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NUR 6501 FINAL EXAM QUESTIONS WITH CORRECT ANSWERS/ BUNDLED TO BOOST AND EASE YOUR STUDY/ GRADED A+/ PROFESSOR VERIFIED $18.49   Add to cart

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NUR 6501 FINAL EXAM QUESTIONS WITH CORRECT ANSWERS/ BUNDLED TO BOOST AND EASE YOUR STUDY/ GRADED A+/ PROFESSOR VERIFIED

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NUR 6501 FINAL EXAM QUESTIONS WITH CORRECT ANSWERS/ BUNDLED TO BOOST AND EASE YOUR STUDY/ GRADED A+/ PROFESSOR VERIFIED

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  • August 11, 2024
  • 20
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NUR 6501
  • NUR 6501
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wilmug
NUR 6501 FINAL EXAM QUESTIONS WITH
CORRECT ANSWERS/ BUNDLED TO BOOST
AND EASE YOUR STUDY/ GRADED A+/
PROFESSOR VERIFIED

What is the role of the primary care provider in mental health? - ANSWER - Screen for mental health
issues

- Improve outcomes and reduce health care costs

- Assess and give care to mild-moderate disorders or patients with stable severe mental disorders

- From strong links with mental health specialty care for complex cases

Sharing patient info (ex: meds used)



about PHQ2

- what does it screen for, what are the questions, scoring - ANSWER - Screens for MDD

- It is the first two questions of the PHQ9



- In the last two week, have you been feeling these (not at all, several days, more than half the day,
nearly everyday):

- Little interest or pleasure in doing things?

- Feeling down, depressed, or hopeless?



Scoring:

A single yes or score >3 (out of 0-6) = possible clinical depression ⇒ due the PHQ9



If the pt screens (+) ⇒ continue to eval with the PHQ9

,about PHQ9

- what its used for, questions, scoring - ANSWER Used for screening, diagnosing, and treating

- It asks about functioning impairments which is needed for the DSM-based diagnosis

Includes asking about suicide or hurting self



Scoring:

0-27 available

0-4: Minimal/none

Monitor; may not require treatment

5-9: Mild

Use clinical judgment; follow-up in one month

10-14: Moderate

Use clinical judgment; may need meds if functionally impaired

15-19: Moderately Severe

Warrants active treatment with psychotherapy, meds, or combo

20-27: Severe

Warrants active treatment with psychotherapy, meds, or combo



What is the appropriate initiation dose for fluoxetine for adults and geriatric adults? - ANSWER 20mg PO
once daily in the AM

- May ↑ daily dose after several weeks if inadequate response

- Full therapeutic effect may be delayed 4 weeks or longer

- Max dose: 80mg/day



What labs would be appropriate to draw if you initiate fluoxetine in a geriatric patient? - ANSWER
Sodium levels

- Baseline screening & after 3-4 weeks in high-risk patients (> 65yrs, previous hx of antidepressant-
induced hyponatremia, low body weight, concomitant use of thiazides or other hyponatremia-inducing
agents)

- monitor regularly in the elderly

, What are potential side effects of SSRI medications?

- what are the common SSRIs, LEAP of them, and zoloft AE - ANSWER Common SSRIs:

Lexapro, celexa, paxil, zoloft, prozac



L = decreased libido and sleep

E = Neutral effect on energy

A = neural effect on addiction

P = celexa may stop working after awhile (increase or switch)



Zoloft AE:

Insomnia, somnolence, fatigue, abnormal ejaculation, suicidal thoughts



What are characteristics of major depressive disorder or MDD? 9 - ANSWER Diagnostics need 5 or more
of the following:

- SS occur more days than not in a 2 week period

- SS cause significant impairment in any realm of functioning

- Depressed mood

- Loss of interest

- Significant unintended ▲ in weight or appetite

- Significant ▲ sleep

- ▲ psychomotor activity (restlessness)

- Fatigue, loss of energy

- Worthlessness, guilt



What is serotonin syndrome? - ANSWER - Increased serotonergic activity in the CNS

- Can be due to therapeutic med use, inadvertent drug interactions, or self-OD



Serotonin in the Body:

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