NU664C/ NU 664C Midterm Exam (Latest 2026/
2027 Update) Family Psychiatric Mental Health I
Review| Qs & Complete Elaborations | 100%
Correct (Verified Answers)- Regis
Description
This NU 664C (Family Psychiatric Mental Health I) midterm exam
at Regis College covers advanced psychiatric assessment, diagnosis,
and treatment planning for diverse populations. Key topics include
psychopharmacology (antipsychotics, lithium, benzos), pediatric
mood/anxiety disorders, and legal/ethical, exam focuses on suicide risk
assessment, treatment-resistant depression, Alzheimer’s, and cognitive
behavioral therapy.
Key Exam Themes and Content Areas
Psychopharmacology & Monitoring: Baseline labs (CBC, CMP,
LFTs, Lipid Panel, HgbA1c) for antipsychotics, management of lithium
toxicity, and benzo/opiate reversal agents.
Diagnoses & Symptoms: Identification of schizophrenia
(positive/negative symptoms), major depression vs. persistent depressive
disorder, anxiety disorders (panic, separation), and developmental
milestones.
Population-Specific Care: Pediatric mood disorders, elderly care
(Alzheimer’s), and high-risk groups (e.g., suicide risk factors).
Therapeutic Modalities: Cognitive Behavioral Therapy (CBT)
techniques and behavioral strategies for anxiety.
Professional Role: Massachusetts nurse practice laws for APNs and
ethical principles in treatment.
1
, Quiz_________________?
Know the route of administration for newer agent asenapine (Saphris) and what
instructions should be given to the patient regarding administration. -
Answer
Route- Sublingual
Not to eat or drink for 10 minutes after medication administration
Not to swallow or chew the capsule.
Asenapine is an atypical antipsychotic (serotonin-dopamine antagonist, as a mood
stabilizer). Asenapine is not absorbed after swallowing (less than 2% bioavailable
orally) and thus must be administered sublingually (35% bioavailable), as
swallowing would render asenapine inactive.
Patients should be instructed to place the tablet under the tongue and allow it to
dissolve completely, which will occur in seconds; tablet should not be divided,
crushed, chewed, or swallowed.
Patients may not eat or drink for 10 minutes following sublingual administration
so that the drug in the oral cavity can be absorbed locally and not washed into the
stomach (where it would not be absorbed).
Due to rapid onset of action, can be used as a rapid acting "prn" or "as needed"
dose for agitation or transient worsening of psychosis or mania instead of an
injection.
Treatment should be suspended if absolute neutrophil count falls below
1,000/mm3.
Quiz_________________?
Know and describe the top atypical antipsychotic with greatest incidence of
prolonged QTc interval. -
Answer
Ziprasidone (Geodon).
2
, Normal QTc =450.
>470, Call Cardiologist
>500, stop all meds.
Ziprasidone (Geodon) has been associated with a dose-related prolongation of
the QTc
QTc interval prolongation is greatest with ziprasidone and least with olanzapine.
Ziprasidone (Geodon) an atypical antipsychotic (serotonin-dopamine antagonist;
second-generation antipsychotic; also a mood stabilizer.
Ziprasidone is prescribed for Schizophrenia, delaying relapse in schizophrenia,
acute agitation in schizophrenia (intramuscular), acute mania/mixed mania, bipolar
maintenance, other psychotic d/o, bipolar depression, behavioral disturbances in
dementias, behavioral disturbances in children and adolescents, and disorders
associated with problems with impulse control.
Ziprasidone blocks dopamine 2 receptors, reducing positive symptoms of
psychosis and stabilizing affective symptoms. Blocks serotonin 2A receptors,
causing enhancement of dopamine release in certain brain regions and thus
reducing motor side effects and possible improving cognitive and affective
symptoms.
EKGs may be useful for selected patients (e.g., those with personal or family
history of QTc prolongation; cardiac arrhythmia; recent myocardial infarction;
uncompensated heart failure; or those taking agents that prolong QTc interval
(such as pimozide, thioridazine, selected antiarrhythmics, moxifloxacin,
sparfloxacin, etc.)
Ziprasidone prolongs QTc interval more than some other antipsychotics.
