MARYVILLE NURS 663 UPDATED FINAL EXAM ALL
QUESTIONS AND ANSWERS SURE A+
✔✔Stereotypic Movement Disorder - ✔✔a motor disorder characterized by repetitive,
seemingly driven, and apparently purposeless motor behavior, such as hand waving or
head banging, but not include ASD sx
✔✔Specific Learning Disorders - ✔✔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 - ✔✔an eating disorder in which an irrational fear of weight gain
leads people to starve themselves; restrictive or binge/purge/exercise
✔✔Bulimia nervosa - ✔✔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 - ✔✔significant binge-eating episodes, followed by distress,
disgust, or guilt, but without the compensatory purging, fasting, or excessive exercise
, ✔✔Avoidant/restrictive eating disorder - ✔✔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 - ✔✔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 - ✔✔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 - ✔✔fluoxetine help but not direct tx
Vyvanse approved for binge eating but not because of stimulant effects
✔✔Encopresis - ✔✔a childhood disorder characterized by repeated defecating in
inappropriate places, such as one's clothing
✔✔Enuresis - ✔✔involuntary urination
✔✔Encopresis Treatment - ✔✔Behavior management: toilet refusal behavior,
scheduled toileting time, incentives.
Prevention of constipation
Counseling
✔✔Enuresis treatment - ✔✔1. First line is behavioral interventions: bed alarms, toileting
at bedtime and during the night, bladder training
2. reassurance, resolves spontan, normal 4-5 yo
✔✔Enuresis meds - ✔✔Desmopressin nasal spray;
✔✔Major Depressive Disorder Dx - ✔✔5+ for at least a 2-week period; either #1 or 2
req
1. Depressed mood most of the day, nearly every day (can be irritability in children &
adolescents)
2. Diminished interest or pleasure in all, or almost all, activities
3. Change appetite/weight; kids not wt goals
Insomnia or hypersomnia nearly every day
4. Up or down Psychomotor
5. Fatigue or loss of energy
6. Worthlessness/excessive or inappropriate guilt
7. Diminished ability to think or concentrate, or indecisiveness (don't confuse with
ADHD, address mood first)
8. Recurrent thoughts of death, thoughts of suicide, or suicidal plan/intent: if hosp then 2
wk not req.
QUESTIONS AND ANSWERS SURE A+
✔✔Stereotypic Movement Disorder - ✔✔a motor disorder characterized by repetitive,
seemingly driven, and apparently purposeless motor behavior, such as hand waving or
head banging, but not include ASD sx
✔✔Specific Learning Disorders - ✔✔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 - ✔✔an eating disorder in which an irrational fear of weight gain
leads people to starve themselves; restrictive or binge/purge/exercise
✔✔Bulimia nervosa - ✔✔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 - ✔✔significant binge-eating episodes, followed by distress,
disgust, or guilt, but without the compensatory purging, fasting, or excessive exercise
, ✔✔Avoidant/restrictive eating disorder - ✔✔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 - ✔✔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 - ✔✔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 - ✔✔fluoxetine help but not direct tx
Vyvanse approved for binge eating but not because of stimulant effects
✔✔Encopresis - ✔✔a childhood disorder characterized by repeated defecating in
inappropriate places, such as one's clothing
✔✔Enuresis - ✔✔involuntary urination
✔✔Encopresis Treatment - ✔✔Behavior management: toilet refusal behavior,
scheduled toileting time, incentives.
Prevention of constipation
Counseling
✔✔Enuresis treatment - ✔✔1. First line is behavioral interventions: bed alarms, toileting
at bedtime and during the night, bladder training
2. reassurance, resolves spontan, normal 4-5 yo
✔✔Enuresis meds - ✔✔Desmopressin nasal spray;
✔✔Major Depressive Disorder Dx - ✔✔5+ for at least a 2-week period; either #1 or 2
req
1. Depressed mood most of the day, nearly every day (can be irritability in children &
adolescents)
2. Diminished interest or pleasure in all, or almost all, activities
3. Change appetite/weight; kids not wt goals
Insomnia or hypersomnia nearly every day
4. Up or down Psychomotor
5. Fatigue or loss of energy
6. Worthlessness/excessive or inappropriate guilt
7. Diminished ability to think or concentrate, or indecisiveness (don't confuse with
ADHD, address mood first)
8. Recurrent thoughts of death, thoughts of suicide, or suicidal plan/intent: if hosp then 2
wk not req.
