Mental Health: Quiz #1

(35 questions, MC, some select all)

1. Functions of major parts of the brain

a. Frontal Lobe
i. The highest most complex for memory cortical function, ability to plan, organize, speaking, thinking,
insight, judgement
b. Parietal Lobe
i. Connected to the limbic system → seed of our emotions
ii. Personality changes
c. Insula
i. Helps determine how intensely we experience
ii. Negative emotions
d. Brain stem
i. Contains the midbrain, pons, medulla
ii. Regulates cardiovascular, unconscious physiological, heartbeat and BP, source of serotonin
iii. Motor control
iv. Pons- sensory information
v. Medulla: swallowing, vomiting, upright body posture, defecating
e. Cerebellum
i. the part of the brain at the back of the skull in vertebrates. Its function is to coordinate and regulate
muscular activity.
f. Hypothalamus​- Body Temperature
g. Limbic System
i. a complex system of nerves and networks in the brain, involving several areas near the edge of the
cortex concerned with instinct and mood. It controls the basic emotions (fear, pleasure, anger) and
drives (hunger, sex, dominance, care of offspring).
2. Anxiety and Anxiety Disorders
a. Page 429- Symptoms- Restless, agitated, ability to focus decreases
b. Phobias- irrational theory of an object, person or situation that leads to avodiness
c. Most common illness treated by healthcare providers
d. Most likely they will have a recovery
e. Have their first episode by age 21
f. Social Anxiety
i. Given a beta blocker (find out which medications)
g. Know different anxiety disorders
i. Panic Disorder
1. Extreme overwhelming fear form of anxiety, when an individual is placed in an life
threatening situation
2. Onset is 20-24
3. Peaks at 10 mins can last 30 mins
4. Symptoms are similar to cardiac, often feel as if they are having a heart attack
5. Fear of dying
6. Effect on the family, needs support and encouragement
7. Nurses need to provide a safe environment. Teaches patient how to manage anxiety.
Education about the medication. Encourage them to keep a daily log→ to determine what
links.

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 8. Panic Control Treatment: cognitive restructuring used in conjunction with medication such
as SSRIs. Goal is to manage the patients therapy. , muscle relaxation.
9. Flooding/Impulsive Therapy- nurses do not do
10. a psychiatric disorder in which debilitating anxiety and fear arise frequently and without
reasonable cause.
11. spontaneous seemingly out-of-the-blue panic attacks and are very preoccupied with the fear
of a recurring attack, occur unexpectedly, sometimes even when waking up from sleep,
usually begins in adulthood
ii. Generalized Anxiety Disorder
1. Symptoms last for 6 months or more
2. Fear and anxiety
iii. Increasing levels of anxiety affect perceptual feel and ability to focus
3. Neurons & Neurotransmitters
a. Synapse
i. Synaptic Cleft
1. Electrical impulse get transmitted into a chemical message which is the release of the
neurotransmitters into the synaptic cleft, whatever is left gets reuptaken by the previous
neuron
ii. Reuptake Process
1. Cellular reuptake- when the 1st neuron reabsorbs the neurotransmitter
b. Neurons
c. Neurotransmitters are released in the synaptic cleft
i. What do neurotransmitters do?
ii. What would an increase in dopamine do?
4. Theorists- Stress-Diathesis, Peplau
a. Diathesis Theory-
b. Peplau Theory-
c. Transference and Countertransference
5. Deinstitutionalization
a. Terrible effect on mental health system
6. Therapeutic Relationship/Therapeutic Communication
a. Questions that the patient says this, you say that
b. Explore the patient feelings
c. Getting them to talk more about their feelings
d. Never want to be dismissive or judgemental
e. Know boundaries
f. Gentle with patients, don’t want to hurt their feelings
7. What inhibits neurogenesis?
a. Alcohol, sugar, soft diet, Vitamin B&D Deficiencies, Sleep deprivation, stress, getting older, high intake of
bad fats
8. What contributes to neurogenesis?
a. Sexual activity, running, exercise & what you eat (good fats, red wine, blueberries, salmon, folic acid, zinc,
chocolate, avocado) give you the lowest risk for illness, foods with low glycemic index
9. Psychopharmacologic treatment
a. Neurotransmitters
10. Crisis page 302-304
a. Different kinds of crisis

