CMN 350 EVALUATION EXAM UPDATED QUESTIONS AND
SOLUTIONS RATED A+
✔✔Cholinesterase inhibitors - ✔✔- Inhibit cholinesterase from breaking down
acetylcholine
- Side effects include GI and bradycardia
- Ex. Donepezil (Aricept): more selective for ACh
✔✔NMDA receptor Antagonist - ✔✔Medication for AD, may slow neurodegeneration
- Blocking NMDA reduces degeneration of the neurons.
✔✔Glutamate, NMDA-Glutamate Receptor, NMDA receptor antagonists, Memantine -
✔✔What are some agents that may slow neurodegeneration?
✔✔Donepezil - ✔✔Cholinesterase inhibitor
- Inhibit cholinesterase from breaking down acetylcholine
- More selective for ACh, so fewer side effects
✔✔eating disorders - ✔✔Highest rate of any psychiatric disorder; affects men and
women although more common in women; associated with devastating psychological
and physical sequelae.
✔✔Anorexia - ✔✔Morbid fear of obesity characterized by a preoccupation with food
while refusing to eat.
Does not see behavior as normal
✔✔atrophy of cardiac muscle, cardiac dysrhythmias, deficiencies in estrogen leading to
osteoporosis, and alterations in thyroid metabolism - ✔✔What are some consequences
of anorexia?
✔✔Bulimia - ✔✔Characterized by uncontrolled compulsive ingestion of enormous
amounts of food in a short period.
- High calorie, high-carb snacks that can be ingested quickly are preferred.
- Binging episode occurs in secret, followed by guilt, relieved only by a period of
purging.
✔✔F/E imbalances, damage to stomach and intestinal lining, dental caries, and cardiac
dysrhythmias. - ✔✔What are some consequences of bulimia?
✔✔Do not confront denial, but encourage feelings, honesty, teach pt about disorder,
assist to identify positive qualities, eat w/ client, patient input, and reward for weight gain
- ✔✔What is some nurse patient relationship tips for a patient with an eating disorder?
, ✔✔weigh daily, monitor for purging (go to bathroom w/ patients for first hour after
eating), monitor activity level, re-feeding should occur slowly. - ✔✔What are some
nursing interventions in the hospital for patients with eating disorders?
✔✔antidepressants, SSRI's, sedatives (Benzo's), Antihistamines, parkinson's meds
(anticholinergics), antihypertensives/diuretics (BBs, CCB, furosemide), and birth control
- ✔✔What are some medications that cause sexual dysfunction?
✔✔Paraphilic disorders - ✔✔Sexual disorders and deviations in which sexual arousal
occurs almost exclusively in the context of inappropriate objects or individuals.
- Treatment: CBT, Therapy, Family counseling (disorder specific), pharmacologic
treatment.
✔✔Help patients confront disorder in nonjudgemental attitude, assure confidentiality,
educate about disorder and consequences, help pt deal with physical symptoms and
emotional distress, and set limits on what is shared in group therapy. - ✔✔What are
some nurse patient relationship tips for Paraphilias?
✔✔Gender Dysphoria - ✔✔Clinical inconsistency between a person's birth gender and
his or her desired gender.
✔✔cross sex hormone treatment, gender reassignment surgery, and counseling -
✔✔What are some possible treatments for gender dysphoria?
✔✔Assess signs of self-harm or risk for suicide, confront and work through your own
feelings, refrain from being judgmental or shocked, offer empathy, support, and
acceptance, help pt deal with physical and emotional changes. - ✔✔What are some
nurse-patient relationship tips for a patient with gender dysphoria?
✔✔self-esteem, assertiveness, anger management, social and relationship skills, sex
education, stress management. - ✔✔What is the milieu management for patients with
sexual dysfunction?
✔✔Anxiety - ✔✔A natural human emotion that serves as an alert system, signaling
threats or danger.
✔✔Normal Anxiety - ✔✔Brief, temporary, and triggered by specific situations.
✔✔Anxiety disorder - ✔✔Persistant, excessive, and disruptive. Overwhelming, causing
significant distress and impairing daily functioning.
✔✔stay with the patient and ensure physical environment is safe. - ✔✔What is nursing
priority for a patient having panic level anxiety?
