NR 546 FINAL QUESTIONS QUESTIONS WITH CORRECT VERIFIED ANSWERS | 100% PASS (A+ CERTIFIED)

NR 546 FINAL QUESTIONS QUESTIONS WITH CORRECT VERIFIED ANSWERS | 100% PASS (A+ CERTIFIED) Fluoxetine Correct answer flu = one week in bed Long half life Known to activate clients and cause panic attacks in clients with comorbid anxiety. Sertraline "squirtraline" Correct answer harsher gi effects Safer for breastfeeding women Citalopram - "celexus" Correct answer get an electrocardiogram - qt prolongation Duloxetine - dulloxetine Correct answer dulls the pain - fibromyalgia, diabetic neuropathy, or premenstrual symptoms Mirtazapine - meal-tazapine Correct answer increases appetite Trazodone - tra-zzz-odone Correct answer used to help with sleep Bipolar type 1: at least _______ episode of mania for at least _______ week or any duration of ______________ due to symptoms is required Correct answer one, one, hospitalization Bipolar type 2: current or past _____________ episode and a current or past ___________ ______________ episode. Symptoms last at least ________ days but less than __________ days. Correct answer hypomanic, major depressive, 4, 7 Cyclothymia: chronic presentation of __________ and ___________ ______________ symptoms that do not meet the criteria for a ______________/________________ or ___________________ ________________ episode Correct answer hypomania, major depressive, manic/hypomanic, major depressive Mania: characterized by persistency _________, ____________, or _____________ mood. Related symptoms may include inflated self- esteem, increased goal- directed activity or energy, grandiosity, decreased need for sleep, excessive talkativeness, flight of ideas, and propensity to be involved in __________ ____________ ________________. Correct answer elevated, expansive, irritable, high-risk activities A patient and a family member presents to the pmhnp. The client states they do not understand why they had to come here today but after further imploration, the family member tells the practitioner that the client has been extremely irritable lately, has not slept in 3 days, can't seem to think straight, and states he stole a bike from the store. The pmhnp suspects bipolar disorder. Which type does the patient most likely have? Correct answer bipolar type 1 The pmhnp is seeing a new patient who reports feeling very depressed, irritable, and distracted. Which of the following questions is most important for the pmhnp to ask prior to prescribing the patient a medication? Correct answer have you ever experienced symptoms such as increased self esteem, increased activity, or a decreased need for sleep? Prior to prescribing medication, the pmhnp must differentiate between symptoms of mdd and symptoms of bipolar 1 disorder. Mdd does not include symptoms of mania, however, bipolar 1 does. Many patients are reluctant to report mania or hypomania symptoms. Therefore, the pmhnp needs to directly ask if the patient has ever experienced these symptoms to help differentiate between mdd and bipolar 1 disorder to effectively guide treatment. If mistaken for mdd, prescribing antidepressants to a patient with bipolar depression can precipitate a manic episode or induce rapid-cycling bipolar depression. This can lead to increased incidence of death by suicide. Who's your daddy? Correct answer genetics; does anyone in your family have either unipolar or bipolar depression? Where's your mama? Correct answer need the patient's history before they came into the office; patients tend to speak on their depression but do not talk about mania or hypomania. Get a family member's insight! Antidepressants can make someone with bipolar ____________ or cause someone to ________________ more frequently. Correct answer manic, cycle Antidepressant sparing strategy Correct answer use it last or never use it at all! Exhaust mood stabilizers first Too little positive affect Dopamine (da) norepinephrine (ne) dysfunction Correct answer depressed mood, loss of joy, lack of interest, loss of energy, decreased alertness, decreased self-confidence, appetite changes Too much negative affect 5-hydroxytryptamine (5ht) norepinephrine (ne) dysfunction Correct answer depressed mood, guilt, fear/ anxiety, hostility, irritability, loneliness, appetite changes