NURS6630 PSYCHOPHARMACOLOGY 6630 MIDTERM EXAM WK6 Q & As BEST EXAM SOLUTION LATEST UPDATE, Exams of Nursing

Download NURS6630 PSYCHOPHARMACOLOGY 6630 MIDTERM EXAM WK6 Q & As BEST EXAM SOLUTION LATEST UPDATE and more Exams Nursing in PDF only on Docsity! NURS6630 PSYCHOPHARMACOLOGY 6630 MIDTERM EXAM WK6 Q & As BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ NURS6630 PSYCHOPHARMACOLOGY 6630 MIDTERM EXAM WK6 Q & As BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ • Question 1 What is the strongest established risk factor for bipolar disorder? Family History Response Feedback: “The strongest established risk factor for BPD is a family history of BPD.” • Question 2 Which of the following medications are known as selective serotonin re-uptake inhibitors (SSRIs)? i. Nortriptyline ii. Citalopram iii. Duloxetine iv. Fluoxetine v. Venlafaxine • Question 3 Which disease state of a non-adherent patient is at greater risk for substance use, violence, and victimization as well as worse overall quality of life? Schizophrenia NURS6630 PSYCHOPHARMACOLOGY 6630 MIDTERM EXAM WK6 Q & As BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ NURS6630 PSYCHOPHARMACOLOGY 6630 MIDTERM EXAM WK6 Q & As BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ Feedba ck: frequency.” has focused on effect of second-generation antipsychotics on glucose metabolism and lipids and associated metabolic syndrome.” • Question 8 Which amino acid is involved in the synthesis of both norepinephrine and dopamine? • Question 9 An 81-year-old male comes to your clinic today complaining of dry mouth, blurred vision, and constipation. He has a past medical history significant for hypertension, heart failure, and depression. Of the following medications, which one is likely contributing to these side effects? NURS6630 PSYCHOPHARMACOLOGY 6630 MIDTERM EXAM WK6 Q & As BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ NURS6630 PSYCHOPHARMACOLOGY 6630 MIDTERM EXAM WK6 Q & As BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ Respon se Feedba ck: Only TCA is listed with most anticholinergic effects; Page 39 for TCA side effect profile: “dry mouth, blurred vision, constipation, urinary hesitancy, tachycardia, memory difficulties, and ejaculatory difficulties” • Question 10 Which medication has been studied and recommended in patients with a social anxiety disorder who also suffer from an alcohol use disorder? NURS6630 PSYCHOPHARMACOLOGY 6630 MIDTERM EXAM WK6 Q & As BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ NURS6630 PSYCHOPHARMACOLOGY 6630 MIDTERM EXAM WK6 Q & As BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ se Feedba ck: antipsychotic agents fall into three categories: psychotic symptoms (e.g., hallucinations, delusions, disorganization); agitation (e.g., distractibility, affective lability, tension, increased motor activity); and negative symptoms (e.g. apathy, diminished affect, social withdrawal, poverty of speech.” AND “Although cognitive deficits are an important contributor to disability in schizophrenia, cognitive deficits usually are not considered a target for antipsychotic agents because they are not very responsible to current agents.” • Question 14 A 32-year-old males calls you complaining of decreased libido since starting Paroxetine 20 mg 2 weeks ago. He reported stopping the medication 1 day ago and is now experiencing extreme irritability and nervousness. He wishes to stop this medication due to side effects. What do you recommend? Respon se Feedba ck: under selective serotonin re-uptake inhibitors discontinuation syndrome subtitle: “The risk of such adverse events occurring seems to be inversely related to the half-life of the SSRI, with fluoxetine reported as NURS6630 PSYCHOPHARMACOLOGY 6630 MIDTERM EXAM WK6 Q & As BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ NURS6630 PSYCHOPHARMACOLOGY 6630 MIDTERM EXAM WK6 Q & As BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ having a significantly lower risk than paroxetine in two studies. For more severe discontinuation-related adverse events, re-institution of the SSRI and slow taper may be necessary to alleviate these symptoms.” • Question 15 NURS6630 PSYCHOPHARMACOLOGY 6630 MIDTERM EXAM WK6 Q & As BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ NURS6630 PSYCHOPHARMACOLOGY 6630 MIDTERM EXAM WK6 Q & As BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ It is appropriate to start lamotrigine in combination with another atypical antipsychotic in treatment of an acute manic episode in bipolar disorder. Response Feedback: “Lamotrigine has also been extensively studied in bipolar depression as well….” • Question 16 Which antiepileptic drugs should we avoid in pregnant women in the treatment of bipolar disorder? . Depakote