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NURS 6501 Final Exam Questions With Correct Answers

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NURS 6501 Final Exam Questions With Correct Answers about PHQ2 - what does it screen for, what are the questions, scoring - ANSWER-- Screens for MDD - It is the first two questions of the PHQ9 - In the last two week, have you been feeling these (not at all, several days, more than half the da...

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  • November 14, 2024
  • 21
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NURS 6501
  • NURS 6501
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NURS 6501 Final Exam Questions With Correct
Answers
about PHQ2

- what does it screen for, what are the questions, scoring - ANSWER-- Screens for MDD

- It is the first two questions of the PHQ9



- In the last two week, have you been feeling these (not at all, several days, more than half the day, nearly
everyday):

- Little interest or pleasure in doing things?

- Feeling down, depressed, or hopeless?



Scoring:

A single yes or score >3 (out of 0-6) = possible clinical depression ⇒ due the PHQ9



If the pt screens (+) ⇒ continue to eval with the PHQ9



.about PHQ9

- what its used for, questions, scoring - ANSWER-Used for screening, diagnosing, and treating

- It asks about functioning impairments which is needed for the DSM-based diagnosis

Includes asking about suicide or hurting self



Scoring:

0-27 available

0-4: Minimal/none

Monitor; may not require treatment

5-9: Mild

,Use clinical judgment; follow-up in one month

10-14: Moderate

Use clinical judgment; may need meds if functionally impaired

15-19: Moderately Severe

Warrants active treatment with psychotherapy, meds, or combo

20-27: Severe

Warrants active treatment with psychotherapy, meds, or combo



.American Society of Anesthesiologists Anesthesia Classification System 1-4 - ANSWER-ASA Class 1: healthy,
normal patient

ASA Class 2: patient with mild systemic disease

ASA Class 3: patient with severe systemic disease

ASA Class 4: patient with severe systemic disease that is a threat to life



.anaphylaxis ss - ANSWER-Occurs within 5-30 minutes of exposure to:

Generalized itching with or without hives

Swollen lips, throat, body part

Difficulty breathing, cough

Chest tightness

Abdominal cramping

NVD

Feeling of impending doom



.are most DM PO agents taken the day of surgery? - ANSWER-yes



.Bell's Palsy

- definition, etiology, SS, PE, treatment - ANSWER-DEFINITION

, - Acute, unilateral weakness or paralysis of the facial nerve with an onset of , 72h and unknown cause



ETIOLOGY

- genetics, vascular, nerve compression, infectious, and metabolic ▲

- HSV, VZV ⇒ cause latent infections in nerves ⇒ reactivation of these can cause Bell's



SS

- may have pain behind the ipsilateral ear preceding the paralysis by 1-2 days

- may have altered taste and ↑ sensitivity to sound

* Timing is ESSENTIAL *

- presents within 38-72h

- slower, progressive, or relapsing is a different entity



PE

- must do a complete CNS exam to r/o stroke, tumor

- must find that CN7 is the primary peripheral source of the facial weakness

- will cause a unilateral, full-face paralysis with an ipsilateral source indicating a peripheral nerve problem

- lack of eyelid closure and absence of wrinkling forehead

- look for vesicles → Ramsay Hunt Syndrome



TRTMT

Eye Protection = most impt

- exposure keratitis can cause blindness, cornea can get abrasions

Steroids:

- w/i 72h

- prednisone 60mg/day with 5 day taper

Antivirals:

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