Exam 1 & Exam 2: NURS 663/ NURS663 (Latest 2024/
2025 Updates STUDY BUNDLE WITH SOLUTIONS)
Psychiatric Mental Health Diagnosis and Management
II | Qs & As| 100% Correct| Grade A (Verified
Answers)- Maryville
delirium - ANSWERmental disorder marked by confusion; impairment of cognitive fx
(memory, language, orientation, perception)
tx: based on underlying cause.
1-2 mg physostigmine salicylate every 15-30 min
provide physical, sensory, & environmental support
familiar people & environment
p. 228, K&S
generalized anxiety disorder (gad) PSYCHOPHARM - ANSWERa disorder
characterized by chronic excessive worry accompanied by three or more of the
following symptoms: restlessness, fatigue, concentration problems, irritability,
muscle tension, and sleep disturbance
*ADD POTENTIAL SIDE EFFECTS*
tx: (these can be useful for other anxiety disorders, too)
pharmacotherapy - SSRIs and non-SSRIs, benzodiazepines
psychosocial therapies - CBT, behavioral therapies, interpersonal psychotherapy,
virtual therapy (like with computer programs), supportive psychotherapy, insight-
oriented psychotherapy
Major Depressive Disorder (MDD) PSYCHOPHARM - ANSWERPsychological disorder
involving a major depressive episode and depressed characteristics, such as lethargy
and hopelessness, for at least two weeks.
tx:
combined treatments may offer the best option
pharmacotherapy - choice of antidepressants depends on side effect profile that is
least objectionable to the particular client.
psychosocial therapy -
cognitive therapy
interpersonal therapy
behavior therapy
psychoanalytical
family therapy
*PSYCHOPHARM*
(also can be useful for other mood disorders)
-Fluoxetin
-Citalopram
,-Escitalopram
*SIDE EFFECTS*
nausea
diarrhea
constipation
vomiting
stomach pain
heartburn
decreased appetite
weight loss
increased sweating
increased thirst
frequent urination
difficulty falling asleep or staying asleep
drowsiness
excessive tiredness
yawning
weakness
uncontrollable shaking of a part of the body
muscle or joint pain
dry mouth
sexual problems in males; decreased sex drive, inability to get or keep an erection, or
delayed or absent ejaculation
sexual problems in females; decreased sex drive, or delayed orgasm or inability to
have an orgasm
heavy menstrual periods
runny nose
nervousness
anxiety
diarrhea
loss of appetite
unusual dreams
stuffy nose
headache, confusion,, difficulty concentrating, or memory problems
dizziness
flu-like symptoms
sneezing
dementia (major neurocognitive disorder) - ANSWERA disease process in which
there is progressive decline in cognitive ability in the presence of clear
consciousness. It involves many cognitive deficits and significantly impairs social and
occupational functioning
tx:
psychosocial therapies, esp. psychodynamic therapies with both individual & family.
support for grieving process.
, sedative hypnotics for insomnia & anxiety, antidepressants for depression,
antipsychotics for delusions and hallucinations. avoid drugs with high anticholinergic
activity.
p. 238, K&S
major or minor neurocognitive disorder due to another medical condition (amnestic
disorders) - ANSWERimpairment in ability to create new memories. 3 categories:
caused by another med condition (e.g. head trauma), substance-induced (e.g. carbon
monoxide poisoning) and not otherwise specified.
tx:
psychotherapy
centers for cognitive rehab for brain injury by traumatic causes
attend to patient's denial and grief and help them re-integrate past and present
parts of their idenity
K&S p. 248
neurocognitive and other psychiatric disorders due to a general medical condition -
ANSWERepilepsy (see classification of eplileptic seizures, p. 250)
tx: depends on type of seizures. commonly used anticonvulsant drugs include:
carbamazepine, clonazepam, ethosuximide, gapapentin, lamotrigine,
oxcarbazerpine, phenobarbital, phenytoin, primidone, tiagabine, topiramate,
valproate, zonisamide.
brain tumors
head trauma tx - prescribe anticonvulsants, but with lower dosages. or, use lithium,
calcium channel blockers, and B-andrenergic receptor antagonists. utilize individual
and group therapy.
p. 255 K&S
immune disorders - ANSWERHIV & AIDS - often there are neurocognitive and
psychiatric symptoms as well. ie, problems with memory, cognition, reading
comprehension, etc.
adjustment disorder, depression, GAD, PTSD, OCD are common. suicidal ideation.
psychotic features in late stage.
phenomenon of the "worried well" - people in high risk groups.
p.259 K&S
mild cognitive impairment - ANSWERmemory complaint, memory impairment,
preserved general cognitive function, intact activities of daily living, not demented
tx: no current fda-approved tx.
