NURS 420 EXAM 2 Actual Study
Questions with Elaborate Answers
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1. What are trends in adolescent sexual behavior and pregnancy? - ANSWER
Resources are decreasing, Pregnant teens get caught in cycle of poverty,
school failure, and limited life options
Recommendation: Use a condom + another form of BC
2. What are special issues in caring for the pregnant teen? - ANSWER
Violence, nutrition, prenatal care, infant care, and schooling
3. What is cultural diversity? - ANSWER degree of variation that is
represented among the populations based on lifestyle, ethnicity, race, and
interest across place and place of origin across time
4. What is something to note about pain and culture? - ANSWER The
definition of pain is culturally determine.
5. Major depressive disorder - ANSWER -Untreated episode of depression can
last weeks, months, or years. (Most clear in about 6 months)
-2 weeks or more of a sad mood or lack of interest in life activities with at least
four other symptoms of depression such as anhedonia and changes in weight,
sleep, energy, concentration, decision-making, self-esteem, and goals.
-50% to 60% will suffer recurrence.
-Approximately 20% will develop a chronic form of depression.
,-Some people with severe depression have psychotic features.
6. Psychopharmacology for Major depressive disorder - ANSWER SSRI,
Tricyclic antidepressants, Atypical antidepressants, MAOI antidepressants
7. SSRI for Major Depressive Disorder - ANSWER Citalopram (Celexa),
Escitalopram (Lexapro),
Fluoxetine (Prozac),
Fluvoxamine (Luvox),
Paroxetine (Paxil),
Sertraline (Zoloft),
Vilazodone (Viibryd),
Vortioxetine (Trintellix),
8. tricyclic antidepressants for major depressive disorder - ANSWER
Amitriptyline (Elavil), clomipramine (Anafranil), doxepin (Sinequan),
imipramine (Tofranil), trimipramine (Surmontil)
Desipramine (Norpramin), nortriptyline (Pamelor), protriptyline (Vivactil)
Amoxapine (Asendin), maprotiline (Ludiomil)
9. Atypical Antidepressants for major depressive disorder - ANSWER *if they
have hx of suicide they need to start on antidepressant in the hospital
Bupropion (Wellbutrin)
Maprotiline (Ludiomil)
Mirtazapine (Remeron)
Nefazodone (Serzone)
Trazodone (Desyrel)
,Duloxetine (Cymbalta) - SNRI
Venlafaxine (Effexor) - SNRI
10.Side effects of antidepressents - ANSWER Nausea
Increased appetite and weight gain
Loss of sexual desire and other sexual problems, such as erectile dysfunction
and decreased orgasm
Fatigue and drowsiness
Insomnia
Dry mouth
Blurred vision (especially with tricyclics)
Constipation
Dizziness
Agitation
Irritability
Anxiety
Falls secondary to orthostatic hypotension (especially with tricyclics)
11.Monoamine Oxidase Inhibitors for major depressive disorder - ANSWER
Isocarboxazid (Marplan)
Phenelzine (Nardil)
Selegiline (Eldepryl, Emsam)
Tranylcypromine (Parnate)
***Patients taking MAOIs must avoid foods and drugs that are norepinephrine
agonists (dairy, soybean, nuts) to avoid a hypertensive crisis that could be life
threatening
, 12.Serotonin syndrome - ANSWER -Change in mental state: confusion and
agitation
-Neuromuscular excitement: muscle rigidity, weakness, sluggish pupils,
shivering, tremors, myoclonic jerks, collapse, and muscle paralysis
-Autonomic abnormalities: hyperthermia, tachycardia, tachypnea,
hypersalivation, and diaphoresis
13.electroconvulsive therapy (ECT) - ANSWER to treat depression,
application of electrodes to the head of the client to deliver an electrical
impulse to the brain; this causes a seizure; It is believed that the shock
stimulates brain chemistry to correct the chemical imbalance of depression
14.Psychotherapy -Interpersonal therapy - ANSWER -relationship difficulties
-grief reactions, role disputes, and role transitions
15.Psychotherapy - Behavior therapy - ANSWER -positive reinforcement of
interactions with the environment and to decrease negative interactions
16.Psychotherapy - Cognitive therapy - ANSWER - focus on cognitive
distortions
-focuses on how the person thinks about the self, others, and the future and
interprets his or her experiences
17.Investigational treatments - ANSWER - transcranial magnetic stimulation
(TMS)
a noninvasive procedure that uses magnetic fields to stimulate nerve cells in the
brain to improve symptoms of depression
Questions with Elaborate Answers
Already Graded A+ | Guarantee
Pass
1. What are trends in adolescent sexual behavior and pregnancy? - ANSWER
Resources are decreasing, Pregnant teens get caught in cycle of poverty,
school failure, and limited life options
Recommendation: Use a condom + another form of BC
2. What are special issues in caring for the pregnant teen? - ANSWER
Violence, nutrition, prenatal care, infant care, and schooling
3. What is cultural diversity? - ANSWER degree of variation that is
represented among the populations based on lifestyle, ethnicity, race, and
interest across place and place of origin across time
4. What is something to note about pain and culture? - ANSWER The
definition of pain is culturally determine.
