NURS 6501 PATHOPHYSIOLOGY FINAL EXAM
2025 | 2 DIFFERENT VERSIONS| 200 QUESTIONS
AND CORRECT ANSWERS (GRADED A+) | LATEST
VERSIONS | (WALDEN UNIVERSITY)
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Terms in this set (72)
- Screen for mental health issues
- Improve outcomes and reduce health care costs
What is the role of the - Assess and give care to mild-moderate disorders or
primary care provider in patients with stable severe mental disorders
mental health? - From strong links with mental health specialty care
for complex cases
Sharing patient info (ex: meds used)
- Screens for MDD
- It is the first two questions of the PHQ9
- In the last two week, have you been feeling these
(not at all, several days, more than half the day, nearly
about PHQ2 everyday):
- what does it screen for, - Little interest or pleasure in doing things?
what are the questions, - Feeling down, depressed, or hopeless?
scoring
Scoring:
A single yes or score >3 (out of 0-6) = possible clinical
depression ⇒ due the PHQ9
If the pt screens (+) ⇒ continue to eval with the PHQ9
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,2/11/25, 7:32 PM NURS 6501 PATHOPHYSIOLOGY FINAL EXAM 2025 | 2 DIFFERENT VERSIONS| 200 QUESTIONS AND CORRECT ANSWERS…
Used for screening, diagnosing, and treating
- It asks about functioning impairments which is
needed for the DSM-based diagnosis
Includes asking about suicide or hurting self
Scoring:
0-27 available
0-4: Minimal/none
Monitor; may not require treatment
about PHQ9
5-9: Mild
- what its used for,
Use clinical judgment; follow-up in one month
questions, scoring
10-14: Moderate
Use clinical judgment; may need meds if functionally
impaired
15-19: Moderately Severe
Warrants active treatment with psychotherapy, meds,
or combo
20-27: Severe
Warrants active treatment with psychotherapy, meds,
or combo
20mg PO once daily in the AM
What is the appropriate - May ↑ daily dose after several weeks if inadequate
initiation dose for response
fluoxetine for adults and - Full therapeutic effect may be delayed 4 weeks or
geriatric adults? longer
- Max dose: 80mg/day
Sodium levels
- Baseline screening & after 3-4 weeks in high-risk
What labs would be
patients (> 65yrs, previous hx of antidepressant-
appropriate to draw if you
induced hyponatremia, low body weight, concomitant
initiate fluoxetine in a
use of thiazides or other hyponatremia-inducing
geriatric patient?
agents)
- monitor regularly in the elderly
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, 2/11/25, 7:32 PM NURS 6501 PATHOPHYSIOLOGY FINAL EXAM 2025 | 2 DIFFERENT VERSIONS| 200 QUESTIONS AND CORRECT ANSWERS…
Common SSRIs:
Lexapro, celexa, paxil, zoloft, prozac
What are potential side L = decreased libido and sleep
effects of SSRI E = Neutral effect on energy
medications? A = neural effect on addiction
- what are the common P = celexa may stop working after awhile (increase or
SSRIs, LEAP of them, and switch)
zoloft AE
Zoloft AE:
Insomnia, somnolence, fatigue, abnormal ejaculation,
suicidal thoughts
Diagnostics need 5 or more of the following:
- SS occur more days than not in a 2 week period
- SS cause significant impairment in any realm of
functioning
What are characteristics of - Depressed mood
major depressive disorder - Loss of interest
or MDD? 9 - Significant unintended ▲ in weight or appetite
- Significant ▲ sleep
- ▲ psychomotor activity (restlessness)
- Fatigue, loss of energy
- Worthlessness, guilt
- Increased serotonergic activity in the CNS
- Can be due to therapeutic med use, inadvertent
drug interactions, or self-OD
What is serotonin Serotonin in the Body:
syndrome? CNS: Modulates attention, behavior, and
thermoregulation
PNS: Regulates GI motility, vasoconstriction, uterine
contraction, and bronchoconstriction, promotes PLT
aggregation
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