NUR 162 EXAM 1 PSY
1. dopamine
Answer
complex movements, motivation, cognition, regulation of emotional response
excitatory
2. norepinephrine
Answer
Causes changes in attention, learning and memory, sleep and wakefulness, mood
excitatory
3. Epinephrine
Answer
fight or flight response
4. Glutamate
Answer
A major excitatory neurotransmitter; involved in memory. major neurotoxic effects at high
levels
5. excitatory neurotransmitters
Answer
Dopamine Norepinephrine
Epinephrine Glutamate
6. inhibitory neurotransmitters
Answer
Serotonin and GABA
,7. serotonin
Answer
food intake, sleep, wakefulness, temperature regulation, pain control, sexual behaviors,
regulation of emotions
8. GABA
Answer
modulation of other neurotransmitters, deficit amount in those with anxiety
9. Acetylcholine
Answer
sleep and wakefulness cycle, signals muscles to become alert
10. histamine
Answer
Controls alertness, gastric secretions, cardiac stimulation, peripheral allergic responses
11. conventional antipsychotic drugs
Answer
-Chlorpromazine (Thorazine)
-Fluphenazine (Prolixin)(depot injection)
-Haloperidol (Haldol)(depot injection)
12. second generation antipsychotic drugs
Answer
clozapine, risperidone (depot injection), olanzapine (depot injection)
13. third generation antipsychotics
Answer
dopamine system stabilizers (aripiprazole)
14. MOA of antipsychotic drugs
,Answer
blocks the dopamine receptors 2,3,4
15. extrapyramidal syndrome (EPS)
Answer
A variety of signs and symptoms, including muscular rigidity, tremors, drooling, shuffling gait,
restlessness, peculiar involuntary postures, and many other neurological disturbances. Often a
side-effect of antipsychotic medications.
16. basic level of care for psychiatric nurse
Answer
counseling, milieu, self-care activities , psychobiologic interventions, teaching, case
management, health promotion /maintenance
17. advanced level functions of nursing practice
Answer
psychotherapy, drugs, consultation , eval, program development, supervision
18. acute dystonia
Answer
acute sustained contraction of muscles, usually of the head and neck
19. toricollis
Answer
spasmodic contraction of the neck muscles causing stiffness and twisting of the neck that may
be congenial or acquired; wryneck
20. Akathisia
Answer
restless, trouble standing still, paces the floor, feet in constant motion, rocking back and forth
, tx- change in antipsychotic medication or by the addition of an oral agent such as a beta-blocker,
anticholinergic, or benzodiazepine.
21. NMS (neuroleptic malignant syndrome)
Answer
high fever; autonomic instability such as unstable blood pressure, diaphoresis, and pallor;
delirium; and elevated levels of enzymes, particularly creatine phosphokinase.
-dehydration, bad nutrition can increase risk
22. Tardive dyskinesia (TD)
Answer
a motor disorder that results from chronic use of certain antipsychotic drugs. irreversible
involuntary movements
tx-valbenazine (Ingrezza) and deutetrabenazine (Austedo, Teva)
23. Agranulocytosis
Answer
A life-threatening drop in white blood cells. This condition is sometimes produced by the
atypical antipsychotic drug clozapine.
24. halluncinations
Answer
positive side effect that effects every sense of their being
25. EPS side effects
Answer
Acute dystonia, pseudo-parkinsonism, akathisia
26. nondirective role
Answer
using broad openings and open-ended questions to collect information and help the client to
identify and discuss the topic of concern