NR546 Final Exam QUESTIONS AND WELL VERIFIED ANSWERS [GRADED A+] ACTUAL EXAM 100% REAL EXAM!!!

NR546 Final Exam
QUESTIONS AND WELL
VERIFIED ANSWERS
[GRADED A+] ACTUAL
EXAM 100% REAL
EXAM!!!
client education for specific medication classes: SSRI's -
ANSWER-Most adverse effects will subside after 4-5 days
once the body adjusts to increased serotonin levels
client education for specific medication classes: SNRI's -
ANSWER--Medications should not be abruptly stopped to
avoid discontinuation symptoms.
-NE effects of the medication may increase anxiety in
some clients. Report worsening anxiety to the provider.
client education for specific medication classes: NDRI's -
ANSWER--Take medication in the morning.
-Stop taking medication if seizures occur.
-Stop taking medication if anxiety is noted.
Other tx options: SARI's - ANSWER-Serotonin Antagonist
and Reuptake Inhibitors
-potently block 5-HT2A and 5HT 2C receptors, allow more
5-HT to interact at postsynaptic 5-HT1A sites
-Trazodone most common
-adverse effects:
• sedation
• drowsiness
• blurred vision
• constipation
• dry mouth
• severe: priapism (Medical emergency)
Patient education: side effects, take at HS due to
sedation
Off-label uses: insomnia, anxiety
Medication Management for Depression, First-Line
Treatment: - ANSWER-• Selective Serotonin Reuptake
Inhibitors (SSRIs)
• Serotonin Norepinephrine Reuptake Inhibitors (SNRIs)
• Norepinephrine Dopamine Reuptake Inhibitors (NDRI)
• Serotonin Antagonist and Reuptake Inhibitors (SARIs)
Unipolar depression - ANSWER-major depressive
disorder (MDD)
one of the most common mental disorders
-Approximately 7.1% of adults in the U.S. had episode in
last year, prevalence highest (13.1%) among individuals
aged 18-25
S/S
-depressed mood
-loss of interest or pleasure in daily activities
-irritability
-withdrawal
-problems with sleep, eating, energy, concentration, or
self-worth
-severe depression: may experience thoughts of suicide
or psychotic symptoms.
Bipolar disorder (BD) - ANSWER-Chronic condition
characterized by extreme fluctuations in mood, energy,
and ability to function
-Moods may be manic, hypomanic, or depressed and
may include mixed mood or psychotic features
-many have only experienced only one manic episode in
their lifetime
-Mood fluctuations may be separated by periods of high
stability or may cycle rapidly
-diagnosed when a client has one or more episodes of
mania or hypomania with a history of one or more major
depressive episodes
-high risk for suicide
mania - ANSWER-characterized by a persistently
elevated, expansive, or irritable mood. Related
symptoms may include inflated self-esteem, increased
goal-directed activity or energy, including grandiosity,
decreased need for sleep, excessive talkativeness, racing
thoughts, flight of ideas (FOI), distractibility,
psychomotor agitation, and a propensity to be involved
in high-risk activities. Mania leads to significant
functional impairment and may include psychotic
features or necessitate hospitalization
Bipolar Type I: - ANSWER-requires at least one episode of
mania for at least one week (or any duration if
hospitalization due to symptoms is required)
Bipolar Type II: - ANSWER-diagnosis requires a current or
past hypomanic episode and a current or past major
depressive episode. Symptoms last for at least 4 days but
fewer than seven.
-Hypomanic symptoms are not of sufficient duration or
severity to cause significant functional impairment,
psychosis, or hospitalization.
-Anger and irritability are common.
-Clients often enjoy the elevation of mood and are
reluctant to report these symptoms, making bipolar
more difficult to diagnose if the client presents in the
depression phase.
Pharmacologic Treatment of Bipolar Disorder - ANSWERLithium
Anticonvulsants
Second generation antipsychotics