SOLUTIONS RATED A+
✔✔Cholinesterase inhibitors - ✔✔- Inhibit cholinesterase from breaking down
acetylcholine
- Side effects include GI and bradycardia
- Ex. Donepezil (Aricept): more selective for ACh
✔✔NMDA receptor Antagonist - ✔✔Medication for AD, may slow neurodegeneration
- Blocking NMDA reduces degeneration of the neurons.
✔✔Glutamate, NMDA-Glutamate Receptor, NMDA receptor antagonists, Memantine -
✔✔What are some agents that may slow neurodegeneration?
✔✔Donepezil - ✔✔Cholinesterase inhibitor
- Inhibit cholinesterase from breaking down acetylcholine
- More selective for ACh, so fewer side effects
✔✔eating disorders - ✔✔Highest rate of any psychiatric disorder; affects men and
women although more common in women; associated with devastating psychological
and physical sequelae.
✔✔Anorexia - ✔✔Morbid fear of obesity characterized by a preoccupation with food
while refusing to eat.
Does not see behavior as normal
✔✔atrophy of cardiac muscle, cardiac dysrhythmias, deficiencies in estrogen leading to
osteoporosis, and alterations in thyroid metabolism - ✔✔What are some consequences
of anorexia?
✔✔Bulimia - ✔✔Characterized by uncontrolled compulsive ingestion of enormous
amounts of food in a short period.
- High calorie, high-carb snacks that can be ingested quickly are preferred.
- Binging episode occurs in secret, followed by guilt, relieved only by a period of
purging.
✔✔F/E imbalances, damage to stomach and intestinal lining, dental caries, and cardiac
dysrhythmias. - ✔✔What are some consequences of bulimia?
✔✔Do not confront denial, but encourage feelings, honesty, teach pt about disorder,
assist to identify positive qualities, eat w/ client, patient input, and reward for weight gain
- ✔✔What is some nurse patient relationship tips for a patient with an eating disorder?
, ✔✔weigh daily, monitor for purging (go to bathroom w/ patients for first hour after
eating), monitor activity level, re-feeding should occur slowly. - ✔✔What are some
nursing interventions in the hospital for patients with eating disorders?
✔✔antidepressants, SSRI's, sedatives (Benzo's), Antihistamines, parkinson's meds
(anticholinergics), antihypertensives/diuretics (BBs, CCB, furosemide), and birth control
- ✔✔What are some medications that cause sexual dysfunction?
✔✔Paraphilic disorders - ✔✔Sexual disorders and deviations in which sexual arousal
occurs almost exclusively in the context of inappropriate objects or individuals.
- Treatment: CBT, Therapy, Family counseling (disorder specific), pharmacologic
treatment.
✔✔Help patients confront disorder in nonjudgemental attitude, assure confidentiality,
educate about disorder and consequences, help pt deal with physical symptoms and
emotional distress, and set limits on what is shared in group therapy. - ✔✔What are
some nurse patient relationship tips for Paraphilias?
✔✔Gender Dysphoria - ✔✔Clinical inconsistency between a person's birth gender and
his or her desired gender.
✔✔cross sex hormone treatment, gender reassignment surgery, and counseling -
✔✔What are some possible treatments for gender dysphoria?
✔✔Assess signs of self-harm or risk for suicide, confront and work through your own
feelings, refrain from being judgmental or shocked, offer empathy, support, and
acceptance, help pt deal with physical and emotional changes. - ✔✔What are some
nurse-patient relationship tips for a patient with gender dysphoria?
✔✔self-esteem, assertiveness, anger management, social and relationship skills, sex
education, stress management. - ✔✔What is the milieu management for patients with
sexual dysfunction?
✔✔Anxiety - ✔✔A natural human emotion that serves as an alert system, signaling
threats or danger.
✔✔Normal Anxiety - ✔✔Brief, temporary, and triggered by specific situations.
✔✔Anxiety disorder - ✔✔Persistant, excessive, and disruptive. Overwhelming, causing
significant distress and impairing daily functioning.
✔✔stay with the patient and ensure physical environment is safe. - ✔✔What is nursing
priority for a patient having panic level anxiety?
