NUR 210 MENTAL HEALTH EXAM 1
QUESTIONS WITH VERIFIED
ANSWERS
What hormone is associated to the etiology of schizophrenia? - Answer-High levels
of Dopamine
Positive Shizophrenia symptoms - Answer-Caused by excessive dopamine.
Delusions, hallucinations, speech patterns, disorganized behavior
Negative schizophrenia symptoms - Answer-Caused by structural problems in the
emotional center of the brain.
Lack of emotional expression, anhedonia, avolition, alogia.
SCHIZOPHRENIA Delusions - Answer-Faulty beliefs
Persecutory (someone trying to harm me), Conjugal (jealous), Grandiose (belief of
being extremely gifted), Religious (over-involvement in religious practices), Somatic
(belief of odd sensations involving body),
Nihilistic (the belief that one is dead), Erotomanic (believes that someone with
elevated social status loves them), external control, Reference ( belief external
events applies to oneself)
SCHIZOPHRENIA Disorganized speech patterns - Answer-Looseness of
association(illogical sentences that make sense), Word salad (odd mixing of words),
Clang (rhyming of all sentences), Neologism (private language), Echolalia (repeats
everything, circumstantiality (talking around the point of conversation), Tangentiality
(speech is moving away from theme),
SCHIZOPHRENIA Hallucinations - Answer-faulty perceptions responding to internal
stimuli, involves FIVE SENSES.
SPECIAL CONCERN-COMMAND HALLUCINATIONS
SCHIZOPHRENIA Disorganized behavioral patterns - Answer-Declines overall
functioning of ADL's, unpredictable/inappropriate responses, behaviors that appear
bizarre with no purpose, lack of inhibition or impulse control, Catatonia (extremes of
cannot move or respond and then overexcited and copying movements)
SCHIZOPHRENIA Negative Symptoms - Answer-Lack of emotional
expression( FLAT AFFECT) (ANHEDONIA), AVOLITION, ALOGIA
SCHIZOPHRENIA cognitive symptoms - Answer-poor executive functioning,
difficulty focusing or paying attention, difficulty working with memory.
Nursing care for schizophrenic pt - Answer-Assess safety, empathy, education,
reassurance, statement of safety
, Extra pyramidal side effects (EPS) - Answer--Dystonia (painful contractions from
neck up)
-Pseudoparkinsonism (drooling, stiffnes, lack of arm swing when walking, shuffling,
pin rolling, tremor)
-Akinesia- muscle stiffness and weakness
-Akathisia- restlessness
- Oculogryic crisis- uncontrollable
EPS treatment - Answer-benztropine and diphenhydramine
Tardive Dyskinesia (TD) - Answer-Bizarre facial and tongue movements, stiff neck,
odd movements to arms and legs, difficulty swallowing,
Neuroleptic Malignant Syndrome (NMS) - Answer-severe muscle rigidity, elevated
temperature (up to 107), tachycardia, tachypnea, fluctuations in bp, diaphoresis,
rapid deterioration of mental status, coma, death
Response to NMS - Answer-STOP MEDS IMMEDIATELY, monitor vitals, notify hcp,
prep for respiratory support, cooling measures, IV fluids, parlodel (increases
dopamine), prepare to administer muscle relaxants
PTSD - Answer-occurs after a traumatic event.
symptoms can resurface as late as 3 months after the event, **symptoms NEED TO
BE PRESENT FOR AT LEAST 1 MONTH for diagnosis**
Major manifestations of PTSD - Answer-Re-experiencing flashbacks/reliving event,
hyper-arousal, avoidance of people and places associated with event
Non-pharmacologic treatment for PTSD - Answer-desensitization therapy, relaxation,
cbt, psychotherapy, group therapy, eye movement desensitization therapy (EMDT)
Pharmacologic tx for ptsd - Answer-Paroxetine (Paxil), Sertraline (zoloft), Trazodone
(helps for sleeping)
Nursing interventions for PTSD - Answer-Build rapport and trust, stay with pt if
flashbacks occur, encourage pt to discuss grief, assist with coping skills, reassure pt,
crisis interventions, assist pt to identify triggers,
Moderate anxiety - Answer--Attention span, perceptual field, and concentration
decreases,
-May be able to follow directions, need help with problem-solving
Nurse is calm and is present with patient and is reassuring
Severe anxiety - Answer--Perceptual field, ability to concentrate, attention span, and
ability to complete simple tasks are VERY LIMITED.
