NU 643 FINAL EXAM STUDY GUIDE WITH
CORRECT ANSWERS | COMPLETE REVIEW
2025
◉ management of behavioral & psychological symptoms dementia.
Answer: habilitation therapy, generate positive emotions, sleep
hygiene, consistency, avoid triggers
◉ dietary recommendations mental health. Answer: B vitamins,
B12, B6, B2, fruits and vegetables
◉ slowest drug route. Answer: IM depot, topical patch
◉ Lithium side effects. Answer: dizziness; impaired vision;fine hand
tremors; reversible leukocytosis; signs of intoxication: V, diarrhea,
drowsiness, muscular weakness, ataxia, hypothyroidism
◉ Clonidine, Propranolol. Answer: used for physiological panic
symptoms of anxiety, lower HR and BP
◉ psychotropic medication in pregnancy. Answer: benefit must
outweigh risk, with depression if new onset and mild attempt
,psychotherapy, if previous episode and currently on medication,
remain on medication
◉ Quetiapine Labs. Answer: metabolic, a1c, CBC, thyroid
◉ VPA labs. Answer: LFTS, CBC, ammonia, serum valproate
◉ Lithium Labs. Answer: -SCr and BUN (for kidneys)
-Urine specific gravity (for diabetes insipidus)
-Electrolytes (for sodium)
-EKG (for arrhythmia)
-CBC (for leukocytes)
-Thyroid function (for hypothyroidism)
-Glucose
-Pregnancy test
-Lithium level
◉ mental status exam. Answer: appearance and behavior, thought
processes, mood and affect, intellectual functioning, sensorium
◉ symptoms of hyponatremia. Answer: ...headache, muscle
weakness, fatigue, apathy, confusion, abd. cramps, & orthostatic
hypotension, caused by oxcarbmazepine (trileptal).
, ◉ tardive dyskinesia. Answer: A side effect of long-term use of
traditional antipsychotic drugs causing the person to have
uncontrollable facial tics, grimaces, and other involuntary
movements of the lips, jaw, and tongue. caused by chronic blockade
of D2. FGA>SGA
◉ extrapyramidal symptoms. Answer: side effects such as
restlessness, involuntary movements, and muscular tension
produced by antipsychotic medications
◉ Akathesia. Answer: inability to remain still; motor restlessness
and anxiety, most common cause of aggression due to a drug side
effect (occurs within days)
◉ Dystonia. Answer: a condition of abnormal muscle tone that
causes the impairment of voluntary muscle movement (acute can
occur in hours)
◉ Akinesia. Answer: complete or partial loss of muscle movement,
shuffled slowed gait (occurs within weeks)
◉ dopamine reward system. Answer: the system of neurons,
primarily in the nucleus accumbens and ventral tegmental area, that
relies on dopamine and gives rise to pleasant feelings
CORRECT ANSWERS | COMPLETE REVIEW
2025
◉ management of behavioral & psychological symptoms dementia.
Answer: habilitation therapy, generate positive emotions, sleep
hygiene, consistency, avoid triggers
◉ dietary recommendations mental health. Answer: B vitamins,
B12, B6, B2, fruits and vegetables
◉ slowest drug route. Answer: IM depot, topical patch
◉ Lithium side effects. Answer: dizziness; impaired vision;fine hand
tremors; reversible leukocytosis; signs of intoxication: V, diarrhea,
drowsiness, muscular weakness, ataxia, hypothyroidism
◉ Clonidine, Propranolol. Answer: used for physiological panic
symptoms of anxiety, lower HR and BP
◉ psychotropic medication in pregnancy. Answer: benefit must
outweigh risk, with depression if new onset and mild attempt
,psychotherapy, if previous episode and currently on medication,
remain on medication
◉ Quetiapine Labs. Answer: metabolic, a1c, CBC, thyroid
◉ VPA labs. Answer: LFTS, CBC, ammonia, serum valproate
◉ Lithium Labs. Answer: -SCr and BUN (for kidneys)
-Urine specific gravity (for diabetes insipidus)
-Electrolytes (for sodium)
-EKG (for arrhythmia)
-CBC (for leukocytes)
-Thyroid function (for hypothyroidism)
-Glucose
-Pregnancy test
-Lithium level
◉ mental status exam. Answer: appearance and behavior, thought
processes, mood and affect, intellectual functioning, sensorium
◉ symptoms of hyponatremia. Answer: ...headache, muscle
weakness, fatigue, apathy, confusion, abd. cramps, & orthostatic
hypotension, caused by oxcarbmazepine (trileptal).
, ◉ tardive dyskinesia. Answer: A side effect of long-term use of
traditional antipsychotic drugs causing the person to have
uncontrollable facial tics, grimaces, and other involuntary
movements of the lips, jaw, and tongue. caused by chronic blockade
of D2. FGA>SGA
◉ extrapyramidal symptoms. Answer: side effects such as
restlessness, involuntary movements, and muscular tension
produced by antipsychotic medications
◉ Akathesia. Answer: inability to remain still; motor restlessness
and anxiety, most common cause of aggression due to a drug side
effect (occurs within days)
◉ Dystonia. Answer: a condition of abnormal muscle tone that
causes the impairment of voluntary muscle movement (acute can
occur in hours)
◉ Akinesia. Answer: complete or partial loss of muscle movement,
shuffled slowed gait (occurs within weeks)
◉ dopamine reward system. Answer: the system of neurons,
primarily in the nucleus accumbens and ventral tegmental area, that
relies on dopamine and gives rise to pleasant feelings
