mental health chap. 2 test review
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What is the primary function of the frontal lobe?

  • Smell and hearing
  • Taste and touch sensations
  • Thought, body movement, memories, and emotions (correct)
  • Visual interpretation and depth perception

    • Which part of the brain is primarily responsible for coordinating movement and posture?

  • Cerebellum (correct)
  • Brain stem
  • Limbic system
  • Cerebrum

    • What role does the medulla oblongata play in brain function?

  • Coordinates auditory and visual information
  • Regulates emotions and memory
  • Facilitates voluntary acts through neurotransmitters
  • Controls vital functions such as cardiac and respiratory function (correct)

    • Which lobe of the brain is involved in language processing?

    <p>Occipital lobe</p> Signup and view all the answers

    Which area of the brain produces norepinephrine and is associated with stress and anxiety?

    <p>Locus coeruleus</p> Signup and view all the answers

    Which structure in the limbic system is particularly important for emotional arousal and memory?

    <p>Hippocampus</p> Signup and view all the answers

    What function does the hypothalamus serve in the brain?

    <p>Temperature regulation and appetite control</p> Signup and view all the answers

    Which lobe is primarily responsible for spatial orientation?

    <p>Parietal lobe</p> Signup and view all the answers

    What crucial role do neurotransmitters play in the brain?

    <p>Facilitate neurotransmission</p> Signup and view all the answers

    Which system in the brainstem is associated with motor activity and consciousness?

    <p>Reticular activating system</p> Signup and view all the answers

    Which medication is known to cause weight loss as a side effect?

    <p>Topiramate</p> Signup and view all the answers

    What should be avoided in patients taking buspirone?

    <p>Alcohol</p> Signup and view all the answers

    Which of the following is a common side effect of lithium?

    <p>Weight gain</p> Signup and view all the answers

    Which medication is used for aversion therapy in alcoholism?

    <p>Disulfiram</p> Signup and view all the answers

    What is a key monitoring requirement after taking certain medications like lithium?

    <p>Blood levels monitoring 12 hours after the last dose</p> Signup and view all the answers

    Which side effect is associated with carbamazepine?

    <p>Orthostatic hypotension</p> Signup and view all the answers

    What is the mechanism of action for amphetamines in the treatment of ADHD?

    <p>Causing release of norepinephrine and dopamine</p> Signup and view all the answers

    Which side effect is NOT commonly associated with benzodiazepines?

    <p>Hives</p> Signup and view all the answers

    Clients should be cautioned against the abrupt discontinuation of which type of medications?

    <p>Antianxiety drugs</p> Signup and view all the answers

    Which herbal medicine is notably known to increase the risk for interactions with prescribed medications?

    <p>Ginkgo biloba</p> Signup and view all the answers

    What role does norepinephrine play in the brain?

    <p>Regulation of emotional response</p> Signup and view all the answers

    Which neurotransmitter primarily acts as an inhibitory neurotransmitter?

    <p>Gamma-aminobutyric acid (GABA)</p> Signup and view all the answers

    What is the primary purpose of psychotropic medications?

    <p>To treat symptoms of psychosis</p> Signup and view all the answers

    Which of the following side effects is associated with the use of antipsychotic drugs?

    <p>Weight gain</p> Signup and view all the answers

    What is the effect of MAOIs when mixed with foods containing tyramine?

    <p>Hypertensive crisis</p> Signup and view all the answers

    Which type of antidepressant is characterized by causing anticholinergic effects?

    <p>Cyclic antidepressants</p> Signup and view all the answers

    What mechanism of action does lithium have in the treatment of bipolar illness?

    <p>Normalizes reuptake of certain neurotransmitters</p> Signup and view all the answers

    Which imaging technique uses radioactive substances?

    <p>Single-photon emission computed tomography (SPECT)</p> Signup and view all the answers

    What is a critical consideration when prescribing antidepressants?

    <p>Time of dosage can affect efficacy</p> Signup and view all the answers

    Which condition may result from abrupt cessation of certain psychotropic drugs?

    <p>Rebound or recurrence of symptoms</p> Signup and view all the answers

    What are the main functions of the cerebral cortex?

    <p>Facilitating thought processes and emotional behavior</p> Signup and view all the answers

    Which part of the brain is primarily involved in temperature regulation and sexual drive?