-PHYSICAL SIGNS and sx develop
Nurse gives simple brief instructions
Panic Anxiety - Answer-Symptoms similar to cardiac emergencies
-unable to focus, withdrawn or agitated, loss of contact with reality
QUESTIONS WITH VERIFIED
ANSWERS
What hormone is associated to the etiology of schizophrenia? - Answer-High levels
of Dopamine
Positive Shizophrenia symptoms - Answer-Caused by excessive dopamine.
Delusions, hallucinations, speech patterns, disorganized behavior
Negative schizophrenia symptoms - Answer-Caused by structural problems in the
emotional center of the brain.
Lack of emotional expression, anhedonia, avolition, alogia.
SCHIZOPHRENIA Delusions - Answer-Faulty beliefs
Persecutory (someone trying to harm me), Conjugal (jealous), Grandiose (belief of
being extremely gifted), Religious (over-involvement in religious practices), Somatic
(belief of odd sensations involving body),
Nihilistic (the belief that one is dead), Erotomanic (believes that someone with
elevated social status loves them), external control, Reference ( belief external
events applies to oneself)
SCHIZOPHRENIA Disorganized speech patterns - Answer-Looseness of
association(illogical sentences that make sense), Word salad (odd mixing of words),
Clang (rhyming of all sentences), Neologism (private language), Echolalia (repeats
everything, circumstantiality (talking around the point of conversation), Tangentiality
(speech is moving away from theme),
SCHIZOPHRENIA Hallucinations - Answer-faulty perceptions responding to internal
stimuli, involves FIVE SENSES.
SPECIAL CONCERN-COMMAND HALLUCINATIONS
SCHIZOPHRENIA Disorganized behavioral patterns - Answer-Declines overall
functioning of ADL's, unpredictable/inappropriate responses, behaviors that appear
bizarre with no purpose, lack of inhibition or impulse control, Catatonia (extremes of
cannot move or respond and then overexcited and copying movements)
SCHIZOPHRENIA Negative Symptoms - Answer-Lack of emotional
expression( FLAT AFFECT) (ANHEDONIA), AVOLITION, ALOGIA
SCHIZOPHRENIA cognitive symptoms - Answer-poor executive functioning,
difficulty focusing or paying attention, difficulty working with memory.
Nursing care for schizophrenic pt - Answer-Assess safety, empathy, education,
reassurance, statement of safety
, Extra pyramidal side effects (EPS) - Answer--Dystonia (painful contractions from
neck up)
-Pseudoparkinsonism (drooling, stiffnes, lack of arm swing when walking, shuffling,
pin rolling, tremor)
-Akinesia- muscle stiffness and weakness
-Akathisia- restlessness
- Oculogryic crisis- uncontrollable
EPS treatment - Answer-benztropine and diphenhydramine
Tardive Dyskinesia (TD) - Answer-Bizarre facial and tongue movements, stiff neck,
odd movements to arms and legs, difficulty swallowing,
Neuroleptic Malignant Syndrome (NMS) - Answer-severe muscle rigidity, elevated
temperature (up to 107), tachycardia, tachypnea, fluctuations in bp, diaphoresis,
rapid deterioration of mental status, coma, death
Response to NMS - Answer-STOP MEDS IMMEDIATELY, monitor vitals, notify hcp,
prep for respiratory support, cooling measures, IV fluids, parlodel (increases
dopamine), prepare to administer muscle relaxants
PTSD - Answer-occurs after a traumatic event.
symptoms can resurface as late as 3 months after the event, **symptoms NEED TO
BE PRESENT FOR AT LEAST 1 MONTH for diagnosis**
Major manifestations of PTSD - Answer-Re-experiencing flashbacks/reliving event,
hyper-arousal, avoidance of people and places associated with event
Non-pharmacologic treatment for PTSD - Answer-desensitization therapy, relaxation,
cbt, psychotherapy, group therapy, eye movement desensitization therapy (EMDT)
Pharmacologic tx for ptsd - Answer-Paroxetine (Paxil), Sertraline (zoloft), Trazodone
(helps for sleeping)
Nursing interventions for PTSD - Answer-Build rapport and trust, stay with pt if
flashbacks occur, encourage pt to discuss grief, assist with coping skills, reassure pt,
crisis interventions, assist pt to identify triggers,
Moderate anxiety - Answer--Attention span, perceptual field, and concentration
decreases,
-May be able to follow directions, need help with problem-solving
Nurse is calm and is present with patient and is reassuring
Severe anxiety - Answer--Perceptual field, ability to concentrate, attention span, and
ability to complete simple tasks are VERY LIMITED.
-PHYSICAL SIGNS and sx develop
Nurse gives simple brief instructions
Panic Anxiety - Answer-Symptoms similar to cardiac emergencies
-unable to focus, withdrawn or agitated, loss of contact with reality
