psyc test 2

All antidepressant medications interact with the monoamine oxidase inhibitors (MAOIs), causing _____________________

hypertensive crisis

____________________are unwanted intrusive and persistent thoughts, or impulses, that cause anxiety and distress.

obsessions

panic attacks hallucinations inability to function or communicate

panic anxiety

The use of multiple medications concurrently is called ___________________, and it often stems from giving duplicate medications, interacting medications, or drugs to treat adverse drug reactions.

polypharmacy

Mental disorders are often manifested in ___________________ symptoms and physical changes.

psychological

____________________is a cognitive technique that can change the way a situation, event, or person is viewed and reduce the impact of anxiety provoking thoughts.

reframing

__________________is a cognitive technique that can change the way a situation, event, or person is viewed and reduce the impact of anxiety provoking thoughts.

reframing

The nurse-patient relationship is paramount in psychiatric nursing because the most important tool of psychiatric nursing is the ___________.

self

ineffective problem solving automatic behaviors and thoughts hyperventilation

severe anxiety

A lack of social support has been linked to the rate of _________________ in the older adult population, which is consistently higher than in any other age group.

suicide

An easy ___________________ is one that is adaptive, of low intensity, and reflects a positive mood.

temperament

When a child gets a job and moves away from home, this is an example of a first-order change in the family life cycle.

dysfunctional

_______________ _______________contain statements that are positively oriented and pertain to the person's specific obsessions and compulsions.

cue cards

________________is the tendency of individuals to select mates who are similar in genetically linked traits such as intelligence and personality style.

Assortative mating

Children of substance-abusing parents are at higher risk for substance abuse and ______________________ disorders.

Behavior

Examples of the __________________ life cycle for families living in poverty include leaving home, mating, having children, and becoming grandparents at an early age.

Condensed

Emotional __________ occurs when, because of difficulty differentiating from the family, a member flees the family by either moving away or avoiding personal subjects of conversation.

Cutoff

Adolescents display_______________________, which is a preoccupation with one's own appearance, behavior, thoughts, and feelings.

Egocentrism

Although it is not necessary to include significant health problems in a genogram, mental disorders should be included. true or false

False

Few childhood psychiatric disorders appear to be genetically transmitted. True or false

False

In doing an assessment of children, the nurse should use mostly open-ended questions. True or false

False

In the assessment of cognitive functioning, the nurse can rely on observation and chart documentation. true or false

False

Intense sibling rivalry is healthy and can lead to improved social and emotional development later in life. true or false

False

Knowledge of the social domain is important because psychiatric disorders are caused by social factors. true or false

False

Memory loss is a normal part of aging. True or false

False

Nurses, when reporting a case of child abuse, should never do so in the presence of the parents. True or false

False

One in 10 older adults has a significant mental health problem.

False

The biopsychosocial framework consists of four separate but interdependent domains true or false

False

The largest contributor to economic insecurity in older people is the cost of housing. true or false

False

When a child gets a job and moves away from home, this is an example of a first-order change in the family life cycle. True or False

False

Whenever assessing children or adolescents, the child's developmental level will not frame the assessment and implementation of the management plan. true or false

False

A __________________ is a multigenerational schematic diagram that the nurse can use as a framework to explore relationships and patterns of health and illness.

Genogram

A useful screening tool for depression is the GDS, or _______________as it uses a "yes/no" format, which may be easier for older adults.

Geriatric Depression scale

The concept of _________________________, which emphasizes continuing growth in certain dimensions such as spirituality and inner strength, has been proposed as the ninth stage in Erikson's developmental theory.

Gerotranscendence

Overly responsible children whose parents have alcoholism who ignore their own needs to take care of the parents and other children assume the role of _________.

Hero

Unexplained injury in an older person may be a sign of ___________________.

elder abuse

When considering conditions that result in cognitive impairment, which characteristic is associated primarily with dementia, including Alzheimer disease? A. Level of consciousness can be altered dramatically b. Symptoms fluctuate throughout the day c. Initially presents with progressive memory impairment D. Onset of symptoms is acute

Initially presents with progressive memory impairment

With preschool-aged children, doing an assessment in the context of __________ is more helpful than through an adult-like conversation.

Play

Working memory is the ability to temporarily hold information in one's mind while it is being processed, such as remembering to take medication. true or false

True

The practice of psychiatric nursing is regulated by law but guided by ___________ of care.

Standards

_____________ times are the addition, subtraction, or change in status of family members.

Transition

A person may triangulate a third person into a relationship to decrease anxiety. True or False

True

Adolescents who are in Piaget stage of formal operations can better understand death as an abstract concept. True or false

True

Alcohol use is common in the older adult population and is the substance of choice. True or False

True

Another name for collaboration in mental health care is the interdisciplinary approach. true or false

True

Being married is a protective factor for mental illness in older persons true or false?

