NURS 663 EXAM 1 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
Amitriptyline dosing/Class - correct answer- Start at 25
to 50 mg per day, titrate 25 to 50 mg per day per week, Max
dose is 300 mg per day/TCA
Anti-depressants adverse effects 4 - correct answer-
Serotonin syndrome, mania shift, suicidal ideation, bleeding
Anti-depressants side effects 10 - correct answer-
Anhedonia, apathy, n/v, drowsy/dizzy, somnolence, headache,
bruxism, vivid dreams, fatigue, change in sexual behavior.
Antidepressant Mechanism on action - correct answer-
Ser-438 residue determines potency (hSERT) SSRI (unk exact
mech).
Are there main points of involuntary commitment - correct
answer- 1. Mental illness/developmental disability or
drug/alcohol dependence. 2. It is treatable. 3. It is related to the
danger to self or others
,Atypical depression Mnemonic - correct answer- ATE
typical increase eating, heaviness/Leaden
paralysis/hypersomnia, rejection sensitivity
Behavioral therapy interventions 3 - correct answer-
Increase activity level, structure goalsetting, interpersonal skills
training
Bilateral electrode placement in ECT indications - correct
answer- Classic placement increases cognitive side effects
but has better efficacy. Reserved for urgency such as life-
threatening depression profound distress and catatonia
Bipolar disorder brain structure mnemonic - correct
answer- Let's live outrageously forget consequences equals
left lateral orbital frontal cortex
Bipolar one disorder DSM five criteria - correct answer-
Manic episode: 1+ week of a colon elevated, expansive or
irritable mood and increase energy. 3+ symptoms from B:
distractibility, indiscretion, irresponsible, grandiosity, flight of
ideas, activity(Increase goal-orient), decreased need for sleep,
talkativeness or pressured speech.
, Bipolar two DSM five criteria - correct answer- Hypo
mania and major depressive disorder: hypo mania same as
mania with decreased severity and duration and no functional
impairment for episode of four or more days and no psychosis
Broad categories of suicide risk factors - correct answer-
Psychological disorder, Nuro biological factors, social factors,
psychological factors
Bupropion dosing - correct answer- The 12 hour give 100
mg daily to start then increase 100 mg daily every three weeks
to a max dose of 200 mg twice a day. The 24 hour start at 150
mg then increase 150 mg each day every week to a maximum of
450 mg per day
Bupropion mechanism of action - correct answer- Like
SSRI/SNRI, inhibits dopamine reuptake, an alpha three beta 4
nicotinic antagonist
Bupropion mnemonic 4 - correct answer- Bu DA NE to
remember neurotransmitters. Think butane lighter because it is
hot like sex related to no sexual side effects and also think to
decrease smoking for smoking cessation. Think BUproprion to
remember not to give to those with BUlimia or others at risk for
seizures related to decreasing the seizure threshold.
DETAILED ANSWERS (VERIFIED ANSWERS)
Amitriptyline dosing/Class - correct answer- Start at 25
to 50 mg per day, titrate 25 to 50 mg per day per week, Max
dose is 300 mg per day/TCA
Anti-depressants adverse effects 4 - correct answer-
Serotonin syndrome, mania shift, suicidal ideation, bleeding
Anti-depressants side effects 10 - correct answer-
Anhedonia, apathy, n/v, drowsy/dizzy, somnolence, headache,
bruxism, vivid dreams, fatigue, change in sexual behavior.
Antidepressant Mechanism on action - correct answer-
Ser-438 residue determines potency (hSERT) SSRI (unk exact
mech).
Are there main points of involuntary commitment - correct
answer- 1. Mental illness/developmental disability or
drug/alcohol dependence. 2. It is treatable. 3. It is related to the
danger to self or others
,Atypical depression Mnemonic - correct answer- ATE
typical increase eating, heaviness/Leaden
paralysis/hypersomnia, rejection sensitivity
Behavioral therapy interventions 3 - correct answer-
Increase activity level, structure goalsetting, interpersonal skills
training
Bilateral electrode placement in ECT indications - correct
answer- Classic placement increases cognitive side effects
but has better efficacy. Reserved for urgency such as life-
threatening depression profound distress and catatonia
Bipolar disorder brain structure mnemonic - correct
answer- Let's live outrageously forget consequences equals
left lateral orbital frontal cortex
Bipolar one disorder DSM five criteria - correct answer-
Manic episode: 1+ week of a colon elevated, expansive or
irritable mood and increase energy. 3+ symptoms from B:
distractibility, indiscretion, irresponsible, grandiosity, flight of
ideas, activity(Increase goal-orient), decreased need for sleep,
talkativeness or pressured speech.
, Bipolar two DSM five criteria - correct answer- Hypo
mania and major depressive disorder: hypo mania same as
mania with decreased severity and duration and no functional
impairment for episode of four or more days and no psychosis
Broad categories of suicide risk factors - correct answer-
Psychological disorder, Nuro biological factors, social factors,
psychological factors
Bupropion dosing - correct answer- The 12 hour give 100
mg daily to start then increase 100 mg daily every three weeks
to a max dose of 200 mg twice a day. The 24 hour start at 150
mg then increase 150 mg each day every week to a maximum of
450 mg per day
Bupropion mechanism of action - correct answer- Like
SSRI/SNRI, inhibits dopamine reuptake, an alpha three beta 4
nicotinic antagonist
Bupropion mnemonic 4 - correct answer- Bu DA NE to
remember neurotransmitters. Think butane lighter because it is
hot like sex related to no sexual side effects and also think to
decrease smoking for smoking cessation. Think BUproprion to
remember not to give to those with BUlimia or others at risk for
seizures related to decreasing the seizure threshold.
