NR546 WEEK 5 KNOWLEDGE TEST. // EXAM STUDY GUIDE WITH VERIFIED ANSWERS. // 2024/2025 UPDATE. // NEW EXAM!!! NEW EXAM!!!
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NR546 KNOWLEDGE TEST.
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NR546 KNOWLEDGE TEST.
NR546 WEEK 5 KNOWLEDGE TEST. // EXAM
STUDY GUIDE WITH VERIFIED ANSWERS. //
2024/2025 UPDATE. //
NEW EXAM!!! NEW EXAM!!!
Cyclothymia: - Ans-involves the chronic presentation of hypomanic and
depressive symptoms that do not meet the diagnostic criteria for a major
depressive or manic/hypom...
NR546 WEEK 5 KNOWLEDGE TEST. // EXAM
STUDY GUIDE WITH VERIFIED ANSWERS. //
2024/2025 UPDATE. //
NEW EXAM!!! NEW EXAM!!!
Cyclothymia: - Ans✔✔-involves the chronic presentation of hypomanic and
depressive symptoms that do not meet the diagnostic criteria for a major
depressive or manic/hypomanic episode.
If bipolar depression is mistaken for MDD: - Ans✔✔-antidepressant therapy may
precipitate a manic episode or induce rapid-cycling bipolar depression
-may contribute to the increased incidence of death by suicide in children and
adults younger than 25
Antidepressants are used cautiously in clients with bipolar disorder and never as
________________. - Ans✔✔-monotherapy
-Antidepressants should be combined with a mood stabilizer to prevent the onset
of a hypomanic or manic episode
Prescribing Principles: initial selection of medication for a client with bipolar
disorder - Ans✔✔-Assess
-client safety
-comorbidities
-treatment adherence
Initiate/optimize therapy
-choose monotherapy or combination
-optimize dose
-check for adherence
Add-on or switch therapy
,-use an alternative first-line agent or add on an additional first--line agent
-if first-line agents are not effective, may switch to second-line agents
factors for nonadherence - Ans✔✔-Medication factors
-adverse effects
-low treatment doses
Manifestation of BD
-mixed episodes
-rapid cycling
-hallucinations
-BD I
Comorbidities
-substance use
-obsessive-compulsive disorder
Demographics
-male
-younger
-lower education level
-single
Other
-poor insight
-negative attitude
-low self-esteem
Lurasidone (Latuda) should be taken with: - Ans✔✔-food, at least 350 calories,
for maximum absorption
, Lithium carbonate (Lithobid) starting dose is reduced by at least 50% in clients
with ______________ - Ans✔✔-renal impairment
Lithium levels can be increased by ___________and_____________ and
decreased by ___________ and __________. - Ans✔✔-NSAIDs, ACE inhibitors,
Rationale: Lithium has a narrow therapeutic index and should be monitored
carefully. Serum levels should be evaluated 5 days after any dosage change and
regularly at 6-month intervals. Lithium can cause renal and thyroid toxicity.
Renal and thyroid function should be evaluated every 6 months.
DA, NE Dysfunction causes what mood related symptoms - Ans✔✔-Decreased
positive affect:
depressed mood
loss of joy
lack of interest
loss of energy
decreased alertness
decreased self-confidence
appetite changes
5HT, NE Dysfunction causes what mood related symptoms - Ans✔✔-Increased
negative affect:
depressed mood
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