding to receptor complex
- only have effect if GABA is also bound to binding site on
receptor complex in limbic system to decrease anxiety
- this decreases chance of overall decrease of neuronal
excitability
PROS:
- help with alcohol withdrawal symptoms (seizures) bc.
decreased overexcitability
ADVERSE EFFECTS:
- sedation at higher levels/ CNS depression!
- requires higher dose -> quickly induce tolerance ->
dependant (benzodiazepines) so switch to Buspirone (long
term) safe for addiction/alcoholism
- when used with other CNS depressants (alcohol, opioids,
tricyclic antidepressants): respiratory depression, coma, death
- affect motor ability, attention, judgement
- Ataxia
AVOID:
- working in construction, driving car
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Lectbrahim. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for £12.68. You're not tied to anything after your purchase.
