Download SPSYH EXAM QUESTIONS AND ANSWERS and more Exams Nursing in PDF only on Docsity!
WITH CORRECT ANSWERS (SCORE A)
simultagnosia - correct answers Inability to comprehend more than one element of visual scene at a time anosognosia - correct answers Ignorance of illness apraxias - correct answers Inability to carry out specific tasks astereognosis - correct answers Inability to recognize objects by touch adiadochokinesia - correct answers Inability to perform rapid alternating movements Name four disturbances of attention - correct answers Hypervigliance, selective inattention, distractibility, trance What is hypervigilance? - correct answers excessive attention and focus on all internal and external stimuli What is selective inattenion? - correct answers Blocking out only things that generate anxiety What is distractability? - correct answers Inability to concentrate attention
WITH CORRECT ANSWERS (SCORE A)
What is trance? - correct answers focused attention and altered consciousness Name 4 disturbances in preception - correct answers Hallunications, hypagonic experiences, depersonalization, and derealization Name 5 physiological disturbances associated with mood - correct answers anorexia, hyperphagia, insomnia, hypersomnia, durinal variation What is hyperphagia? - correct answers increased appiette or intake of food What is hypersomnia? - correct answers excessive sleeping What is durinal variation? - correct answers mood regularly worse in the morning, immediately after waking, then improves as the day goes on The loss of normal speech melody is? - correct answers Dysprosody The repetitive fixed pattern of physical action or speech is? - correct answers Sterotypy The pathological imiatation of movements of one's person is? - correct answers Echopraxia
WITH CORRECT ANSWERS (SCORE A)
Narcolepsy - correct answers Sudden attacks of irresistible sleepiness Klein-Levin Syndrome - correct answers affects young men, periods of sleepiness alternate with confusional states, ravenous hunger and protracted sexual activity Nocturnal myoclonus - correct answers repetitive myoclonic jerking of the legs, awakening both patients and their partners Describe Cluster A personality disorders - correct answers odd, ecentric Describe Cluster B personality disorders - correct answers dramatic, emotional, erratic Describe Cluster C personality disorders - correct answers anxious and fearful Name the personality disorders in Cluster A - correct answers paranoid, schizoid, schizotypal Name the personality disorders in Cluster B - correct answers borderline, histronic, narcissitic, and antisocial
WITH CORRECT ANSWERS (SCORE A)
Name the personality disorders in Cluster C - correct answers avoidant, dependent, obsessive-compulsive Describe Deja vu - correct answers regarding a new situation as a repetition of a previous experience Describe Deja entendu - correct answers an illusion of auditory recognition Describe Deja pense - correct answers regarding a new thought as a repetition of a previous thought Describe Jamais vu - correct answers feeling an unfamiliarity with a familiar situation Which of the following is not an example of reconstructive psychotherapy: psychodrama freudian analysis kleinian analysis alderian therapy brief dynamic therapy - correct answers Psychodrama Who popularized Gesalt therapy? - correct answers Fritz Perls
WITH CORRECT ANSWERS (SCORE A)
School age children include what age group and developmental task? - correct answers Ages 6-12, Industury vs. inferiority Identity vs. Role confusion occurs at what age? - correct answers Adolescence- age 12 - 20 Early adulthood includes what ages and developmental task? - correct answers age 20 - 35 Intimacy vs. isolation Generativity vs. stagnations occurs with what age group? - correct answers Middle Adulthood- ages 35- 65 Late adulthood includes what ages and developmental task? - correct answers > Intergrity vs. despair Correctly identify Erikson's stages of development. - correct answers Infants(0-1) Trust vs. Mistrust Early Childhood (1-3) Autonomy vs. shame and doubt Late Childhood (3-6) Initiative vs. guilt School age (6-12) Industry vs. Inferiority
WITH CORRECT ANSWERS (SCORE A)
Adolescence (12-20) Identity vs. role confusion Early Adulthood (20-35) Initmacy vs. isolation Middle Adulthood (35- 65 ) Generativity vs. stagnation Late Adulthood (>65) Intergrity vs. despair Identify these typical antipsychotics: haloperidol thioridazine thiothiexene fluphenazine trifluoperazine chlorpromazine - correct answers Haldol Mellaril Navane Prolixin Stelazine Thorazine Name some medications that can induce depression (7) - correct answers Beta Blockers (Propanolol) Steriods Interferon Accutane Neoplastic drugs Benzodiazepines Progesterone
WITH CORRECT ANSWERS (SCORE A)
Hint: LIMP - correct answers Language-expressive Broca's Intelligent- higher cognitive functioning, working memory Motor Personality Describe receptive and expressive aphasia - correct answers expressive aphasia- unable to get out what you want receptive aphasia- unable to understand The functions the temporal lobes are assocaited with? Hint: LAME - correct answers Language- receptive- Wernicke's Affect Memory Emotion The functions the parietal lobes are associated with? Hint: VAST - correct answers Visual Spacial Processing Assocation- intergation of sensory info
