{"id":120983,"date":"2023-10-03T20:59:08","date_gmt":"2023-10-03T20:59:08","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=120983"},"modified":"2023-10-03T20:59:10","modified_gmt":"2023-10-03T20:59:10","slug":"exam-1exam-2exam-3-exam-4-nurs663-nurs-663-latest-2023-2024-updates-study-bundle-psychiatric-mental-health-diagnosis-and-management-ii-exams-questions-and-verified-answers-grade-a-maryv","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/10\/03\/exam-1exam-2exam-3-exam-4-nurs663-nurs-663-latest-2023-2024-updates-study-bundle-psychiatric-mental-health-diagnosis-and-management-ii-exams-questions-and-verified-answers-grade-a-maryv\/","title":{"rendered":"Exam 1,Exam 2,Exam 3 &amp; Exam 4: NURS663\/ NURS 663 (Latest 2023\/ 2024 Updates STUDY BUNDLE) &#8211; Psychiatric Mental Health Diagnosis and Management II Exams | Questions and Verified Answers| Grade A- Maryville"},"content":{"rendered":"\n<p>Exam 1: NURS663\/ NURS 663 (Latest 2023\/<br>2024 Update) &#8211; Psychiatric Mental Health<br>Diagnosis and Management II Exam |<br>Questions and Verified Answers| Grade AMaryville<br>Q: what is something you should watch out for if a patient is on multiple antidepressants?<br>Answer:<br>SIADH<br>Q: what medical problems mimic mood disorders?<br>Answer:<br>hypothyroid- depression<br>hyperthyroid- mania<br>Q: involuntary admission<br>Answer:<br>hurt yourself<br>hurt someone else<br>inability to care for self<br>Q: Carbamazepine (Tegretol)<br>Answer:<br>mood stabilizer<\/p>\n\n\n\n<p>indication: bipolar disorder<br>major side effects:<br>CYP 450: (inducer- speeds up metabolism of other drugs)<br>patient education:<br>Q: what 3 medications must have blood draws associated with them?<br>Answer:<br>carbamazepine, lithium, valproic acid<br>Q: Mood Disorder Questionnaire<br>Answer:<br>Screens for Bipolar Disorder<br>7+ is a positive screening<br>4-5 might be hypomania<br>Q: how is the PHQ-9 scored<br>Answer:<br>1-4 minimal depression<br>5-9 mild depression<br>10-14 moderate depression<br>15-19 moderately severe<br>20 + severe<br>Q: PHQ-9<\/p>\n\n\n\n<p>Answer:<br>assessment that evaluates the degree of depression<br>Q: What is the DSM criteria for Major Depressive Disorder?<br>Answer:<br>**no history of mania, hypo, or mixed symptoms<br>symptoms &gt;2 weeks<br>must have: sadness, anhedonia (loss pleasure\/interest)<br>4 of following: &#8211; appetite\/sleep changes, psychomotor retardation, lack of energy,<br>guilt\/worthlessness, issues w\/ concentration, thoughts suicide\/death<br>Q: What are the &#8220;frequency&#8221; modifiers for MDD?<br>Answer:<br>episodic: symptoms dissipate over time<br>recurrent: likely to reappear in future<br>subclinical: sadness + 3 symptoms &gt; 10 days (full criteria not met)<br>Q: how is the severity of depression rated?<br>Answer:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Mild: no suicidal thoughts\/death wishes<\/li>\n\n\n\n<li>Moderate: some thoughts of death\/self-harm<\/li>\n\n\n\n<li>Severe: plan\/attempted<br>Q: what other modifiers might be present with diagnosis of MDD?<\/li>\n<\/ul>\n\n\n\n<p>Answer:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>With psychotic features: hallucinations, paranoia<\/li>\n\n\n\n<li>In partial remission: some symptoms still present, but full criteria not met; period without any<br>significant<br>symptoms lasting less than 2 months<\/li>\n\n\n\n<li>In full remission: no signs\/symptoms &gt;2 months<\/li>\n\n\n\n<li>Unspecified: symptoms vague, hard to tell<br>Q: DSM 5 for bipolar I disorder<br>Answer:<br>depression + mania<br>Q: DSM 5 for bipolar 2 disorder<br>Answer:<br>depression + hypomania<br>Q: what is the #1 predictor of suicide?