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 1. Time limited event that, occurs from stressful events from which previous coping methods
failed to provide appropriate skills
2. Adaptive process occurs within 6 weeks
a. Person can return to previous level of functioning or continue at a higher functioning
level or lower level of functioning which is a negative outcome
b. Nursing Intervention: help patient view event from a different perspective, help them
to use their supports system and help them find new ones, new ways of coping, new
goals, relaxation exercises, muscle relaxation, plan for follow-up care (Nurse has a
direct role)
i. Primary: new coping skills, anticipate transitional life events
ii. Secondary: ensure the patients safety, use support systems
iii. Tertiary: After a person has had a severe criss, want to make sure they are
functioning at their proper level. Take them to an outpatient clinic to get
them meds such as an antidepressant. Treatment would be to get them to a
higher level of functioning.
3. Generally doesn’t last longer than 4-6 weeks
4. Self-limiting in nature
5. Consists of the effect, coping mechanisms, perceptions of the event
b. Three different types of crisis:
i. Adventitious Crisis
1. Occurs accidental, traumatic, human made or caused by nature, catastrophic, injury or
sacrifice, rape, murder, war, riots, fire
2. Earthquake, flood, tsunami, volcano erupted? Wtf
ii. Developmental/Maturational Crisis-​ married, children (Erikson's process)
1. Normal part of development, transitions
iii. Situational Crisis- ​results in social disequilibrium (fired from a job, job promotion, unexpected death
of a loved one, family member’s sudden illness)
iv. Cognitive Behavior Therapy- modeling and conditioning

Pre-Lecture Quizzes
Chapter 8
1. T/F: Mental disorders and their symptoms are an expression of a single gene.
2. T/F: Dopamine is an excitatory neurotransmitter that plays an important role in the generation and maintenance of
mood states.
3. T/F: GABA, the primary inhibitory transmitter for the CNS, has been implicated in the development of anxiety and
seizure disorders,
4. T/F: Varioys endocrine disorders can produce psychiatric symptoms.
5. TF: Laboratory tests measure levels of neurotransmitters in the bloodstream are routinely used to diagnose
psychiatric disorders
6. Working memory is an important aspect of ____________ function, including the ability to plan and initiate activity
with future goals in mind.
7. Basic emotions, needs, drives, and instincts begin and are modulated in the ____________ system.
8. ____________, norepinephrine, and dopamine are the three neurotransmitters most central to the current hypotheses
of mental disorders,
9. Each neurotransmitter has a specific ____________, or protein, for which it, and only it, will fit.
10. Psychoneuroimmunology explores the relationships among the immune, nervous, and ____________ systems.
Chapter 9
1. T/F: Self-awareness is crucial to the establishment and maintenance of therapeutic relationships with patients.

