NURS 6501 advanced pathophysiology EXAM A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERIFIED ANSWERS

PATHOPHYSIOLOGY EXAM vc




Exam Solution vc




NURS 6501 Final Exam 2026 A+ GRADE ASSURED COMP vc vc vc vc vc vc vc vc




LETE SOLUTIONS AND VERIFIED ANSWERS (7A43B) vc vc vc vc vc




QUESTION 1 vc




What is the role of the primary care provider in mental health?
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ANSWER

- Screen for mental health issues - Improve outcomes and reduce health care costs -
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Assess and give care to mild-moderate disorders or patients with stable severe mental disorders -
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From strong links with mental health specialty care for complex cases Sharing patient info (ex: meds us
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ed)



QUESTION 2 vc




about PHQ2 - what does it screen for, what are the questions, scoring
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ANSWER

- Screens for MDD - It is the first two questions of the PHQ9 -
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In the last two week, have you been feeling these (not at all, several days, more than half the day, nearl
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y everyday): - Little interest or pleasure in doing things? -
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Feeling down, depressed, or hopeless? Scoring: A single yes or score >3 (out of 0-
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6) = possible clinical depression ⇒ due the PHQ9 If the pt screens (+) ⇒ continue to eval with the PHQ9
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QUESTION 3 vc




about PHQ9 - what its used for, questions, scoring
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ANSWER

Used for screening, diagnosing, and treating -
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It asks about functioning impairments which is needed for the DSM-
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based diagnosis Includes asking about suicide or hurting self Scoring: 0-27 available 0-
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4: Minimal/none Monitor; may not require treatment 5-9: Mild Use clinical judgment; follow-
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up in one month 10-14: Moderate Use clinical judgment; may need meds if functionally impaired 15-
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19: Moderately Severe Warrants active treatment with psychotherapy, meds, or combo 20-
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27: Severe Warrants active treatment with psychotherapy, meds, or combo
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, QUESTION 4 vc




What is the appropriate initiation dose for fluoxetine for adults and geriatric adults?
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ANSWER

20mg PO once daily in the AM - May ↑ daily dose after several weeks if inadequate response -
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Full therapeutic effect may be delayed 4 weeks or longer - Max dose: 80mg/day
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QUESTION 5 vc




What labs would be appropriate to draw if you initiate fluoxetine in a geriatric patient?
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ANSWER

Sodium levels - Baseline screening & after 3-4 weeks in high-
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risk patients (> 65yrs, previous hx of antidepressant-
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induced hyponatremia, low body weight, concomitant use of thiazides or other hyponatremia-
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inducing agents) - monitor regularly in the elderly
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QUESTION 6 vc




What are potential side effects of SSRI medications? -
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what are the common SSRIs, LEAP of them, and zoloft AE
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ANSWER

Common SSRIs: Lexapro, celexa, paxil, zoloft, prozac L = decreased libido and sleep E = Neutral effect on
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energy A = neural effect on addiction P = celexa may stop working after awhile (increase or switch) Zol
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oft AE: Insomnia, somnolence, fatigue, abnormal ejaculation, suicidal thoughts
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QUESTION 7 vc




What are characteristics of major depressive disorder or MDD? 9
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ANSWER

Diagnostics need 5 or more of the following: - SS occur more days than not in a 2 week period -
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SS cause significant impairment in any realm of functioning - Depressed mood - Loss of interest -
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Significant unintended ▲ in weight or appetite - Significant ▲ sleep -
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▲ psychomotor activity (restlessness) - Fatigue, loss of energy - Worthlessness, guilt
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QUESTION 8 vc




What is serotonin syndrome?
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ANSWER