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REGIS NU664C NU664 EXAM 2 QUESTIONS WITH COMPLETE SOLUTIONS 2025/2026

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REGIS NU664C NU664 EXAM 2 QUESTIONS WITH COMPLETE SOLUTIONS 2025/2026

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REGIS NU664C NU664 EXAM 2 QUESTIONS WITH
COMPLETE SOLUTIONS 2025/2026



AIMS scale - ----Answers---The National Institute of Mental Health (NIMH)
developed the Abnormal Involuntary Movement Scale (AIMS)
The AIMS is a brief test for the detection of Tardive Dyskinesia and other
involuntary movements
The AIMS Examines facial, oral extremity, and trunk movement


EPS side effects are more common in what generation of AS? - ---- Answers-
--FGA but possible in SGA


new tx for TD only - ----Answers---ingrezza, doesn't work for any other sx of EPS

,2


what causes NMS? - ----Answers---excessive dopamine-2 receptor blockage


NMS - ----Answers----NMS is like S&M;
-you get hot (hyperpyrexia)
-stiff (increased muscle tone)
-sweaty (diaphoresis)
-BP, pulse, and respirations go up &
-you start to drool


NMS treatment - ----Answers---Dantrolene D2
agonists (e.g., bromocriptine).


For NMS, think FEVER: Fever
Encephalopathy Vitals
unstable Elevated
enzymes Rigidity of
muscles


FGAs with highest weight gain - ----Answers---clozapine olanzapine


when do you initiate schizophrenia tx with clozapine? ----------------- Answers--
-failure of at least 2 other meds

, 3


refractory schizophrenia high risk for suicide


goal BMI and weight circumference for men + women on FGAs - ---- Answers---
BMI 25-29
MEN: under 32 inch waist
women: under 40 inch waist


Antipsychotics FDA approved for ages 13-17? - ----Answers--- risperidal and
aripiprazole


SGA's main risks - ----Answers---weight gain/metabolic syndrome (CATIE study-
43% develop metabolic syndrome)
increased CV disease
anticholinergic sedation


why do SGA have lower risk for EPS side effects? - ----Answers--- dopamine has
inverse relationship with acetylcholine, when serotonin is blocked in
nigrostriatal pathway by SGA, dopamine increases which causes ACh to
decrease (EPS are caused by increased ACh)


DSM5 outline for cultural formulation categories - ----Answers---1. cultural
identity of individual
2. cultural concept of distress
3. psychosocial stressors and cultural features of vulnerability and
resilience
4. cultural features of the relationship between individual and
clinician
5. overall cultural assessment


CSF four domains of assessment -------------- Answers---1. cultural
perceptions of cause, context, support

2. cultural factors affecting self coping nd past help seeking

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