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NURS 661 EXAM 3 WITH ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS RATE A+
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NURS 661 EXAM 3 WITH ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS RATE A+
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NURS 661 EXAM 3 WITH ACTUAL EXAMQUESTIONS AND CORRECT ANSWERS
RATE A+
How to assess for homicidal ideation? Correct Answer Do you
have homicidal ideation? Who do you want to kill? How do you
plan to do this? Do you have access to the means necessary? Do
you intend to commit the act?
What legal follow up is needed for homicidal ideation? Correct
Answer Duty to warn
Based on state laws
Obsession Correct Answer 1. Recurrent and persistent thoughts,
urges, or images that are experienced, at some time during the
disturbance, as intrusive and unwanted, and that in most
individuals cause marked anxiety or distress
2. The individual attempts to ignore or suppress such thoughts,
urges, or images, or to neutralize them with some other thought or
action (i.e. by performing a compulsion)
Compulsion Correct Answer 1. Repetitive behaviors or mental
acts that the individual feels driven to perform in response to an
obsession or according to rules that must be applied rigidly
2. The behaviors or mental acts are aimed at preventing or
reducing anxiety or distress, or preventing some dreaded event or
situation, however, these behaviors or mental acts are not
connected in a realistic way with what they are designed to
neutralize or prevent, or are clearly excessive
Obsessive-Compulsive Disorder (OCD) Correct Answer A.
Presence of obsessions, compulsions, or both
,B. The obsessions or compulsions are time-consuming (e.g. take
more than one hour per day) or cause clinically significant distress
or impairment in social, occupational, or other important areas of
functioning
C. The obsessive-compulsive symptoms are not attributable to
the physiological effects of a substance or another medical
condition
D. The disturbance is not better explained by the symptoms of
another mental disorder
PANDAS Correct Answer Pediatric Autoimmune
Neuropsychiatric Disorders Associated with Streptococcal
infections
OCD common co-morbid conditions Correct Answer MDD (Major
depressive disorder)
Skin Picking
Hair Pulling
Most Common Compulsions Correct Answer Checking
Ordering
Arranging
Washing/cleaning
Hand-washing
Flipping lights
Counting
Differentiation between OCD and eating disorders Correct Answer
Those with eating disorders will be counting calories, focused on
weight loss or maintaining a specific weight
Treatment for OCD Correct Answer Cognitive Behavioral
Therapy
, Pharmacological Treatment for OCD Correct Answer First line
treatment-SSRI (Luvox, fluoxetine)
Second-line treatment TCA with serotonergic properties
(clomipramine)
SNRI or MAOI
Augmentation with benzos, lithium, or Buspar
DSM-5 Body Dysmorphic Disorder Correct Answer
Preoccupation with perceived flaw on body taht is not observed
by others
Repetitive behaviors such as mirror checking, excessive
grooming, skin picking, reassurance seeking, clothes changing
Clinical significance
Differentiation from eating disorder
BDD common preoccupations Correct Answer Facial flaws
genitalia
Differentiation between BDD and eating disorders Correct Answer
BDD is more obsessed with one specific body flow, not the entire
body
Differentiation between BDD and OCD Correct Answer OCD
may have food rituals but not obsession on a specific body flaw
Treatment for BDD Correct Answer Cognitive Behavioral
Therapy
Pharmacological treatment of BDD Correct Answer
Clomipramine and fluoxetine reduce symptoms in about 50% of
patients
DSM-5 Hoarding Disorder Correct Answer A. Persistent difficulty
discarding or parting with possessions, regardless of their actual
value
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