Psych exam 3

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Psych exam 3
2010-12-01 20:18:16

exam 3
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  1. Behavior of oppositional defiant disorder are very similar to those of conduct disorder, with the exception that with conduct disorder, you see ________________.
    Violation of the rights of others
  2. ____________ is a repetitve and persistent pattern of behavior in which the basic rights of others or major age appropriate societal norms or rules are violated, as manifested by 3 or more of critera in the past 12 months, with a least 1 criterion present in the last 6 months.
    Conduct disorder
  3. ___________ is characterized by a withdrawal of the child into the self and into a fantasy world of his or her own creation. The child has markedly abnormal or impaired development in social interaction and communication.
  4. ___________: a group of disorders that are characterized by impairemtn in several areas of development, including social interaction skills and interpersonal communication. Included in this category are autistic disorder, Retts disorder, childhood disintegrative disorder, and Asperger's disorder.
    Pervasive Developmental disorders
  5. _________ is marked by repetitive and persistent pattern of behavior in whcih the basic rights of others or major age appropriate societal norms or rules are violated. Physical aggression is common.
    Conduct disorder
  6. _______ is characterized by a pattern or negativistic, defiant, disobedient, and hostile behavior toward authority figures that occurs more frequently than is usually observed in individuals of comparable age and developmental level, and interferes with social, academic, or occupational functioning.
    Oppositional Defiant Disorder (ODD)
  7. In ________, the client has trouble making friends, and is often disobedient and argumentative.
    Oppositional Defiant Disorder (ODD)
  8. For conduct disorder, _______ are used to treat aggression.
  9. For ________, antisychotics, methylphenidate (ritalin), opioid antagonist (naltrexone), Clonidine, SSRIs, Lithium, beta-blockers, buspirone (buspar), and trazadone (desyrel) are used to help treat symptoms.
    Autistic Disorder
  10. 50% of children with Conduct Disorder become adults with _________________.
    Antisocial personality disorders
  11. _________ is families that promote and maintain psychosomatic symptoms, including anorexia nervosa, in an effort to avoid spousal conflict. The sick child becomes the problem, and focus on the conflict is diverted.
    Conflict Avoidance
  12. _______ has been found useful in the treatment of builimia nervosa.
    Fluoxetine (prozac)
  13. Psychoanalytically, the theory of obesity relates to the individuals unconscious equation of food with _______ and ________.
    nurturance and caring.
  14. Bradycardia, hypotension, and hypothermia are symptoms associated with _________.
    anorexia nervosa.
  15. The binging episode is thought to involve a release of _______, followed by feelings of _______.
    tension, depression
  16. Psychodynamic influences suggest that eating disorders result form very early and profound disturbances in mother-infant interactions, results in retarded ego development and unfullfilled sense of _____________.
    Separation- individuation
  17. Predisposing factors for ______ include resolved dependency needs and fixation in the oral stage of psychosexual development.
  18. In behavior modification treatment for clients with eating disorders, the client has control over: ______, ________, and ________.
    Eating, amount of exercise pursued, and whether to induce vomiting.
  19. Cluster B personality disorders include behaviors that are _______, _______, or _________.
    dramatic, emotional, or erratic
  20. _________ is a pattern of socially irresponsible, exploitative, and guiltless behavior that reflects a disregard for the rights of others.
    Antisocial personality disorder
  21. Individuals with _________, exploit and manipulate others for personal gain and have a general disregard for the law.
    Antisocial personality disorder
  22. Individuals with _________ have difficulty sustaining consistent employment and in developing stable relationships.
    Antisocial personality disorder
  23. ________ is characterized by a pattern of intense and chaotic relationships, with affective instability and fluctuating attitudes toward other people.
    Borderline personality disorder
  24. Individuals with ________ are impulsive, are directly and indirectly self- destructive, and lack a clear sense of identity.
    Borderline personality disorder
  25. What is the most common form of personality disorders?
    Borderline personality disorder
  26. _______ is more common in men, _______ is more common in women.
    Antisocial, borderline
  27. Clients with _______ always seem to be in a state of crisis.
    Borderline personality disorder
  28. _______ is very common in clients with borderline personality disorder.
  29. Individuals with borderline disorder exhibit chornic ________ and __________.
    depressions and fear of abandonment
  30. The client with ______ commonly exhibits a pattern of interacting with others that is characterized by clinging and distancing behaviors.
    Borderline Personality disorder
  31. ________ is a primitive ego defense mechanism that is common in people with borderline personality disorder. It arises from their lack of achievement of object constancy and is manifested by an inability to integrate and accept both positive and negative feelings.