Ziprasidone is associated with rare but serious skin condition known as Drug
Reaction with Eosinophilia (DRESS). DRESS may begin as a rash but can progress
to other parts of the body and can include symptoms such as fever, swollen lymph
nodes, swollen face, inflammation of organs, and an increase in white blood cells
known as eosinophilia. In some cases, DRESS can lead to death. Clinic
3
2027 Update) Family Psychiatric Mental Health I
Review| Qs & Complete Elaborations | 100%
Correct (Verified Answers)- Regis
Description
This NU 664C (Family Psychiatric Mental Health I) midterm exam
at Regis College covers advanced psychiatric assessment, diagnosis,
and treatment planning for diverse populations. Key topics include
psychopharmacology (antipsychotics, lithium, benzos), pediatric
mood/anxiety disorders, and legal/ethical, exam focuses on suicide risk
assessment, treatment-resistant depression, Alzheimer’s, and cognitive
behavioral therapy.
Key Exam Themes and Content Areas
Psychopharmacology & Monitoring: Baseline labs (CBC, CMP,
LFTs, Lipid Panel, HgbA1c) for antipsychotics, management of lithium
toxicity, and benzo/opiate reversal agents.
Diagnoses & Symptoms: Identification of schizophrenia
(positive/negative symptoms), major depression vs. persistent depressive
disorder, anxiety disorders (panic, separation), and developmental
milestones.
Population-Specific Care: Pediatric mood disorders, elderly care
(Alzheimer’s), and high-risk groups (e.g., suicide risk factors).
Therapeutic Modalities: Cognitive Behavioral Therapy (CBT)
techniques and behavioral strategies for anxiety.
Professional Role: Massachusetts nurse practice laws for APNs and
ethical principles in treatment.
1
, Quiz_________________?
Know the route of administration for newer agent asenapine (Saphris) and what
instructions should be given to the patient regarding administration. -
Answer
Route- Sublingual
Not to eat or drink for 10 minutes after medication administration
Not to swallow or chew the capsule.
Asenapine is an atypical antipsychotic (serotonin-dopamine antagonist, as a mood
stabilizer). Asenapine is not absorbed after swallowing (less than 2% bioavailable
orally) and thus must be administered sublingually (35% bioavailable), as
swallowing would render asenapine inactive.
Patients should be instructed to place the tablet under the tongue and allow it to
dissolve completely, which will occur in seconds; tablet should not be divided,
crushed, chewed, or swallowed.
Patients may not eat or drink for 10 minutes following sublingual administration
so that the drug in the oral cavity can be absorbed locally and not washed into the
stomach (where it would not be absorbed).
Due to rapid onset of action, can be used as a rapid acting "prn" or "as needed"
dose for agitation or transient worsening of psychosis or mania instead of an
injection.
Treatment should be suspended if absolute neutrophil count falls below
1,000/mm3.
Quiz_________________?
Know and describe the top atypical antipsychotic with greatest incidence of
prolonged QTc interval. -
Answer
Ziprasidone (Geodon).
2
, Normal QTc =450.
>470, Call Cardiologist
>500, stop all meds.
Ziprasidone (Geodon) has been associated with a dose-related prolongation of
the QTc
QTc interval prolongation is greatest with ziprasidone and least with olanzapine.
Ziprasidone (Geodon) an atypical antipsychotic (serotonin-dopamine antagonist;
second-generation antipsychotic; also a mood stabilizer.
Ziprasidone is prescribed for Schizophrenia, delaying relapse in schizophrenia,
acute agitation in schizophrenia (intramuscular), acute mania/mixed mania, bipolar
maintenance, other psychotic d/o, bipolar depression, behavioral disturbances in
dementias, behavioral disturbances in children and adolescents, and disorders
associated with problems with impulse control.
Ziprasidone blocks dopamine 2 receptors, reducing positive symptoms of
psychosis and stabilizing affective symptoms. Blocks serotonin 2A receptors,
causing enhancement of dopamine release in certain brain regions and thus
reducing motor side effects and possible improving cognitive and affective
symptoms.
EKGs may be useful for selected patients (e.g., those with personal or family
history of QTc prolongation; cardiac arrhythmia; recent myocardial infarction;
uncompensated heart failure; or those taking agents that prolong QTc interval
(such as pimozide, thioridazine, selected antiarrhythmics, moxifloxacin,
sparfloxacin, etc.)
Ziprasidone prolongs QTc interval more than some other antipsychotics.
Ziprasidone is associated with rare but serious skin condition known as Drug
Reaction with Eosinophilia (DRESS). DRESS may begin as a rash but can progress
to other parts of the body and can include symptoms such as fever, swollen lymph
nodes, swollen face, inflammation of organs, and an increase in white blood cells
known as eosinophilia. In some cases, DRESS can lead to death. Clinic
3
