REGIS FINAL EXAM NU664 SET 2 EXAM ACTUAL

REGIS FINAL EXAM NU664 SET 2 EXAM ACTUAL /

ANSWERS !.QUESTIONS AND VERIFIED CORRECT

Children normatively express a transient fear-----Answers-- -of animals and other natural objects

Stranger anxiety-----Answers---noted in those 8-10 month old

Separation anxiety-----Answers---fear if separated from caregivers or when left alone

Social phobia-----Answers---worries about performance around peers, social situations

African Americans: may-----Answers---respond to

lower doses of SSRIs

Asians: may respond-----Answers---to lower doses of

antipsychotics

Natural approaches-----Answers---o Therapy, diet, exercise

• Omega 3- fatty acids-for adhd/cognitive impairment
• Fish oil for bipolar; interacts with blood

thinners/NSAIDs 1 / 3

• Vitamin E/Zinc/Iron
• melatonin for sleep
• Valerian root for anxiety
• Sam-E - for adults.

Levels of prevention:-----Answers---primary,

secondary, tertiary - this is important for public patient education/screening/epidemiological measures and promoting health.

Primary - concerned with-----Answers---prevention of the onset of disease; goal is to reduce the incidence of disease;

e.g. vaccinations. IN PSYCH: Aimed at decreasing the incidence

(number of new cases) of mental disorders

Secondary - concerned with-----Answers---trying to detect a disease early and prevent it from getting worse; e.g.

regular exams and screening tests. IN PSYCH: Aimed at

decreasing the prevalence (number of existing cases) of mental disorders

Tertiary - concerned with-----Answers---reducing the impact of an ongoing illness or injury that has lasting effects; e.g. cardiac or stroke rehab programs, support groups. IN

PSYCH: Aimed at decreasing the disability and severity of a

mental disorder

• / 3

Medical Comorbidities Assessment-----Answers--- required to accomplish differential diagnoses to determine client health needs. Physical exam-may involve Neuro/cranial nerves; coordination and fine tremor, motor functions, neurological soft signs such as tics; Vital signs to include height and weight; MSE; Labs

Medical Comorbidities Labs:-----Answers---dependent

upon symptoms and treatments; labs and diagnostic testing used to rule out other disorders such as medical causes of psychiatric symptoms

Metabolic syndrome-----Answers---Monitor client for

development via: weight gain, BMI, waist-to-hip ratio, BP,

lipids, and blood glucose/A1C—especially before and while on antipsychotics

Diseases that have increased thyroid levels include----- Answers---o Graves' disease

• Thyrotoxicosis due to T4
• Hashimoto's thyroiditis
• Acute thyroiditis

Diseases that have decreased thyroid levels include----- Answers---o Primary hypothyroidism

• Secondary hypothyroidism (pituitary insufficiency)
• Tertiary hypothyroidism (hypothalamic failure)
• Thyrotoxicosis due to T3
• / 3