    <p>Hypothalamus</p> Signup and view all the answers

    What is the primary function of dopamine in the brain?

    <p>Complex movements and motivation</p> Signup and view all the answers

    Which lobe of the brain is responsible for processing visual stimuli, such as depth perception?

    <p>Occipital lobe</p> Signup and view all the answers

    Which neurotransmitter is primarily responsible for inhibitory functions?

    <p>Serotonin</p> Signup and view all the answers

    What function does the locus coeruleus serve in the brain?

    <p>Production of norepinephrine related to stress and anxiety</p> Signup and view all the answers

    Which statement is true regarding the cerebellum?

    <p>It coordinates movement and postural adjustments</p> Signup and view all the answers

    What does the term 'half-life' refer to in psychopharmacology?

    <p>The time it takes for half of the drug to be removed from the bloodstream</p> Signup and view all the answers

    What is a significant side effect associated with the use of clozapine?

    <p>Agranulocytosis</p> Signup and view all the answers

    Which structure is involved in emotional expression and memory retrieval?

    <p>Limbic system</p> Signup and view all the answers

    Which of the following describes an atypical antipsychotic drug?

    <p>Clozapine</p> Signup and view all the answers

    What describes the role of neurotransmitters in the nervous system?

    <p>They facilitate communication between neurons to relay messages</p> Signup and view all the answers

    What major function does the medulla oblongata serve?

    <p>Controls vital autonomic functions like breathing and heart rate</p> Signup and view all the answers

    Which class of antidepressants is known for causing weight gain and sexual dysfunction as side effects?

    <p>Tricyclic and cyclic compounds</p> Signup and view all the answers

    What is one of the principles of psychopharmacology regarding dosage?

    <p>Lowest effective dose should be used</p> Signup and view all the answers

    Which lobe is primarily responsible for processing auditory information?

    <p>Temporal lobe</p> Signup and view all the answers

    What is the primary role of the brain stem in the nervous system?

    <p>Management of sleep and consciousness levels</p> Signup and view all the answers

    What severe condition can occur with mixed use of an MAOI and SSRI?

    <p>Serotonin syndrome</p> Signup and view all the answers

    What is the primary purpose of prescribing mood-stabilizing drugs?

    <p>To manage bipolar illness</p> Signup and view all the answers

    What is a common side effect of SSRIs that patients should be informed about?

    <p>Akathisia</p> Signup and view all the answers

    What is a common side effect associated with topiramate?

    <p>Dizziness</p> Signup and view all the answers

    Which of the following medications requires periodic monitoring of blood levels?

    <p>Carbamazepine</p> Signup and view all the answers

    Which statement is true regarding the use of benzodiazepines?

    <p>They can cause central nervous system depression.</p> Signup and view all the answers

    What adverse reaction occurs when disulfiram is ingested with alcohol?

    <p>Severe gastrointestinal distress</p> Signup and view all the answers

    Which medication primarily affects serotonin receptors as a partial agonist?

    <p>Buspirone</p> Signup and view all the answers

    What common side effect is associated with lithium treatment in clients?

    <p>Weight gain</p> Signup and view all the answers

    Which of the following is a safety measure advised for clients on stimulant medications?

    <p>Avoiding caffeine and sugar</p> Signup and view all the answers

    Which side effect is NOT typically reported with the use of carbamazepine?

    <p>Weight loss</p> Signup and view all the answers

    What important consideration should be made for clients taking antianxiety medications?

    <p>They should avoid sudden cessation of medications.</p> Signup and view all the answers

    What potential risk is heightened when using herbal medicines alongside prescribed drugs?

    <p>Increased risk for drug interactions</p> Signup and view all the answers

    Study Notes

    Brain Regions

    • The cerebrum is responsible for higher-level functions like thought, movement, memory, emotions, and moral behavior. It is divided into four lobes: frontal, parietal, temporal, and occipital.
    • The cerebellum, located below the cerebrum, coordinates movements and posture.
    • The brain stem, which connects the cerebrum and cerebellum to the spinal cord, contains vital centers regulating heart rate, breathing, and other essential functions.
    • The limbic system, located above the brain stem, is crucial for emotions, memory, and motivation.

