maryville nurs 663 exam 2 questions and answers
Lithium labs - (ANSWERS)level, NA, Ca, P, EKG, Creatinine, Urinalysis, CBC, TSH
Bipolar meds: depression - (ANSWERS)lurasidone (13+), olanzapine + fluoxetine
(10+)(symbyax)
Bipolar acute and mixed mania - (ANSWERS)aripiprazole, risperidone, olanzapine (13+),
quetiapine (acute only), asenapine (10+)
Classic mood stabilizers - (ANSWERS)Lamotrigine (excellent medication to use), lithium,
Depakote (avoid in females if possible due to PCOS and Pregnancy), Tegretol, Trileptal (no
evidence for true Bipolar disorder)
Anti-depressants - (ANSWERS)class not used w/bipolar disorder
Lithium - (ANSWERS)Anti-manic, antidepressant, anti-suicidal
Lithium side effects - (ANSWERS)Frequent urination, increased thirst, weight gain, sedation
Lithium toxicity - (ANSWERS)sudden onset tremors, N/V/D, muscle weakness, slurred speech,
confusion, seizures (slowing down, feel really out of it)
Persistent Motor or Vocal Tic Disorder - (ANSWERS)pt in front of you only has one or the other
but not both—they usually don't even know it is a tic, it is only meaningful if it's affecting their
quality of life
Tourette's d/o - (ANSWERS)Multiple motor and at least one vocal tic (some tics come and go,
they don't have them all at the same time to receive the diagnosis)
HRT - (ANSWERS)habit reversal training can be used to manage tics
Tics tx - (ANSWERS)Alpha agonists (clonidine, guanfacine); Haldol is not the first-line txt
Developmental Coordination Disorder - (ANSWERS)a motor disorder characterized by marked
impairment in the development of motor coordination; movement isn't consistent w/age
Stereotypic Movement Disorder - (ANSWERS)a motor disorder characterized by repetitive,
seemingly driven, and apparently purposeless motor behavior, such as hand waving or head
banging, but not include ASD sx
Specific Learning Disorders - (ANSWERS)difficulties in the acquisition and use of listening,
speaking, reading, writing, reasoning, or mathematical abilities; dx by other professionals
w/specialized training; NP tx comorbid d/o
, maryville nurs 663 exam 2 questions and answers
Anorexia nervosa - (ANSWERS)an eating disorder in which an irrational fear of weight gain leads
people to starve themselves; restrictive or binge/purge/exercise
Bulimia nervosa - (ANSWERS)an eating disorder characterized by episodes of overeating,
usually of high-calorie foods, followed by vomiting, laxative use, fasting, or excessive exercise
Binge-eating disorder - (ANSWERS)significant binge-eating episodes, followed by distress,
disgust, or guilt, but without the compensatory purging, fasting, or excessive exercise
Avoidant/restrictive eating disorder - (ANSWERS)avoiding or restricting foods in childhood.
Significantly low BMI; no distortion of body image or fear of gaining wt. R/o delusions around
food
Pica - (ANSWERS)an abnormal craving or appetite for nonfood substances, such as dirt, paint,
or clay that lasts for at least 1 month; decrs incidence with incr age
Feeding and Eating Disorders tx - (ANSWERS)Talk therapy (counseling is needed for the
distress) (intensive outpatient, partial inpatient or actual inpatient admission may be needed);
most have associated depression and/or anxiety
Feeding and Eating Disorders meds - (ANSWERS)fluoxetine help but not direct tx
Vyvanse approved for binge eating but not because of stimulant effects
Encopresis - (ANSWERS)a childhood disorder characterized by repeated defecating in
inappropriate places, such as one's clothing
Enuresis - (ANSWERS)involuntary urination
Encopresis Treatment - (ANSWERS)Behavior management: toilet refusal behavior, scheduled
toileting time, incentives.