<br>Answer:<br>Hopelessness and loneliness<br>Q: what are risk factors for suicide?<br>Answer:<\/li>\n\n\n\n<li>Gender: men are more likely to complete suicide<\/li>\n\n\n\n<li>Age: men 45 years +; women 55 years +<br>o Suicide is the 3rd leading cause of death in 15-24-year-olds<\/li>\n\n\n\n<li>Race: Caucasian, Native American, Alaskan native, and immigrants<\/li>\n<\/ul>\n\n\n\n<p>Exam 3: NURS663\/ NURS 663 (Latest 2023\/<br>2024 Update) &#8211; Psychiatric Mental Health<br>Diagnosis and Management II Exam |<br>Questions and Verified Answers| Grade AMaryville<br>Q: What neurotransmitter is the reward pathway<br>Answer:<br>Dopamine<br>Q: Kids who have lack of remorse have this disorder<br>Answer:<br>Conduct Disorder<br>Q: By what age most teens tried alcohol<br>Answer:<br>13<br>Q: With Alcohol consumption, Vitamin B1 or thiamine deficient causes what<br>Answer:<br>Wornicke-Korsakoff syndrome<br>Q: Heroin withdrawal<\/p>\n\n\n\n<p>Answer:<br>peaks 1-3 days, subside in 1 week<br>Q: Cocaine withdrawal begins<br>Answer:<br>within 90 minutes<br>Q: Cocaine and Nicotine have an effect on this<br>Answer:<br>Dopamine reward feeling<br>Q: Example of date rape drugs<br>Answer:<br>Rohypnol, GHB, Ketamine, Chloral hydrate<br>Q: This drug is known as ice<br>Answer:<br>meth<br>Q: Most common reason adolescent has eval<br>Answer:<br>Suicidal<\/p>\n\n\n\n<p>Q: What is the origin of ADHD<br>Answer:<br>Hereditary, Biological<br>Q: Best treatment for borderline personality<br>Answer:<br>DBT<br>Q: For diagnosis of ODD the symptoms must be present for how long<br>Answer:<br>6 months<br>Q: This parenting style relates to conduct disorder<br>Answer:<br>Harsh\/ Punitive<br>Q: Why is ketamine a date rape drug, what is onset and length<br>Answer:<br>15 minutes and 30-60 minutes<br>Q: Children who receive grossly negligent care and no emotional attachment are subject to<br>what disorder<\/p>\n\n\n\n<p>Answer:<br>Reactive Attachment disorder<br>Q: Symptoms of Reactive Attachment Disorder<br>Answer:<br>Social anxiety, regression<br>Q: PTSD neuropsych<br>Answer:<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>noradrenergic and endogenous opiate systems, as well as the HPA axis, are hyperactive in at<br>least some<\/li>\n\n\n\n<li>increased activity\/responsiveness of the autonomic nervous system, AEB elevated HR rates<br>and BP and by abnormal sleep architecture<\/li>\n\n\n\n<li>increased 24-hour urine epinephrine concentrations in veterans<\/li>\n\n\n\n<li>increased urine catecholamine concentrations in sexually abused girls<\/li>\n\n\n\n<li>platelet \u03b12- and lymphocyte \u03b2-adrenergic receptors are downregulated in <strong><em>_<\/em><\/strong> possibly in<br>response to chronically elevated catecholamine concentrations<br>Q: PTSD HPA axis<br>Answer:<\/li>\n\n\n\n<li>low plasma and urinary free cortisol concentrations.<\/li>\n\n\n\n<li>More glucocorticoid receptors are found on lymphocytes<\/li>\n\n\n\n<li>challenge with exogenous corticotropin-releasing factor (CRF) yields a blunted corticotropin<br>(ACTH) response<br>Q: PTSD other neuropsych<br>Answer:<\/li>\n<\/ol>\n\n\n\n<p>Exam 2: NURS663\/ NURS 663 (Latest 2023\/<br>2024 Update) &#8211; Psychiatric Mental Health<br>Diagnosis and Management II Exam |<br>Questions and Verified Answers| Grade AMaryville<br>Q: Environment where BED is often screened for is the <strong><em><strong><em>_<\/em><\/strong> patients electing for<br>surgery<br>Answer:<br>bariatric<br>Q: When assessing patient&#8217;s appetite (for BED), Ask: &#8220;Have you ever eaten more than you<br><strong><em>___<\/em><\/strong><\/em><\/strong>?