Maryville NURS 663 Exam 3 Megadeck Revised

Maryville NURS 663 Exam 3 Megadeck Revised Latest Update - Credible Source with 370 Questions and 100% Verified Detailed Correct Answers Guaranteed

abused child - CORRECT ANSWER: fear, guilt, anxiety, depression, and ambivalence regarding disclosure

Acute phase of schizophrenia - CORRECT ANSWER: Onset or exacerbation of

symptoms with loss of functional abilities. positive s/s

Acute stress disorder dx timeline - CORRECT ANSWER: 3 days to one month

aggressive children - CORRECT ANSWER: had significantly greater relative right frontal brain activity at rest comparitively. Frontal resting brain electrical activity has been hypothesized to reflect the ability to regulate emotion

Alpha2 agonists - CORRECT ANSWER: decrease norepinephrine release, such as, are

Anhedonia - CORRECT ANSWER: inability to experience pleasure

Antiadrenergic agents - CORRECT ANSWER: treat dysregulation of the noradrenergic system in adults and youth with PTSD

Are whites or blacks (adolescents) more likely to drink alcohol? - CORRECT ANSWER: whites

Ask Suicide-Screening Questions (ASQ) toolkit - CORRECT ANSWER: 1. screening

youth ages 10-24 (for patients with mental health chief complaints, consider screening below age 10). 1 / 4

• recommended that screening be conducted without the parent/guardian present.
• Patients who screen positive should receive a brief suicide safety assessment

(BSSA) conducted by a trained clinician to determine if a more comprehensive mental health evaluation is needed

Attachment - CORRECT ANSWER: --develops when a child is repeatedly soothed,

comforted, and cared for, and when the caregiver consistently meets the child's needs --creates love and trust others, to become aware of others' feelings and needs, to regulate his or her emotions, and to develop healthy relationships and a positive self- image

Attachment Neuropsych - CORRECT ANSWER: 1. right hemispheres forge neural

connections between infants subcortical, bodily-based affective states with conscious emotional states in the higher brain regions of the right hemisphere;

• these circuits are vital to emotional processing, empathy and development of self
• Right hemisphere and limbic system develop rapidly during the first year and

responsible for habitual responses to stress

atypical antipsychotic Side effects - CORRECT ANSWER: Weight gain, DM,

dyslipidemia, HoTN, sedation Monitor weight, BP, fasting glucose and lipids Less risk of extrapyramidal sx and hyperprolactinemia Negative symptoms respond well

BCA 0.05 % - CORRECT ANSWER: thought, judgment, and restraint are loosened and

sometimes disrupted.

BCA 0.1 to 0.15 - CORRECT ANSWER: In most states, legal intoxication ranges

BCA 0.1% - CORRECT ANSWER: voluntary motor actions usually become perceptibly

clumsy 2 / 4

BCA 0.2 % - CORRECT ANSWER: the function of the entire motor area of the brain is measurably depressed, and the parts of the brain that control emotional behavior are also affected

BCA 0.3% - CORRECT ANSWER: a person is commonly confused or may become

stuporous

BCA 0.4 to 0.5 % - CORRECT ANSWER: the person falls into a coma. At higher levels, the primitive centers of the brain that control breathing and heart rate are affected, and death ensues secondary to direct respiratory depression or the aspiration of vomitus.

Benzo immediate risks - CORRECT ANSWER: large margin of safety when taken in

overdoses lethal dose to effective dose is about 200 to 1; minimal respiratory depression.

Benzo MOA - CORRECT ANSWER: Stimulation of the inhibitory GABAergic activity,

either by endogenous ligands or _______ or results in sedation, amnesia and ataxia, while attenuation of the GABAergic system leads to arousal, anxiety, restlessness, insomnia and exaggerated reactivity

Benzo w/d mood and cognition - CORRECT ANSWER: Anxiety, apprehension,

dysphoria, pessimism, irritability, obsessive rumination, and paranoid ideation

Benzo w/d perception - CORRECT ANSWER: Hyperacusis, depersonalization, blurred

vision, illusions, and hallucinations

Benzo w/d phys s/sx - CORRECT ANSWER: Tachycardia, elevated blood pressure,

hyperreflexia, muscle tension, agitation/motor restlessness, tremor, myoclonus, muscle and joint pain, nausea, coryza, diaphoresis, ataxia, tinnitus, and grand mal seizures 3 / 4

Benzo w/d sleep - CORRECT ANSWER: Insomnia, altered sleep-wake cycle, and

daytime drowsiness

Benzo w/d timeline - CORRECT ANSWER: onset of withdrawal symptoms usually

occurs 2 to 3 days after the cessation of use, but with long-acting drugs, the latency before onset can be 5 or 6 days

benzodiazepines - CORRECT ANSWER: no controlled trials supporting use in children

benzodiazepines w/d - CORRECT ANSWER: anxiety, dysphoria, intolerance for bright lights and loud noises, nausea, sweating, muscle twitching, and sometimes seizures

Benzos w/d states - CORRECT ANSWER: recurrence: return of the original anxiety sx rebound: worsening of the original anxiety sx rue withdrawal emergence of new sx

Best treatment for borderline personality - CORRECT ANSWER: DBT

Best treatment for ODD - CORRECT ANSWER: Family Therapy-reinforce positive

behaviors

biological factors addiction - CORRECT ANSWER: Genetic vulnerability (accounts for 40-60%). Birth.Adoption.Diet and nutrition.Mental disorders.Disease and illness or other medical disorder. Withdrawals and cravings.

biopsychocial model addiction - CORRECT ANSWER: inherited and an induced

biological component to addictive disorders but also psychological-behavioural and

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