Exam 2 Maryville NURS 663 Megadeck QUESTIONS WITH COMPLETE SOLUTIONS

Cyclothymic Disorder Diagnostic Criteria: correct answer: • Diagnostic Criteria: For at least 2 years (1 year in children and adolescents) there have been numerous periods with hypomanic symptoms that do not meet the criteria for a hypomanic episode and numerous periods with depressive symptoms that do not meet the criteria for a major depressive episode • During the above 1- or 2-year period, the hypomanic and depressive periods have been present for at least half of the time and the individual has not been without symptoms for more than 2 months at a time • Prevalence is 0.4% to 1% • 15-50% risk for turning into Bipolar I or II Lithium labs correct answer: level, NA, Ca, P, EKG, Creatinine, Urinalysis, CBC, TSH bipolar meds: depression correct answer: lurasidone (13+), olanzapine + fluoxetine (10+)(symbyax) bipolar acute and mixed mania correct answer: aripiprazole, risperidone, olanzapine (13+), quetiapine (acute only), asenapine (10+) classic mood stabilizers correct answer: Lamotrigine (excellent medication to use), lithium, Depakote (avoid in females if possible due to PCOS and Pregnancy), Tegretol, Trileptal (no evidence for true Bipolar disorder) anti-depressants correct answer: class not used w/bipolar disorder lithium correct answer: Anti-manic, antidepressant, anti-suicidal Lithium side effects correct answer: Frequent urination, increased thirst, weight gain, sedation lithium toxicity correct answer: sudden onset tremors, N/V/D, muscle weakness, slurred speech, confusion, seizures (slowing down, feel really out of it) Tourette's d/o correct answer: Multiple motor and at least one vocal tic (some tics come and go, they don't have them all at the same time to receive the diagnosis) HRT correct answer: habit reversal training can be used to manage tics Tics tx correct answer: Alpha agonists (clonidine, guanfacine); Haldol is not the first-line txt Specific Learning Disorders correct answer: difficulties in the acquisition and use of listening, speaking, reading, writing, reasoning, or mathematical abilities; dx by other professionals w/specialized training; NP tx comorbid d/o Anorexia nervosa correct answer: an eating disorder in which an irrational fear of weight gain leads people to starve themselves; restrictive or binge/purge/exercise Bulimia nervosa correct answer: an eating disorder characterized by episodes of overeating, usually of high-calorie foods, followed by vomiting, laxative use, fasting, or excessive exercise Binge-eating disorder correct answer: significant binge-eating episodes, followed by distress, disgust, or guilt, but without the compensatory purging, fasting, or excessive exercise Avoidant/restrictive eating disorder correct answer: avoiding or restricting foods in childhood. significantly low BMI; no distortion of body image or fear of gaining wt. r/o delusions around food Pica correct answer: an abnormal craving or appetite for nonfood substances, such as dirt, paint, or clay that lasts for at least 1 month; decrs incidence with incr age Feeding and Eating Disorders tx correct answer: Talk therapy (counseling is needed for the distress) (intensive outpatient, partial inpatient or actual inpatient admission may be needed); most have associated depression and/or anxiety Feeding and Eating Disorders meds correct answer: fl