Exam 3 Unit 4 From Study Guide.

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  • 1/37 Questions

    What are the 3 steps to take when approaching a smoker? In order.

    • Ask, advise, refer
    • Ask, shame, refer
    • Advise, refer and ask
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About This Quiz

This quiz from the study guide for Exam 3 Unit 4 focuses on understanding mood and affect, identifying major depressive disorder, engaging smokers, recognizing SSRI medications, exploring theories of depression, and identifying postpartum depression. It assesses comprehension of psychological health issues relevant to clinical settings.

Exam 3 Unit 4 From Study Guide. - Quiz

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  • 2. 

    A type of depression that lasts 2 weeks and begins within 4 weeks of delivery and affects 10-15% of all mothers is?

    • Prepartum Depression

    • Postpartum Depression

    • Oremenstral Dysphoric Disorder

    Correct Answer
    A. Postpartum Depression
    Explanation
    The above is the exact description for postpartum depression.

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  • 3. 

    The Nursing Diagnosis of greatest concern when dealing with a patient suffering from MDD and BiPolar disorder is?

    • Risk for infection

    • Self care deficit

    • Risk for suicide

    • Ineffective airway clearance

    Correct Answer
    A. Risk for suicide
    Explanation
    The Nursing Diagnosis of greatest concern when dealing with a patient suffering from MDD and BiPolar disorder is "Risk for suicide." Patients with these disorders are at a higher risk for suicidal thoughts and behaviors due to the nature of their mental health conditions. It is crucial for healthcare professionals to closely monitor and assess these patients for any signs of suicidal ideation or intent, and to implement appropriate interventions to ensure their safety and well-being.

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  • 4. 

    It is safe to stop antidepressants without tapering medication dosage?

    • True

    • False

    Correct Answer
    A. False
    Explanation
    All antidepressive drugs need to be tapered when stopping them.

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  • 5. 

    One dose of cocaine can lead to dependence.

    • True

    • False

    Correct Answer
    A. True
    Explanation
    One dose of cocaine can indeed lead to dependence. Cocaine is a highly addictive drug that affects the brain's reward system, leading to a strong desire for continued use. Even a single use can trigger intense cravings and a cycle of addiction. The powerful effects of cocaine on the brain can quickly lead to dependence, where the individual feels the need to use the drug regularly to function normally. This dependence can have severe consequences on a person's physical and mental health, as well as their relationships and overall well-being.

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  • 6. 

    Patient reports internal feelings. Is this the patients Mood or Affect?

    • Mood

    • Affect

    Correct Answer
    A. Mood
    Explanation
    Affect is an Objective presentation of ones mood. It is the outward expression of mood.

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  • 7. 

    This firstline antidepressant class of drugs is the safest and has the lowest amount of side effects. They include HA, Insomnia, Weight Gain and Sexual Dysfunction.

    • MAOI's

    • TCA's

    • SSRI's

    Correct Answer
    A. SSRI's
    Explanation
    SSRI's (Selective Serotonin Reuptake Inhibitors) are a type of antidepressant medication that is considered the safest and has the lowest amount of side effects compared to other classes of antidepressants such as MAOI's (Monoamine Oxidase Inhibitors) and TCA's (Tricyclic Antidepressants). SSRI's are commonly prescribed for conditions like depression, anxiety, and obsessive-compulsive disorder. They work by increasing the levels of serotonin, a neurotransmitter in the brain, which helps improve mood and reduce symptoms of depression. While they can still have side effects like headaches, insomnia, weight gain, and sexual dysfunction, they are generally better tolerated and have a lower risk of severe side effects compared to other antidepressant classes.

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  • 8. 

    Pt comes the clinic who is very talkative, wearing brightly colored clothing and becomes easily distracted. She comes from a well to do family. Which mood disorder is suspected?