    Neurotransmitters

    • Neurotransmitters carry signals between brain cells.
    • These chemicals can be excitatory or inhibitory.
    • Excitatory neurotransmitters like dopamine, norepinephrine, epinephrine, and glutamate increase brain activity.
    • Inhibitory neurotransmitters like serotonin and GABA (gamma-aminobutyric acid) decrease brain activity.
    • Acetylcholine is involved in the sleep-wake cycle and muscle activation.
    • Histamine and neuropeptides also play crucial roles in brain function.

    Brain Imaging Techniques

    • Brain imaging techniques, like CT, MRI, PET, and SPECT, allow doctors to view the brain's structure and function.
    • These techniques have limitations, including the use of radioactive substances, expense, and potential discomfort for patients.

    Neurobiological Causes of Mental Illness

    • Genetics and heredity play a significant role in mental illness.
    • Psychoimmunology suggests that a compromised immune system can contribute to mental illness in genetically susceptible individuals.
    • Infections, particularly viral infections, are hypothesized to potentially alter genes and contribute to the development of mental illness.

    Nurse's Role in Research and Education

    • Nurses play a crucial role in informing clients and families about mental illness research.
    • They help distinguish between facts and hypotheses and explain how new research may affect treatment and prognosis.

    Psychopharmacology Fundamentals

    • Psychotropic drugs are medications used to treat mental illnesses.
    • Efficacy refers to the drug's maximum therapeutic effect, while potency indicates the amount needed to achieve that effect.
    • Half-life refers to the time taken for half of the drug to be eliminated from the bloodstream.
    • The FDA regulates the safety and efficacy of psychotropic drugs.
    • Off-label use refers to the use of a drug for a condition different from its original indication.
    • Black box warnings highlight serious or life-threatening side effects.

    Principles of Psychopharmacology

    • Psychotropic drugs should be used to target specific symptoms.
    • Adequate dosage is crucial for successful treatment.
    • The lowest effective dose is recommended, particularly for older adults.
    • Medications should be tapered off gradually to prevent withdrawal symptoms or recurrence of illness.
    • Follow-up care ensures ongoing monitoring and adjustments to treatment.
    • A simple regimen promotes medication adherence.

    Antipsychotic Drugs

    • Antipsychotic drugs, classified into conventional, atypical, and third-generation categories, are used to treat symptoms of psychosis.
    • They primarily work by blocking dopamine receptors.

    Side Effects of Antipsychotic Drugs

    • Antipsychotics can cause extrapyramidal symptoms (EPSs) that affect movement. EPSs can include acute dystonia, pseudoparkinsonism, and akathisia.
    • Other potential side effects include neuroleptic malignant syndrome (NMS), tardive dyskinesia, anticholinergic effects, increased prolactin levels, weight gain, metabolic syndrome, cardiovascular adverse effects, and agranulocytosis.

    Client Teaching for Antipsychotics

    • Clients should be taught about their medication regimen, including dose, timing, and potential side effects.
    • They should also be instructed on how to manage common side effects, such as dry mouth, constipation, and sleepiness.

    Antidepressants

    • Antidepressants are used to treat major depressive illness, anxiety disorders, bipolar depression, and psychotic depression.
    • They are categorized into tricyclic and cyclic compounds, SSRIs (selective serotonin reuptake inhibitors), MAOIs (monoamine oxidase inhibitors), and other antidepressants.
    • The precise mechanism of action for antidepressants is not fully understood, but they are believed to interact with monoamine neurotransmitter systems, specifically norepinephrine and serotonin.

    Side Effects of Antidepressants

    • Side effects can vary depending on the specific type of antidepressant.
    • SSRIs can cause symptoms like anxiety, agitation, nausea, insomnia, and sexual dysfunction.
    • Cyclic antidepressants commonly cause anticholinergic effects, orthostatic hypotension, sedation, weight gain, and sexual dysfunction.
    • MAOIs can cause daytime sedation, insomnia, weight gain, dry mouth, orthostatic hypotension, and sexual dysfunction. They also pose a risk of hypertensive crisis when combined with tyramine-rich foods.

    Drug Interactions with Antidepressants

    • Serotonin syndrome, a potentially life-threatening condition, can occur when MAOIs are combined with SSRIs.

