NUR 350 Exam 2 Practice Questions and
Correct Answers
Acute Dystonia ✅Acute, Often Painful, Sustained Contraction Of Muscles, Usually Of
The Head And Neck, Which Typically Occurs From 2 To 5 Days After The Introduction
Of Antipsychotic Medications
Affect ✅The External Manifestation Of A Feeling Or Emotion That Is Manifested In
Facial Expression, Tone Of Voice, And Body Language
Akathisia ✅Regular, Rhythmic Movements, Usually Of The Lower Limbs, With
Constant Pacing Sometimes Seen; Often Noticed In People Taking Antipsychotic
Medication
Ambivalence ✅Holding At The Same Time Of Two Opposing Emotions, Attitudes,
Ideas, Or Wishes Toward The Same Person, Situation, Or Object
Anosognosia ✅Patients Inability To Realize That He Or She Is Ill, Which Is Caused By
The Illness Itself
Associative Looseness ✅Disturbance Of Thinking In Which Ideas Shift From One
Subject To Another In An Oblique Or Unrelated Manner
Clang Association ✅Meaningless Rhyming Of Words Often In A Forceful Manner
Command Hallucinations ✅Individual Hearing Voices That Direct The Person To Take
Action
Concrete Thinking ✅Thinking Grounded In Immediate Experience Rather Than
Abstraction
Delusions ✅False Belief Held To Be True Even With Evidence To The Contrary
Echolalia ✅Repeating Of The Last Words Spoken By Another; Mimicry Or Imitation Of
The Speech Of Another Person
Echopraxia ✅Mimicry Of Imitation Of The Movements Of Another Person
Extrapyramidal Side Effects ✅Variety Of Signs And Symptoms That Are Often Side
Effects Of The Use Of Certain Psychotropic Drugs, Particularly Phenothiazines; Three
Reversible Side Effects Are Acute Dystonia, Akathisia, And Pseudoparkinsonism-
Tardive Dyskinesia Is The Most Serious And Is Not Reversible
,Hallucinations ✅Sense Perception (Seeing, Hearing, Tasting, Smelling, Touching) For
Which No External Stimulus Exists
Ideas Of Reference ✅False Impression That Outside Events Have A Special Meaning
For Oneself
Illusions ✅Errors In The Perception Of A Sensory Stimulus. For Example, A Person
May Mistake Polka Dots For Hairy Spiders
Metabolic Syndrome ✅Weight Gain, Dyslipidemia, And Altered Glucose Metabolism
Caused By Atypical Antipsychotic Drugs
Negative Symptoms ✅Absence Of Something That Should Be Present (Apathy, Lack
Of Motivation, Anhedonia, Poor Thought Process)
Neologisms ✅Words A Person Makes Up That Have Meaning Only For That Person;
Often Part Of A Delusional System
Neuroleptic Malignant Syndrome ✅A Rare And Sometimes Fatal Reaction To High-
Potency Neuroleptic Drugs
-Muscle Rigidity
-Fever
-Elevated Wbc Count
Thought To Result From Dopamine Blockage At The Basal Ganglia And Hypothalamus
Cannot Be Corrected By Experience Or Modified By Facts Or Reality
Positive Symptoms ✅Presence Of Something That Is Not Normally Present
(Hallucinations, Delusions, Bizarre Behavior, Paranoia)
Paranosia Pseudoparkinsonism ✅Medication Induced Temporary Constellation Of
Symptoms Associated With Parkinson's Disease Including Tremor, Reduced Accessory
Movements, Impaired Gait, And Stiffening Of Muscles
Tardive Dyskinesia ✅Serious And Irreversible Side Effect Of Phenothiazines And
Related Drugs; Consists Of Involuntary Tonic Muscle Spasms Typically Involving
Tongue, Fingers, Toes, Neck, Trunk, Or Pelvis
3rd Generation Antipsychotics ✅Newer Classification Of Antipsychotics Includes
Aripriprazole (Abilify) In Areas O The Brain With Excess Dopamine, Its Lowers The
Dopamine Level By Acting As A Receptor Antagonist; However, In Regions With Low
Dopamine, It Stimulates Receptors To Raise The Dopamine Level
Side Effects: Insomnia, And Akathisia
, Word Salad ✅Mixture Of Words Meaningless To The Listener And To The Speaker As
Well
Schizophrenia ✅Potentially Devastating Brain Disorder That Affects A Persons
Thinking, Language, Emotions, Social Behavior, And Ability To Perceive Reality
Accurately
-All Have At Least One Psychotic Symptom Such As Hallucinations, Delusions, And
Disorganized Speech
When Does Schizophrenia Show Symptoms ✅During The Late Teens And Early
Twenties
Early Onset And Late Onset ✅Early: 18-25 Usually In Males Associated With Poor
Functioning Before, More Structural Brain Abnormality, And Increased Levels Of Apathy
Late: 25-35 More Likely In Females, Have Less Structural Brain Abnormality And To
Have Better Outcomes
Comorbidity Disorders With Schizophrenia ✅Substance Abuse Disorders, Nicotine
Dependence
Anxiety
Depression
Suicide
Copd
Obesity
Cardiovascular Disease
Diabetes
Main Neurotransmitter Involved In Schizophrenia ✅Dopamine; 1st Conventional(1st
Generation) Antipsychotics (Haloperidol And Chlorpromazine) Drugs Block That Activity
Of Dopamine 2 Receptors In Brain, Limiting The Activity Of Dopamine And Reducing
Some Of The Symptoms
2nd Generations Antipsychotic Med Work ✅Block Serotonin As Well As Dopamine
Which Suggests That Serotonin May Play A Role In Schizophrenia As Well
Brain Structure Of Person W/ Schizophrenia ✅Structural Brain Abnormalities
Early Signs Of Relapse For Patient With Schizophrenia ✅Reduced Sleep And
Concentration
Impact Schizophrenia Has On Person ✅Among Most Disruptive/Disabling Mental
Disorder
Positive Symptoms Vs Negative Symptoms In Schizophrenia ✅Positive: Usually
Respond To Antipsychotic Medication