Exam 3: NURS 665/ NURS665 (Latest 2024/ 2025 Update)
Psychiatric Mental Health Diagnosis and Management III
Guide | Qs & As| 100% Correct| Grade A (Verified Answers)-
Maryville
Chronic Fatigue Syndrome Diagnosis
-Clinical diagnosis based on over 6 months of new and significant fatigue that is
not relieved by adequate rest and sleep and which is exacerbated in a delayed
fashion by any physical, mental and emotional over-activity.
- Onset of symptoms develop after a viral or other infection and often during a
period of increased psychosocial stress.
- Routine tests for hematological and biochemical dysfunction, endocrinopathy,
inflammation, autoimmunity and immune deficiency are normal.
Chronic Fatigue Syndrome (CFS)
Tiredness, sleep affected, sensitivity to light and sound
· Flu like illnesses
· Myalgia/fatigued, feel worn out
· Headaches
· Pharyngitis
· Low-grade fever
· Cognitive complaints
· GI symptoms
· Tender lymph nodes but no enlargement - often dismissed by medical
· Often accompanied by non-restorative sleep, headaches, hypersensitivity to
lights and sounds, impaired concentration and short term memory.
Treatment of Chronic Fatigue Syndrome
· Pharmacological - antidepressants, symptomatic treatment such as analgesics
for muscular pain - NSAIDS not effective
, · Non-pharmacological - reduce workload, encourage daily activities and resist
fatigue, frequent rest periods, validating complaints
o CBT (overcome and correct mistaken beliefs such as fear that any activity
causing fatigue worsens the disorder), self help groups (group dynamics help),
vitamins, minerals, herbal products
Fibromyalgia
· pain and 3 month duration (know timeline and symptoms)
o Constant dull widespread pain that lasts more than three months
o Affects sleep, increased sensitivity to odors, noise, bright lights, or temperature
o Stiffness and muscle tenderness
o TX-lyrica, gabapentin (off-label), cymbalta
Abuse
Taking/using more than intended, treating an ailment
Cross-tolerance
-tolerance for a substance one has not taken before as a result of using another
substance similar to it
-tolerance built up for one substance increased it for another (ETOH and benzos)
Detoxification
Ridding the body of a toxin/substance, a set of interventions to do manage it
Misuse
Taking/using to elicit a feeling (no pain or ailment involved)
Tolerance
The diminishing effect with regular use of the same dose of a drug, requiring the
user to take larger and larger doses before experiencing the drug's effect
Withdrawal
Psychiatric Mental Health Diagnosis and Management III
Guide | Qs & As| 100% Correct| Grade A (Verified Answers)-
Maryville
Chronic Fatigue Syndrome Diagnosis
-Clinical diagnosis based on over 6 months of new and significant fatigue that is
not relieved by adequate rest and sleep and which is exacerbated in a delayed
fashion by any physical, mental and emotional over-activity.
- Onset of symptoms develop after a viral or other infection and often during a
period of increased psychosocial stress.
- Routine tests for hematological and biochemical dysfunction, endocrinopathy,
inflammation, autoimmunity and immune deficiency are normal.
Chronic Fatigue Syndrome (CFS)
Tiredness, sleep affected, sensitivity to light and sound
· Flu like illnesses
· Myalgia/fatigued, feel worn out
· Headaches
· Pharyngitis
· Low-grade fever
· Cognitive complaints
· GI symptoms
· Tender lymph nodes but no enlargement - often dismissed by medical
· Often accompanied by non-restorative sleep, headaches, hypersensitivity to
lights and sounds, impaired concentration and short term memory.
Treatment of Chronic Fatigue Syndrome
· Pharmacological - antidepressants, symptomatic treatment such as analgesics
for muscular pain - NSAIDS not effective
, · Non-pharmacological - reduce workload, encourage daily activities and resist
fatigue, frequent rest periods, validating complaints
o CBT (overcome and correct mistaken beliefs such as fear that any activity
causing fatigue worsens the disorder), self help groups (group dynamics help),
vitamins, minerals, herbal products
Fibromyalgia
· pain and 3 month duration (know timeline and symptoms)
o Constant dull widespread pain that lasts more than three months
o Affects sleep, increased sensitivity to odors, noise, bright lights, or temperature
o Stiffness and muscle tenderness
o TX-lyrica, gabapentin (off-label), cymbalta
Abuse
Taking/using more than intended, treating an ailment
Cross-tolerance
-tolerance for a substance one has not taken before as a result of using another
substance similar to it
-tolerance built up for one substance increased it for another (ETOH and benzos)
Detoxification
Ridding the body of a toxin/substance, a set of interventions to do manage it
Misuse
Taking/using to elicit a feeling (no pain or ailment involved)
Tolerance
The diminishing effect with regular use of the same dose of a drug, requiring the
user to take larger and larger doses before experiencing the drug's effect
Withdrawal
