Maryville University Of St. Louis

NURS 663 Test 4 substance use disorder specifier criteria – Mild: 2-3 symptoms Moderate: 4-5 symtpoms Severe: >6 symptoms DSM for substance use disorder - over 12 months use increase amount persistant desire or can't cut down lots of time spent on substance craving failure to fill roles social/personal problems activities given up/reduced use when physically hazardous continue despite problem tolerence withdrawal abuse - use of any drug in a manner that deviates from app...

Difference in conduct disorder and ODD - Conduct try to control others, ODD doesnt. Conduct disorder often progresses to - Antisocial disorder This diagnosis does not include torchering animals - ODD This is a screening tool for OPIOIDs - COWS Drugs for Opioid withdrawal - Clonidine, Methdaone, Naltrexone This drug causes paranoia, hallucinations, sensory disorientation, sweating, dehydration, increased body temp - LSD What part of the brain does PTSD have an effect on - Amygdala, Prefro...

pharmacologic agents for PTSD - med tx is focused on diminishing intrusive thoughts, hyperarousal, and avoidance, with some success and mixed results PTSD frequent comorbidity - depressive disorder, anxiety disorders, and behavioral problems associated with ______________ sertraline and paroxetine - that __________and ______________ are approved by the Food and Drug Administration (FDA) in the treatment of PTSD in adults, there is scant evidence to support its use for the core symptoms of ...

Phases of Grief · Shock and denial (days-weeks) acute anguish, lost patterns of conduct, resolution (months-year) · Denial, bargaining, depression, anger, acceptance · No real timeline, comes in waves Grief vs. MDD · Grief- Sx may meet syndromal criteria for MDD episode, but survivor rarely has morbid feelings of guilt, worthlessness, SI, or psychomotor retardation o Considers self bereaved o Dysphoria often triggered by thoughts or reminders of the deceased o Onset within 2 months...

Functions of the Endocrine System -Growth and development -Sex differentiation -Metabolism -Adaptation to an ever-changing environment -Regulation of digestion -Use and storage of nutrients (Electrolyte and water metabolism) -Reproductive functions The mechanism of hormones Hormones interact with high-affinity receptors. These are linked to one or more effector system in the cell. Some receptors are located on the surface of the cell. These act through second messenger mechanisms. O...

Sensorimotor Stage - Ages: Birth to 2 years Sensorimotor Stage - Knows the world through their movements and sensations Sensorimotor Stage - Children learn about the world through basic actions such as sucking, grasping, looking, and listening Sensorimotor Stage - Learn that things continue to exist even though they cannot be seen (object permanence) Sensorimotor Stage - They are separate beings from the people and objects around them Sensorimotor Stage - They realize that their actions ...

Bupropion (Wellbutrin) (NDRI) MOA 2D6 inHibitor (strong) 2B6 substrate Bupropion + 2B6 substrate -> hydroxy-bupropion + 2D6 -> inactive metabolite -stimulating antidepressent -enhances norepinephrine and dopamine -DOES NOT ENHANCE SEROTONIN -cognitive benefits -DOES NOT APPEAR TO EXACERBATE ANXIETY Bupropion (Wellbutrin) (NDRI) starting dose - XL 150mg AM preferred formulation d/t minimal seizure risk - SR 100mg BID separate by at least 8 hours - IR 75mg TID NOT RECOMMENDED D/T...

Stimulus/Response base definitions - Conceptualization of stress Demanding or threatening event - Stimulus based definition Response to a Demanding threat - Response based defintion Primary and secondary - Two parts of stress appraisal judgement of degree of potential threat or harm - primary appraisal perceptions regarding our ability to cope with an event that follows primary appraisal - secondary appraisal low-medium levels of stress associated with positive feelings and performance - ...

Tics - ◾Repeated individually recognizable, intermittent movements or movement fragments that are almost always briefly suppressible Chronic Motor/Vocal Tic Disorder - Duration of Tics is greater than 12 months; does not include BOTH motor and verbal tics Provisional Motor/Vocal Tic Disorder - Duration of Tics is less than 12 months; Can include verbal or motor only or both types of tics before 18 years old - Maximum age a tic disorder can be diagnosed Boys - Tourette syndrome is more c...

Restriction, intense fear of gaining weight, disturbance - Anorexia Nervosa criteria Anorexia, bulimia, BED - Fear of gaining too much weight occurs in ____________ but doesn't occur in _________ or __________). 15%, weight - Anorexia is diagnosed when a person weighs at least ______ less than their normal/ideal body _________. high burden - In anorexia, Low quality of life yet a __________ ___________ placed on the individual and family anorexia, restricting, dieting, exercising, 3 - ...