    • Bipolar Disorder

    • MDD

    • Dysthymic Disorder

    Correct Answer
    A. Bipolar Disorder
    Explanation
    The given information suggests that the patient displays symptoms of being talkative, easily distracted, and wearing brightly colored clothing, which are consistent with symptoms of mania. Additionally, the fact that the patient comes from a well-to-do family suggests that she may have access to resources that could contribute to a diagnosis of bipolar disorder. Bipolar disorder is characterized by episodes of mania and depression, and the symptoms described align more closely with mania rather than major depressive disorder (MDD) or dysthymic disorder. Therefore, bipolar disorder is the most likely mood disorder suspected in this case.

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  • 9. 

    Pt comes to the clinic and tells the nurse that she is going to change the brand of lithium she takes when she gets her next refill. What should the nurse do?

    • Nothing that is fine

    • Advise her to speak with the PCP as lithium bioavilibility is different from manufacture to manufacture.

    • Evcourage her to seek the best price when choosing her lithium source

    Correct Answer
    A. Advise her to speak with the PCP as lithium bioavilibility is different from manufacture to manufacture.
    Explanation
    Lithium is very specific by manufacture and changing brands can have a significant impact on the lithium level.
    Also take lithium with food and any theraputic effect draws should be conducted 12 hours after last dose.

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  • 10. 

    You notice a person trying to give away their posessions, exhibits signs of depression and is becoming more socially isolated. Late in this observation you notice an unusual happiness in the patient. What is the most important thing you should be thinking?

    • Suicide attempt pending

    • Pt has MDD

    • Bipolar Disorder

    • Postpartum Depression

    Correct Answer
    A. Suicide attempt pending
    Explanation
    These are signs of a person planning and deciding to attempt suicide.

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  • 11. 

    The most common abused drug is?

    • Cocaine

    • Meth

    • Marijuana

    • Alcholol

    Correct Answer
    A. Alcholol
    Explanation
    Alcohol is considered the most commonly abused drug due to its wide availability, social acceptance, and legal status. It is easily accessible and often consumed in excessive amounts, leading to various health and social problems. Alcohol abuse can result in addiction, liver damage, impaired judgment, and increased risk of accidents and violence. It is important to note that while other drugs such as cocaine, meth, and marijuana are also abused, alcohol surpasses them in terms of overall prevalence and societal impact.

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  • 12. 

    50% of all depressive patients also abuse substances such as alcohol and drugs?

    • True

    • False

    Correct Answer
    A. True
    Explanation
    Many depressive patients also engage in substance abuse, such as alcohol and drugs, as a form of self-medication or to cope with their symptoms. Substance abuse can provide temporary relief or numbness, but it ultimately exacerbates the depressive symptoms and can lead to a vicious cycle of worsening mental health. Therefore, it is true that 50% of all depressive patients also abuse substances.

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  • 13. 

    SSRI's side effects are worst in the first week and tend to get better after that?  T/F

    • True

    • False

    Correct Answer
    A. True
    Explanation
    SSRI's (Selective Serotonin Reuptake Inhibitors) are a type of medication commonly prescribed for the treatment of depression and anxiety. It is true that the side effects of SSRIs are often most pronounced in the first week of treatment and tend to improve over time. This is because it takes some time for the body to adjust to the medication, and as it does, the side effects typically become less severe. It is important for patients to communicate any concerns or persistent side effects with their healthcare provider to ensure the appropriate management of their medication.

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  • 14. 

    Attempting activities related to suicide such as cutting and talking about the idea of suicide is called?

    • Suicide

    • Parasuicied

    • Personality disorder

    Correct Answer
    A. Parasuicied
    Explanation
    Paresuicied includes all activities related to suicide up to completion of suicied.

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  • 15. 

    The need for increased doses to achieve the same effect is called?

    • Withdrawal

    • Tolerance

    • Dependence

    Correct Answer
    A. Tolerance
    Explanation
    When a person is tolerant they need increased doses to achieve the same effect.

