NURS 665 Exam 3 questions with correct answers
Chronic Fatigue Syndrome Diagnosis Correct Answer--Clinical
diagnosis based on over 6 months of new and significant fatigue that is
not relieved by adequate rest and sleep and which is exacerbated in a
delayed fashion by any physical, mental and emotional over-activity.
- Onset of symptoms develop after a viral or other infection and often
during a period of increased psychosocial stress.
- Routine tests for hematological and biochemical dysfunction,
endocrinopathy, inflammation, autoimmunity and immune deficiency
are normal.
Chronic Fatigue Syndrome (CFS) Correct Answer-Tiredness, sleep
affected, sensitivity to light and sound
· Flu like illnesses
· Myalgia/fatigued, feel worn out
· Headaches
· Pharyngitis
· Low-grade fever
· Cognitive complaints
· GI symptoms
· Tender lymph nodes but no enlargement - often dismissed by medical
· Often accompanied by non-restorative sleep, headaches,
hypersensitivity to lights and sounds, impaired concentration and short
term memory.
, Treatment of Chronic Fatigue Syndrome Correct Answer-·
Pharmacological - antidepressants, symptomatic treatment such as
analgesics for muscular pain - NSAIDS not effective
· Non-pharmacological - reduce workload, encourage daily activities and
resist fatigue, frequent rest periods, validating complaints
o CBT (overcome and correct mistaken beliefs such as fear that any
activity causing fatigue worsens the disorder), self help groups (group
dynamics help), vitamins, minerals, herbal products
Fibromyalgia Correct Answer-· pain and 3 month duration (know
timeline and symptoms)
o Constant dull widespread pain that lasts more than three months
o Affects sleep, increased sensitivity to odors, noise, bright lights, or
temperature
o Stiffness and muscle tenderness
o TX-lyrica, gabapentin (off-label), cymbalta
Abuse Correct Answer-Taking/using more than intended, treating an
ailment
Cross-tolerance Correct Answer--tolerance for a substance one has not
taken before as a result of using another substance similar to it
-tolerance built up for one substance increased it for another (ETOH and
benzos)
Chronic Fatigue Syndrome Diagnosis Correct Answer--Clinical
diagnosis based on over 6 months of new and significant fatigue that is
not relieved by adequate rest and sleep and which is exacerbated in a
delayed fashion by any physical, mental and emotional over-activity.
- Onset of symptoms develop after a viral or other infection and often
during a period of increased psychosocial stress.
- Routine tests for hematological and biochemical dysfunction,
endocrinopathy, inflammation, autoimmunity and immune deficiency
are normal.
Chronic Fatigue Syndrome (CFS) Correct Answer-Tiredness, sleep
affected, sensitivity to light and sound
· Flu like illnesses
· Myalgia/fatigued, feel worn out
· Headaches
· Pharyngitis
· Low-grade fever
· Cognitive complaints
· GI symptoms
· Tender lymph nodes but no enlargement - often dismissed by medical
· Often accompanied by non-restorative sleep, headaches,
hypersensitivity to lights and sounds, impaired concentration and short
term memory.
, Treatment of Chronic Fatigue Syndrome Correct Answer-·
Pharmacological - antidepressants, symptomatic treatment such as
analgesics for muscular pain - NSAIDS not effective
· Non-pharmacological - reduce workload, encourage daily activities and
resist fatigue, frequent rest periods, validating complaints
o CBT (overcome and correct mistaken beliefs such as fear that any
activity causing fatigue worsens the disorder), self help groups (group
dynamics help), vitamins, minerals, herbal products
Fibromyalgia Correct Answer-· pain and 3 month duration (know
timeline and symptoms)
o Constant dull widespread pain that lasts more than three months
o Affects sleep, increased sensitivity to odors, noise, bright lights, or
temperature
o Stiffness and muscle tenderness
o TX-lyrica, gabapentin (off-label), cymbalta
Abuse Correct Answer-Taking/using more than intended, treating an
ailment
Cross-tolerance Correct Answer--tolerance for a substance one has not
taken before as a result of using another substance similar to it
-tolerance built up for one substance increased it for another (ETOH and
benzos)