&#8221; follow up with, &#8220;Did you feel like it wasn&#8217;t <strong><em>to stop?&#8221;<br>Answer:<br>intended, possible<br>Q: The only FDA approved med for BED<br>Answer:<br>vyvanse<br>Q: Tell patient that the goal of vyvanse is to decrease the <strong><em>__<\/em><\/strong><\/em><\/strong> of binge episodes, it&#8217;s<br>not prescribed for weight loss\/obesity<br>Answer:<br>frequency<\/p>\n\n\n\n<p>Q: main side effect of vyvanse?<br>Answer:<br>dry mouth<br>Q: Topiramate is an anticonvulsant that does work in reducing <strong><em>_<\/em><\/strong><em> and<br>weight gain, BUT leads to <strong><em><strong>_<\/strong><\/em><\/strong><\/em> <strong><em><strong><em>__<\/em><\/strong><\/em><\/strong> when dosed for effectiveness<br>Answer:<br>binge eating, cognitive impairment<br>Q: Anti-obesity agents: Targets appetite\/weight, but not BED <strong><em><strong><em>_<\/em><\/strong>.<br>Answer:<br>behavior<br>Q: <strong><em>___<\/em><\/strong><\/em><\/strong>: hit or miss, NEI says didn&#8217;t work well for BED<br>Answer:<br>Naltrexone<br>Q: <strong><em><strong><em>_<\/em><\/strong><\/em><\/strong>: Some evidence it reduces automatic behavior (for BED), but can&#8217;t stop<br>abruptly due to <em>(took NEI guy 4-5 months to titrate off)<br>Answer:<br>Baclofen, psychosis<br>Q: <strong><em><strong>____<\/strong><\/em><\/strong><\/em>: In phase 3, dual acting DA and NE reuptake inhibitor. For BED<\/p>\n\n\n\n<p>Answer:<br>Dasotraline<br>Q: Bulimia and BED both require a loss of control, binge eating frequency, and a duration of at<br>least <strong><em>_ <\/em><\/strong>.<br>Answer:<br>3 months<br>Q: In BED, body fat is greater than <strong><em>_ in about half of patients Answer: 30% Q: In bulimia, patient&#8217;s should be prescribed a low dose of <strong>___<\/strong><\/em><\/strong>. But if they have a<br>comobidity like depression, they&#8217;ll need a higher dose.<br>Answer:<br>prozac<br>Q: BED and bulimia are both treated with behavioral interventions, CBT, dynamic<br>psychotherapy, and <em>therapy<br>Answer:<br>individual<br>Q: <strong><em><strong>________is the least prevalent, ___<\/strong><\/em><\/strong><\/em> is the 2nd most prevalent, and BED is the<br>most prevalent.<\/p>\n\n\n\n<p>Answer:<br>Anorexia, bulimia<br>Q: <strong><em><strong><em>_<\/em><\/strong><\/em><\/strong><em> could be good for a patient with insomnia and anorexia<br>Answer:<br>Remeron<br>Q: In rumination, how long does it take material to come out<br>Answer:<br>1 hour<br>Q: Purging disorder is an<br>Answer:<br>OSFED<br>Q: Purging disorder: Recurrent purging behavior to influence weight or shape (self induced<br>vomiting, misuse of laxatives, diuretics, or other medications in the <strong><em><strong>___<\/strong><\/em><\/strong><\/em> of<br><strong><em><strong><em>___<\/em><\/strong><\/em><\/strong>.<br>Answer:<br>absence, binge eating<br>Q: People with purging disorder are normally <strong><em><strong>__<\/strong><\/em><\/strong> weight.<br>Answer:<br>Normal<\/p>\n\n\n\n<p>Exam 1: NURS663\/ NURS 663 (Latest 2023\/<br>2024 Update) &#8211; Psychiatric Mental Health<br>Diagnosis and Management II Exam Review |<br>Questions and Verified Answers| 100%<br>Correct- Maryville<br>Q: Tricyclic mechanism of action?