    Client Teaching for Antidepressants

    • Clients should be educated about the appropriate time to take their medication, potential side effects, and how to manage missed doses.

    Mood-Stabilizing Drugs

    • Mood-stabilizing drugs, like lithium and certain anticonvulsants, are used to treat bipolar disorder.
    • Lithium normalizes neurotransmitter reuptake, while valproic acid and topiramate increase GABA levels. Valproic acid and carbamazepine inhibit the kindling process.

    Side Effects of Mood-Stabilizing Drugs

    • Lithium can cause nausea, diarrhea, anorexia, tremors, thirst, fatigue, weight gain, and acne. Lithium toxicity can present with severe gastrointestinal symptoms, drowsiness, muscle weakness, and lack of coordination.
    • Carbamazepine and valproic acid can cause drowsiness, sedation, dry mouth, and blurred vision.
    • Carbamazepine can also cause a rash and orthostatic hypotension.
    • Valproic acid can lead to weight gain, alopecia, and tremors.
    • Topiramate can cause dizziness, sedation, and weight loss.

    Client Teaching for Mood-Stabilizing Drugs

    • Clients require regular monitoring of blood levels, medication taken with meals, and safety precautions.

    Antianxiety Drugs

    • Antianxiety drugs, such as benzodiazepines and buspirone, are used to treat anxiety disorders, insomnia, OCD, depression, PTSD, and alcohol withdrawal.
    • Benzodiazepines work by enhancing the effects of GABA.
    • Buspirone acts as a partial agonist at serotonin receptors.

    Side Effects of Antianxiety Drugs

    • Benzodiazepines can lead to dependence, CNS depression, hangover effects, and tolerance.
    • Buspirone can cause dizziness, sedation, nausea, and headaches.

    Client Teaching for Antianxiety Drugs

    • Clients should take safety precautions, avoid alcohol, and avoid abrupt discontinuation of benzodiazepine medications.

    Stimulants

    • Stimulants, such as methylphenidate, amphetamine, and dextroamphetamine, are used to treat ADHD in children and adults and narcolepsy. They release and block the reuptake of norepinephrine, dopamine, and serotonin.

    Dosage and Side Effects of Stimulants

    • Dosage varies depending on the condition and individual. Common side effects include anorexia, weight loss, nausea, and irritability.
    • Stimulants can also suppress growth and weight in children.

    Client Teaching for Stimulants

    • Clients should take the medication after meals, avoid caffeine, sugar, and chocolate, and store it safely out of reach of children.

    Disulfiram

    • Disulfiram is used for aversion therapy in alcohol dependence. It interferes with the metabolism of alcohol, leading to unpleasant reactions when alcohol is consumed.

    Side Effects and Drug Interactions of Disulfiram

    • Side effects include fatigue, drowsiness, halitosis, tremor, and impotence.
    • Drug interactions with phenytoin, isoniazid, warfarin, barbiturates, and long-acting benzodiazepines are possible.

    Client Teaching for Disulfiram

    • Clients should avoid alcohol, including products that may contain it, such as certain medications, cosmetics, and food items.

    Cultural Considerations

    • Genetic differences, rather than race or ethnicity, may influence drug metabolism.
    • Future treatments may be tailored based on individual genetic profiles.
    • It is important to avoid assumptions based on race or ethnicity and to inquire about patients' past experiences with medications.
    • The use of herbal medicine is increasing, and the potential for interactions with psychotropic drugs should be considered.
    • Some commonly used herbal remedies include St. John's wort, kava, valerian, and ginkgo biloba.

    Self-Awareness Issues

    • Nurses should provide clear and thorough explanations to clients and families about mental illness.
    • They should recognize that chronic mental illnesses have phases of remission and exacerbation, similar to chronic physical illnesses.
    • It is important to remain open to new ideas that may lead to future breakthroughs in treatment.
    • Medication noncompliance is often a result of the illness itself, not intentional misbehavior.

