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Final Exam: NR607 / NR 607 (Latest Update 2024 / 2025) Diagnosis & Management in Psychiatric-Mental Health III Practicum | Questions & Answers | 100% Correct | Grade A - Chamberlain$7.99
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Final Exam: NR607 / NR 607 (Latest Update 2024 / 2025) Diagnosis & Management in Psychiatric-Mental Health III Practicum | Questions & Answers | 100% Correct | Grade A - Chamberlain
Question:
electroconvulsive treatment (ECT)
Answer:
-a procedure that applies electrical stimulation to the...
Final Exam: NR607 / NR 607 (Latest
Update ) Diagnosis &
Management in Psychiatric-Mental
Health III Practicum | Questions &
Answers | 100% Correct | Grade A -
Chamberlain
Question:
electroconvulsive treatment (ECT)
Answer:
-a procedure that applies electrical stimulation to the brain through
transdermal electrodes attached to the head to trigger seizure activity.
-pts are sedated under general anesthesia and given a muscle relaxant during
the procedure.
Question:
use of ECT is usually limited to pts w
Answer:
-TRD
-elevated suicide risk
,-catatonis
-Psychosis
-BPD
-dementia that have not responded to -typical treatment
--Pts typically receive - ECT 2-3/ per wk for 3-4 wks.
Question:
drawbacks to ect
Answer:
-the need for general anesthesia, associated monitoring
-potential cognitive AE
--(including retrograde amnesia and memory loss)
-Up to 50% of pts receiving ECT for TRD- do not maintain remission :(
Question:
deep brain stimulation (DBS)
Answer:
-a surgical procedure initially used to treat pts w movement disorders.
-now an emerging tx modality for pts who have depression unresponsive to
pharmacotherapy, psychotherapy, or ECT
-Electrodes are surgically placed in specific regions of the brain and
connected to an implanted subcutaneous pulse generator.
,--Once the device is activated, it provides continuous electrical stimulation to
the specified areas of the brain, most commonly the subcallosal cingulate
white matter.
- DBS may also be used- to manage treatment-resistant OCD!
Question:
AE of DBS- r/t the surgery
Answer:
infection, HA, seizure, and hemorrhage
Question:
transcranial magnetic stimulation
Answer:
-a non-invasive procedure that uses rapidly alternating magnetic fields to
stimulate the brain.
Question:
TMS may be used to treat
Answer:
-TRD, chronic pain, schizophrenia, motor symptoms of PD, MS, and stroke.
--TMS may be most effective for- pts experiencing acute symptoms w/in 1 yr
of the onset of MDD
, --daily treatment sessions- required for several wks which may present a
barrier to some pts
Question:
depression w dementia
Answer:
-Between 20-30% of pts with dementia have significant symptoms of
depression :(
--Sxs of depression may be more difficult to detect in pts w dementia as pts w
more advanced dementia may lack insight..
Question:
sxs of depression w dementia
Answer:
Fatigue, lack of energy, psychomotor agitation or retardation, increased
difficulty w concentration and decision-making.
Question:
The Cornell Scale for depression in dementia
Answer:
-appropriate screening tool for pts w dementia and provides input from both
pt and caregiver.
--score >10 probably major depressive episode
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