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  • 16. 

    Flash backs and mystical experiences are common with which drug type?

    • Cocaine

    • Meth

    • Hallucinogens

    • Mary Jane

    Correct Answer
    A. Hallucinogens
    Explanation
    Hallucinogens are a type of drug that can cause flashbacks and mystical experiences. These drugs, such as LSD or magic mushrooms, alter perception and can lead to hallucinations, sensory distortions, and a distorted sense of time. Flashbacks are spontaneous recurrences of the drug's effects, even after the drug has worn off. These experiences can be intense and may include vivid visual imagery, spiritual or mystical feelings, and a sense of connection to the universe. Therefore, hallucinogens are commonly associated with flashbacks and mystical experiences.

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  • 17. 

    The theory that explains depression ocurring becasue things just happen to me or I have no control over the outcome I deserved it is?

    • Cognitive Theory

    • Learned helplessness

    • Life events

    Correct Answer
    A. Learned helplessness
    Explanation
    Learned helplessness is the theory that a person has no control over outcomes and everything that happens negative is that persons fault anyway.

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  • 18. 

    According to stastics of which Socioeconomic Status would this patient likely be?

    • High SES

    • Low SES

    Correct Answer
    A. Low SES
    Explanation
    MDD typically have a lower income/social status. Bipolar disease typically affects the higher social classes.

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  • 19. 

    —Co-worker's responsibilities: ◦Clear documentation (dates, times, events, consequences) ◦Report facts to nurse manager ◦Nurse manager then takes facts to nursing administration These are the proper steps if you suspect a nurse is abusing medications

    • True

    • False

    Correct Answer
    A. True
    Explanation
    The given answer is true because it outlines the correct steps to follow if you suspect a nurse is abusing medications. Clear documentation of dates, times, events, and consequences is important to have evidence of the suspected abuse. Reporting these facts to the nurse manager allows them to gather the necessary information and take it to nursing administration for further action. Following these steps ensures that the issue is properly addressed and investigated.

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  • 20. 

    More severe signs that manifest at 48-72 hours and can last 2-3 days is called?

    • Alcohol withdrawal

    • Alcohol withdrawal delirium

    • Dependance

    Correct Answer
    A. Alcohol withdrawal delirium
    Explanation
    Alcohol withdrawal delirium refers to the more severe signs that occur 48-72 hours after stopping alcohol consumption and can last for 2-3 days. This condition is characterized by symptoms such as confusion, disorientation, hallucinations, agitation, and tremors. It is a serious and potentially life-threatening condition that requires medical intervention. Dependence, on the other hand, refers to a state where a person relies on alcohol to function normally and experiences withdrawal symptoms when they stop drinking.

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  • 21. 

    Peak age for substance abuse is 18-20?

    • True

    • False

    Correct Answer
    A. True
    Explanation
    The peak age for substance abuse is commonly considered to be between 18-20 years old. This is because during this period, individuals are often transitioning from adolescence to adulthood, facing new challenges and increased independence. Factors such as peer pressure, stress, and curiosity can contribute to experimentation with drugs and alcohol. Additionally, this age range coincides with major life changes such as starting college or entering the workforce, which can further influence substance abuse patterns. Therefore, it is true that the peak age for substance abuse is 18-20.

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  • 22. 

    Hysteria and nervousness are the 2 common signs of depressant withdrawal at 3 days out.

    • True

    • False

    Correct Answer
    A. True
    Explanation
    Hysteria and nervousness are indeed common signs of depressant withdrawal at 3 days out. This means that individuals who have been using depressants and suddenly stop may experience these symptoms as their body adjusts to the absence of the substance. These signs can be distressing and may require medical support to manage effectively.

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  • 23. 

    Which medications fall into the SSRI class below?

