Revised PMHNP 1 Final Exam [100% Correct Answers]

Revised PMHNP 1 Final Exam [100% Correct Answers] _______ is produced in the locus ceruleus of the pons Norepinephrine The hallmark symptom in _______ is a disturbance of consciousness accompanied by changes in cognitive function delirium Disturbance of consciousness develops over a short time, usually hours to days is seen in _______ delirium How are Sleep-rest cycle different in patients with delirium? clients are awake at night andsleep during the day. Impaired _______ and ______ memory is seen in patients with delirium recent and intermediate Symptoms of delirium resolve within ? 3 to 6 months Delirium Mnemonic D-Drugs E-electrolyte abnormality L-low oxygen saturation I-infection R-reduced sensory input I-intracranial U-urinary or renal retention M-myocardial What is the most common type of dementia? Alzheimer's __________ has a Gradual onset and progressive decline without focal neurological deficits Dementia of Alzheimer's type (DAT) What are the hallmark signs of Dementia of Alzheimer's type (DAT) amyloid deposits and neurofibrillary tangles senile plaques What changes in the brain are seen in DAT? Diffuse cerebral atrophy and enlarged ventricles Which neurotransmitters are decreased in DAT? acetylcholine (ACh) and norepinephrine ___________is Often induced by traumatic experiences such as physical/sexual abuse, or betrayal by a trusted individual Dissociative amnesia Clinical features of _____________ includes An inability to recall important personal information, usually of a traumatic/stressful nature, that is inconsistent with ordinary forgetting Dissociative amnesia localized amnesia is the disruption of an event or period of time selective amnesia is the disruption of Specific aspect of an event generalized amnesia is the disruption of Identity or life history purposeful travel or bewildered wandering that is associated with amnesia for identity or for other important autobiographical information dissociative fugue inability to learn new info Anterograde amnesia inability to recall previously remembered info Retrograde amnesia Which TCA is used in the treatment of OCD? Clomipramine Which substances may cause dementia? Alcohol · Heavy metals · Carbon monoxide ·Pseudodementia r/t meds ( anticholinergics) inhalants Which SSRIs have a sedative effect? Citalopram (Celexa) Escitalopram (Lexapro) Fluvoxamine (Luvox) Paroxetine (Paxil) Sertraline (Zoloft) Which TCAs have a sedative effect? Amitriptyline (Elavil) Doxepin (Sineqan) Which other antidepressants may cause sedation? Mirtazapine (Remeron) Nefazodone (Serzone) Trazodone