2025 Updates STUDY BUNDLE WITH SOLUTIONS)
Psychiatric Mental Health Diagnosis and Management
II | Qs & As| 100% Correct| Grade A (Verified
Answers)- Maryville
delirium - ANSWERmental disorder marked by confusion; impairment of cognitive fx
(memory, language, orientation, perception)
tx: based on underlying cause.
1-2 mg physostigmine salicylate every 15-30 min
provide physical, sensory, & environmental support
familiar people & environment
p. 228, K&S
generalized anxiety disorder (gad) PSYCHOPHARM - ANSWERa disorder
characterized by chronic excessive worry accompanied by three or more of the
following symptoms: restlessness, fatigue, concentration problems, irritability,
muscle tension, and sleep disturbance
*ADD POTENTIAL SIDE EFFECTS*
tx: (these can be useful for other anxiety disorders, too)
pharmacotherapy - SSRIs and non-SSRIs, benzodiazepines
psychosocial therapies - CBT, behavioral therapies, interpersonal psychotherapy,
virtual therapy (like with computer programs), supportive psychotherapy, insight-
oriented psychotherapy
Major Depressive Disorder (MDD) PSYCHOPHARM - ANSWERPsychological disorder
involving a major depressive episode and depressed characteristics, such as lethargy
and hopelessness, for at least two weeks.
tx:
combined treatments may offer the best option
pharmacotherapy - choice of antidepressants depends on side effect profile that is
least objectionable to the particular client.
psychosocial therapy -
cognitive therapy
interpersonal therapy
behavior therapy
psychoanalytical
family therapy
*PSYCHOPHARM*
(also can be useful for other mood disorders)
-Fluoxetin
-Citalopram
,-Escitalopram
*SIDE EFFECTS*
nausea
diarrhea
constipation
vomiting
stomach pain
heartburn
decreased appetite
weight loss
increased sweating
increased thirst
frequent urination
difficulty falling asleep or staying asleep
drowsiness
excessive tiredness
yawning
weakness
uncontrollable shaking of a part of the body
muscle or joint pain
dry mouth
sexual problems in males; decreased sex drive, inability to get or keep an erection, or
delayed or absent ejaculation
sexual problems in females; decreased sex drive, or delayed orgasm or inability to
have an orgasm
heavy menstrual periods
runny nose
nervousness
anxiety
diarrhea
loss of appetite
unusual dreams
stuffy nose
headache, confusion,, difficulty concentrating, or memory problems
dizziness
flu-like symptoms
sneezing
dementia (major neurocognitive disorder) - ANSWERA disease process in which
there is progressive decline in cognitive ability in the presence of clear
consciousness. It involves many cognitive deficits and significantly impairs social and
occupational functioning
tx:
psychosocial therapies, esp. psychodynamic therapies with both individual & family.
support for grieving process.
, sedative hypnotics for insomnia & anxiety, antidepressants for depression,
antipsychotics for delusions and hallucinations. avoid drugs with high anticholinergic
activity.
p. 238, K&S
major or minor neurocognitive disorder due to another medical condition (amnestic
disorders) - ANSWERimpairment in ability to create new memories. 3 categories:
caused by another med condition (e.g. head trauma), substance-induced (e.g. carbon
monoxide poisoning) and not otherwise specified.
tx:
psychotherapy
centers for cognitive rehab for brain injury by traumatic causes
attend to patient's denial and grief and help them re-integrate past and present
parts of their idenity
K&S p. 248
neurocognitive and other psychiatric disorders due to a general medical condition -
ANSWERepilepsy (see classification of eplileptic seizures, p. 250)
tx: depends on type of seizures. commonly used anticonvulsant drugs include:
carbamazepine, clonazepam, ethosuximide, gapapentin, lamotrigine,
oxcarbazerpine, phenobarbital, phenytoin, primidone, tiagabine, topiramate,
valproate, zonisamide.
brain tumors
head trauma tx - prescribe anticonvulsants, but with lower dosages. or, use lithium,
calcium channel blockers, and B-andrenergic receptor antagonists. utilize individual
and group therapy.
p. 255 K&S
immune disorders - ANSWERHIV & AIDS - often there are neurocognitive and
psychiatric symptoms as well. ie, problems with memory, cognition, reading
comprehension, etc.
adjustment disorder, depression, GAD, PTSD, OCD are common. suicidal ideation.
psychotic features in late stage.
phenomenon of the "worried well" - people in high risk groups.
p.259 K&S
mild cognitive impairment - ANSWERmemory complaint, memory impairment,
preserved general cognitive function, intact activities of daily living, not demented
tx: no current fda-approved tx.
