Week 3 Exam: NR607 / NR 607
(Latest Update )
Diagnosis & Management in
Psychiatric-Mental Health III
Practicum | Questions & Answers |
100% Correct | Grade A -
Chamberlain
Question:
Tardive Dyskinesia
Answer:
-Involuntary muscle movements most commonly affect the orofacial &
tongue muscles, & less commonly, the muscles in the trunk & extremities
-some cases, may be irreversible
-Management may include:
• discontinuing or reducing the antipsychotic dose
• switching to an alternative antipsychotic
• Valbenazine is FDA approved for tx of tardive dyskinesia
,Question:
___________ is FDA approved for tx of tardive dyskinesia
Answer:
Valbenazine (Ingrezza)
Question:
AIMS
Answer:
Abnormal Involuntary Movement Scale
-12 questions
-5 point rating scale
• range from none to severe
Question:
Schizophrenia Impairments Associated with Treatment: Metabolic Concerns
Answer:
-antipsychotic medications, especially second-generation antipsychotics are
associated with:
• weight gain
• lipid disturbance
• glucose dysregulation
-contribute to development of metabolic syndrome in approximately one-
third of clients with schizophrenia
,-Clozapine & olanzapine are associated with the greatest degree of metabolic
dysregulation
-male sex and non-white ethnicity are associated with greater vulnerability to
metabolic effects
-2 meds recently FDA approved to tx schizophrenia & reduce risk for
metabolic comorbidities
• Lumateperone: modulates serotonin, dopamine, & glutamine
neurotransmission
• Olanzapine-samidorphan: addition of samidorphan (opioid receptor
blocker) mitigates weight gain commonly seen in clients taking olanzapine
Question:
Schizophrenia Impairments Associated with Treatment: Sexual Dysfunction
Answer:
-Antipsychotic medication often associated with sexual dysfunction
• contributes to significant distress and tx nonadherence
-Switching pts to aripiprazole or adding aripiprazole may help decrease sexual
dysfunction
-Quetiapine, ziprasidone, & olanzapine below 15 mg/day are associated with
lower levels of sexual dysfunction
Question:
Schizophrenia Impairments Associated with Treatment: Treatment
Resistance
Answer:
, -Treatment-resistant schizophrenia (TRS) is defined as active, persistent
symptoms that impair functioning for over 3 months after at least 6 weeks of
appropriate med therapy with 2 different antipsychotic meds
-may not be diagnosed until treatment adherence has been confirmed.
Question:
Schizophrenia Impairments Associated with Treatment: Treatment
Nonadherence
Answer:
-Med nonadherence rates for clients with schizophrenia are comparable to
med nonadherence rates associated with other chronic disorders, including
coronary heart disease, diabetes, and asthma
-risk factors for antipsychotic medication non-adherence:
• Client
➣History of nonadherence
➣Poor insight into the disease process
➣Substance use
➣Cognitive impairment or developmental disability
➣Negative attitude
• Medication
➣Adverse effects
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