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Midterm Exam: NR668/ NR 668 (New 2024/ 2025 Update) Psychiatric-Mental Health Capstone Practicum & Intensive Complete Review (Weeks 1-4 Covered) Questions and Verified Answers| 100% Correct | A Grade – Chamberlain $12.99
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Midterm Exam: NR668/ NR 668 (New 2024/ 2025 Update) Psychiatric-Mental Health Capstone Practicum & Intensive Complete Review (Weeks 1-4 Covered) Questions and Verified Answers| 100% Correct | A Grade – Chamberlain

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Midterm Exam: NR668/ NR 668 (New 2024/ 2025 Update) Psychiatric-Mental Health Capstone Practicum & Intensive Complete Review (Weeks 1-4 Covered) Questions and Verified Answers| 100% Correct | A Grade – Chamberlain

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  • August 30, 2024
  • 131
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Midterm Exam: NR668/ NR 668 (New 2024/
2025 Update) Psychiatric-Mental Health
Capstone Practicum & Intensive Complete
Review (Weeks 1-4 Covered) Questions and
Verified Answers| 100% Correct | A Grade –
Chamberlain
QUESTION
ICardiometabolicIeffectsIofIAtypicalIantipsychotics

Answer:
-WeightIgain
-Dyslipidemia
-InsulinIResistance/IDiabetes
-CardiovascularIevents
•IPrematureIdeath

-EstablishIfamilyIhistory
-
Monitor:IWaistIcircumference,IBloodIPressure,IWeight/BMI,IFastingIlipidIpanelI&IfastingIblo
odIglucose




QUESTION
ImetabolicIriskIofIatypicalIantipsychotics

Answer:
-ClozarilI&IOlanzapineI(GreatestIrisk)
-RisperidoneI&IQuetiapineI(ModerateIrisk)
-AripiprazoleI&IZiprasidoneI(LowerImetabolicIrisk)

,QUESTION
IEPSI(ExtrapyramidalISymptoms)

Answer:
-mayIresultIfromIantipsychoticIuse
-wastebasketItermIfor:
•IAkathisia
•IDystonia
•IBradykinesia
•INeurolepticIMalignantISyndrome
•IParkinsonism
•ITardiveIDyskinesia
•ITremor
-resultsIfromIdopamineIblockade
-ScalesIutilizedItoImonitorIforIsignsIofITardiveIDyskinesia
•Iexample:IAIMSIscale




QUESTION
IAkathisia

Answer:
-knownIEPSIsideIeffectIofIantipsychoticsI(andIotherIdrugs)
-SubjectiveIfeelingIofIrestlessness
-ObjectiveIrestlessness
-Pacing
-Jittery
-RockingImotion

-TreatmentIincludes:IReducingIdosage,IchangingIdrug,Ianticholinergics,Ibenzo's,Ipropranolol




QUESTION
IDystoniaI(Acute)

,Answer:
-ProlongedIinvoluntaryIcontractionIofImuscles
-MoreIlikelyIinIfirstIfewIhoursIafterIgivingIanIantipsychotic
-RiskIincludesIyoungerIpopulation,Imales,IHighIpotencyI1stIgenerationIantipsychotics
-LocatedIoftenIinItheIfaceI&Ineck
•ITongueISpasms
•ITorticollis
•IOculogyricICrisis
•IJawI(Trismus)
•ILaryngospasm

-TreatmentIincludes:IIMIanticholinergicsI(Benadryl),IBenztropine,IValium




QUESTION
ITardiveIDyskinesia

Answer:
-resultsIfromItheIchronicIblockingIofItheID2IreceptorI(antipsychoticsIandImetoclopramide)
-
D2IreceptorsIinItheINigrostriatalIpathwayIincreaseIinI#IorIupregulateI&IthisIultimatelyIresultsI
inImotorIproblems
•IAbnormalIchewing
•ITongueIprotrusions
•IGrimacing
•ILipIsmacking
•IExcessiveIeyeIblinking
•IIrregularImovementIofItheIheadI&Itrunk

-
TreatmentIincludes:IPrevention,IAtypicalIantipsychoticsIassociatedIwithIlowerIrisk,Imonitoring
,IdrugIreductionIorIcessation,IclozapineItrial




QUESTION
INMSI(NeurolepticIMalignantISyndrome)

, Answer:
-lifeIthreateningIemergencyIthatIcanIoccurIanyItimeIonIanIantipsychotic.I
•IMoreIlikelyItoIoccurIwhenIfirstIstartingIanIantipsychotic
-CanIalsoIoccurIwhenIthereIisIanIabruptIreductionIinIdopamineIactivity
•IHyperthermia
•IMuscleIRigidity
•IDiaphoresis
•IAutonomicIinstability
•IElevatedICPK
•IElevatedIWBC

-
TreatmentIincludes:IIntensiveICareIUnitIadmission,IstoppingItheIantipsychotic,ItreatingItheIfev
er,IDantrolene,IbromocriptineIforImuscleIrigidity,IIVFIhydration




QUESTION
IParkinsonismI(NeurolepticIInduced)

Answer:
-MotorIdeficitsImimickingItheIsymptomsIobservedIinIthoseIwithIParkinson'sIdisease
-alsoIaIresultIofID2IblockadeIinItheIcaudateInigrostriatalIdopamineIneurons
-ElderlyIpatientsIreceivingIantipsychoticsIareIatIelevatedIrisk
•IMuscleIstiffness
•ICogwheelIrigidity
•IStoopedIposture
•IPillIrolling
•IDrooling
•IBradykinesia

TreatmentIincludes:IAnticholinergicsIsuchIasIBenztropineI&IAmantadineIorIantipsychoticIredu
ction/discontinuation




QUESTION
ISerotoninISyndrome

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