Psychiatry Questions

______ is abnormally elevated or irritable mood for at least ______ ______

______ ______ disorder is atleast one episode of hypomania

______ ______ disorder is at least one episode of mania.

-hold medication and contact HCP-reduce temperature-monitor fluids-monitor for signs of DVT or rhabdomyolysis

-anticholinergic toxicity-neuroleptic malignant syndrome-agranulocytosis-prolongation of QT interval-liver impairment

-individual and group therapy-psychoeducation-medication prescription and monitoring-basic health assessment-cognitive remediation-family therapy

-weight gain-hyper-salivation(drooling) -sedation (improves with increased tolerance)-agranulocytosis --> increased infection-metabolic syndrome --> increased blood glucose, weight gain, dyslipidemia, insulin resistance

-impaired renal function-thyroid disease-heart disease-brain damage-pregnant/breastfeeding women

Ataxiablurred visionclonic movementslarge output of dilute urineseizuresstuporsevere hypotension

-impulsiveness-compromised nutrition-high risk behavior --> unsafe sex, drug use, reckless spending-agitation-poor concentration-sleep deprivation-grandiosity

sleep disturbances-troubling thoughts-difficulty thinking or remembering-being unsure of what is real-becoming more uncomfortable around others

-anticholinergic side effects (EVERYTHING DRY)-weight gain-sexual dysfunction-endocrine disturbances-sedation-orthostatic hypotension-lowered seizure threshold-photosensitivity

-auditory and command hallucinations-delusions-circumstantiality-derailment-disorganized speech-functional impairment

impairment in memory attention, thinking, judgement or problem solving-impaired information processing-impaired executive functioning-concrete thinking

Which of the following is not true concerning bipolar disorder?a) It is more prevalent in men.b) The average onset is in the mid-20s.c) It has a high rate of comorbidity with metabolic syndrome.d) The patient may have a decreased need for sleep.

Which of the following is true of patients with pica?a) The patient may have nutritional deficiencies.b) Pica is defined as engaging in persistent eating of ice for at least 1 month.c) It typically occurs in adults.d) It can be treated with nutritional planning.?Subject: Chapter 58: The Patient with a Mental Health Disorder

The basic therapeutic approach for depression is lifestyle modifications, which include:a) weight loss.b) bottle feeding.c) physical activity.d) hospitalization.

Individuals who engage in self-induced vomiting have __________ times greater risk of dentalerosion.a) 2b) 3c) 4d) 5

The best time to provide dental hygiene therapy for a patient with an anxiety disorder is:a) after a meal.b) in the morning.c) as the last appointment of the day.d) for long appointments to complete all treatment at once.

Beth, a 16-year-old teenager, comes into the office complaining of tooth sensitivity. She has not beenseen in the office for 3 years. When asked about her medical history she states that she has beendiagnosed with an eating disorder and has had a lot of trouble with it over the past few months. Beth is ofnormal weight and the dental hygienist questions her further about the disorder. She states that she goesthrough phases of uncontrollable binge eating and then uses laxatives or self-induces vomiting after thebinges. She says she thinks she is obese. Upon further assessment the dental hygienist notes that severalteeth have been worn down and are very translucent. She also notes that the right parotid gland is swollen.Which surface of teeth most often shows signs of perimylolysis in a patient who has bulimia?a) Maxillary anterior lingualsb) Mandibular anterior lingualsc) Maxillary posterior buccalsd) Mandib