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NURS661 EXAM 1 (Based on Dr. Stiles Study Guide) – Complete Study Guide
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NURS661 EXAM 1 (Based on Dr. Stiles StudyGuide) – Complete Study Guide
Symptoms of dystonia ✔️Ans -Involuntary muscle contractions that cause
repetitive twisting movements.
The condition can affect one part of the body- focal dystonia; two or more
adjacent parts- segmental; or all parts- general dystonia.
Cervical dystonia- cause head to twist and turn to one side.
Eyelids- rapid blinking or involuntary spasms
Jaw/tongue- slurred speech, drooling, difficulty chewing
Hand/Forearm- repetitive activity (writers or musicians dystonia)
Symptoms of aprosodia ✔️Ans -Neurological condition characterized by the
inability of a person to properly convey or interpret emotional prosody
(ranges of rhythm, pitch, stress, intonation).
Differentiate between short term and long-term memory. Short-term memory
is what length of period? ✔️Ans -30 seconds to several days
What is an illusion? ✔️Ans -Distortions of real images or sensations. Can
occur in schizophrenia patients during active phases but can also occur during
the prodromal phases and during periods of remissions.
What is an hallucination? ✔️Ans -Any of the five senses may be affected.
The most common are auditory with voices that are often threatening,
obscene, accusatory, or insulting. Two or more voices may converse among
themselves or a voice may comment on the patient's life or behavior. Visual
are common but tactile olfactory and gustatory are unusual (their presence
should prompt clinician to consider underlying medical or neurological
disorder).
What is a delusion? ✔️Ans -May assume persecutory, grandiose, religious,
or somatic forms--fixed beliefs that do not change.
How is competency determined? ✔️Ans -Decisional Capacity; ability to
communicate a choice/ability to understand information necessary for the
specific decision at hand/ ability to appreciate the implications and
significance of the provided information or the choice of being made/ ability
, to reason by weighting the comparing options as well as consequences of the
potential decision.
Why is an MRI an appropriate study for a dementia diagnosis? ✔️Ans -
Differentiates between dementia of Alzheimer's type and vascular dementia.
What is the minimum duration of symptom presentation to make a diagnosis
of generalized anxiety disorder ✔️Ans -GAD is defined as excessive anxiety
and worry about several events or activities for most days during at least a 6-
month period
What is mania? ✔️Ans -Severe episode of elevated/euphoric or irritable
mood and increased energy that usually lasts at least a week and severely
interferes with the sufferers ability to function
What is hypomania? ✔️Ans -It is characterized by somewhat elevated or
irritable mood that may more mildly interfere with a person's functioning.
Which type of patients could benefit from bright light therapy? ✔️Ans -
Clients with sleep disorder, shift workers, OCD with seasonal variation and jet
lag. Seasonal Affective Disorder. Women represent 75% of patients with SAD
with the mean age of 40 years. Patients rarely present older than 55 years
with SAD.
Why is interviewing a catatonic patient challenging? ✔️Ans -Client may may
have mutism, staring, refusal to eat, echolalia and an impaired ability to care
for themselves and therefore requires hospitalization
What is catatonia? ✔️Ans -a clinical syndrome characterized by striking
behavioral abnormalities that may include motoric immobility or excitement,
profound negativism, or echolalia, or echopraxia (mimicry of movement).
Know which antidepressant is most effective for patients who also have
neuropathic pain ✔️Ans -Duloxetine (an SNRI)
Which antidepressant has also been used for smoking cessation? ✔️Ans -
Wellbutrin (Bupropion)
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