NURS 663

NURS 663 Exam 2 - Questions and Answers (Maryville University) Lithium labs level, NA, Ca, P, EKG, Creatinine, Urinalysis, CBC, TSH Bipolar meds: depression lurasidone (13+), olanzapine + fluoxetine (10+)(symbyax) Bipolar acute and mixed mania aripiprazole, risperidone, olanzapine (13+), quetiapine (acute only), asenapine (10+) Classic mood stabilizers Lamotrigine (excellent medication to use), lithium, Depakote (avoid in females if possible due to PCOS and Pregnancy), Tegretol, Trileptal (no...

NURS 663 Exam 1 - Questions and Answers (Maryville University) Sensory-Motor Period Piaget: 0-2yrs object permanence by 2y/o; requires the ability to form a mental representation (i.e., a schema) of the object. Respond to stimuli; new people; Response patterns: hand to mouth Searches for hidden objects understands causes not visible Pre-operational Stage Piaget: 2 to 7 years punishment for bad deeds is unavoidable (immanent justice) think about things symbolically: a word or an object - stand...

Bipolar Disorder Type 1 (Ans- - MDD (2 weeks) - Mania (1 week) - plus 3 or more: inflated self esteem, decreased need for sleep, talkative, flight of ideas, distractibility, goal directed, excessive involvement - severe - marked impairment Mnemonic for Bipolar Disorder (Ans- DIGFAST Bipolar Disorder Type 2 (Ans- - MDD (2weeks) - current or past episode of hypomania (4 days) - not severe enough to cause marked impairment Cyclothymia (Ans- - 2 years - numerous periods...

NURS 663 Exam 1: Key Points 2023 with complete solution Exam 1: Key Points Depressive Disorders Depressive Disorder Due to Another Medical Condition • Prominent & persistent disturbance in mood • Characterized by: o Depressed mood o Diminished interest or pleasure in all or almost all activities • Evidence is found from the history, physical examination, or lab findings of: o Disturbance is the direct pathophysiological consequence of another medical condition • Can mimic or m...

QUESTIONS AND ANSWERS

Lithium labs - level, NA, Ca, P, EKG, Creatinine, Urinalysis, CBC, TSH bipolar meds: depression - lurasidone (13+), olanzapine + fluoxetine (10+)(symbyax) bipolar acute and mixed mania - aripiprazole, risperidone, olanzapine (13+), quetiapine (acute only), asenapine (10+) classic mood stabilizers - 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-depressa...

substance use disorder specifier criteria – Mild: 2-3 symptoms Moderate: 4-5 symtpoms Severe: >6 symptoms DSM for substance use disorder - over 12 months use increase amount persistant desire or can't cut down lots of time spent on substance craving failure to fill roles social/personal problems activities given up/reduced use when physically hazardous continue despite problem tolerence withdrawal abuse - use of any drug in a manner that deviates from approved social or med...

Bupropion (Wellbutrin) (NDRI) MOA 2D6 inHibitor (strong) 2B6 substrate Bupropion + 2B6 substrate -> hydroxy-bupropion + 2D6 -> inactive metabolite -stimulating antidepressent -enhances norepinephrine and dopamine -DOES NOT ENHANCE SEROTONIN -cognitive benefits -DOES NOT APPEAR TO EXACERBATE ANXIETY Bupropion (Wellbutrin) (NDRI) starting dose - XL 150mg AM preferred formulation d/t minimal seizure risk - SR 100mg BID separate by at least 8 hours - IR 75mg TID NOT RECOMMENDED D/T...

Patient comes in with symptoms of mania followed by periods of depression; what is it? - bipolar 1 patient comes in with hypomania/regular mood (euthymic) followed by periods of depression, what is it? - bipolar 2 how many symptoms of mania must you have to have "full" mania? - seven of thirteen what is the difference between mania and hypomania? - hypomania has less severe symptoms; 3 symptoms over shorter period of time (hypomania) Cyclothymia - a disorder that consists of mood swing...

Functions of the Endocrine System -Growth and development -Sex differentiation -Metabolism -Adaptation to an ever-changing environment -Regulation of digestion -Use and storage of nutrients (Electrolyte and water metabolism) -Reproductive functions The mechanism of hormones Hormones interact with high-affinity receptors. These are linked to one or more effector system in the cell. Some receptors are located on the surface of the cell. These act through second messenger mechanisms. O...