NU 643 FINAL EXAM WITH 150 QUESTIONS &
CORRECT ANSWERS
a.. common side effects about antidepressants - ANSWER-DRY MOUTH
SEXUAL DYSFUNCTION DIZZINESS DECREASED OR INCREASED
APPETITE DROWSINESS HEADACHE FATIGUE GI UPSET
(NAUSEA)SLEEP DISTURBANCE
2. managing behavioral and psychological symptoms of dementia review
habilitation therapy - ANSWER-KEEPING ROUTINE, CALM ATMOSPHERE
MAINTAIN FUNCTION THEY HAVE AT THIS TIME—CUE INTO
BEHAVIORS THEY CAN DO NOW (HABILITATION
THERAPY)BEHAVIORAL SX FOR DEMENTIA AGGRESSION
AGIATATION CONFUSION MEMORY LOSS
3. Review what dietary recommendations from the Carlat report are good for
mental health patients - ANSWER-EAT WHOLE FOODS, FOLATE, B12, B6,
OMEGA 3S, AVOID CARBS, LESS PROCESSED FOODS
4. Review which is the slowest delivery method of medications available -
ANSWER-BY MOUTH- ORAL FASTEST-IV
5. Review the most common side effects regarding long term Lithium use -
ANSWER-KIDNEY IMPAIRMENT AND THYROID,MONITOR KIDENY
FUNCTION TEST AND THYROID TEST
6. Review the mechanism of action of clonidine & propranolol for the treatment of
anxiety - ANSWER-LOWER HEART RATE, MUSCLE TENSION,
PHYSIOLOGICAL AND SOMATIC SYMPTOMS
,7. Review psychotropic use during lactation post-partum regarding onset relapse
and recurrence of mental disorders - ANSWER-NOT FDA APPROVED AND
EXCRETED IN BREAST MILK, WEIGH RISKS OVER BENEFITS, EDUCATE
THERE ARE RISKS, SOME SAFER THAN OTHERS
8. Matching Question regarding labs required for Quetiapin Valproic acid &
Lithium - ANSWER-SEROQUEL: GLUCOSE, LIPID PROFILE, BNP
DEPAKOTE: PLTS, LIVER FUNCTION, AND PLASMA LITHIUM:
THYROID, KIDNEY, AND PLASMA
9. Review the best description of the mental status examination - ANSWER-
DETERMINATION OF COGNITIVE FUNCTION AT TIME OF ASSESSMENT
10. Review symptoms of hyponatremia - ANSWER-DELERIUM, LETHARGY,
NAUSEA
11. Review Tardive Dyskinesia - ANSWER-movemnts can't control, JAW
THRUSTING, TONGUE MOVEMENT, PILL ROLLING, HYPERREFLEXEX,
LOTS OF BLINKING SEEN IN ANTIPSYCHOTIC
12. Review substance dependence and a patients vulnerability to craving & relapse
following exposure to any psychoactive substance. - ANSWER-DON'T
PRESCRIBE CONTROLLED SUBSTANCES TO THOSE WHO HAVE A
SUBSTANCE ABUSE HISTORY . STIMULATES ELEVATED LEVEL OF
DOPAMINE.
13. Review when safety should be assessed in psychiatric care - ANSWER-ALL
THE TIME
, 14. Review the time period of greatest risk of teratogenicity in pregnancy -
ANSWER-FIRST TRIMESTER.....BEFORE KNOW PREGNANT < 8 WEEKS.