<br>Answer:<br>Inhibit 5HT2, norepinephrine, dopamine and reuptake slows. Amino group interferes with ASP &#8211;<br>98 in HSERT. Causing down regulation of receptors.<br>Q: Tricyclic side effects?<br>Answer:<br>Anticholinergic effects (dry mouth, blurred vision, constipation, urine retention, impotence).<br>Histamine effects (sedation, increased weight). Adrenergic alpha receptor (postural hypotension).<br>Direct membrane effects (decrease seizure threshold and arrhythmias). 5HT2 receptor (increase<br>weight and decrease anxiety).<br>Q: Amitriptyline dosing\/Class?<br>Answer:<br>Start at 25 to 50 mg per day, titrate 25 to 50 mg per day per week, Max dose is 300 mg per<br>day\/TCA<br>Q: Names of tricyclics 10?<br>Answer:<\/p>\n\n\n\n<p>Amitriptyline, nortriptyline, clomipramine, imipramine, protriptyline, doxepin, amoxapine,<br>desipramine, mapratiline, tripramine<br>Q: Tricyclics are useful-2?<br>Answer:<br>Pain, migraine<br>Q: Tricyclics adverse effects-2?<br>Answer:<br>Overdoses are cardiotoxic, high potency increases the risk of mania<br>Q: Nortriptyline mnemonic?<br>Answer:<br>No-triptyline equals less sedation and hypotension<br>Q: Tricyclics mnemonic-2?<br>Answer:<br>Think car goes over tricycle to remember that an overdose is cardiotoxic. Do you remember<br>mechanism think trans =serotonin and norepinephrine Chans= Na+ and Ca+ Ans= ACH and<br>histamine<br>Q: Clomipramine mnemonic\/class?<br>Answer:<br>TCA- think comipramine for obsessive compulsive disorder<\/p>\n\n\n\n<p>Q: Imipramine- pneumonic and class?<br>Answer:<br>I&#8217;m peeingamine- nocturnal enuresis<br>Q: Unilateral electrode in ECT indications?<br>Answer:<br>Typically first line because it has less cognitive side effects but has less efficacy<br>Q: What is ECT??<br>Answer:<br>The use of electrical shock current delivered to the brain to induce a seizure that treats<br>depression. Goal is to reverse atrophy.<br>Q: ECT is FDA approved for what?<br>Answer:<br>Bipolar disorder, schizophrenia, schizoaffective disorder, catatonia, neuroleptic malignant<br>syndrome, treatment resistant refractory major depressive disorder<br>Q: What is ECT schedule?<br>Answer:<br>Typically Monday Wednesday Friday for 6 to 12 sessions<\/p>\n\n\n\n<p>Exam 4: NURS663\/ NURS 663 (Latest 2023\/<br>2024 Update) &#8211; Psychiatric Mental Health<br>Diagnosis and Management II Exam |<br>Questions and Verified Answers| Grade AMaryville<br>Q: which medications are in Suboxone<br>Answer:<br>buprenorphine and naloxone<br>Q: buproprion; dosing<br>Answer:<br>for smoking cessation: begin 7-14d before stop date; 150mg SR in am x6 days then increase to<br>150mg SR BID<br>tx for 7-9 weeks<br>Q: chlordiazepoxide; MOA, what for, dosing<br>Answer:<br>MOA: enhances GABA<br>for acute alcohol withdrawal<br>50-100mg injectable every 2hrs<br>Q: clonidine; MOA<br>Answer:<br>alpha 2 receptors<\/p>\n\n\n\n<p>Q: clonidine for opiate withdrawal<br>Answer:<br>blocks autonomic symptoms; palpitations, sweating<br>Q: clonidine for etoh withdrawal<br>Answer:<br>decrease bp, decrease HR, tremors<br>Q: disulfiram; MOA<br>Answer:<br>inhibits acetalhydine and leads to buildup of acetaldehyde and causes immediate hangover effect<br>after alcohol consumption<br>Q: disulfiram dosing<br>Answer:<br>250-500mg\/d<br>Q: flumazenil; MOA, use, dosing, se<br>Answer:<br>MOA: blocks benzo receptors at GABA<br>use: benzo antidote<br>dosing: 0.4mg-3mg<br>se: dizzy, sweating, seizures, death<\/p>\n\n\n\n<p>Exam 4: NURS663\/ NURS 663 &#8211; Psychiatric<br>Mental Health Diagnosis and Management II<br>Exam Review | Study Guide with Verified<br>Answers| 100% Correct (Latest 2023\/ 2024<br>Update) &#8211; Maryville<br>Q: Clonidine pt. ed<br>Answer:<br>Do not take more or less of it or take it more often than prescribed by your doctor. Swallow the<br>extended-release tablets whole; do not split, chew or crush them.