NU643 final exam study
a.. common side effects about antidepressants - ANS-DRY MOUTH SEXUAL DYSFUNCTION
DIZZINESS DECREASED OR INCREASED APPETITE DROWSINESS HEADACHE FATIGUE
GI UPSET (NAUSEA)SLEEP DISTURBANCE
2. managing behavioral and psychological symptoms of dementia review habilitation therapy -
ANS-KEEPING ROUTINE, CALM ATMOSPHERE MAINTAIN FUNCTION THEY HAVE AT THIS
TIME—CUE INTO BEHAVIORS THEY CAN DO NOW (HABILITATION
THERAPY)BEHAVIORAL SX FOR DEMENTIA AGGRESSION AGIATATION CONFUSION
MEMORY LOSS
3. Review what dietary recommendations from the Carlat report are good for mental health
patients - ANS-EAT WHOLE FOODS, FOLATE, B12, B6, OMEGA 3S, AVOID CARBS, LESS
PROCESSED FOODS
4. Review which is the slowest delivery method of medications available - ANS-BY MOUTH-
ORAL FASTEST-IV
5. Review the most common side effects regarding long term Lithium use - ANS-KIDNEY
IMPAIRMENT AND THYROID,MONITOR KIDENY FUNCTION TEST AND THYROID TEST
6. Review the mechanism of action of clonidine & propranolol for the treatment of anxiety -
ANS-LOWER HEART RATE, MUSCLE TENSION, PHYSIOLOGICAL AND SOMATIC
SYMPTOMS
7. Review psychotropic use during lactation post-partum regarding onset relapse and
recurrence of mental disorders - ANS-NOT FDA APPROVED AND EXCRETED IN BREAST
MILK, WEIGH RISKS OVER BENEFITS, EDUCATE THERE ARE RISKS, SOME SAFER THAN
OTHERS
8. Matching Question regarding labs required for Quetiapin Valproic acid & Lithium -
ANS-SEROQUEL: GLUCOSE, LIPID PROFILE, BNP DEPAKOTE: PLTS, LIVER FUNCTION,
AND PLASMA LITHIUM: THYROID, KIDNEY, AND PLASMA
9. Review the best description of the mental status examination - ANS-DETERMINATION OF
COGNITIVE FUNCTION AT TIME OF ASSESSMENT
10. Review symptoms of hyponatremia - ANS-DELERIUM, LETHARGY, NAUSEA
, 11. Review Tardive Dyskinesia - ANS-movemnts can't control, JAW THRUSTING, TONGUE
MOVEMENT, PILL ROLLING, HYPERREFLEXEX, LOTS OF BLINKING SEEN IN
ANTIPSYCHOTIC
12. Review substance dependence and a patients vulnerability to craving & relapse following
exposure to any psychoactive substance. - ANS-DON'T PRESCRIBE CONTROLLED
SUBSTANCES TO THOSE WHO HAVE A SUBSTANCE ABUSE HISTORY . STIMULATES
ELEVATED LEVEL OF DOPAMINE.
13. Review when safety should be assessed in psychiatric care - ANS-ALL THE TIME
14. Review the time period of greatest risk of teratogenicity in pregnancy - ANS-FIRST
TRIMESTER.....BEFORE KNOW PREGNANT < 8 WEEKS. NEURAL DEVELOPMENT IS
TAKING PLACE
15. Review drug choices for tapering of Benzodiazepines - ANS-TO LONG ACTING:
KLONOPIN, VALIUM
16. Review the use of St. Johns Wart as an adjunct to SSRI's medications good or not good that
is the question - ANS-NOT GOOD.....INCREASES SEROTONIN
17. Review the recommendation regarding the use of atypical antipsychotics for treating
dementia - ANS-BLACK BOX WARNING: INCREASED RISK FOR CV PROBLEMS CAN
INCREASE AGITATION
18. Review what Nootropics are - ANS-NEUROENHANCERS NOT DRUGS. SUPPLEMENTS
AND OTHER SUBSTANCES THAT CAN ENHANCE COGNITION, MEMORY, MOTIVATION
19. Review the best medication used to augment in the treatment of depression - ANS-LITHIUM
20. Review the most serious side effect related to the use of oxcarbazepine -
ANS-HYPONATREMIA
21. Review what items can impact the elimination of medications - ANS-KIDNEY FUNCTION,
LIVER FUNCTION, HIGH METABOLISM, DIURETICS
23. Review medication as first line treatment for GAD - ANS-SSRIS
24. Review statements about neuronal gene expression - ANS-AFFECTED BY
ENVIRONMENTAL FACTORS
25. Review principals about prescribing for the pediatric population - ANS-START LOW GO
SLOW, PSYCHOTHERAPY FIRST
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