NU643 final exam study Actual Exam With Complete Questions
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a.. common side effects about antidepressants - ANSWERS---DRY
MOUTH SEXUAL DYSFUNCTION DIZZINESS DECREASED OR
INCREASED APPETITE DROWSINESS HEADACHE FATIGUE GI UPSET
(NAUSEA)SLEEP DISTURBANCE
2. managing behavioral and psychological symptoms of dementia
review habilitation therapy - ANSWERS---KEEPING ROUTINE, CALM
ATMOSPHERE MAINTAIN FUNCTION THEY HAVE AT THIS TIME—CUE
INTO BEHAVIORS THEY CAN DO NOW (HABILITATION
THERAPY)BEHAVIORAL SX FOR DEMENTIA AGGRESSION AGIATATION
CONFUSION MEMORY LOSS
3. Review what dietary recommendations from the Carlat report are
good for mental health patients - ANSWERS---EAT WHOLE FOODS,
FOLATE, B12, B6, OMEGA 3S, AVOID CARBS, LESS PROCESSED FOODS
4. Review which is the slowest delivery method of medications
available - ANSWERS---BY MOUTH- ORAL FASTEST-IV
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5. Review the most common side effects regarding long term Lithium
use - ANSWERS---KIDNEY IMPAIRMENT AND THYROID,MONITOR
KIDENY FUNCTION TEST AND THYROID TEST
6. Review the mechanism of action of clonidine & propranolol for the
treatment of anxiety - ANSWERS---LOWER HEART RATE, MUSCLE
TENSION, PHYSIOLOGICAL AND SOMATIC SYMPTOMS
7. Review psychotropic use during lactation post-partum regarding
onset relapse and recurrence of mental disorders - ANSWERS---NOT
FDA APPROVED AND EXCRETED IN BREAST MILK, WEIGH RISKS OVER
BENEFITS, EDUCATE THERE ARE RISKS, SOME SAFER THAN OTHERS
8. Matching Question regarding labs required for Quetiapin Valproic
acid & Lithium - ANSWERS---SEROQUEL: GLUCOSE, LIPID PROFILE,
BNP DEPAKOTE: PLTS, LIVER FUNCTION, AND PLASMA LITHIUM:
THYROID, KIDNEY, AND PLASMA
9. Review the best description of the mental status examination -
ANSWERS---DETERMINATION OF COGNITIVE FUNCTION AT TIME OF
ASSESSMENT
10. Review symptoms of hyponatremia - ANSWERS---DELERIUM,
LETHARGY, NAUSEA
11. Review Tardive Dyskinesia - ANSWERS---movemnts can't control,
JAW THRUSTING, TONGUE MOVEMENT, PILL ROLLING,
HYPERREFLEXEX, LOTS OF BLINKING SEEN IN ANTIPSYCHOTIC
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12. Review substance dependence and a patients vulnerability to
craving & relapse following exposure to any psychoactive substance.
- ANSWERS---DON'T PRESCRIBE CONTROLLED SUBSTANCES TO
THOSE WHO HAVE A SUBSTANCE ABUSE HISTORY . STIMULATES
ELEVATED LEVEL OF DOPAMINE.
13. Review when safety should be assessed in psychiatric care -
ANSWERS---ALL THE TIME
14. Review the time period of greatest risk of teratogenicity in
pregnancy - ANSWERS---FIRST TRIMESTER.....BEFORE KNOW
PREGNANT < 8 WEEKS. NEURAL DEVELOPMENT IS TAKING PLACE
15. Review drug choices for tapering of Benzodiazepines - ANSWERS-
--TO LONG ACTING: KLONOPIN, VALIUM
16. Review the use of St. Johns Wart as an adjunct to SSRI's
medications good or not good that is the question - ANSWERS---NOT
GOOD.....INCREASES SEROTONIN
17. Review the recommendation regarding the use of atypical
antipsychotics for treating dementia - ANSWERS---BLACK BOX
WARNING: INCREASED RISK FOR CV PROBLEMS CAN INCREASE
AGITATION