Prevention of constipation
Counseling
Enuresis treatment - (ANSWERS)1. First line is behavioral interventions: bed alarms, toileting at
bedtime and during the night, bladder training
2. Reassurance, resolves spontan, normal 4-5 yo
Enuresis meds - (ANSWERS)Desmopressin nasal spray;
Major Depressive Disorder Dx - (ANSWERS)5+ for at least a 2-week period; either #1 or 2 req
1. Depressed mood most of the day, nearly every day (can be irritability in children &
adolescents)
2. Diminished interest or pleasure in all, or almost all, activities
Lithium labs - (ANSWERS)level, NA, Ca, P, EKG, Creatinine, Urinalysis, CBC, TSH
Bipolar meds: depression - (ANSWERS)lurasidone (13+), olanzapine + fluoxetine
(10+)(symbyax)
Bipolar acute and mixed mania - (ANSWERS)aripiprazole, risperidone, olanzapine (13+),
quetiapine (acute only), asenapine (10+)
Classic mood stabilizers - (ANSWERS)Lamotrigine (excellent medication to use), lithium,
Depakote (avoid in females if possible due to PCOS and Pregnancy), Tegretol, Trileptal (no
evidence for true Bipolar disorder)
Anti-depressants - (ANSWERS)class not used w/bipolar disorder
Lithium - (ANSWERS)Anti-manic, antidepressant, anti-suicidal
Lithium side effects - (ANSWERS)Frequent urination, increased thirst, weight gain, sedation
Lithium toxicity - (ANSWERS)sudden onset tremors, N/V/D, muscle weakness, slurred speech,
confusion, seizures (slowing down, feel really out of it)
Persistent Motor or Vocal Tic Disorder - (ANSWERS)pt in front of you only has one or the other
but not both—they usually don't even know it is a tic, it is only meaningful if it's affecting their
quality of life
Tourette's d/o - (ANSWERS)Multiple motor and at least one vocal tic (some tics come and go,
they don't have them all at the same time to receive the diagnosis)
HRT - (ANSWERS)habit reversal training can be used to manage tics
Tics tx - (ANSWERS)Alpha agonists (clonidine, guanfacine); Haldol is not the first-line txt
Developmental Coordination Disorder - (ANSWERS)a motor disorder characterized by marked
impairment in the development of motor coordination; movement isn't consistent w/age
Stereotypic Movement Disorder - (ANSWERS)a motor disorder characterized by repetitive,
seemingly driven, and apparently purposeless motor behavior, such as hand waving or head
banging, but not include ASD sx
Specific Learning Disorders - (ANSWERS)difficulties in the acquisition and use of listening,
speaking, reading, writing, reasoning, or mathematical abilities; dx by other professionals
w/specialized training; NP tx comorbid d/o
, maryville nurs 663 exam 2 questions and answers
Anorexia nervosa - (ANSWERS)an eating disorder in which an irrational fear of weight gain leads
people to starve themselves; restrictive or binge/purge/exercise
Bulimia nervosa - (ANSWERS)an eating disorder characterized by episodes of overeating,
usually of high-calorie foods, followed by vomiting, laxative use, fasting, or excessive exercise
Binge-eating disorder - (ANSWERS)significant binge-eating episodes, followed by distress,
disgust, or guilt, but without the compensatory purging, fasting, or excessive exercise
Avoidant/restrictive eating disorder - (ANSWERS)avoiding or restricting foods in childhood.
Significantly low BMI; no distortion of body image or fear of gaining wt. R/o delusions around
food
Pica - (ANSWERS)an abnormal craving or appetite for nonfood substances, such as dirt, paint,
or clay that lasts for at least 1 month; decrs incidence with incr age
Feeding and Eating Disorders tx - (ANSWERS)Talk therapy (counseling is needed for the
distress) (intensive outpatient, partial inpatient or actual inpatient admission may be needed);
most have associated depression and/or anxiety
Feeding and Eating Disorders meds - (ANSWERS)fluoxetine help but not direct tx
Vyvanse approved for binge eating but not because of stimulant effects
Encopresis - (ANSWERS)a childhood disorder characterized by repeated defecating in
inappropriate places, such as one's clothing
Enuresis - (ANSWERS)involuntary urination
Encopresis Treatment - (ANSWERS)Behavior management: toilet refusal behavior, scheduled
toileting time, incentives.
Prevention of constipation
Counseling
Enuresis treatment - (ANSWERS)1. First line is behavioral interventions: bed alarms, toileting at
bedtime and during the night, bladder training
2. Reassurance, resolves spontan, normal 4-5 yo
Enuresis meds - (ANSWERS)Desmopressin nasal spray;
Major Depressive Disorder Dx - (ANSWERS)5+ for at least a 2-week period; either #1 or 2 req
1. Depressed mood most of the day, nearly every day (can be irritability in children &
adolescents)
2. Diminished interest or pleasure in all, or almost all, activities
