NR 605 WEEK 7 FINAL STUDY GUIDE DIAGNOSIS & MANAGEMENT IN PSYCHIATRIC-MENTAL HEALTH ACROSS THE LIFESPAN I PRACTICUM | CHAMBERLAIN | 2024/2025
NR 605 WEEK 7 FINAL STUDY GUIDE DIAGNOSIS & MANAGEMENT IN PSYCHIATRIC-MENTAL HEALTH ACROSS THE LIFESPAN I PRACTICUM | CHAMBERLAIN | 2024/2025
NR 605 WEEK 7 FINAL STUDY GUIDE
DIAGNOSIS & MANAGEMENT IN
PSYCHIATRIC-MENTAL HEALTH ACROSS THE
LIFESPAN I PRACTICUM | CHAMBERLAIN |
2024/2025
The _______ or "fear center" of the brain stores the physical impact of
negative emotions. When the _________ is activated during a traumatic
experience, it interferes with the _____________, which is involved with
the recall of memory. This activation causes the __________ to function
less effectively, and the brain goes into survival mode.
- Correct Answer - amygdala, hippocampus, and prefrontal cortex
The client is HYPERaroused.
The muscles are tense and full of energy, but can't release it.
In this stage, there are similar levels of sympathetic and parasympathetic
activation.
Increased heart rate/blood pressure.
The client might say, "I feel stuck," "I can't move," or "I feel like I am
encased in cement."
Eyes widen.
The body is ready to return to fight/ flight as soon as the threat passes.
- Correct Answer - Freeze (feigned death)
During a traumatic event, a cascade of neurobiological events occurs
that disrupts the limbic system, ___, ___, ____.
- Correct Answer - amygdala, orbitofrontal cortex, and anterior cingulate
gyrus
what is the fear center of the brain that stores the physical impact of
negative emotions?
- Correct Answer - amygdala
,When the amygdala is activated during a traumatic experience, it
interferes with the _______________, which is involved with the recall of
memory.
- Correct Answer - hippocampus
When the amygdala is activated during a traumatic experience, it
interferes with the hippocampus, which is involved with the recall of
memory. This activation causes the prefrontal cortex to function less
effectively, and the brain goes into___________.
- Correct Answer - survival mode.
which part of the brain is critical in fast, defensive responses and it
directly connected to the retina?
- Correct Answer - brain stem
which part of the brain initiates a fight or flight response and activate the
sympathetic nervous system?
- Correct Answer - periaqueductal gray
What happens to the body when the sympathetic nervous system is
activated?
- Correct Answer - Heart rate goes up. Blood flow to muscles increases.
Blood pressure increases. Pupils dilate.
When we can't fight or escape what mode does our bodies go into?
- Correct Answer - The freeze response aka feigned death
what part of the nervous system is activated in the freeze response?
, - Correct Answer - parasympathetic nervous system is activated by the
periaqueducatal gray
What happens to the body when the parasympathetic nervous system is
activated by the periaqueducatal gray?
- Correct Answer - Muscles get tight and freeze. Both gaze and breath
may freeze.
The person may shutdown completely.
Heart rate drops. Respiratory rate drops. Some people stop breathing.
Muscles become limp. Metabolism shuts down. Endorphins are
released.
The person enters a state of "no pain". They are no longer aware of their
surroundings.
this is what happens in freeze mode when the predator don't move away
after the parasympathetic system is activated
- Correct Answer - The client is HYPOaroused.
The muscles are flaccid and loose.
The parasympathic nervous system is dominant.
Decreased heart rate/blood pressure/temperature.
The client may not be able to speak at all.
Blank stare.
Sensory info stops at the thalamus. It doesn't reach the cortex (so it's not
integrated). The client is less aware of their internal and external world.
Endorphins release to numb pain. Dynorphins release, which can make
the client feel detached from their body.
Can result in fainting.
Shutdown/Collapse
What are 4 key ways collapse/submit can present in a client. this is
“the defense response of the last resort”
- Correct Answer - compliance/obedience, treatment resistent
depression, interpersonal conflict, or social avoidance desire to isolate
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