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Walden university nurs 6501 final exam- latest update 2024/2025 with 100% verified solutions
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Walden university nurs 6501 final exam:latest update 2024/2025 with 100%
verified solutions
What is the role of the primary care provider in mental health?
- screen for mental health issues
- improve outcomes and reduce health care costs
- assess and give care to mild-moderate disorders or pa8ents with
stable severe mental disorders
- from strong links with mental health specialty care for complex
cases
sharing pa8ent info (ex: meds used)
About phq2
- what does it screen for, what are the ques8ons, scoring
- screens for mdd
- it is the first two ques8ons 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):
- liFle 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 (+) ⇒ con8nue to eval with the phq9
Brainpower
,Read more
About phq9
- what its used for, ques8ons, scoring
Used for screening, diagnosing, and trea8ng
- it asks about func8oning impairments which is needed for the dsm-
based diagnosis
includes asking about suicide or hur8ng 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 func8onally impaired
15-19: moderately severe
warrants ac8ve treatment with psychotherapy, meds, or combo
20-27: severe
warrants ac8ve treatment with psychotherapy, meds, or combo
What is the appropriate ini8a8on dose for fluoxe8ne for adults and
geriatric adults?
20mg po once daily in the am
- may ↑ daily dose aZer several weeks if inadequate response
- full therapeu8c effect may be delayed 4 weeks or longer
- max dose: 80mg/day
What labs would be appropriate to draw if you ini8ate fluoxe8ne in a
geriatric pa8ent?
Sodium levels
- baseline screening & aZer 3-4 weeks in high-risk pa8ents (> 65yrs,
previous hx of an8depressant-induced hyponatremia, low body
, weight, concomitant use of thiazides or other hyponatremia-inducing
agents)
- monitor regularly in the elderly
What are poten8al side effects of ssri medica8ons?
- what are the common ssris, leap of them, and zoloZ ae
Common ssris:
lexapro, celexa, paxil, zoloZ, prozac
l = decreased libido and sleep
e = neutral effect on energy
a = neural effect on addic8on
p = celexa may stop working aZer awhile (increase or switch)
zoloZ ae:
insomnia, somnolence, fa8gue, abnormal ejacula8on, suicidal
thoughts
What are characteris8cs of major depressive disorder or mdd? 9
Diagnos8cs 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 func8oning
- depressed mood
- loss of interest
- significant unintended ▲ in weight or appe8te
- significant ▲ sleep
- ▲ psychomotor ac8vity (restlessness)
- fa8gue, loss of energy
- worthlessness, guilt
What is serotonin syndrome?
- increased serotonergic ac8vity in the cns
- can be due to therapeu8c med use, inadvertent drug interac8ons,
or self-od
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