    Parts of the Brain

    • Cerebrum: Two hemispheres, four lobes: frontal (thought, movement, memories, emotions, morality), parietal (taste, touch, spatial orientation), temporal (smell, hearing, memory, emotional expression), occipital (language, visual interpretation, depth perception)
    • Cerebellum: Below cerebrum, coordinates movements, postural adjustments, integrates info from body areas
    • Brain Stem: Midbrain (reticular activating system: motor activity, sleep, consciousness, awareness), Pons (primary motor pathway), Medulla oblongata (vital centers for cardiac, respiratory function), Nuclei for cranial nerves, Locus coeruleus (norepinephrine-producing neurons: stress, anxiety, impulsive behavior)
    • Limbic System: Above brain stem, Thalamus (activity, sensation, emotion), Hypothalamus (temperature, appetite, endocrine function, sexual drive, impulsive behavior), Hippocampus and amygdala (emotional arousal, memory)

    Neurotransmitters

    • Excitatory: Dopamine (movement, motivation, cognition, emotional response regulation), Norepinephrine (attention, learning, memory, sleep, mood), Epinephrine (fight-or-flight), Glutamate (neurotoxicity at high levels)
    • Inhibitory: Serotonin (food intake, sleep, temperature, pain, sexual behaviors, emotions), GABA (major inhibitor, neurotransmitter modulation)
    • Excitatory or Inhibitory: Acetylcholine (sleep-wake cycle, muscle activation), Histamine, Neuropeptides

    Brain Imaging Techniques

    • CT: Computed tomography
    • MRI: Magnetic resonance imaging
    • PET: Positron emission tomography
    • SPECT: Single-photon emission computed tomography
    • Limitations: Radioactive substances, expense, client tolerance issues, some changes in disorders not detectable

    Neurobiological Causes

    • Genetics and Heredity: Play a role alongside nongenetic factors, Twin, adoption, and family studies are used
    • Psychoimmunology: Compromised immune system possibly contributing, especially in genetically at-risk populations
    • Infections: Theories include viruses altering human genes, viruses during fetal development

    Nurse’s Role in Research and Education

    • Ensure clients and families are well-informed
    • Distinguish between facts and hypotheses
    • Explain how new research may affect client’s treatment or prognosis
    • Provide information and answer questions

    Psychopharmacology

    • Psychotropic drugs: Drugs affecting the mind
    • Efficacy: Maximal therapeutic effect
    • Potency: Amount of drug needed for maximum effect
    • Half-life: Time for half of the drug to be removed from bloodstream
    • FDA: Food and Drug Administration role in drug approval
    • Off-label use: Drug used for a disease different from original testing
    • Black box warning: Serious or life-threatening side effects

    Principles of Psychopharmacology

    • Target symptoms: Affecting specific symptoms
    • Adequate dosage for sufficient time: Right amount for duration needed
    • Lowest effective dose: Minimum amount for effectiveness
    • Lower doses for older adults: Due to age-related changes
    • Tapering rather than abrupt cessation: Avoiding rebound, recurrence, or withdrawal
    • Follow-up care: Monitoring progress and adjustments
    • Simple regimen: For improved compliance

    Antipsychotic Drugs

    • Conventional (First Generation): Chlorpromazine, Fluphenazine, Thioridazine, Haloperidol, Loxapine
    • Atypical (Second Generation): Clozapine, Risperidone, Olanzapine
    • Third Generation: Dopamine system stabilizers (Aripiprazole)
    • Use: Treat symptoms of psychosis
    • Mechanism of action: Block dopamine receptors

    Antipsychotic Side Effects

    • Extrapyramidal symptoms (EPSs): Acute dystonia (muscle spasms), Pseudoparkinsonism (movement problems like rigidity), Akathisia (restlessness), Neuroleptic malignant syndrome (serious, potentially fatal), Tardive dyskinesia (permanent involuntary movements)
    • Treatment for EPSs:* Anticholinergics like diphenhydramine
    • Other side effects: Anticholinergic (dry mouth, constipation) , Increased prolactin levels, Weight gain, Metabolic syndrome, Cardiovascular adverse effects, Agranulocytosis (clozapine)

    Antidepressants

    • Use: Major depressive illness, anxiety disorders, bipolar depression, psychotic depression
    • Four Groups: Tricyclics, SSRIs, MAOIs, Others
    • Mechanism of action: Interact with monoamine neurotransmitter systems (norepinephrine, serotonin)

