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NUR 310 Final Exam Review Questions
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Serotonin syndrome symptoms - correct answer -flu-like, nightmares, tremors, poor concentration, anxiety, confusion, tachycardia, muscle abnormalities what condition does a pt risk when taking tyramine rich foods with MAOIs? - correct answer - hypertensive crisis syndrome associated with beginning antipsychotics. Involves dramatic change in consciousness - correct answer -Neuroleptic Malignant Syndrome black box for atypical antipsychotics - correct answer -high mortality for elderly dementia patients early lithium toxicity symptoms - correct answer -N/V/D, thirst, polyuria, slurred speech, fine tremor, weakness delirium vs dementia - correct answer -delirium is acute, dementia is progressive pt presents with sudden onset confusion, disorientation, and sleep disturbances. What condition do you suspect? - correct answer -Delirium most commonly diagnosed mental disorder in elderly - correct answer -depression 3 D's for elderly patients - correct answer -depression, dementia, delirium class of antidepressants avoided in elderly patients - correct answer -tricyclics Pt presents with the following: specific proteins in the brain, visual hallucinations, Parkinsonian features. What do you suspect? - correct answer -Lewy Body Disease
HTN, cerebral emboli and cerebral thrombosis may lead to - correct answer -Vascular NCD CNS stimulants for ADHD treatment adverse effects - correct answer -tachycardia, anorexia, insomnia, weight loss childhood psychiatric disorder in which the rights of other are consistently violated - correct answer - conduct disorder some symptoms of this disorder include communication impairment and restrictive, repetitive behaviors
- correct answer -Autism spectrum disorder before beginning ADHD treatment, these two common comorbidities should be treated - correct answer -substance abuse disorder and bipolar 2 classes of meds used to treat Tourette's tics - correct answer -antihypertensives and antipsychotics induction of a generalized seizure for therapeutic treatment - correct answer -electroconvulsive therapy (ECT) The focus of treatment using this type of treatment using this type of psychotherapy is on the modification of distorted cognitions and maladaptive cognitions and maladaptive behaviors - correct answer -Cognitive therapy desensitization therapy - correct answer -technique used to overcome phobias through progressive exposure therapy that alters the pt's environment - correct answer -milieu therapy type of therapy most often used for those with borderline personality disorder - correct answer - dialectical behavioral therapy
2 meds approved for treatment of ASD - correct answer -Risperidone, Aripiprazole gender more often diagnosed with ADHD - correct answer -boys ADHD 3 subtypes - correct answer -inattentive hyperactive combination ADHD environmental influences - correct answer -environmental lead dietary factors (dyes, additives) ADHD symptoms - correct answer -impulsivity, difficulty with age-appropriate tasks, distractibility, limited attention span, interpersonal difficulty, restlessnes 5 common ADHD comorbidities - correct answer -oppositional defiant disorder/conduct disorder anxiety depression bipolar substance abuse disorder primary class of ADHD meds - correct answer -CNS stimulants 2 hallmarks of Tourette's - correct answer -vocal and motor tics perinatal predisposing factors of Tourette's - correct answer -maternal drinking during pregnancy low birth weight infection childbirth complications
Echolalia - correct answer -automatic repetition of what others say Palilalia - correct answer -repeating words or sounds over and over 2 classes of Tourette's meds use in conjunction with therapy? - correct answer -Alpha agonist antihypertensives antipsychotics 4 specific meds for Tourette's - correct answer -clonidine Intuniv (guanfacine) Haldol pimozide Oppositional Defiant Disorder characteristics - correct answer -persistent angry mood and defiant behavior that impairs social and interpersonal success is Oppositional Defiant Disorder influenced more by genetics or psychosocial factors? - correct answer - psychosocial: power struggle between parents and child Conduct Disorder - correct answer -patterns of behavior in which the rights of others or basic social rules are violated 2 major types of conduct disorder by onset - correct answer -childhood-onset adolescent-onset conduct disorder presents similarly to what adult diagnosis? - correct answer -antisocial personality disorder 3 childhood diagnosed disorders classified as disruptive - correct answer -ADHD
essential pt teaching for benzos - correct answer -don't stop abruptly 3 reasons for IVC - correct answer -suicidal homicidal severe psychosis describe transference - correct answer -pt projects previous experiences onto healthcare worker, provoking an emotional response in the pt describe countertransference - correct answer -healthcare worker projects previous experiences onto pt, provoking an emotional response in the healthcare worker how does Lewy body dementia differ from Alzheimer's? - correct answer -LBD has inconsistent changes in cognition and alertness from day to day, and is often accompanied with visual hallucinations. LBD also leads to more neuromuscular changes when is a nurse required to break confidentiality? - correct answer -if the pt directly threatens another individual or themself with harm what determines when withdrawal symptoms occur? - correct answer -drug half-life key symptoms of opioid withdrawal - correct answer -wet (runny nose, lacrimation, sweating), pain (muscle aches, cramps), diarrhea, insomnia, fever antidepressant withdrawal symptoms (FINISH) - correct answer -Flu-like symptoms Insomnia Nausea Imbalance Sensory disturbances Hyper-arousal
