NURS 663 Exam 1 Latest Update -

NURS 663 Exam 1 Latest Update - Actual Exam from Credible Sources with 270 Questions and Verified Correct Answers Golden Ticket to Guaranteed A+ Verified by Professor

Amitriptyline dosing/Class - CORRECT ANSWER: Start at 25 to 50 mg per day, titrate 25 to 50 mg per day per week, Max dose is 300 mg per day/TCA

Anti-depressants adverse effects 4 - CORRECT ANSWER: Serotonin syndrome, mania

shift, suicidal ideation, bleeding

Anti-depressants side effects 10 - CORRECT ANSWER: Anhedonia, apathy, n/v,

drowsy/dizzy, somnolence, headache, bruxism, vivid dreams, fatigue, change in sexual behavior.

Antidepressant Mechanism on action - CORRECT ANSWER: Ser-438 residue

determines potency (hSERT) SSRI (unk exact mech).

Are there main points of involuntary commitment - CORRECT ANSWER: 1. Mental

illness/developmental disability or drug/alcohol dependence. 2. It is treatable. 3. It is related to the danger to self or others

Atypical depression Mnemonic - CORRECT ANSWER: ATE typical increase eating,

heaviness/Leaden paralysis/hypersomnia, rejection sensitivity

Behavioral therapy interventions 3 - CORRECT ANSWER: Increase activity level,

structure goalsetting, interpersonal skills training

Bilateral electrode placement in ECT indications - CORRECT ANSWER: Classic

placement increases cognitive side effects but has better efficacy. Reserved for urgency such as life-threatening depression profound distress and catatonia 1 / 4

Bipolar disorder brain structure mnemonic - CORRECT ANSWER: Let's live

outrageously forget consequences equals left lateral orbital frontal cortex

Bipolar one disorder DSM five criteria - CORRECT ANSWER: Manic episode: 1+ week of a colon elevated, expansive or irritable mood and increase energy. 3+ symptoms from B: distractibility, indiscretion, irresponsible, grandiosity, flight of ideas, activity(Increase goal-orient), decreased need for sleep, talkativeness or pressured speech.

Bipolar two DSM five criteria - CORRECT ANSWER: Hypo mania and major depressive

disorder: hypo mania same as mania with decreased severity and duration and no

functional impairment for episode of four or more days and no psychosis

Broad categories of suicide risk factors - CORRECT ANSWER: Psychological disorder, Nuro biological factors, social factors, psychological factors

Bupropion dosing - CORRECT ANSWER: The 12 hour give 100 mg daily to start then

increase 100 mg daily every three weeks to a max dose of 200 mg twice a day. The 24 hour start at 150 mg then increase 150 mg each day every week to a maximum of 450 mg per day

Bupropion mechanism of action - CORRECT ANSWER: Like SSRI/SNRI, inhibits

dopamine reuptake, an alpha three beta 4 nicotinic antagonist

Bupropion mnemonic 4 - CORRECT ANSWER: Bu DA NE to remember

neurotransmitters. Think butane lighter because it is hot like sex related to no sexual side effects and also think to decrease smoking for smoking cessation. Think BUproprion to remember not to give to those with BUlimia or others at risk for seizures related to decreasing the seizure threshold.

Bupropion side effects advantages and other uses 7 - CORRECT ANSWER: No sexual

dysfunction, substance abuse especially nicotine, ADHD, increased energy, decreased appetite, good augmentation, low induction of mania 2 / 4

Capacity eval mnemonic - CORRECT ANSWER: CURBSID communicate, understand,

risk, benefit, situation, impact, decision

Carbamazepine adverse effects - CORRECT ANSWER: CNS, rash. Rarely SJS/toxic

epidermal necrolysis. Black box warning for aplastic anemia, thrombocytopenia, leukopenia.

Carbamazepine dosing - CORRECT ANSWER: 100 milligrams a day initially then

increase 200 mg per day everyone to four days to a max dose of 1.6 g per day

Carbamazepine labs - CORRECT ANSWER: Level range is 4-12, LFTs, CBC, EKG,

multiple drug to drug interactions

Carbamazepine mechanism - CORRECT ANSWER: Block voltage-dependent sodium

channels, anticholinergic, antidiuretic, antimania, anticonvulsant, antineuralgic, antiarrythmic

Carbamazepine mnemonic - CORRECT ANSWER: CBZ Cranial nerve pain, bipolar

disorder, seiZures. CarbamASIApine Do you remember that Asian dissent patients have an increased risk of Steven Johnson syndrome and are recommended to be screened

Carbamazepine side effects - CORRECT ANSWER: Water retention, ataxia, n/v/d, rash, dizzy, sedation, confusion, transaminitis

Carbamazepine treats - CORRECT ANSWER: First line and acute mania,

acute/prophylaxis mania, anti-aggressive, rapid cycling, mix patience

Catatonia mnemonic - CORRECT ANSWER: Turns a man into a manikin referring to the state of purposeless stupor

Causes of delirium mnemonic - CORRECT ANSWER: DIMTOP drugs, infection,

metabolic derangement, trauma, oxygen deprivation, psychological 3 / 4

Citalopram (Celexa) and Escitalopram (Lexapro) Pneumonic - CORRECT ANSWER:

Think car seat for SEATalopram to remember to obtain an Electrocardiogram forQTC prolongation

Clomipramine mnemonic/class - CORRECT ANSWER: TCA- think comipramine for

obsessive compulsive disorder

Cognitive therapy indications 11 - CORRECT ANSWER: Depression, anxiety, PTSD,

schizophrenia, phobia, OCD, bipolar disorder, sexual disorder, eating disorders, sleep disorders, substance abuse disorders

Cognitive therapy interventions - CORRECT ANSWER: Automatic thought restructuring, provide evidence just prove beliefs, antidepressants plus cognitive behavioral therapy is greater than just antidepressants and anti-depressants are greater than just cognitive behavioral therapy in efficacy

Cyclothymia DSM-V Criteria - CORRECT ANSWER: Two or more years of mood cycling

with dysthymia and hypo mania decreased intensity than bipolar disorder meets criteria for hypo mania but does not meet criteria for major depressive disorder

Depression assessment across the lifespan mnemonic - CORRECT ANSWER:

Reactive PLANETS reactivity, polarity, lability, attributability, normalcy, episodic, treatment response, severity

Depression with psychotic features requires treatment with - CORRECT ANSWER: And anti-depressant and an antipsychotic

Dialectical behavioral therapy Indications - CORRECT ANSWER: Borderline, bulimia, binge eating, PTSD, substance abuse

Dialectical behavioral therapy interventions 4 - CORRECT ANSWER: Increase skills, mindful practice, monitoring/responding to crisis

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