NEURAL DEVELOPMENT IS TAKING PLACE
15. Review drug choices for tapering of Benzodiazepines - ANSWER-TO LONG
ACTING: KLONOPIN, VALIUM
16. Review the use of St. Johns Wart as an adjunct to SSRI's medications good or
not good that is the question - ANSWER-NOT GOOD.....INCREASES
SEROTONIN
17. Review the recommendation regarding the use of atypical antipsychotics for
treating dementia - ANSWER-BLACK BOX WARNING: INCREASED RISK
FOR CV PROBLEMS CAN INCREASE AGITATION
18. Review what Nootropics are - ANSWER-NEUROENHANCERS NOT
DRUGS. SUPPLEMENTS AND OTHER SUBSTANCES THAT CAN
ENHANCE COGNITION, MEMORY, MOTIVATION
19. Review the best medication used to augment in the treatment of depression -
ANSWER-LITHIUM
20. Review the most serious side effect related to the use of oxcarbazepine -
ANSWER-HYPONATREMIA
21. Review what items can impact the elimination of medications - ANSWER-
KIDNEY FUNCTION, LIVER FUNCTION, HIGH METABOLISM,
DIURETICS
23. Review medication as first line treatment for GAD - ANSWER-SSRIS
CORRECT ANSWERS
a.. common side effects about antidepressants - ANSWER-DRY MOUTH
SEXUAL DYSFUNCTION DIZZINESS DECREASED OR INCREASED
APPETITE DROWSINESS HEADACHE FATIGUE GI UPSET
(NAUSEA)SLEEP DISTURBANCE
2. managing behavioral and psychological symptoms of dementia review
habilitation therapy - ANSWER-KEEPING ROUTINE, CALM ATMOSPHERE
MAINTAIN FUNCTION THEY HAVE AT THIS TIME—CUE INTO
BEHAVIORS THEY CAN DO NOW (HABILITATION
THERAPY)BEHAVIORAL SX FOR DEMENTIA AGGRESSION
AGIATATION CONFUSION MEMORY LOSS
3. Review what dietary recommendations from the Carlat report are good for
mental health patients - ANSWER-EAT WHOLE FOODS, FOLATE, B12, B6,
OMEGA 3S, AVOID CARBS, LESS PROCESSED FOODS
4. Review which is the slowest delivery method of medications available -
ANSWER-BY MOUTH- ORAL FASTEST-IV
5. Review the most common side effects regarding long term Lithium use -
ANSWER-KIDNEY IMPAIRMENT AND THYROID,MONITOR KIDENY
FUNCTION TEST AND THYROID TEST
6. Review the mechanism of action of clonidine & propranolol for the treatment of
anxiety - ANSWER-LOWER HEART RATE, MUSCLE TENSION,
PHYSIOLOGICAL AND SOMATIC SYMPTOMS
,7. Review psychotropic use during lactation post-partum regarding onset relapse
and recurrence of mental disorders - ANSWER-NOT FDA APPROVED AND
EXCRETED IN BREAST MILK, WEIGH RISKS OVER BENEFITS, EDUCATE
THERE ARE RISKS, SOME SAFER THAN OTHERS
8. Matching Question regarding labs required for Quetiapin Valproic acid &
Lithium - ANSWER-SEROQUEL: GLUCOSE, LIPID PROFILE, BNP
DEPAKOTE: PLTS, LIVER FUNCTION, AND PLASMA LITHIUM:
THYROID, KIDNEY, AND PLASMA
9. Review the best description of the mental status examination - ANSWER-
DETERMINATION OF COGNITIVE FUNCTION AT TIME OF ASSESSMENT
10. Review symptoms of hyponatremia - ANSWER-DELERIUM, LETHARGY,
NAUSEA
11. Review Tardive Dyskinesia - ANSWER-movemnts can't control, JAW
THRUSTING, TONGUE MOVEMENT, PILL ROLLING, HYPERREFLEXEX,
LOTS OF BLINKING SEEN IN ANTIPSYCHOTIC
12. Review substance dependence and a patients vulnerability to craving & relapse
following exposure to any psychoactive substance. - ANSWER-DON'T
PRESCRIBE CONTROLLED SUBSTANCES TO THOSE WHO HAVE A
SUBSTANCE ABUSE HISTORY . STIMULATES ELEVATED LEVEL OF
DOPAMINE.
13. Review when safety should be assessed in psychiatric care - ANSWER-ALL
THE TIME
, 14. Review the time period of greatest risk of teratogenicity in pregnancy -
ANSWER-FIRST TRIMESTER.....BEFORE KNOW PREGNANT < 8 WEEKS.
NEURAL DEVELOPMENT IS TAKING PLACE
15. Review drug choices for tapering of Benzodiazepines - ANSWER-TO LONG
ACTING: KLONOPIN, VALIUM
16. Review the use of St. Johns Wart as an adjunct to SSRI's medications good or
not good that is the question - ANSWER-NOT GOOD.....INCREASES
SEROTONIN
17. Review the recommendation regarding the use of atypical antipsychotics for
treating dementia - ANSWER-BLACK BOX WARNING: INCREASED RISK
FOR CV PROBLEMS CAN INCREASE AGITATION
18. Review what Nootropics are - ANSWER-NEUROENHANCERS NOT
DRUGS. SUPPLEMENTS AND OTHER SUBSTANCES THAT CAN
ENHANCE COGNITION, MEMORY, MOTIVATION
19. Review the best medication used to augment in the treatment of depression -
ANSWER-LITHIUM
20. Review the most serious side effect related to the use of oxcarbazepine -
ANSWER-HYPONATREMIA
21. Review what items can impact the elimination of medications - ANSWER-
KIDNEY FUNCTION, LIVER FUNCTION, HIGH METABOLISM,
DIURETICS
23. Review medication as first line treatment for GAD - ANSWER-SSRIS
