NURS 663 Exam 1 Latest Update 2024-2025
Actual Exam from Credible Sources with 270
Questions and Verified Correct Answers Golden
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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
,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
,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
, 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
