MARYVILLE NURS 663 ALL 2026 EXAMINERS SET
QUESTIONS AND ANSWERS SURE A+
✔✔EMDR: reprocessing phases - ✔✔focuses momentarily on past memories, present
triggers or anticipated future experiences while simultaneously focusing on a set of
external stimuli: tones, tapping, eye movement
✔✔EMDR - ✔✔combining rapid eye movement with recall of traumatic experience to
reduce distress from that memory; cognitive restructure = beh/emo change
✔✔interpersonal therapy (IPT) - ✔✔treatment that strengthens social skills and targets
interpersonal problems, conflicts, and life transitions, or change their perspectives of
same
✔✔DBT - ✔✔1.Acceptance and validation of behavior as it is in the moment
2. Treating therapy‐interfering behaviors of both client and therapist
3. The assumption that the therapeutic relationship is essential to the treatment
4. Dialectic process: persuasive dialogue, focus on reality
✔✔Pregnancy risks for meds - ✔✔SSRIs generally okay
Depakote: for any woman of child bearing age
Mood stabilizers: cardiac anomolies, neural tube defects
Drugs in 3rd tri rarely teratogenic
, ✔✔Lithium uses - ✔✔1. manic episodes of manic-depressive illness
2. maintenance treatment for manic-depressive pts with a hx. of mania
3. bipolar depression
4. MDD (adjunctive)
5. treatment -resistant depression
6. Reduces suicide risk
7. Works well in combination with atypical antipsychotics and/or mood stabilizing
anticonvulsants such as valproate
✔✔lithium common SE - ✔✔1. tremor, ataxia, dysarthria, delirium memory problems
2. polyuria, polydipsia,
3. diarrhea, nausea, vomiting
4. Weight gain
✔✔Lithium: Life-Threatening SE's - ✔✔1. toxicity
2. Renal impairment
3. Nephrogenic diabetes insipidus
4. Arrhythmia, CV changes, sick sinus syndrome, bradycardia, hypotension, T-wave
flattening and inversion
5. rare seizures
✔✔Lithium mgmt - ✔✔1. Lower the dose
2. Take at night
3. Change to different preparation (e.g. controlled-release)
4. Reduce dosing from TID to BID
5. If toxicity symptoms- DISCONTINUE
6. Stomach upset- take with food
7. Tremor- avoid caffeine
8. May need to switch to another agent
✔✔Lithium lab monitoring - ✔✔frequent _________levels-every 1-2 weeks until desired
serum concentration achieved, then every 2-3 months for 1st 6 months, then every 6-12
months if remains stable
✔✔lithium range - ✔✔1.0-1.5 mEq/L for acute treatment and 0.6- 1.2 mEq/L for chronic
treatment
✔✔Megacolon - ✔✔chronic rectal distention from large, hard fecal masses can cause
loss of tone in the rectal wall and desensitization to pressure
✔✔Encopresis dx - ✔✔1. Repeated passage of feces into inappropriate places
(involuntary or intentional)
2. Occurs each month for at least 3 months
3. At least age 4 or equivalent developmental level
QUESTIONS AND ANSWERS SURE A+
✔✔EMDR: reprocessing phases - ✔✔focuses momentarily on past memories, present
triggers or anticipated future experiences while simultaneously focusing on a set of
external stimuli: tones, tapping, eye movement
✔✔EMDR - ✔✔combining rapid eye movement with recall of traumatic experience to
reduce distress from that memory; cognitive restructure = beh/emo change
✔✔interpersonal therapy (IPT) - ✔✔treatment that strengthens social skills and targets
interpersonal problems, conflicts, and life transitions, or change their perspectives of
same
✔✔DBT - ✔✔1.Acceptance and validation of behavior as it is in the moment
2. Treating therapy‐interfering behaviors of both client and therapist
3. The assumption that the therapeutic relationship is essential to the treatment
4. Dialectic process: persuasive dialogue, focus on reality
✔✔Pregnancy risks for meds - ✔✔SSRIs generally okay
Depakote: for any woman of child bearing age
Mood stabilizers: cardiac anomolies, neural tube defects
Drugs in 3rd tri rarely teratogenic
, ✔✔Lithium uses - ✔✔1. manic episodes of manic-depressive illness
2. maintenance treatment for manic-depressive pts with a hx. of mania
3. bipolar depression
4. MDD (adjunctive)
5. treatment -resistant depression
6. Reduces suicide risk
7. Works well in combination with atypical antipsychotics and/or mood stabilizing
anticonvulsants such as valproate
✔✔lithium common SE - ✔✔1. tremor, ataxia, dysarthria, delirium memory problems
2. polyuria, polydipsia,
3. diarrhea, nausea, vomiting
4. Weight gain
✔✔Lithium: Life-Threatening SE's - ✔✔1. toxicity
2. Renal impairment
3. Nephrogenic diabetes insipidus
4. Arrhythmia, CV changes, sick sinus syndrome, bradycardia, hypotension, T-wave
flattening and inversion
5. rare seizures
✔✔Lithium mgmt - ✔✔1. Lower the dose
2. Take at night
3. Change to different preparation (e.g. controlled-release)
4. Reduce dosing from TID to BID
5. If toxicity symptoms- DISCONTINUE
6. Stomach upset- take with food
7. Tremor- avoid caffeine
8. May need to switch to another agent
✔✔Lithium lab monitoring - ✔✔frequent _________levels-every 1-2 weeks until desired
serum concentration achieved, then every 2-3 months for 1st 6 months, then every 6-12
months if remains stable
✔✔lithium range - ✔✔1.0-1.5 mEq/L for acute treatment and 0.6- 1.2 mEq/L for chronic
treatment
✔✔Megacolon - ✔✔chronic rectal distention from large, hard fecal masses can cause
loss of tone in the rectal wall and desensitization to pressure
✔✔Encopresis dx - ✔✔1. Repeated passage of feces into inappropriate places
(involuntary or intentional)
2. Occurs each month for at least 3 months
3. At least age 4 or equivalent developmental level