    Antidepressant Side Effects

    • SSRIs: Anxiety, agitation, nausea, insomnia, sexual dysfunction, weight gain
    • Cyclic antidepressants: Anticholinergic effects, orthostatic hypotension, sedation, weight gain, tachycardia, sexual dysfunction
    • MAOIs: Daytime sedation, insomnia, weight gain, dry mouth, orthostatic hypotension, sexual dysfunction, hypertensive crisis with tyramine-containing foods
    • Other antidepressants: Sedation, headaches (nefazodone, trazodone), loss of appetite, nausea, agitation, insomnia (bupropion, venlafaxine), Priapism (trazodone)

    Drug Interactions with Antidepressants

    • Serotonin syndrome: Agitation, sweating, fever, tachycardia, hypotension, rigidity, hyperreflexia, coma, death
    • Caused by: MAOI + SSRI

    Mood-Stabilizing Drugs

    • Lithium: Treatment of bipolar illness
    • Anticonvulsants: Carbamazepine, Valproic acid, Gabapentin, Topiramate, Oxcarbazepine, Lamotrigine
    • Mechanism of Action: Lithium normalizes reuptake of neurotransmitters, Valproic acid and Topiramate increase GABA levels, Valproic acid and Carbamazepine inhibit the kindling process

    Mood-Stabilizing Side Effects

    • Lithium: Nausea, diarrhea, anorexia, fine hand tremor, polydipsia, polyuria, metallic taste, fatigue, lethargy, weight gain, acne. Toxicity: Severe diarrhea, vomiting, drowsiness, muscle weakness, lack of coordination
    • Carbamazepine and Valproic acid: Drowsiness, sedation, dry mouth, blurred vision
    • Carbamazepine: Rash, orthostatic hypotension
    • Valproic acid: Weight gain, alopecia, hand tremor
    • Topiramate: Dizziness, sedation, weight loss

    Antianxiety Drugs

    • Use: Treatment of anxiety and anxiety disorders, insomnia, OCD, depression, PTSD, alcohol withdrawal
    • Benzodiazepines: Alprazolam, Lorazepam, Diazepam
    • Buspirone (Buspar)
    • Mechanism of Action: Benzodiazepines mediate GABA, Buspirone is a partial agonist at serotonin receptors.

    Antianxiety Side Effects

    • Benzodiazepines: Physical and psychological dependence, CNS depression, hangover effect, tolerance
    • Buspirone: Dizziness, sedation, nausea, headache

    Stimulants

    • Amphetamines: Methylphenidate, Amphetamine, Dextroamphetamine
    • Use: Treatment of ADHD in children and adolescents, residual ADHD in adults, Narcolepsy
    • Mechanism of Action: Release of norepinephrine, dopamine, serotonin, block reuptake of these neurotransmitters
    • Dosage: Divided doses, higher doses for narcolepsy, widely varying doses for ADHD

    Stimulant Side Effects

    • Anorexia, weight loss, nausea, irritability, growth and weight suppression

    Disulfiram (Antabuse)

    • Use: Aversion therapy for alcoholism
    • Mechanism of Action: Inhibition of enzyme involved in alcohol metabolism
    • Adverse reaction with Alcohol: Unpleasant reaction, not a cure for alcoholism
    • Side Effects: Fatigue, drowsiness, halitosis, tremor, impotence
    • Drug interactions: Phenytoin, Isoniazid, Warfarin, Barbiturates, Long-acting Benzodiazepines

    Cultural Considerations

    • Genetic differences: May influence drug metabolism, not race or ethnicity
    • Herbal medicine use: Increased frequency, potential interactions
    • Popular herbal medications: St. John's Wort, Kava, Valerian, Ginkgo biloba

    Self-Awareness Issues

    • Clients and families need simple and thorough explanations.
    • View chronic mental illness as having remissions and exacerbations.
    • Remain open to new ideas and breakthroughs.
    • Understand medication noncompliance as a symptom of illness, not willful misbehavior.

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    Description

    Dive into the fascinating world of neuroscience with this quiz focusing on brain regions and neurotransmitters. Explore the functionality of the cerebrum, cerebellum, brain stem, and limbic system, as well as the roles of various neurotransmitters in brain activity. Test your knowledge and understanding of these essential components of the nervous system.

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