Maryville 661 Exam 2 Review: Mental Health Concepts & Medications, Exams of Advanced Education

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2024 MARYVILLE 661 EXAM 2

REVIEW WITH CORRECT ANSWERS

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Does Schizoaffective or schizophrenia have mood disorder component - CORRECT-ANSWERSSchizoaffective Delusions, hallucinations, disorganized speech, catatonia that can't come from a substance- must be present within 1 month qualifies for a diagnosis of what - CORRECT-ANSWERSSchizophrenia Difference in delirium and dementia - CORRECT-ANSWERSDelirium fast onset/reversible Dementia slow/nonreversible How to best work with Sundowners - CORRECT-ANSWERSBrighten lights in evening, keep close routine Frontal lobe - CORRECT-ANSWERSReasoning, decision making Parietal - CORRECT-ANSWERSSensory peripheral Occipital lobe - CORRECT-ANSWERSVisual Temporal - CORRECT-ANSWERSHearing, Language speech Cerebellum - CORRECT-ANSWERSCoordination Brain stem - CORRECT-ANSWERSBreathing Example of neurocognitive meds - CORRECT-ANSWERSAricept, Namenda Does Aricept/Namenda reverse memory loss - CORRECT-ANSWERSNo, just slows progression Alternative meds for neurocognitive disorder - CORRECT-ANSWERSFish oil Vitamin B Vitamin E DSM for PTSD - CORRECT-ANSWERSTrauma, avoidant, Anger, Flashbacks last for ONE MONTH 3 days to 1 month, no longer than 1 month (healed after 1 month) is diagnosis of what - CORRECT-ANSWERSAcute Stress disorder

Occurs within 3 months, marked distress, significant impair, no longer than 6 months - CORRECT-ANSWERSAdjustment Disorder Example of cause of adjustment disorder - CORRECT-ANSWERSDivorce, they completely shut down What class of meds treat PTSD - CORRECT-ANSWERSSSRI This med helps with nightmares but is NOT FDA approved for that - CORRECT-ANSWERSPrazosin This class of meds impairs processing of trauma - CORRECT- ANSWERSBenzodiazepine In alcohol detox how many end up having a seizure - CORRECT- ANSWERSLess than 5% Symptoms of Marijuana withdrawal - CORRECT-ANSWERSCravings, irritable Symptoms Opiate withdrawal - CORRECT-ANSWERSMuscle ache, stomach ache Symptoms stimulant/cocaine withdrawal - CORRECT-ANSWERSIrritable, Crash Symptoms inhalant withdrawal - CORRECT-ANSWERSDifficulty walking Symptoms sedative detox - CORRECT-ANSWERSSeizures, anxiety, irritable Most widely abused drug - CORRECT-ANSWERSMarijuana Time frame for Alcohol/Opiate detox - CORRECT-ANSWERS3-5 days This blocks gaba receptors - CORRECT-ANSWERSAcomprasate This makes violently sick - CORRECT-ANSWERSDisulfuram This stops cravings - CORRECT-ANSWERSNaltrexone This is a partial agonist has bupinorphrine in it - CORRECT- ANSWERSSuboxone How to treat pain in an opiate abuser - CORRECT-ANSWERSPCA pump There is no medication FDA approved for this abuse - CORRECT- ANSWERSstimulant

What are MAOI's used for - CORRECT-ANSWERSMajor depression Number 1 side effect MAOI - CORRECT-ANSWERSOrthostatic hypotension How to change from serotonin med to an MAOI - CORRECT-ANSWERSwait 2 weeks for wash out period This type of medication is contraindicated for MAOI - CORRECT- ANSWERSSerotonergic meds What is lithium used for - CORRECT-ANSWERSMania, Bipolar, augment antidepressant Side effect of lithium - CORRECT-ANSWERSFine tremor, nausea, diarrhea, brain sluggish This med is contraindicated with lithium - CORRECT-ANSWERSIBU Profen Labs to check if patient on Lithium - CORRECT-ANSWERSBUN, Creatinine, TSH Symptoms if a person goes toxic on lithium - CORRECT-ANSWERSdelirium, severe tremor, diarrhea, HA If a patient is toxic on lithium what is the first action - CORRECT- ANSWERSstop lithium Clozapine is what type of med - CORRECT-ANSWERSantipsychotic What lab to check on clozaril - CORRECT-ANSWERSabsolute neutrophil count How often to check clozapine labs - CORRECT-ANSWERSWeekly for 3 months then every 2 weeks for 2 months This medication has a major interaction with clozapine - CORRECT- ANSWERSSimetidine What SSRI's are used to treat - CORRECT-ANSWERSDepression and anxiety Labs for SSRI's - CORRECT-ANSWERSCBC, CMP Side effect SSRI - CORRECT-ANSWERSWt gain, nervous, nausea, sexual dysfunction Which SSRI has worse withdrawal effects - CORRECT-ANSWERSPaxil