    • Fluoxetine (prozac)

    • Paroxetine (paxil)

    • Sertraline (zoloft)

    • Amatriptyline (elavil)

    Correct Answer(s)
    A. Fluoxetine (prozac)
    A. Paroxetine (paxil)
    A. Sertraline (zoloft)
    Explanation
    Fluoxetine (Prozac), Paroxetine (Paxil), and Sertraline (Zoloft) are all selective serotonin reuptake inhibitors (SSRIs). These medications are commonly prescribed to treat depression and anxiety disorders by increasing the levels of serotonin in the brain. Amatriptyline (Elavil), on the other hand, is a tricyclic antidepressant and does not belong to the SSRI class.

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  • 24. 

    The disorder that affects a persons social, and occupational function and has no history of manic episodes is?

    • Bipolar Disorder

    • Major Depressive Disorder

    • Anorexia

    • Dysthymic Disorder

    Correct Answer
    A. Major Depressive Disorder
    Explanation
    Dysthymic disorder effects the above but the person is able to function in both settings MDD limits function within the two. IE missed work and canceled public outings.

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  • 25. 

    Depression, paranoia, lethargy, anxiety, insomnia, nausea, vomiting, sweating, chills are all withdrawal symptoms from? Keep in mind withdrawal symptoms like these are the opposite of the drugs effects.

    • Morphine

    • Codeine

    • Barbiturates

    • Cocaine

    Correct Answer
    A. Cocaine
    Explanation
    Withdrawal symptoms such as depression, paranoia, lethargy, anxiety, insomnia, nausea, vomiting, sweating, and chills are commonly associated with cocaine withdrawal. These symptoms occur when a person stops using cocaine after prolonged and heavy use. Cocaine is a stimulant drug that increases energy, alertness, and euphoria. When the drug is no longer present in the body, the opposite effects are experienced, leading to withdrawal symptoms.

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  • 26. 

    Patient comes into the clinic in with poor personal appearance and appears to be slow in his physical movements. He reports anxiety and makes no attempt to interract with anyone in the office. He reports no Manic episodes. He states he feels this way most days and for longer then 2 weeks. Which mood disorder is he suffering from?

    • Dysthymic Disorder

    • Bipolar Disorder

    • Major Depressive Disorder

    Correct Answer
    A. Major Depressive Disorder
    Explanation
    The clients signs and symptoms are typical of MDD. He also reports no Mania which would rule out Bipolar Disorder.

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  • 27. 

    The two most important or prevelant risk factors for a Major Depressive Disorder are?

    • Family History

    • Age

    • Prevoius depressive history

    • Male Gender

    Correct Answer(s)
    A. Family History
    A. Prevoius depressive history
    Explanation
    Family History and prevoius bouts of depression are the two greatest risk factors. Females between the ages of 15 and 40 have twice the ocurrance of depression then males of the same age and depression ocurrs in all ages.

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  • 28. 

    Non-Pharmacological interventions for treatment of MDD include which of the following?

    • Gradual increase of activities

    • Low stimulus environment

    • Use of theraputic groups

    • Helping a client alter negative thoughts

    • Utilizing social support groups

    Correct Answer(s)
    A. Gradual increase of activities
    A. Low stimulus environment
    A. Use of theraputic groups
    A. Helping a client alter negative thoughts
    A. Utilizing social support groups
    Explanation
    All of these activities are means of helping a client with MDD.

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  • 29. 

    This antidepressant should be given initially in a low dose and titrated slowely upward. This drug class also exhibits anticholinergic like side effects: Dry mouth, urinary retention and constipation. Also weight gain is seen and a common reason for noncompliance. This med is given at night because it has sedative effects and to minimize other side effects.

    • SSRI's

    • TCA's

    • MAOI's

    Correct Answer
    A. TCA's
    Explanation
    Tricyclic antidepressants (TCA's) are known to have anticholinergic side effects such as dry mouth, urinary retention, and constipation. They are also associated with weight gain, which can lead to noncompliance. TCA's are typically started at a low dose and gradually increased to minimize side effects. They are often given at night due to their sedative effects and to help minimize other potential side effects.