True

Children develop fixed personality characteristics based on their sibling position in their families.

True

In a well-functioning family, there are clear boundaries and a hierarchy with a strong parental subsystem. True or false

True

In the older population, depressive symptoms are more common than a full-blown depressive disorder. True or false

True

Neurobiologic theories serve as a basis for understanding and administering medications. True or false

True

School-aged children frequently express grief through somatic complaints, regression, or hostility rather than through crying and other intense emotional displays. True or False

True

Suicide rates increase with age.

True

Temperament has a major influence on the chances that a child may experience psychological problems. true or false

True

The biopsychosocial model is an example of a holistic approach true or false?

True

To obtain an accurate profile of the child's symptoms, it is important to interview the child and parent individually. true or False

True

A constitutional predisposition to a disorder is called a___________________?

diathesis

Intelligence includes ________________ intelligence which is knowledge such as language skills or knowledge about a particular topic.

crystallized

_____________________, a fear of open spaces leading to avoidance behaviors, is often seen in panic disorder.

agoraphobia

When patients are prescribed benzodiazepines, they must be educated to avoid _________________?

alcohol

is a term used to describe the dynamic regulatory process that maintains homeostasis through a process of adaptation.

allostasis

is the process where all aspects of the provoking event are considered—the demands, constraints, and resources are balanced with personal goals and beliefs.

appraisal

An important long-term care alternative for the mentally and physically frail is __________________ living, which provides community-based, residential services for those who need help with activities of daily living.

assisted

____________ is the emotional bond between an infant and his or her parental figure.

attachment

Secure __________________ in early childhood produce harmonious parent-child relationships, competent socialization with peers, and the ability to have warm relationships with important adults in the future.

attachments

In clinical situations, there are often conflicts between two fundamental principles, autonomy and _____________________.

beneficence

____________________ after a loss can be classified as a mental disorder only when the symptoms, such as crying, sorrow, agitation, insomnia, poor appetite, persist for 2 months or longer.

bereavement

Individuals with panic disorder should eliminate ________________ from their diets.

caffeine

___________________restructuring is a method of teaching the person to restructure dysfunctional thought processes by defining and testing them.

cognitive

Fostering group______________________ , or the ability to stick together, is especially important for health maintenance groups such as exercise and weight control groups.

cohesion

Because patient records are now readily available and easily accessed, maintaining ____________________ is a challenge faced by psychiatric nurses.

confidentiality

_______________is a deliberate, planned, and psychological activity that may inhibit or override the innate urge to act on an impulse.

coping

Acute stress is an ongoing physiological reaction to events resulting in "wear and tear" on the body and negatively impacting health and well-being.

false

Adolescents with panic disorder may be at lower risk for suicidal thoughts.

false

Antidepressants given to treat OCD are usually given in lower doses than those to treat depression.

false

Emotion-focused coping does not lead to stress reduction.

false

Groupthink, because it strives for unanimity overriding realistic appraisals, is always negative.

false

Men experience anxiety disorders more often than women.

false

Patients with OCD generally describe their compulsions as pleasurable.

false

Persons with excoriation disorder only pick at their skin with their fingers.

false

The two most widely studied aspects of cognition are ______________ and memory.

intelligence

Whereas reciprocity is the extent to which there is give and take in a relationship, ________________is the degree of closeness.

intensity

The ________________________is an aspect of egocentric thinking in adolescence that causes teens to view themselves as immune to dangerous situations.

invincibility fable

Because of egocentric thinking, adolescents often view themselves as __________________ and therefore immune to many dangerous situations, such as unprotected sex, fast driving, and drug abuse.

invincible

The term ___________ depression refers to the development of depression or depressive symptoms that impair functioning after 60 years of age.

late-onset

increased alertness heightened perception

mild anxiety

narrowed perception difficulty focusing shorten attention span shaking

moderate anxiety

___________________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.

normal

____________________is chronic self-destructive hair pulling that results in noticeable hair loss.

trichotillomania

A negative feature to the use of buspirone in the treatment of generalized anxiety disorder is the lag in therapeutic effect.

true

A stressful event may precipitate a psychosis.

true

Anxiety disorders are the most common mental disorders treated by health care providers.

true

Conflict is an important and normal part of group development that allows the group to move into the working stage.

true

Hoarding disorder can begin in childhood and last a lifetime

true

Individuals with a type B personality are more relaxed and easygoing and use a problem-solving approach to major problems.

true

Phobia is an irrational fear of an object, person, or situation that leads to a compelling avoidance

true

Small groups work best if they are closed, with no new members being admitted.

true

Social support not only enhances health outcomes and reduces mortality, but it also helps people make needed behavior changes.

true

The most common obsession is the fear of contamination.

true

The preschool-aged child may react more to the parents' distress about a death than to the death itself. True or false

true