Psychiatric Skills for Non-Psych Nurses

~ Exam ~

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This test has 51 questions.

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1. Which of the following are major classifications of psychiatric drugs?
  a. Antipsychotics
  b. Antidepressants
  c. Auxiolytics
  d. All of the above
2. Antipsychotics are used to treat: (circle all that are correct)
  a. Hallucinations
  b. Severe Agitation
  c. Severe distortion of judgment.
  d. All of the Above
3. Antipsychotic drugs are selected based on drug effect and side effect profile.
  a. True
  b. False
4. Anticholinergic type side effects are immediately treated by using other medications.
  a. True
  b. False
5. There are several types of EPS (Extrapyramidal side effects).
  a. True
  b. False
6. Acute Dystonia and Parkinsonian-like side effects usually respond to anticholinergic agents.
  a. True
  b. False
7. Akathesia can easily be mistaken for increased psychiatric symptoms.
  a. True
  b. False
8. NMS (Neuroleptic Malignant Syndrome) is untreatable.
  a. True
  b. False
9. Antidepressant drugs work by regulating neurochemical processes in the brain.
  a. True
  b. False
10. Antidepressants are known for their rapid onset of action.
  a. True
  b. False
11. There are no known drugs which cause depression as a side effect.
  a. True
  b. False
12. When a patient is on MADI’s, it is important to notify dietary department.
  a. True
  b. False
13. The atypical antidepressants have fewer side effects.
  a. True
  b. False
14. Lithium is used to treat major depression.
  a. True
  b. False
15. When a patient is on Lithium, blood levels need to be drawn to monitor lithium levels.
  a. True
  b. False
16. The therapeutic level of lithium varies widely from the toxic level.
  a. True
  b. False
17. Some anticonvulsant drugs may be effective in bi-polar individuals who are lithium resistant.
  a. True
  b. False
18. Today’s psychiatric unit cares for patients with multiple health care needs.
  a. True
  b. False
19. Coping skills development is a lifelong process.
  a. True
  b. False
20. Coping strategies are intended to enhance self-esteem.
  a. True
  b. False
21. Anger is often a reaction to feeling powerful.
  a. True
  b. False
22. Choose the correct statement regarding the DSM III R (The Diagnostic and Statistical Manual)
  a. Is the product of a multidisciplinary task force within the field of mental health.
  b. Two psychiatric diagnoses which are prevalent in our culture are: Depressive Disorder and alcohol abuse or dependence.
  c. The DSM III R utilizes a multiaxial system which reflects a biopsychosocial focus.
  d. Axis #1 and #2 reflect psychiatric diagnosis, axis #3 reflects physical disorders and axis #4 and #5 reflect levels of stressors and global functioning.
  e. All of the above.
23. A crisis is a situation which overwhelms an individual’s usual, adequate coping abilities.
  a. True
  b. False
24. Grief reactions are predictable and regimented in appearance; therefore they are easy to identify and fix.
  a. True
  b. False
25. In a crisis situation, it is irrelevant to determine a precipitating event or if the patient has previously had any similar experiences.
  a. True
  b. False
26. Knowledge of resources in your practice setting and access pathways area helpful in effective handling of crisis situations.

  a. True
  b. False
27. Assaults by patients on health care providers is a grossly underreported incident.

  a. True
  b. False
28. Patients assaults on health care providers generally have little recognition of or no emotional impact on the victim.

  a. True
  b. False
29. Stress reduction practiced regularly is essential for prevention of burn-out.
  a. True
  b. False
30. Which of the following is a symptom of depression?
  a. Change in sleep pattern
  b. Frequent tearfulness
  c. Slow gait and speech
  d. Preoccupation with inner thoughts
  e. All of the Above
31. The most significant pieces of data re: suicide risk is whether the patient has a suicide plan.

  a. True
  b. False
32. Direct questions are essential in performing a suicide assessment.
  a. True
  b. False
33. Many people feel ashamed or guilty if they have suicidal thoughts.
  a. True
  b. False
34. Specificity, lethality and availability are the three major aspects of a suicide plan.

  a. True
  b. False
35. Knowledge of hospital policy is essential to deal effectively with the crisis of a suicidal patient.

  a. True
  b. False
36. No-harm contracts are too simple to be effective deterrents to suicide.
  a. True
  b. False
37. Anxiety is associated with anxiety disorders only and does not complicate other psychiatric disorders.

  a. True
  b. False
38. Buspar is the only non benzodiazepine anti anxiety agent.
  a. True
  b. False
39. Benzodiazepines dependence is highly unusual and withdrawal is a brief, simple process.

  a. True
  b. False
40. Alcohol and benzodiazepines act synergistically and taken together can be fatal.

  a. True
  b. False
41. The length of time benzodiazepines remain in the body depends on the half life of the benzodiazepine in use.

  a. True
  b. False
Alcohol withdrawal can be a serious problem in the clinical setting. Indicate the accurate statements regarding alcohol withdrawal.
42. The first signs of alcohol withdrawal may occur 6-8 hours after the last drink.

  a. True
  b. False
43. Autonomic nervous system symptoms of withdrawal may begin about 10-12 hours after the last drink.

  a. True
  b. False
44. Benodiazepines are the drugs of choice for safe alcohol withdrawal.
  a. True
  b. False
45. When high dosages of benzodiazepines are used in withdrawal, a benzodiazepine taper considering the half-life of the drug is indicated.

  a. True
  b. False
46. Depression is the most prevalent mental health problem of old age.
  a. True
  b. False
47. In the elderly, depression is often expressed through physical complaints.
  a. True
  b. False
48. Older adults are often hypersensitive to anxielytic drugs.
  a. True
  b. False
49. Natural Changes of aging slow down drug metabolism and detoxification.
  a. True
  b. False
50. Delirium and dementia are the same process.
  a. True
  b. False
51. The term senility is inter-changeable with Alzheimer’s disease.
  a. True
  b. False