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