WITH CORRECT ANSWERS (SCORE A)
Symbolic recognition Topographical sense The functions the occiptial lobes are associated with? Hint: VIP - correct answers Visual Intergration area- synthesis of visual info Primary visual cortex Agoraphobia - correct answers Fear of having a panic attack in public and having no means of escape Acrophobia - correct answers Fear of heights Algophobia - correct answers fear of pain Eremophobia - correct answers fear of being alone Gamophobia - correct answers fear of marriage Ochlophobia - correct answers fear of crowds
WITH CORRECT ANSWERS (SCORE A)
Does imipramine (Tofranil)have an approved use in children? - correct answers Yes, because it has a safety record with children and is used for:
- Betwetting
- ADHD What 2 antidepressants combine the effects on norepinephrine and seratonin? - correct answers 1. venlafaxine (Effexor)
- duloxetine (Cymbalta) Name the 6 SSRIs - correct answers 1. sertraline (Zoloft)
- fluoxetine (Prozac)
- citalopram (Celexa)
- escitalopram (Lexapro)
- paroxetine (Paxil)
- fluvoxamine (Luvox) How is fluvoxamine different from the other 5 SSRIs? - correct answers Primarily for OCD- has fewer side effects What are the side effects of SSRIs? - correct answers 1.nausea 2.drowsiness or somnolence 3.headache
WITH CORRECT ANSWERS (SCORE A)
4.clenching of teeth 5.extremely vivid and strange dreams 6.dizziness 7.changes in appetite 8.weight loss/gain 9.changes in sexual behaviour (anorgasmia, erectile dysfunction, and diminished libido) 10.increased feelings of depression and anxiety (which may sometimes provoke panic attacks) 11.tremors 12.autonomic dysfunction including orthostatic hypotension, increased or reduced sweating 13.akathisia 14.liver or renal impairment 15.thoughts of suicide 16.depersonalization (derealization) What is serotonin syndrome? - correct answers 1. A rare, but potentially life- threatening adverse drug reaction
- It is a consequence of excess serotonergic activity at central nervous system (CNS) and peripheral serotonin receptors.
WITH CORRECT ANSWERS (SCORE A)
What is venlafaxine (Effexor)? - correct answers A selective serotonin norepinephrine reuptake inhibitor (SNRI). What is venlafaxine (Effexor) prescribed for? - correct answers 1. Major Depression
- OCD
- Generalized Anxiety Disorder What are the advantages of venlafaxine (Effexor)? - correct answers 1. Less dangerous in overdose than TCAs
- May have a faster onset of therapeutic effect What are the disadvantages of venlafaxine (Effexor)? - correct answers It can increase blood pressure, so it requires frequent monitoring What are nefazodone (Serzone) and trazodone (Desyrel)? - correct answers They are serotonin-2 antagonists/reuptake inhibitors (SARIs) What are the common side effects of trazodone (Desyrel)? - correct answers 1. Sedation
- Orthostatic hypotension
- Dizziness
- Headache
WITH CORRECT ANSWERS (SCORE A)
- Nausea
- Priapism (rare; long-lasting penile erection) Which anxiolytic reduces anxiety without sedation and does not appear to be addictive or subject to abuse - correct answers buspirone (Azapirone) Contrast dementia with delirium. - correct answers Dementia - Delirium
- chronic/insidious - acute/rapid
- sensorium unimpaired early - sensorium clouded
- normal level of arousal - agitation or stupor
- usually progressive & deteriorating - often reversible
- common in nursing homes & psych hospitals - common on medical, surgical, & neuro wards Describe Alzhemier's Disease - correct answers Irreversible cause of dementia 50 - 60% of degenerative dementias. Insidious onset. Death 8-10 yrs after symptoms recognized. Physical findings generally absent or present only in later stages (hyperreflexia, Babinski, frontal lobe release signs). May experience illusions, hallucinations, or delusions. Cortical atrophy, enlarged cerebral ventricles
WITH CORRECT ANSWERS (SCORE A)
- leaving the bed & not returning until drowsy if sleep does not begin w/in a set period (20-30 min)
- avoiding napping
- exercising at least 3-4x/week (not in evenings)
- discontinuing or reducing the consumption of alcoholic beverages, beverages containing caffeine, cigarettes, & sedative-hypnotic drugs What are the findings in genetic studies of panic disorder? - correct answers hereditary. 20% for 1st degree relatives w/disorder [2% control]. 45% for identical twins 15% for fraternal twins What is the pharmacological treatment of panic disorder? - correct answers [medication & psychotherapy] SSRIs effective 70-80% SNRI venlafaxine also effective Distinction between autism, mental retardation, & learning disorders? - correct answers AUTISM: uneven profile of functional intellectual abilities MR: subnormal intelligence + deficits in adaptive functioning LEARNING DISORDERS:individual is performing markedly below a level expected in one area on the basis of a person's IQ