<br>Q: Disulfiram (Antabuse) MOA<br>Answer:<br>Irreversibly blocks ALDH which prevents metabolism of alcohol and acetylaldehyde builds up in<br>the body. is given in daily doses of 250 mg before the patient is discharged from the intensive<br>first phase of outpatient rehabilitation or from inpatient care. The goal is to place the patient in a<br>condition in which drinking alcohol precipitates an uncomfortable physical reaction, including<br>nausea, vomiting, and a burning sensation in the face and stomach.<br>Q: Disulfiram side effects<br>Answer:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>purpose of the drug: skin flushing, increased pulse, diaphoresis, increased respiration,<br>hypotension, chest pain, nausea, copious vomiting, blurred vision<br>Q: disulfiram pt education<br>Answer:<\/li>\n<\/ul>\n\n\n\n<p>Never give to a patient in a state of alcohol intoxication or without the patient&#8217;s full knowledge.<br>The patient should not take for at least 12 hours after drinking. A reaction may occur for up to 2<br>weeks after it has been stopped<br>Q: Flumazenil (Romazicon)<br>Answer:<br>Benzodiazepine antagonist, antidote<br>Q: Flumazenil SE<br>Answer:<br>nausea, vomiting;<br>headache, mild dizziness;<br>flushing (warmth, redness, or tingly feeling);<br>increased sweating;<br>blurred vision; or<br>pain where the medicine was injected.<br>Q: Flumazenil pt. ed<br>Answer:<br>cause seizures (convulsions), especially in people who have sedative-addiction withdrawal<br>symptoms or recent antidepressant overdose, people who have recently received injectable<br>benzodiazepines, or people who had symptoms of a seizure just before receiving flumazenil.<br>Talk to your doctor if you have concerns about the risk of seizure.<br>Q: Lorazepam MOA<br>Answer:<br>binds to benzodiazepine receptors; enhances GABA effects<\/p>\n\n\n\n<p>Q: Lorazepam side effects<br>Answer:<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>drowsiness<\/li>\n\n\n\n<li>lightheadedness<\/li>\n\n\n\n<li>hyotension<br>4.hepatic dysfunction<\/li>\n\n\n\n<li>increased salivation<br>Q: Lorazepam pt. ed<br>Answer:<br>Advise patient to decrease dose gradually to minimize withdrawal symptoms; abrupt withdrawal<br>may cause tremors, nausea, vomiting, and abdomi- nal and muscle cramps. Teach other methods<br>to decrease anxiety, such as increased exercise, support groups, relaxation techniques.<br>Q: Methadone MOA<br>Answer:<br>long acting opioid agonist<br>Q: Methadone side effects<br>Answer:<br>Drowsiness, sedation<br>N\/V anorexia<br>respiratory depression<br>consitpation, cramps<br>orthostatic hypotension<br>confusion, headache<br>rash<br>arrhythmias<br>syncope<br>agitation<\/li>\n\n\n\n<li><\/li>\n<\/ol>\n\n\n\n<p>Exam 3: NURS663\/ NURS 663 &#8211; Psychiatric<br>Mental Health Diagnosis and Management II<br>Exam Review | Guide with Questions and<br>Verified Answers| 100% Correct| Rated A<br>(Latest 2023\/ 2024 Update) &#8211; Maryville<br>Q: Benzodiazepines (class)<br>Answer:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>also called the &#8220;Z&#8217; drugs. Their clinical effects results from interactions with GABA-receptor<br>complexes at binding domains located close to or coupled to benzodiazepine receptors.