i. Lamotrigine ii. Topiramate iii. Carbamazepine iv. Gabapentin Respon se Feedba ck: All the others listed except for lamotrigine are not used in treatment of bipolar disorder. • Question 17 NURS6630 PSYCHOPHARMACOLOGY 6630 MIDTERM EXAM WK6 Q & As BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ NURS6630 PSYCHOPHARMACOLOGY 6630 MIDTERM EXAM WK6 Q & As BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ i. Ziprasidone ii. Asenapine iii. Olanzapine iv. Lurasidone Respon se Feedba ck: -Ziprasidone – best with a fatty meal -Lurasidone – best with a meal of at least 350 calories (no effect of fat composition) • Question 21 The serotonin system is involved in many processes in psychiatry, including, most prominently, mood, sleep, and psychosis. Of the following neurons listed, from where is serotonin synthesized? Response Feedback: under serotonin subheading and figure 1-18 on page 16: Locus Coeruleus: Norepinephrine Nucleus basalis: cholinergic neurons Substantia Nigra: dopamine Ventral Tegmental area: NURS6630 PSYCHOPHARMACOLOGY 6630 MIDTERM EXAM WK6 Q & As BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ NURS6630 PSYCHOPHARMACOLOGY 6630 MIDTERM EXAM WK6 Q & As BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ dopamine • Question 22 Which of the following symptoms is NOT part of the diagnostic features for bipolar disorder? Respon se Feedba ck: “Psychosis is not represented in the diagnostic features for BPD.” - “Psychosis typically resolves along with the mood symptoms, though diagnostic criteria acknowledge that psychotic symptoms may linger beyond the end of the episode.” • Question 23 Of the following antipsychotic medications listed below, which one has a Black Box Warning for seizure, agranulocytosis, and seizures? Response Feedback: Box 7-5 * indicated clozapine-specific black box warnings • Question 24 Which neurotransmitter is considered the major inhibitory neurotransmitter? NURS6630 PSYCHOPHARMACOLOGY 6630 MIDTERM EXAM WK6 Q & As BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ NURS6630 PSYCHOPHARMACOLOGY 6630 MIDTERM EXAM WK6 Q & As BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ • Question 25 A 27-year-old female presents to your emergency room today with a rash that started about 1 week ago and has now spread to her whole body. She has a past medical history significant for type 2 diabetes, NURS6630 PSYCHOPHARMACOLOGY 6630 MIDTERM EXAM WK6 Q & As BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ NURS6630 PSYCHOPHARMACOLOGY 6630 MIDTERM EXAM WK6 Q & As BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ se Feedba ck: remission of depression often requires 4 weeks of treatment or more;” Page 33: “Use of antidepressant for at least 6– 12 weeks to determine whether it is helping or not” • Question 31 Selection of an antipsychotic agent is usually guided by the side-effect profile and by available formulations. NURS6630 PSYCHOPHARMACOLOGY 6630 MIDTERM EXAM WK6 Q & As BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ NURS6630 PSYCHOPHARMACOLOGY 6630 MIDTERM EXAM WK6 Q & As BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ Respon se Feedba ck: Which drug below has an interaction with cigarette smoking and should be adjusted based on patient’s tobacco use/non-use? • Question 32 K. B. never felt relief from his depressive symptoms, even after appropriate time and dose titration of Venlafaxine. He was switched to Bupropion 150 mg about 2 months ago and is following up with you today. He reported feeling “great” and that his relationship with his girlfriend is “better than ever now.” Because he is feeling so well at this time, he is wondering when he can stop taking Bupropion. How long must the patient be symptom-free before he may begin a trial to taper off the antidepressant therapy? Respon se Feedba ck: • Question 33 “Therefore, in treatment-responders, most experts favor a continuation of antidepressant therapy for a minimum of 6 months following the achievement of remission.” Close-ended questions will help identify when patients are taking medications incorrectly. NURS6630 PSYCHOPHARMACOLOGY 6630 MIDTERM EXAM WK6 Q & As BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ NURS6630 PSYCHOPHARMACOLOGY 6630 MIDTERM EXAM WK6 Q & As BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ • Question 34 K. T. is a 35-year-old woman who was diagnosed with Generalized Anxiety Disorder about 4 weeks ago. She was prescribed Clonazepam 2 mg at bedtime but was referred to you to determine chronic treatment. K. T. states the new medication has been helping a lot but worries about all the side effects that come with it. She wants to discontinue the medication. What is the appropriate next step to help K. T.? Respon se Feedba ck: “The regular use of