NUR 310 Final Exam Review Questions
with Answers
Serotonin syndrome symptoms - Answer-flu-like, nightmares, tremors, poor
concentration, anxiety, confusion, tachycardia, muscle abnormalities
what condition does a pt risk when taking tyramine rich foods with MAOIs? - Answer-
hypertensive crisis
syndrome associated with beginning antipsychotics. Involves dramatic change in
consciousness - Answer-Neuroleptic Malignant Syndrome
black box for atypical antipsychotics - Answer-high mortality for elderly dementia
patients
early lithium toxicity symptoms - Answer-N/V/D, thirst, polyuria, slurred speech, fine
tremor, weakness
delirium vs dementia - Answer-delirium is acute, dementia is progressive
pt presents with sudden onset confusion, disorientation, and sleep disturbances. What
condition do you suspect? - Answer-Delirium
most commonly diagnosed mental disorder in elderly - Answer-depression
3 D's for elderly patients - Answer-depression, dementia, delirium
class of antidepressants avoided in elderly patients - Answer-tricyclics
Pt presents with the following: specific proteins in the brain, visual hallucinations,
Parkinsonian features. What do you suspect? - Answer-Lewy Body Disease
HTN, cerebral emboli and cerebral thrombosis may lead to - Answer-Vascular NCD
CNS stimulants for ADHD treatment adverse effects - Answer-tachycardia, anorexia,
insomnia, weight loss
childhood psychiatric disorder in which the rights of other are consistently violated -
Answer-conduct disorder
some symptoms of this disorder include communication impairment and restrictive,
repetitive behaviors - Answer-Autism spectrum disorder
, before beginning ADHD treatment, these two common comorbidities should be treated -
Answer-substance abuse disorder and bipolar
2 classes of meds used to treat Tourette's tics - Answer-antihypertensives and
antipsychotics
induction of a generalized seizure for therapeutic treatment - Answer-electroconvulsive
therapy (ECT)
The focus of treatment using this type of treatment using this type of psychotherapy is
on the modification of distorted cognitions and maladaptive cognitions and maladaptive
behaviors - Answer-Cognitive therapy
desensitization therapy - Answer-technique used to overcome phobias through
progressive exposure
therapy that alters the pt's environment - Answer-milieu therapy
type of therapy most often used for those with borderline personality disorder - Answer-
dialectical behavioral therapy
primary psychiatric use for benzodiazapines - Answer-short term treatment for panic
attacks
3 classes of first line antidepressants for anxiety - Answer-TCAs, SSRIs, SNRIs
5 anxiety med classes - Answer-antidepressants, benzos, antihypertensives,
antihistamine, buspar
time of onset for buspar/buspirone - Answer-~2 weeks
antihistamine common side effects - Answer-dry mouth, drowsiness, dizziness,
constipation, blurred vision
Lamictal critical adverse effect - Answer-Steven Johnson syndrome (rash)
severe adverse effect of serotoninergic meds - Answer-serotonin syndrome
gold standard bipolar drug - Answer-lithium
dietary teaching for lithium - Answer-adequate sodium intake
why are labs frequently drawn for pts on lithium? - Answer-it has a narrow therapeutic
range
lamictal "for the lamb not the lion" - Answer-used more for depression than mania
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