<br>Q: Benzodiazepines are FDA approved to tx what dxs?<br>Answer:<br>\u00b7 Generalized anxiety disorder (GAD)<br>\u00b7 Social phobia<br>\u00b7 Panic disorder<br>\u00b7 Insomnia<br>\u00b7 Status epilepticus\/seizures<br>\u00b7 Premedication for anesthetic procedures<br>Q: Benzodiazepines NON-FDA APPROVED USES<br>Answer:<br>\u00b7 Agitation<br>\u00b7 Alcohol withdrawal symptoms<br>\u00b7 Muscle spasms<br>\u00b7 Sedation<br>\u00b7 Restless legs syndrome<br>\u00b7 Sleepwalking disorder<\/li>\n<\/ul>\n\n\n\n<p>Q: Benzodiazepines MOA<br>Answer:<br>enhance the effect of the neurotransmitter gamma-aminobutyric acid (GABA) at the GABAA<br>receptor, resulting in sedative, hypnotic (sleep-inducing), anxiolytic (anti-anxiety),<br>anticonvulsant, and muscle relaxant properties<br>Q: Benzodiazepines indication of use<br>Answer:<br>Can be used for insomnia, anxiety disorder, panic disorder, social phobia, mixed anxietydepressive disorder, bipolar I disorder, akathisia, Parkinson&#8217;s disease, and overdose.<br>Q: Benzodiazepines side effects<br>Answer:<br>o Anterograde amnesia<br>o Confusion<br>o Dizziness<br>o Depression<br>o Sedation<br>Q: Benzodiazepines Patient teaching<br>Answer:<br>Avoid alcohol, avoid driving<br>Q: Buspirone (Buspar) MOA<br>Answer:<\/p>\n\n\n\n<p>Binds to serotonin type 1A receptors. Partial agonist actions postsynaptically may theorectically<br>diminish serotonergic activity and contribute to anxiolytic actions. Partial agonist actions of<br>presynaptic somatodendritic serotonin autoreceptors may theorectically serotonergic activity and<br>contribute to antidepressant actions.<br>Q: Buspirone (Buspar) use<br>Answer:<br>anxiety, Management of anxiety disorders<br>Short-term treatment of symptoms of anxiety<br>Mixed anxiety and depression<br>Treatment-resistant depression (adjunctive)<br>Generally takes within 2-4 weeks to achieve efficacy<br>Q: Buspirone (Buspar) side effects<br>Answer:<br>Dizziness, headaches, nervousness, sedation, excitement, nausea, restlessness.<br>Q: Buspar Usual Dosage<br>Answer:<br>20-30 mg\/day<br>Q: Buspar Potential Advantages:<br>Answer:<br>lack of dependence, withdrawal<br>Lack of sexual dysfunction or weight gain<\/p>\n\n\n\n<p>Q: Buspar Disadvantages<br>Answer:<br>Takes 4 weeks for results, whereas benzodiazepines have immediate effect.<br>*Buspirone does not appear to cause dependence and shows virtually no withdrawal symptoms.<br>May have less severity side effects than benzodiazepines. Buspirone generally lacks sexual<br>dysfunction<br>Q: Buspar Pt.s Ed<br>Answer:<br>Use with caution with MAOIs, including 14 days after MAOIs are stopped. Buspirone may<br>increase plasma concentration of haloperidol. CYP450 3A4 inhibitors (e.g. fluxotine,<br>fluvoxamine, nefazodone) may reduce clearance of buspirone and raise its plasma levels, so the<br>dose of buspirone may need to be lowered when gives concomitantly with these agents.<br>Q: Clomipramine (Anafranil) MOA<br>Answer:<br>Boosts neurotransmitters serotonin and norepinephrine\/noradrenaline. Blocks serotonin reuptake<br>pump (serotonin transporter) presumably increasing serotonergic neurotransmission. Blocks<br>norepinephrine reuptake pump (norepinephrine transporter), presumably increasing<br>noradrenergic neurotransmission.