If you contemplate unipolar or bipolar and start antidepressant and they come back with mania, impulsivity, and hyper you can confirm they have what? What do you do? - CORRECT-ANSWERSBipolar, take off antidepressant Interview manic patient requires - CORRECT-ANSWERSredirection What a standard exam includes - CORRECT-ANSWERShistory, physical, mental status, any labs If an adult or geriatric is suicidal you need a what - CORRECT- ANSWERScommitment, voluntary/involuntary What to know about suicidal child - CORRECT-ANSWERSNOT CONFIDENTIAL Confusion, akathesia, restless, rapid vitals change, go to ER - CORRECT- ANSWERSSerotonin syndrome How to treat serotonin syndrome - CORRECT-ANSWERSDantrolene, Cooling blanket Severe EPS, rigid, delirium symptoms of what - CORRECT- ANSWERSNeuroleptic malignant syndrome What medication treats NMS - CORRECT-ANSWERSDantrolene Black box warning of NMS is for what class meds - CORRECT- ANSWERSAntipsychotics How NMS and Serotonin syndrome differ - CORRECT-ANSWERSSerotonin causes more clonus than EPS Highest risk of suicide - CORRECT-ANSWERSCaucasian men, divorced, no job Most likely to succeed with suicide with less attempts - CORRECT- ANSWERSElderly men What mental illness highest risk suicide - CORRECT-ANSWERSSchizophrenia Who developed CBT - CORRECT-ANSWERSAaron Beck What is the cognitive triad - CORRECT-ANSWERSNegative view on world, self, future DBT works best for what type patient - CORRECT-ANSWERSBorderline

Resistance - CORRECT-ANSWERSInhibits progress Projection - CORRECT-ANSWERSProject blame on others Transference - CORRECT-ANSWERSWhen pt transfers feeling on therapist Countertransference - CORRECT-ANSWERSTherapist transfer feeling on pt (ex:if dad was alcoholic and pt is also) 1 medical condition that mimics depression/anxiety - CORRECT- ANSWERShypothyroid High TSH greater than 4, T4 low indicates what condition - CORRECT- ANSWERShypothyroid Low TSH High T3 indicates what condition - CORRECT-ANSWERShyperthyroid Depressive disorder or bipolar with hallucinations even if stable and has to occur for 6 months - CORRECT-ANSWERSSchizoaffective. Atleast 1 day but less than 1 month- Catatonic, disorganized, delusions, hallucinations - CORRECT-ANSWERSBrief psychotic disorder The difference in Schizophreniform and schizophrenia is that there is - CORRECT-ANSWERSno depressive or manic component This disorder lasts 1 month or longer, impaired function not obvious - CORRECT-ANSWERSDelusional disorder Major labs with antipsychotic meds - CORRECT-ANSWERSWBC, lipids, glucose, A1C Patient on antipsychotic do you always test for prolactin level - CORRECT- ANSWERSOnly if galactorrhea When to use long acting injectable - CORRECT-ANSWERSIf compliance issues Example of long acting injectable antipsychotic - CORRECT- ANSWERSRisperdal consta, Invega sustenna monthly, Invega Trinza 3 month Alogia - CORRECT-ANSWERSPoverty of speech Avolition - CORRECT-ANSWERSDecreased motivation Akinesia - CORRECT-ANSWERSInvoluntary movement

To diagnose schizophrenia look at what components - CORRECT- ANSWERSJudgment, insight, thought process, impulse control, affect Stages of Schizophrenia - CORRECT-ANSWERSProdromal, Acute, Chronic/Residual Each psychotic episode what percent of baseline is lost - CORRECT- ANSWERS5-10%