5. Major depressive disorder - ANSWER -Untreated episode of depression can
last weeks, months, or years. (Most clear in about 6 months)
-2 weeks or more of a sad mood or lack of interest in life activities with at least
four other symptoms of depression such as anhedonia and changes in weight,
sleep, energy, concentration, decision-making, self-esteem, and goals.
-50% to 60% will suffer recurrence.
-Approximately 20% will develop a chronic form of depression.
,-Some people with severe depression have psychotic features.
6. Psychopharmacology for Major depressive disorder - ANSWER SSRI,
Tricyclic antidepressants, Atypical antidepressants, MAOI antidepressants
7. SSRI for Major Depressive Disorder - ANSWER Citalopram (Celexa),
Escitalopram (Lexapro),
Fluoxetine (Prozac),
Fluvoxamine (Luvox),
Paroxetine (Paxil),
Sertraline (Zoloft),
Vilazodone (Viibryd),
Vortioxetine (Trintellix),
8. tricyclic antidepressants for major depressive disorder - ANSWER
Amitriptyline (Elavil), clomipramine (Anafranil), doxepin (Sinequan),
imipramine (Tofranil), trimipramine (Surmontil)
Desipramine (Norpramin), nortriptyline (Pamelor), protriptyline (Vivactil)
Amoxapine (Asendin), maprotiline (Ludiomil)
9. Atypical Antidepressants for major depressive disorder - ANSWER *if they
have hx of suicide they need to start on antidepressant in the hospital
Bupropion (Wellbutrin)
Maprotiline (Ludiomil)
Mirtazapine (Remeron)
Nefazodone (Serzone)
Trazodone (Desyrel)
,Duloxetine (Cymbalta) - SNRI
Venlafaxine (Effexor) - SNRI
10.Side effects of antidepressents - ANSWER Nausea
Increased appetite and weight gain
Loss of sexual desire and other sexual problems, such as erectile dysfunction
and decreased orgasm
Fatigue and drowsiness
Insomnia
Dry mouth
Blurred vision (especially with tricyclics)
Constipation
Dizziness
Agitation
Irritability
Anxiety
Falls secondary to orthostatic hypotension (especially with tricyclics)
11.Monoamine Oxidase Inhibitors for major depressive disorder - ANSWER
Isocarboxazid (Marplan)
Phenelzine (Nardil)
Selegiline (Eldepryl, Emsam)
Tranylcypromine (Parnate)
***Patients taking MAOIs must avoid foods and drugs that are norepinephrine
agonists (dairy, soybean, nuts) to avoid a hypertensive crisis that could be life
threatening
, 12.Serotonin syndrome - ANSWER -Change in mental state: confusion and
agitation
-Neuromuscular excitement: muscle rigidity, weakness, sluggish pupils,
shivering, tremors, myoclonic jerks, collapse, and muscle paralysis
-Autonomic abnormalities: hyperthermia, tachycardia, tachypnea,
hypersalivation, and diaphoresis
13.electroconvulsive therapy (ECT) - ANSWER to treat depression,
application of electrodes to the head of the client to deliver an electrical
impulse to the brain; this causes a seizure; It is believed that the shock
stimulates brain chemistry to correct the chemical imbalance of depression
14.Psychotherapy -Interpersonal therapy - ANSWER -relationship difficulties
-grief reactions, role disputes, and role transitions
15.Psychotherapy - Behavior therapy - ANSWER -positive reinforcement of
interactions with the environment and to decrease negative interactions
16.Psychotherapy - Cognitive therapy - ANSWER - focus on cognitive
distortions
-focuses on how the person thinks about the self, others, and the future and
interprets his or her experiences
17.Investigational treatments - ANSWER - transcranial magnetic stimulation
(TMS)
a noninvasive procedure that uses magnetic fields to stimulate nerve cells in the
brain to improve symptoms of depression