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  • 30. 

    MAOI's are the most dangerous antidepressant. Which substance increases the cardiogenic effects of the MAOI's?

    • Tyramine

    • Thyroxine

    • Serotonin

    • GABA

    Correct Answer
    A. Tyramine
    Explanation
    Tyramine increases the cardiogenic side effects of MAOI's. Increase in tyramine can lead to hypertensive crisis, CVA, Hemorrage and MI. Monitor BP often on this drug.
    Red wine, aged cheese (includes cheddar), beer, caffeine, yogurt, sour cream, soy sauce etc.

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  • 31. 

    Which of the following are depressants?

    • Cocaine

    • Morphine

    • Heroin

    • Codeine

    Correct Answer(s)
    A. Morphine
    A. Heroin
    A. Codeine
    Explanation
    Cocaine is a stimulant.

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  • 32. 

    Symptoms of "shakey inside", hyper alertness, easily startled, irratibility and jerky mvmts are signs of blank withdrawal in the first 48 hours.

    • Alcohol

    • Meth

    • Cocaine

    • LSD

    Correct Answer
    A. Alcohol
    Explanation
    Symptoms such as "shakey inside", hyper alertness, easily startled, irritability, and jerky movements are indicative of alcohol withdrawal in the first 48 hours. Alcohol withdrawal occurs when an individual who is dependent on alcohol suddenly stops or reduces their alcohol consumption. These symptoms are a result of the body's reaction to the absence of alcohol, and they can range from mild to severe. It is important to seek medical attention when experiencing alcohol withdrawal symptoms, as they can be potentially dangerous and require proper management.

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  • 33. 

    Dilated pupils equals depressant use and constricted pupils equals stimulant use.

    • True

    • False

    Correct Answer
    A. False
    Explanation
    Just the opposite. One way to remember this is that if a persons sympathetic nervous system is stimulated they need to see better for fight or flight. Stimulants mimic the sympathetic nervous system.

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  • 34. 

    Symptoms of alcohol withdrawal delirium are?

    • Tachy Elevated BP

    • Szr

    • Decreased Temp.

    • Visual tactile hallucinations

    • Disoriented

    • Paranoid delusions

    Correct Answer(s)
    A. Tachy Elevated BP
    A. Szr
    A. Visual tactile hallucinations
    A. Disoriented
    A. Paranoid delusions
    Explanation
    All are signs of alcohol withdrawal delusions accept the temp will rise to 100-103f.

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  • 35. 

    The median age for bipolar disorder is 18-20.

    • True

    • False

    Correct Answer
    A. True
    Explanation
    The given statement is true because bipolar disorder typically begins in late adolescence or early adulthood, with the average age of onset being in the late teens to early twenties. This age range is considered the median age for bipolar disorder. However, it is important to note that bipolar disorder can also develop earlier or later in life, so this age range is not definitive for everyone.

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  • 36. 

    Signs and symptoms of depressant withdrawal first 24 hours include:

    • Water eyes

    • Sneezing

    • Yawning

    • Sweating

    Correct Answer(s)
    A. Water eyes
    A. Sneezing
    A. Yawning
    A. Sweating
    Explanation
    The signs and symptoms of depressant withdrawal within the first 24 hours include watery eyes, sneezing, yawning, and sweating. These symptoms are commonly experienced during withdrawal from depressant substances such as alcohol or sedatives. Watery eyes and sneezing can be a result of the body's attempt to eliminate toxins, while yawning and sweating are often associated with the body's efforts to regulate its temperature and cope with the withdrawal process. These symptoms may vary in intensity and duration depending on the individual and the specific substance being withdrawn from.

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  • May 11, 2023
    Quiz Edited by
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  • Feb 25, 2012
    Quiz Created by
    Fluid58
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