COMMON DHA/HAAD/PROMETRICS/SNB/NCLEX QUESTIONS IN PSYCHIATRIC NURSING
1. Dulling of lack of emotions, indifference, inability to be motivated, common in depression?Apathy
2. It is inability to experience pleasurable things or situation?
Anhedonia
3. It is the disturbance in mood in which the symptoms of manic have occurred at least once; an episode of depression may or may not have occurred.
Bipolar disorder
4. It is produced in the adrenal cortex, suppressed in non- endogenous type of depression; and normal
person after injection of dexamethasone (steroids)
Cortisol
5. It is a mood swings between hypomania and dysthymia.
Cyclothymia
6. It Is a mild form of depression, depressed mood for at least 2 years.
Dysthymia
7. A Condition of being disquiet, restless, malaise.
Dysporia
8. A mild form of mania.
Hypomania
9. It is produced within the person, not caused by external factor or stressors, related to neurotransmitter
deficiency.
Endogenous depression
10. Reaction to external stressors like lost of love one, limb, and life.
Exogenous depression
11. A subjective feeling of well being characterized by excessive feeling of assurance and confidence.
Euporia
12. A state of extreme, excitement, euphoria, accelerated physical and mental activity.
Mania
13. A mental disorder characterized by extreme sadness and depression usually occurs after the age of 45
and is accompanied by vegetative symptoms.
Melancholia
14. A loss of appetite and weight or the opposite, anergia , guilt, loss of interest , decreased
concentration , early morning awakening , diurnal mood fluctuations that are worse in the morning.
Vegetative symptoms
15. First choice for depression – Tofranil, Elavil, Anentyl
TCAS
16. Second drug of choice for depression – Parnate, nardil, Marplan.
MAOIS
17. Sadness, insomnia, hypersomnia, hopeless, helpless, worthless, guilt, anger toward self, thought of death, decreased libido, fatigue, passive, dependency, looks shabby, ruminations of inadequacy,
private verbal beatings of self , anorexia .
Apathy
18. Antihyperrtensive, propranolol, reserpine, clonidine, methyldopa or aldomet, valium, steroids , cause
too much effect on ECG reading
major T – leads to depression.
19. Elevated moods, euphoria, grandiosity, irritable anger, insomia, anorexia , fight of ideas,
destructivity , hyperactive, loud rapid speech , involvement in pleasurable activities, dress excessively
shows?
lack of awareness of illness.
20. Too much dopamine, serotonin, norepinephrine leads to?
mania.
21. Lack of norepinephrine, serotonin, dopamine leads to
endogenous depression.
22. Common in manic, helps divert attention of manic patients.
Distractibility
23. Simultaneous opposite feeling, love and hate, expressed as approached – avoidance behavior, one of
the 4A’s of schizophrenia.
Ambivalence
24. Absence of energy.
Anergia
25. Preoccupation with self- without concern for external; reality, a self-made private world, lack of trust,
poor interpersonal relationship and language.
Autism
26. 4 A’s of schizophrenia
ambivalence, autism, impaired affect (feeling), association looseness.
27. lack of motivation.
Avolition
28. Injecting witty or funny comments during conversation to control or divert the issue.
Punning
29. Talking in a poetical way – “ I will knit a halter for Walter to bring me to altar.”
Rhyming
30. Talking in a poetical way but words sounds the same – “HAAD, nomad, so sad“.
Clang association
31. Word, inverted by the patient coining a word that have same meaning with original word – Shit –
Stool.”
Neologism
32. Rapid shifts of unrelated topic like Nursing to jihad to Geometry.
Rhyming
33. Neologism, blocking punning, clang, rhyming, word salad, flight of ideas
impaired thought processes or loose association
34. Conflicting demands by significant, individual in patients life, cannot meet both demands so is
doomed to failure
Double bind
35. Automatic repetition of words heard.
Echolalia
36. Automatic repetition of action seen by a patient.
Echopraxia
37. Loss of ability to comprehend, talk or express speech.
Aphasia
38. Loss of ability to use of objects correctly like patients given pajama but does not know to put it on.
Apraxia
39. Loss of ability to recognize sensory, impression – like people, date, time, day.
Agnosia
40. A state before onset of the disorder.
Premorbid
41. Behavior designed to avoid interacting with others, common in schizoid, first sign of suicide.
Withdrawal
42. Misinterpretation of an external stimulus like belt of nurse, patient insists that it is curled snake.
Illusion
43. False belief of a patient that logic or explanation could change – impaired thought or perception.
Delusion
44. Excessive thought of importance or achievement, “ I am your King, so knell before me.”
Delusion of grandeur
45. False belief that people are planning to hurt or harms him.
Delusion of persecution
46. Beliefs that some events, the headline in newspaper, TV have a special meaning like people talking patients perceived as about him.
Delusion or ideas of reference
47. Patient believes he is dead, an empty shell, he does not exist, so he can’t be hurt.
Nihilistic delusion
48. It is common in Paranoid patients.
Delusions of persecution and reference
49. It is common in Narcissistic individual.
Delusion of grandeur
50. Patient believes his body is full of cancer or legs had turned to stone.
Somatic delusion
51. To deal for this kind of disorder is to do not agree or disagree, just voice your doubt and present
reality.
