NUR 138 EXAM 4 MARCUS QUESTIONS
AND ANSWERS | NUR 138 STUDY GUIDE &
PRACTICE TEST 2026/2027
1 of 177
Term
Psychosomatic Symptoms of Depression
Give this one a go later!
Genital bruising or bleeding, walking in pain, unexplained STDs and
pregnancy
Emotions of the abused include guilt, anxiety, depression, suicidal
thoughts, fear
(Parnate)
1. Avoid Tyramine rich foods: cheese, salami, avocado, red wine, fish, aged
foods, pickled or fermented meats
2. s/s: weight gain, orthostatic hypotension,
, § Phase 1 = tension builds
· Feels like walking on eggshells
§ Phase 2 = abusive / threatening incident
· Victims feel traumatized
· Aggressors blame victim
§ Phase 3 = honeymoon period
· Aggressor shows affection and promises to change
Psychologic distress experienced or expressed through physical
responses such as headaches, stomachaches, nausea, fatigue
Don't know?
2 of 177
Definition
> It is most often used to treat severe depression and depression with
psychosis that has not responded to medications. In some cases of
treatment resistant bipolar disorder, ECT may be considered as a
treatment option.
> all ages tolerate it equally
> does not cause a switch to mania in those with bipolar
> Effective in treating depression in pregnant patients but linked with
potential fetal and maternal complications
> Response higher in patients with depression with psychotic features
> Very useful for patients with severe treatment-resistant depression,
severely suicidal patients, those with severe psychomotor retardation
Give this one a go later!
, Lithium Carbonate When is ECT used?
cyclothymic disorder Implementation for SV
Don't know?
3 of 177
Definition
acute dystonia (spasms of the tongue, neck, face, and back)
pseudoparkinsonism
akathisia (inability to remain physically still)
tardive dyskinesia (abnormal movements like smacking lips or moving
the mouth; these are permanent)
neuroleptic malignant syndrome (life threatening: mental status
change, rigidity, fever, disorder of autonomic nervous system functions
like breathing
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Extrapyramidal adverse effects Etiology of Schizophrenia
Methylphenidate (Ritalin) Bipolar Considerations Older Adults
Don't know?
, 4 of 177
Definition
Selective prevention targets subgroups at higher risk like early
intervention programs for children from disadvantaged backgrounds
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Lithium Toxicity - Severe Selective Prevention
Collaboration for SV Bupropion (Wellbutrin)
Don't know?
5 of 177
Definition
Elevated mood; describe themselves as great / fantastic.
What’s bad about this? Just like in depression, they are
non-reactively happy. The patient can’t be any emotion
other than happy, regardless of the situation.
DIG FAST
§ D = distractibility; attention is pulled in many different
directions
§ I = impulsivity; engage in risky behaviors like drug use,
spending lots of money, unsafe sex.
§ G = grandiosity; thought patterns result in the person
thinking they’re a king
AND ANSWERS | NUR 138 STUDY GUIDE &
PRACTICE TEST 2026/2027
1 of 177
Term
Psychosomatic Symptoms of Depression
Give this one a go later!
Genital bruising or bleeding, walking in pain, unexplained STDs and
pregnancy
Emotions of the abused include guilt, anxiety, depression, suicidal
thoughts, fear
(Parnate)
1. Avoid Tyramine rich foods: cheese, salami, avocado, red wine, fish, aged
foods, pickled or fermented meats
2. s/s: weight gain, orthostatic hypotension,
, § Phase 1 = tension builds
· Feels like walking on eggshells
§ Phase 2 = abusive / threatening incident
· Victims feel traumatized
· Aggressors blame victim
§ Phase 3 = honeymoon period
· Aggressor shows affection and promises to change
Psychologic distress experienced or expressed through physical
responses such as headaches, stomachaches, nausea, fatigue
Don't know?
2 of 177
Definition
> It is most often used to treat severe depression and depression with
psychosis that has not responded to medications. In some cases of
treatment resistant bipolar disorder, ECT may be considered as a
treatment option.
> all ages tolerate it equally
> does not cause a switch to mania in those with bipolar
> Effective in treating depression in pregnant patients but linked with
potential fetal and maternal complications
> Response higher in patients with depression with psychotic features
> Very useful for patients with severe treatment-resistant depression,
severely suicidal patients, those with severe psychomotor retardation
Give this one a go later!
, Lithium Carbonate When is ECT used?
cyclothymic disorder Implementation for SV
Don't know?
3 of 177
Definition
acute dystonia (spasms of the tongue, neck, face, and back)
pseudoparkinsonism
akathisia (inability to remain physically still)
tardive dyskinesia (abnormal movements like smacking lips or moving
the mouth; these are permanent)
neuroleptic malignant syndrome (life threatening: mental status
change, rigidity, fever, disorder of autonomic nervous system functions
like breathing
Give this one a go later!
Extrapyramidal adverse effects Etiology of Schizophrenia
Methylphenidate (Ritalin) Bipolar Considerations Older Adults
Don't know?
, 4 of 177
Definition
Selective prevention targets subgroups at higher risk like early
intervention programs for children from disadvantaged backgrounds
Give this one a go later!
Lithium Toxicity - Severe Selective Prevention
Collaboration for SV Bupropion (Wellbutrin)
Don't know?
5 of 177
Definition
Elevated mood; describe themselves as great / fantastic.
What’s bad about this? Just like in depression, they are
non-reactively happy. The patient can’t be any emotion
other than happy, regardless of the situation.
DIG FAST
§ D = distractibility; attention is pulled in many different
directions
§ I = impulsivity; engage in risky behaviors like drug use,
spending lots of money, unsafe sex.
§ G = grandiosity; thought patterns result in the person
thinking they’re a king
