Exam (elaborations)
ECPI MENTAL HEALTH PRACTICE EXAM QUESTIONS WITH COMPLETE ANSWERS
ECPI MENTAL HEALTH PRACTICE EXAM QUESTIONS WITH COMPLETE ANSWERS
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ECPI MENTAL HEALTH PRACTICEEXAM QUESTIONS WITH COMPLETE
ANSWERS
Mental health pioneer/ nurse asylums to deinstitutionalize and prevent abuse - Answer-
Dorothea Dix
year that psychotropic medications started emerging - Answer-1950s
Healthy People 2030 Objectives - Answer--Reduce suicide rate
-Increase the proportion of children & adolescents who get treatment
-Increase the proportion of adults with mental health disorders who receive treatment
Hildegard Peplau - Answer-Therapeutic nurse client relationship
self awarness issues - Answer--gaining recognition of one own feelings, beliefs, and
attitudes
-everyone has unique and different values, ideas, and beliefs
-possible conflict between personal values/beliefs, those of client
-need to accept differences; view each client as worthwhile regardless of opinions or
lifestyle
-self-awareness through reflection
frontal lobe function - Answer-Thought, body movement, memories, emotions, moral
behavior
hypothalamus function - Answer-temperature regulation, appetite control, endocrine
function, sexual drive, impulsive behavior
Neurotransmitters Excitatory: - Answer-Dopamine
Norepinephrine
Epinephrine
Glutamate
Dopamine - Answer-Complex movements, motivation, cognition, regulation of emotional
response
Norepinephrine - Answer-Attention, learning, memory, sleep, wakefulness, mood
regulation
Epinephrine - Answer-Fight or flight response
Glutamate - Answer-Neurotoxic effects at high levels
, Neurotransmitters Inhibitory: - Answer-Serotonin
Gamma-aminobutyric acid (GABA)
Serotonin - Answer-Food intake, sleep, wakefulness, temperate regulation, pain control,
sexual behaviors, regulation of emotions
Gamma-aminobutyric acid (GABA) - Answer-Major inhibitory neurotransmitter;
modulation of other neurotransmitters
Antipsychotic drugs mechanism of action - Answer-block dopamine receptors
Antipsychotic Side Effects Treatment - Answer--Acute dystonia: Torticollis,
opisthotonos, oculogyric crisis
-Treatment: anticholinergic drugs (benztropine/ cogentin or diphenhydramine/ Benadryl)
-Pseudoparkinsonism (stooped posture, masklike facies, shuffling gait)
-Akathisia (restlessness, anxiety, agitation)
-Neuroleptic malignant syndrome (NMS)
-Anticholinergic side effects (e.g., dry mouth, constipation, urinary hesitancy or
retention)
-Sudden change in mental status and fever are very bad in mental health Pt
-Tardive dyskinesia (irreversible involuntary movements): hand tremors, blinking often,
etc. very progressive and takes prolonged use
-Agranulocytosis (a disorder that causes low WBC count)
Antidepressants - Answer-SSRIs
Cyclic antidepressants
MAOIs
SSRIs side effects - Answer--Suicidal ideation/ increased depression
-Anxiety, agitation, akathisia, nausea, insomnia, sexual dysfunction
-Weight gain
Cyclic antidepressants side effects - Answer--Anticholinergic effects dry mouth,
constipation, urinary retention, sedation, orthostatic hypotension, weight gain,
tachycardia
-Sexual dysfunction
MAOIs side effects - Answer--daytime sedation, insomnia, weight gain, dry mouth,
orthostatic hypotension, sexual dysfunction
-Hypertensive crisis (tyrosine/tyramine containing foods)
- most cheeses, aged meats (sausage, pepperoni), beans, avocado, beer, tofu, soy
products, sauerkraut, yogurt, sour cream, peanuts, MSG...also can not be taken with
other anti-hypertensives, anesthesia, CNS depressants)
Antidepressant Drug Interactions - Answer--Serotonin syndrome
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