Delusions
52. Drug to help alcoholics withdraw gradually from alcohol (3-5 days)
Librium or Valium.
53. Drug to prevent an alcoholic to take another sip of alcohol
Antabuse or Disulfiran
54. Drug to help cocaine addicted person to withdraw from it gradually.
Tofranil
55. Drug to help amphetamine addicted persons to withdraw from it
Tofranil
56. Drug to help heroine, or morphine or narcotic addicted persons to withdraw gradually
Methadone
57. Patients believes that he is God, immortal and will never die.
Delusion of omnipotence
58. False sensory perception not related to external stimuli; hearing things or seeing things that are not there.
Hallucination
59. Common in marijuana, LSD users, delirium, withdrawal from alcohol, Schizophrenia, at times in
manic or depression.
Hallucination
60. Do not agree or disagree in hallucination; what to do is to ?
just voice doubt and present reality.
61. Most common type of hallucination.
Auditory hallucination
62.S afe protected, stay with patients, no shadows, offer well lighted room.
Milieu of hallucination
63. For patient that is too active, agitated and inactive catatonic.
Alteration of activity
64. Most of the time inactive, rigid, common is schizophrenia.
Catatonic
65. Hallucinations, illusions, and paranoid thinking are?
Alteration in perception
66. Diffusion, blocking, autism, flight of ideas, retardation, ambivalence.
Alteration of thought processes
67. Depression, manic, anhedonia, apathy, ambivalence, abile, flat.
Alteration in effect
68. Confusion, disorientation, clouding, sense of going crazy.
Altered consciousness
69. Heredity, age, neurochemical factors, changes within the body.
Nature theory of mental disorders
70. How person was bought up, influence of people, environmental around him.
Nature theory of mental disorders
71. I can control her with my thoughts
Delusion of influence .
72. Biochemical theories of schizophrenia
too much dopamine in the CNS.
73. Brain atrophy, decreased cerebral blood flow, increased ventricular – brain ratio.
Neurostructural theories of schizophrenia
74. Disturbance of the ego, fragile, poor ego, developmental problems according to Erikson and Sullivan.
Psychodynamic theories of schizophrenia
75. Marked reduction in spontaneous movement, reactivity to environment.
Catatonic Stupor
76. Motiveless resistance of all instructions or attempts to be moved.
Catatonic negativism
77. Maintenance of good posture against effort to be moved.
Catatonic rigidity
78. Excited motor activity, purposeless, not triggered by external stimuli.
Catatonic Excitement
79. Voluntary assumption of bizarre or inappropriate position, waxy flexibility, extremities bent without resistance.
Catatonic Posturing
80.Characteristics by incoherence marked loosening of association, flat or grossly inappropriate affect in behavior.
Disorganized type of schizophrenic
81. Preoccupation with delusion of persecution, reference with frequent auditory hallucination with a
single theme.
Paranoid type of Schizophrenia
82. With prominent delusions, hallucinations, incoherence, grossly disorganized behavior for catatonic, paranoid, disorganized.
Undifferentiated type of Schizophrenia
83. Absence of prominent delusions, hallucinations, incoherence, disorganized behavior but with
continuing evidence of disturbance like giggling in public collective garbage
Residual Schizophrenia
84. Intense, irrational fear responses to an external object, activity, situation, anxiety is experienced if
persons confronts dreaded object or situation.
Phobia
85. Fear of being in open or public places where escape could be difficult; example is person should faint.
Agoraphobia
86. Defense mechanism of phobia cases
repression and displacement
87. Fear of being humiliated, scrutinized or embarrassed in public like while one will stumble while
dancing.
Social phobia
88. Fear of specific object or situation like claustrophobia – fear of closed places.
Simple phobia
89. What not to do in phobic cases
Forcing patient to immediately come in contract with feared object or situation
90. What to do in phobic cases
Desensitization, gradual flooding or exposure to feared object or exposure, after acceptance,
emphaty, understanding, non-critical judgmental.
91. Praising every effort of patient is a form of?
Positive reinforcement and motivation.
92. Leads to sadism, masochism, dependency and obsessive – compulsive personality.
Disturbed anal stage or toddler food
93. Recurrent, persistent thoughts, ideas impulses, images that are experienced as senseless, intrusive,
product of his mind but he can’t stop or forget.
Obsession
94. Repetitive acts performed in a particular manner in response to obsession to prevent, bind, and
neutralize anxiety.
Compulsion
95. Common defense mechanism of obsessive – impulsive disorders
Repression, reaction – formation, isolation, undoing.
96. Psychopharmacology for obsessive – compulsive disorders
For depression – anafranil or clomipramine; Librium for anxiety.
97. What not to do in obsessive – compulsive disorders
Do not judgmental, ridiculed, and critical of patient. Don’t stop the act abruptly for will increase
tension and anxiety.
98. What to do in obsessive – impulsive
Be empathetic give time to do ritualistic acts but later divert it, give recreational activities, ensure
basic need for rest, food, grooming, assists patient to connect behavior with feelings.
99. What to do For patient that has an obsession in frequent hand washing
Offer secondary protection like used of lotion or gloves.
100. What to do to make sure patient swallows his drug completely.
Checking or Hoarding of drugs
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