  32. Impulsive behaviors associated with ________ include substance abuse, gambling, promiscuity, reckless driving, and binging or purging. Often these acting- out behaviors are related to real or perceived feelings of abandonment.
    Borderline personality behavior
  33. Clients with borderline personality disorder, are fixed in the ______ phase of development (Mahler's theory of object of relations)
  34. A psychiatric nurse is preparing to receive a client with anorexia nervosa. According to biological theorists, anorexia may be caused partly by: Dysfunction in the __________.
  35. Family dynamics are thought to be a major influence in the development of anorexia nervosa. Which characteristic most likely describes the anorexic client's home environment?
    Overprotection and perfectionism
  36. A client's disturbance of body image is evidenced by her claims of “feeling fat” even though she is emaciated. Which outcome criterion should a nurse assign to the client to address this nursing diagnosis?
    Perceiving ideal body weight and shape as normal
  37. A nurse's inspection of the teeth and gums of a client with bulimia will most likely reveal deterioration because of:
    The high acidity of emesis.
  38. A psychiatric nurse arranges for a client with bulimia to participate in a behavioral modification program. The nurse understands that behavioral modification programs designed for clients with eating disorders attempt to:
    Provide control to the client.
  39. Because _____________ are central to the etiology of eating disorders, behavioral modification programs such as contracting are used to assist the client in gaining control over his or her maladaptive behaviors.
    control issues
  40. A nursing instructor is teaching a group of nursing students about anorexia nervosa. Which brain structure may be implicated in anorexia nervosa?
  41. A 17-year-old client suffers from anorexia nervosa. The client's treatment team is planning to use __________________: The client collaborates in developing a system of rewards for adaptive behaviors and ultimately decides whether to follow the plan or not.100%
    behavior modification
  42. A 17-year-old client suffers from anorexia nervosa. The client's treatment team is planning to use behavior modification. The success of behavior modification for the client with anorexia nervosa is based on which principle?
  43. Clients with ________ and _______ should be observed during meals and for 1 hour following the meal to prevent discarding of stashed food or self-induced vomiting.
    anorexia and bulimia
  44. Dehydration from vomiting and laxative abuse and slowed metabolism as a response to inadequate intake would lead to __________________ and _________________.
    Low blood pressure and low temperature
  45. A physician orders sibutramine (Meridia) medications for a client with an eating disorder. A nurse understands that sibutramine (Meridia) and phentermine (Pro-Fast SA) are part of which drug classification?
  46. _________________ is prescribed for obesity to decrease appetite.
    Sibutramine (Meridia)
  47. Which pharmacotherapy should a nurse anticipate that a physician will prescribe for a client with bulimia nervosa?
    Fluoxetine (Prozac)
  48. A nurse is caring for a client with ____________. Which intervention should be included in the plan of nursing care for this client? Select all that apply.
    - Grant privileges based on weight gain and treatment compliance.
    - Keep mealtime to 30 minutes
    - Supervise client for 1 hour after meals.
    anorexia nervosa
  49. What is dementia?
    • Acquired cognitive impairments associated with temporary or permanent dysfunction of the brain. Impairment of at least 3 of the following:
    • Memory
    • Language
    • Visuospatial skills
    • Personality or mood
    • Cognition
  50. Broca's aphasia limits _______
  51. Wernicke's aphasia limits _________.
  52. The inability to recognize and identify objects or persons despite having knowledge of the characteristics of those objects or persons: ________
  53. __________ works by regulating the activity of glutamate, a different messenger chemical involved in learning and memory. Used in treatment with dementia
    Memantine (Namenda)
  54. What is the only drug of its type approved to treat Alzheimer’s? (NMDA Receptor Antagonist)
    Memantine (Namenda)
  55. ______________ is approved to treat all stages of Alzheimer's disease.
    Donepezil (Aricept)
  56. Tacrine (Cognex), Donepezil (Aricept), Rivastigmine (Razadyne), Memantine (Namenda), Risperidone (Risperal) can all be used to slow down __________.
  57. _____________ and _____________, approved to treat mild to moderate Alzheimer's
    Rivastigmine (Exelon) and Galantamine (Razadyne),
  58. People 65 and older are in the developmental stage of ______________.
    Integrity vs. Despair
  59. ________: Irreversible (mostly). Stable, long duration of onset
  60. ___________: Reversible (most cases). Clouding of consciousness. Rapid onset.
  61. ___________: is an antisocial behavior characterized by violation of laws, societal norms, and the basic rights of others without feelings of remorse or guilt.
    Conduct disorder
  62. __________: is characterized by behavior that fails to adhere to established norms, but does not violate the rights of others.
    Oppositional defiant disorder