NURS 663 EXAM 2 TEST PAPER COMPLETE
QUESTIONS AND ANSWERS
◉ bipolar meds: depression.
Answer: lurasidone (13+), olanzapine + fluoxetine (10+)(symbyax)
◉ bipolar acute and mixed mania.
Answer: aripiprazole, risperidone, olanzapine (13+), quetiapine
(acute only), asenapine (10+)
◉ classic mood stabilizers.
Answer: 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.
Answer: class not used w/bipolar disorder
◉ lithium.
Answer: Anti-manic, antidepressant, anti-suicidal
◉ Lithium side effects.
,Answer: Frequent urination, increased thirst, weight gain, sedation
◉ lithium toxicity.
Answer: 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.
Answer: 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.
Answer: 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.
Answer: habit reversal training can be used to manage tics
◉ Tics tx.
Answer: Alpha agonists (clonidine, guanfacine); Haldol is not the
first-line txt
,◉ Developmental Coordination Disorder.
Answer: a motor disorder characterized by marked impairment in
the development of motor coordination; movement isn't consistent
w/age
◉ Stereotypic Movement Disorder.
Answer: 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.
Answer: 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
◉ Anorexia nervosa.
Answer: an eating disorder in which an irrational fear of weight gain
leads people to starve themselves; restrictive or
binge/purge/exercise
◉ Bulimia nervosa.
Answer: 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.
Answer: significant binge-eating episodes, followed by distress,
disgust, or guilt, but without the compensatory purging, fasting, or
excessive exercise
◉ Avoidant/restrictive eating disorder.
Answer: 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.
Answer: 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.
Answer: 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.
Answer: fluoxetine help but not direct tx
QUESTIONS AND ANSWERS
◉ bipolar meds: depression.
Answer: lurasidone (13+), olanzapine + fluoxetine (10+)(symbyax)
◉ bipolar acute and mixed mania.
Answer: aripiprazole, risperidone, olanzapine (13+), quetiapine
(acute only), asenapine (10+)
◉ classic mood stabilizers.
Answer: 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.
Answer: class not used w/bipolar disorder
◉ lithium.
Answer: Anti-manic, antidepressant, anti-suicidal
◉ Lithium side effects.
,Answer: Frequent urination, increased thirst, weight gain, sedation
◉ lithium toxicity.
Answer: 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.
Answer: 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.
Answer: 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.
Answer: habit reversal training can be used to manage tics
◉ Tics tx.
Answer: Alpha agonists (clonidine, guanfacine); Haldol is not the
first-line txt
,◉ Developmental Coordination Disorder.
Answer: a motor disorder characterized by marked impairment in
the development of motor coordination; movement isn't consistent
w/age
◉ Stereotypic Movement Disorder.
Answer: 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.
Answer: 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
◉ Anorexia nervosa.
Answer: an eating disorder in which an irrational fear of weight gain
leads people to starve themselves; restrictive or
binge/purge/exercise
◉ Bulimia nervosa.
Answer: 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.
Answer: significant binge-eating episodes, followed by distress,
disgust, or guilt, but without the compensatory purging, fasting, or
excessive exercise
◉ Avoidant/restrictive eating disorder.
Answer: 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.
Answer: 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.
Answer: 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.
Answer: fluoxetine help but not direct tx
