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NURS 663 Exam 2 Questions and Answers (100% Pass)
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  • Nurs 663

Narcolepsy Recurrent periods of an irrepressible need to sleep, lapsing into sleep, or napping occurring within the same day, at least three times per week over the past three months. Cataplexy Brief episodes of sudden bilateral loss of muscle tone with maintained consciousness, precipit...

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  • October 12, 2024
  • 35
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • nurs 663 exam 2 questions and answers 100 pass
  • narcolepsy recurrent periods of an irrepressible

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  • Nurs 663
  • Nurs 663

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1 | P a g e | © copyright 2024/2025 | Grade A+




NURS 663 Exam 2 Questions and
Answers (100% Pass)
Narcolepsy


✓ Recurrent periods of an irrepressible need to sleep, lapsing into sleep,

or napping occurring within the same day, at least three times per

week over the past three months.




Cataplexy


✓ Brief episodes of sudden bilateral loss of muscle tone with maintained

consciousness, precipitated by laughter or joking.




Hypocretin Deficiency


✓ Low levels of Hypocretin-1 (orexin-A) in cerebrospinal fluid (CSF), not

observed in acute brain injury, inflammation, or infection.




Polysomnography Abnormalities


✓ Nocturnal sleep polysomnography showing rapid eye movement

(REM) sleep latency ≤ 15 minutes, or a multiple sleep latency test (MSLT)

showing a mean sleep latency ≤ 8 minutes and two or more sleep-

onset REM periods (SOREMPs).



Master01 | October, 2024/2025 | Latest update

, 1 | P a g e | © copyright 2024/2025 | Grade A+

Narcolepsy without cataplexy but with hypocretin deficiency


✓ Criteria include hypocretin deficiency (B2) but not cataplexy (B1).




Narcolepsy with cataplexy but without hypocretin deficiency


✓ Criteria include cataplexy (B1) but not hypocretin deficiency (B2).




Autosomal dominant cerebellar ataxia, deafness, and narcolepsy


✓ Associated with specific genetic mutations.




Autosomal dominant narcolepsy, obesity, and type 2 diabetes


✓ Associated with specific genetic mutations.




Narcolepsy secondary to another medical condition


✓ For example, due to a structural lesion affecting the hypothalamic

region.




Severity


✓ Can be specified as mild, moderate, or severe based on the

frequency of cataplexy episodes, degree of daytime sleepiness, and

impact on social and occupational functioning.



Master01 | October, 2024/2025 | Latest update

, 1 | P a g e | © copyright 2024/2025 | Grade A+

Mini-Mental State Examination (MMSE)


✓ Widely used test for cognitive function in older adults, covering

arithmetic, memory, and orientation.




Montreal Cognitive Assessment (MoCA)


✓ Comprehensive screening tool evaluating attention, memory,

language, and executive functions.




Clock Drawing Test


✓ Quick test for cognitive impairment, especially executive function and

visuospatial abilities.




Neuropsychological Testing


✓ Battery of tests measuring various cognitive functions to provide a

detailed profile of strengths and weaknesses.




Alzheimer's Disease


✓ Gradual memory loss, confusion, language difficulty, mood changes;

pathology includes amyloid plaques and neurofibrillary tangles.




Delirium

Master01 | October, 2024/2025 | Latest update

, 1 | P a g e | © copyright 2024/2025 | Grade A+

✓ Acute onset, fluctuating consciousness, inattention, and disorganized

thinking; often secondary to medical conditions.




Frontotemporal Degeneration


✓ Personality/behavior changes, language difficulties, executive

dysfunction; atrophy in frontal and temporal lobes.




Lewy Body Disease


✓ Cognitive impairment, visual hallucinations, parkinsonism, fluctuations

in alertness; pathology involves Lewy bodies.




Prion Disease (Creutzfeldt-Jakob Disease)


✓ Rapidly progressive dementia, myoclonus, ataxia; caused by

misfolded prion proteins.




Vascular Disease


✓ Stepwise decline in cognitive function, stroke history, focal

neurological signs; pathology includes infarcts and white matter

changes.




Risks of Prescribing Antipsychotics for People with Dementia


Master01 | October, 2024/2025 | Latest update

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