NURS 663 (NURS663)
Maryville University Of St. Louis
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NURS 663 Exam 2 Megadeck: Updated Guide Solution( A+ Solution)
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Cyclothymic Disorder 
 
Diagnostic Criteria: 
 (Ans- 
· Diagnostic Criteria: For at least 2 years (1 year in children and adolescents) there have been numerous periods with hypomanic symptoms that do not meet the criteria for a hypomanic episode and numerous periods with depressive symptoms that do not meet the criteria for a major depressive episode 
 
· During the above 1- or 2-year period, the hypomanic and depressive periods have been present for at least half of the time and the individu...
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NURS 663 Exam 3 - Questions and Answers (Maryville University)
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NURS 663 Exam 3 - Questions and Answers (Maryville University) Pharmacologic agents for PTSD med tx is focused on diminishing intrusive thoughts, hyperarousal, and avoidance, with some success and mixed results Depressive disorder, anxiety disorders, and behavioral problems associated with ______________ PTSD frequent comorbidity That __________and ______________ are approved by the Food and Drug Administration (FDA) in the treatment of PTSD in adults, there is scant evidence to support its u...
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NURS 663 Exam 2 - Questions and Answers (Maryville University)
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NURS 663 Exam 2 - Questions and Answers (Maryville University) Lithium labs level, NA, Ca, P, EKG, Creatinine, Urinalysis, CBC, TSH Bipolar meds: depression lurasidone (13+), olanzapine + fluoxetine (10+)(symbyax) Bipolar acute and mixed mania aripiprazole, risperidone, olanzapine (13+), quetiapine (acute only), asenapine (10+) Classic mood stabilizers Lamotrigine (excellent medication to use), lithium, Depakote (avoid in females if possible due to PCOS and Pregnancy), Tegretol, Trileptal (no...
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NURS 663 Exam 1 - Questions and Answers (Maryville University)
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NURS 663 Exam 1 - Questions and Answers (Maryville University) Sensory-Motor Period Piaget: 0-2yrs object permanence by 2y/o; requires the ability to form a mental representation (i.e., a schema) of the object. Respond to stimuli; new people; Response patterns: hand to mouth Searches for hidden objects understands causes not visible Pre-operational Stage Piaget: 2 to 7 years punishment for bad deeds is unavoidable (immanent justice) think about things symbolically: a word or an object - stand...
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NURS 663 Exam 1 Study Guide: Updated A+ Score Solution
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Bipolar Disorder Type 1 
(Ans- 
 - MDD (2 weeks) 
- Mania (1 week) 
- plus 3 or more: inflated self esteem, decreased need for sleep, talkative, flight of ideas, distractibility, goal directed, excessive involvement 
- severe 
- marked impairment 
 
Mnemonic for Bipolar Disorder 
(Ans- DIGFAST 
 
Bipolar Disorder Type 2 
(Ans- 
- MDD (2weeks) 
- current or past episode of hypomania (4 days) 
- not severe enough to cause marked impairment 
 
Cyclothymia 
 (Ans- 
- 2 years 
- numerous periods...
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NURS 663 Exam 1: Key Points 2023 with complete solution
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NURS 663 Exam 1: Key Points 2023 with complete solution 
 
Exam 1: Key Points Depressive Disorders 
Depressive Disorder Due to Another Medical Condition 
•	Prominent & persistent disturbance in mood 
•	Characterized by: 
o	Depressed mood 
o	Diminished interest or pleasure in all or almost all activities 
•	Evidence is found from the history, physical examination, or lab findings of: 
o	Disturbance is the direct pathophysiological consequence of another medical condition 
•	Can mimic or m...
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NURS 663 Exam 2023/2024 With 100% Verified Solutions
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QUESTIONS AND ANSWERS
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A.T Maryville NURS 663 Exam 2
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Lithium labs - level, NA, Ca, P, EKG, Creatinine, Urinalysis, CBC, TSH 
bipolar meds: depression - lurasidone (13+), olanzapine + fluoxetine 
(10+)(symbyax) 
bipolar acute and mixed mania - aripiprazole, risperidone, olanzapine (13+), 
quetiapine (acute only), asenapine (10+) 
classic mood stabilizers - Lamotrigine (excellent medication to use), lithium, 
Depakote (avoid in females if possible due to PCOS and Pregnancy), Tegretol, 
Trileptal (no evidence for true Bipolar disorder) 
anti-depressa...
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NURS 663 Test 4
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substance use disorder specifier criteria – 
Mild: 2-3 symptoms 
Moderate: 4-5 symtpoms 
Severe: >6 symptoms 
DSM for substance use disorder - over 12 months 
use increase amount 
persistant desire or can't cut down 
lots of time spent on substance 
craving 
failure to fill roles 
social/personal problems 
activities given up/reduced 
use when physically hazardous 
continue despite problem 
tolerence 
withdrawal 
abuse - use of any drug in a manner that deviates from approved social or med...
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Maryville University NURS663 exam 1 medications with Cafer's Study Guide
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Bupropion (Wellbutrin) (NDRI) MOA 
2D6 inHibitor (strong) 
2B6 substrate 
Bupropion + 2B6 substrate -> hydroxy-bupropion + 2D6 -> inactive metabolite 
-stimulating antidepressent 
-enhances norepinephrine and dopamine 
-DOES NOT ENHANCE SEROTONIN 
-cognitive benefits 
-DOES NOT APPEAR TO EXACERBATE ANXIETY 
Bupropion (Wellbutrin) (NDRI) starting dose 
- XL 150mg AM preferred formulation d/t minimal seizure risk 
- SR 100mg BID separate by at least 8 hours 
- IR 75mg TID NOT RECOMMENDED D/T...
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