<br>Q: Clomipramine (Anafranil) use<br>Answer:<br>Obsessive-compulsive disorder<br>Depression<br>Severe and treatment-resistant depression<br>Cataplexy syndrome<br>Anxiety<br>Insomnia<br>Neuropathic pain\/chronic pai<\/p>\n\n\n\n<p>Exam 2: NURS663\/ NURS 663 &#8211; Psychiatric<br>Mental Health Diagnosis and Management II<br>Exam Review | Complete Guide with<br>Questions and Verified Answers| 100%<br>Correct| Rated A (Latest 2023\/ 2024 Update)<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Maryville<br>Q: Enuresis Prevalence<br>Answer:<br>\u00b7 Prevalence is 5-10% of five-year-old&#8217;s<br>\u00b7 1.5-5% of 9-10-year-old<br>\u00b7 Nocturnal enuresis more common in boys<br>Q: Enuresis<br>Diagnostic Criteria<br>Answer:<br>\u00b7 Must be at least 5 years old<br>\u00b7 Voiding in bed or clothes, either intentional or unintentional<br>\u00b7 Must occur twice weekly for a period of at least 3 months<br>\u00b7 Not caused by a medical condition<br>Q: Enuresis<br>Concurrent Conditions<br>Answer:<br>\u00b7 People with enuresis are at higher risk for ADHD<br>\u00b7 More likely to have encopresis<br>Q: Enuresis<\/li>\n<\/ul>\n\n\n\n<p>Treatment<br>Answer:<br>\u00b7 Bed alarm<br>\u00b7 Classic conditioning<br>\u00b7 Treatment- bed alarms and Desmopressin<br>Q: Bulimia Nervosa<br>Diagnostic Criteria: Recurrent episodes of binge eating. An episode is char- acterized by both of<br>the following<br>Answer:<br>1.Eating, in a discrete period of time (within<br>2-hour period) an amount of food that is larger that what most individuals would eat in in a<br>similar period of time<br>2.A sense of lack of control over eating during the episode (feeling like they cannot stop eating)<br>\u00b7 Recurrent inappropriate compensatory behaviors in order to prevent weight gain: such as selfinduced vomiting, misuse of laxatives, diuretics, or other medications, fasting, or excessive<br>exercise<br>\u00b7 The binge eating and inappropriate compensatory behaviors both occur, on aver- age, at least<br>once per week for 3 months<br>\u00b7 Self-evaluation is unduly influenced by body weight and shape<br>Q: Bulimia Nervosa<br>Severity<br>Answer:<br>\u00b7 Mild 1-3 episodes per week<br>\u00b7 Moderate 4-7 episodes per week<br>\u00b7 Severe- 8-13 episodes per week<br>\u00b7 Extreme 14 or more episodes per week<br>Q: Binge-Eating Disorder:<br>Diagnostic Criteria: Recurrent episodes of binge-eating is characterized by both of the following<br>Answer:<\/p>\n\n\n\n<p>\u00b7 Eating in a discrete period of time (2 hours) an amount of food that is larger than what most<br>people would eat<br>\u00b7 A sense of lack of control over what and how much one is eating<br>\u00b7 The binge-eating episodes are associated with 3 or more of the following<br>\u00b7 Eating much more rapidly than normal<br>\u00b7 Eating until feeling uncomfortably full<br>\u00b7 Eating large amounts of food when not feeling physically hungry<br>\u00b7 Feeling disgusted with oneself, depressed, or guilty afterwards<br>\u00b7 The binge eating occurs, on average, at least once a week for 3 months<br>Q: Binge-Eating Disorder:<br>Severity<br>Answer:<br>\u00b7 Mild- 1-3 binges per week<br>\u00b7 Moderate 4-7<br>\u00b7 Severe 8-13<br>\u00b7 Extreme 14 or more<br>Q: Binge-Eating Disorder:<br>Prevalence<br>Answer:<br>1\/6% females and males 0.8%<br>Q: Other Specified Eating Disorder<br>Answer:<br>\u00b7 Applies to presentations in which symp- toms characteristic of a feeding and eating disorder<br>that impair functioning, but do not meet the full criteria for any of the disorders<br>Q: Unspecified Eating