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PN 145 EXAM 2 QUESTIONS AND ANSWERS
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PN 145 EXAM 2 QUESTIONS AND ANSWERS...
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Lithium is not the only drug choice to treat Bipolar Disorder. Other drugchoices include: - ANSWER Carbamazepine (Tegretol)
Valproic Acid (Depakote)
Gapapentin (Neurontin)
Clonazepam (Klonopin)
You start teaching your patient about what to expect with Lithium. Which
of the following should you instruct Lilly to be on alert for?
A. N/V/D
B. Occipital headache, palpitations, chest pain
C. High blood pressure, lead-pipe rigidity, fever
D. Skin rash, bradycardia, tinnitus - ANSWER A. N/V/D
What is the therapeutic range for lithium? - ANSWER 0.6 mEq/L-1.2
mEq/L
labile affect - ANSWER mood changes rapidly
blunted affect - ANSWER showing minimal facial expressions
broad affect - ANSWER -wide range of facial expressions
-"normal"
restricted affect - ANSWER showing one type of facial expression
circumstantiality - ANSWER giving unnecessary details
flight of ideas - ANSWER jumping from one topic to the next
loose associations - ANSWER topics are not flowing right
thought blocking - ANSWER stopping in the middle of a sentence
word salad - ANSWER random, unconnected words
concrete vs. abstract thinking - ANSWER concrete: literal thinking
, abstract: broad thinking
echolalia - ANSWER echoing what others are saying
delusion examples - ANSWER - persecution: believe they are being
threatened
- broadcast: reading mind
- grandeur: thinking they have great power
dysthmia - ANSWER milder, long-lasting depression cycle over a 2-
year period
major depressive disorder - ANSWER person experiences a depressed
mood or loss of interest in most activities for most of each day for a
period or 2 weeks
etiology for mood disorders - ANSWER - genetic theories
- neurotransmitters
- endocrine disturbances
- psychodynamic theories
signs/symptoms of major depression - ANSWER - feelings of
hopelessness
- self blame
- melancholy
- anergia (decreased energy)
- anhedonia (decrease in pleasure in things an individual previously
enjoyed)
- guilt
- weight changes
- thoughts of suicide
Examples of SSRIs - ANSWER - fluoxetine (prozac)
- citalopram (celexa)
Examples of tricyclics - ANSWER - amitriptyline (Elavil)
- amoxapine (Asendin)
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