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 2. T/F: If the nurse seeks to support the patient through the decision-making process, giving advice is an important
therapeutic intervention.
3. T/F: When a patient’s verbal and nonverbal communication is contradictory, priority should be given to what the
patient communicated nonverbally.
4. T/F: Defense mechanisms, coping styles that defend against anxiety, and the awareness of internal stressors are
always maladaptive.
5. T/F: Termination begins on the first day of the relationship.
6. Using the priority intervention, ____________ listening, the nurse focuses on what the patient is saying in order to
search for underlying meaning.
7. The development of self-awareness requires a willingness to be ____________ and to examine personal beliefs,
attitudes, and motivation.
8. When using ____________, the nurse uses “I” statements to check out his or her own thoughts and feelings with
another person.
9. ____________ recordings are verbatim transcripts of interactions, which are useful to the nurse as he or she seeks to
learn therapeutic communication.
10. Changing the topic during a conversation is an example of a communication ____________.
Chapter 11
1. T/F: Most psychiatric drugs are safe to take in pregnancy.
2. T/F: Dystonia is characterized by the inability to sit still, restlessness, or pacing.
3. T/F: Early signs of lithium toxicity include severe diarrhea, vomiting, drowsiness, muscular weakness, and lack of
coordination.
4. T/F: Weight gain is a common side effect of the atypical antipsychotics, particularly clozapine and olanzapine.
5. T/F: Anticonvulsants are commonly used to treat patients with bipolar disorder and are considered mood stabilizers
6. Psychiatric medications are indicated for ____________ symptoms, which are specific, measurables, and expected to
improve with treatment.
7. ____________ dyskinesia is the most well known of the chronic movement disorder syndromes caused by
antipsychotic medication.
8. ____________ remains the gold standard treatment for acute mania and maintenance of bipolar disorder.
9. All of the SSRIs inhibit the reuptake of ____________, which is a key neurotransmitter associated with depression.
10. Psychostimulants, such as methylphenidate (Ritalin), are used to treat ____________ in children.
Chapter 18
1. T/F: A stressful event may precipitate a psychosis.
2. T/F: Individuals with a type B personality are more relaxed and easygoing and use a problem-solving approach to
major problems.
3. T/F: Social support not only enhances health outcomes and reduces mortality, but it also helps people make needed
behavior changes.
4. T/F: Emotion-focused coping does not lead to stress reduction,
5. T/F: Acute stress is an ongoing physiological reaction to events resulting in “wear and tear” on the body and
negatively impacting health and well-being.
6. A constitutional predisposition to a disorder is called a ____________.
7. Whereas reciprocity is the extent to which there is give and take in a relationship, ____________is the degree of
closeness.
8. ____________ is the process where all aspects of the provoking event are considered -- the demands, constraints, and
resources are balanced with personal goals and beliefs.
9. ____________ is a term used to describe the dynamic regulatory process that maintains homeostasis through a
process of adaptation.
10. ____________ is a deliberate, planned, and psychological activity that may inhibit or override the innate urge to act
on an impulse.

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Chapter 25
1. TF: Anxiety disorders are the most common mental disorders treated by healthcare providers.
2. T/F: Men experience anxiety disorders more often than women.
3. T/F: Adolescents with panic disorder may be at lower risk for suicidal thoughts,
4. T/F: Phobia is an irrational fear of an object, person, or situation that leads to a compelling avoidance.
5. T/F: A negative feature to the use of buspirone in the treatment of generalized anxiety disorder is the lag in
therapeutic effect.
6. ____________, a fear of open spaces leading to avoidance behaviors, is often seen in panic disorder.
7. When patients are prescribed benzodiazepines, they must be education to avoid ____________.
8. ____________ anxiety is described as being of realistic intensity and duration for the situation and is followed by
relief behaviors intended to reduce or prevent more anxiety.
9. Individuals with panic disorder should eliminate ____________ from their diet.s
10. ____________ is a cognitive technique that can change the way a situation, event, or person is viewed and reduce the
impact of anxiety provoking thoughts.
Chapter 27
1. T/F: The person with PTSD is primarily treated in the community rather than a medical facility as an impatient.
2. T/F: Women are twice as likely as men to experience PTSD.
3. T/F: All persons diagnosed with PTSD develop chronic symptoms.
4. T/F: Many persons suffering with PTSD escape situations by altering their state of consciousness or numbing.
5. T/F: When an older adult experiences trauma, memories of a lifetime of previous traumas and abuse influence the
current experience.
6. ____________ is the capacity to withstand stress and catastrophe.
7. ____________ trauma is an emotional injury caused by an overwhelmingly stressful event that threatens one's
survival and sense of security.
8. After a traumatic experience, the stress alert system goes to a permanent alert, as if danger might return, and is
referred to as ____________.
9. In PTSD, ____________ is defined as involuntary appearance of thoughts, memories, or dreams of traumatic events
that cause psychological and sometimes physiologic distress.
10. ____________, or splitting from self, is a form of coping with extreme anxiety.