Disorders<br>Answer:<br>\u00d8 Clinician chooses not to specify the reason the disorder is not met<\/p>\n\n\n\n<p>Q: Elimination Disorders<br>Diagnostic Criteria<br>Answer:<br>\u00b7 Repeated voiding of urine into bed or clothes, whether voluntary or involuntary<br>\u00b7 The behavior is clinically significant as manifested by either a frequency of at least<br>2 times per week for at least 3 consecutive months<br>\u00b7 At least 5 years of age<br>Q: Elimination Disorders<br>Prevalence<br>Answer:<br>\u00b7 5-10% among 5-year-olds<br>\u00b7 3-5% among 10-year-olds<br>\u00b7 Bedwetting at night is more common in males<br>Q: Encopresis<br>Diagnostic Criteria<br>Answer:<br>\u00b7 Repeated passage of feces into inappropriate places<br>(clothes, floor) whether involuntary or intentional<br>\u00b7 At least one such event occurs each month or at least 3 months<br>\u00b7 Child must be at least 4 years of age<br>Q: Encopresis<br>Prevalence<br>Answer:<br>\u00b7 1% of 5-year-olds<br>\u00b7 More common in males<\/p>\n\n\n\n<p>Exam 3: NURS663\/ NURS 663 &#8211; Psychiatric<br>Mental Health Diagnosis and Management II<br>Exam Review | Questions and Verified<br>Answers| 100% Correct| Grade A (Latest<br>2023\/ 2024 Update) &#8211; Maryville<br>Q: propanolol is good for<br>Answer:<br>panic attack with tremor; GAD with tremor<br>social anxiety and presentations<br>*monitor BP and HR<br>Q: agroaphobia therapy types<br>Answer:<br>insight oriented therapy<br>behavioral therapy<br>cognitive therapy<br>encourage good responses and minimize poor responses<br>Q: what is insight oriented therapy<br>Answer:<br>psychodynamic therapy; client&#8217;s self-awareness and understanding of the influence of the past on<br>present behavior<br>Q: symptoms in GAD<br>Answer:<\/p>\n\n\n\n<p>3\/6 present<br>restless, fatigue, irritability, muscle tension, poor concentration, sleep problems<br>Q: brain in GAD<br>Answer:<br>increased activity in amygdala<br>Q: OCD contaminiation<br>Answer:<br>hand washing<br>Q: OCD pathological doubt<br>Answer:<br>checking doors at night; also called harm concern<br>Q: OCD intruding thoughts<br>Answer:<br>thinking about something over and over<br>Q: OCD symmetry<br>Answer:<br>symmetry behaviors; clapping ends with even number, throw extra away to have even number<\/p>\n\n\n\n<p>Q: what is an obsession<br>Answer:<br>recurrent and intrusive thought, feeling, idea, or sensation; mental event<br>Q: what is an compulsion<br>Answer:<br>conscious, standardized, recurrent behavior (counting, checking, avoiding); anxiety increases<br>when person does not do compulsion<br>Q: hoarding disorder treatment<br>Answer:<br>CBT recommended first line<br>medication not first line<br>Q: factitious dermatitis<br>Answer:<br>skin picking; person has attempted to stop\/decrease<br>Q: cleptomania<br>Answer:<br>shoplifting<br>Q: insight oriented for agoraphobia<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Exam 1: NURS663\/ NURS 663 (Latest 2023\/2024 Update) &#8211; Psychiatric Mental HealthDiagnosis and Management II Exam |Questions and Verified Answers| Grade AMaryvilleQ: what is something you should watch out for if a patient is on multiple antidepressants?Answer:SIADHQ: what medical problems mimic mood disorders?Answer:hypothyroid- depressionhyperthyroid- maniaQ: involuntary admissionAnswer:hurt yourselfhurt someone elseinability to care for selfQ: Carbamazepine [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center 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