benzodiazepines for more than 2 to 3 weeks may be associated with physiological dependence and the potential for significant withdrawal symptoms with discontinuation. Discontinuation of benzodiazepines is best done with a gradual taper to minimize withdrawal symptoms.” -Answer choice A: Honor the patient’s request of discontinuing the medication. -Answer Choice C: An abrupt stop of a benzodiazepine will likely send the patient into having withdrawal symptoms. -Answer D: Patient will likely experience withdrawal NURS6630 PSYCHOPHARMACOLOGY 6630 MIDTERM EXAM WK6 Q & As BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ NURS6630 PSYCHOPHARMACOLOGY 6630 MIDTERM EXAM WK6 Q & As BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ • Question 39 When initiating lithium, how long should you wait before checking a lithium level? What is the therapeutic goal level of lithium? • Question 40 Choose the appropriate pair regarding acetylcholine receptors. Respon se Feedba ck: “There are two classes of ACh receptors: muscarinic and nicotinic. While muscarinic receptors are G- protein-coupled, nicotinic receptors are ion channels, which allows for rapid influx of NA+ and Ca2+ into the post-synaptic neuron.” • Question 41 Patient is a 59-year-old male with a past medical history significant for bipolar disorder I, hypertension, and COPD. He calls your clinic today complaining of extreme fatigue and a new tremor in his hand. He reports starting lithium 600 mg at bedtime about 5 days ago and thinks that may be the cause. What is the appropriate next step for this patient? NURS6630 PSYCHOPHARMACOLOGY 6630 MIDTERM EXAM WK6 Q & As BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ NURS6630 PSYCHOPHARMACOLOGY 6630 MIDTERM EXAM WK6 Q & As BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ Respon se Feedba ck: “Other bothersome adverse effects” Patient is likely experiencing lithium toxicity and labs should be verified first before continuing with other treatments for the tremor. • Question 42 Choose the appropriate statement regarding lamotrigine dosing. NURS6630 PSYCHOPHARMACOLOGY 6630 MIDTERM EXAM WK6 Q & As BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ NURS6630 PSYCHOPHARMACOLOGY 6630 MIDTERM EXAM WK6 Q & As BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ Respon se Feedba ck: Carbamazepine induced metabolism of lamotrigine – increase dose of lamotrigine; Valproate may inhibit clearance of lamotrigine, so dose reduction of lamotrigine is needed • Question 43 Choose the correct option regarding the major classes of GABA receptors and the ions involved in inhibition of the neurotransmitter pathway Respon se Feedba ck: “GABAB receptors, akin to the metabotropic glutamate receptors, are G-protein-coupled receptors rather than ion channels. Activation of GABAB causes downstream changes in potassium (K+) and Ca+2 channels, largely via G-protein-mediated inhiation of cAMP.” • Question 44 A 25-year-old female comes into your clinic today informing you she is ready to have a baby and wishes to discontinue her birth control at this time. After reviewing her chart, you notice she has a history of bipolar disorder and was previously prescribed valproic acid by NURS6630 PSYCHOPHARMACOLOGY 6630 MIDTERM EXAM WK6 Q & As BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ NURS6630 PSYCHOPHARMACOLOGY 6630 MIDTERM EXAM WK6 Q & As BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ Of the following medications used in the treatment of social anxiety disorder, which one would you AVOID in a patient who has uncontrolled hypertension? Respon se Feedba ck: Phenelzine reported to have hypertensive reactions as a limitation/primary side effect • Question 49 M. M. is 27-year-old female student pharmacist who presents to the ER after experiencing extreme lightheadedness during her fourth- year seminar presentation. Her vitals are as follows: BP (107/65) and HR of 45. What medication below is likely the cause of these symptoms? Respon se Feedba ck: “The use of beta-blockers may be associated with orthostatic hypotension, lightheadedness, bradycardia, and nausea.” • Question 50 Which drug below differs from other atypical antipsychotics in causing NURS6630 PSYCHOPHARMACOLOGY 6630 MIDTERM EXAM WK6 Q & As BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ se Feedba ck: generation antipsychotics in causing persistent hyperprolactinemia.” Question 51 When completing this exam, did you comply with Walden University’s Code of Conduct including the expectations for academic integrity? NURS6630 PSYCHOPHARMACOLOGY 6630 MIDTERM EXAM WK6 Q & As BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ persistent hyperprolactinemia? Respon “Risperidone differs from other second- NURS6630 PSYCHOPHARMACOLOGY 6630 MIDTERM EXAM WK6 Q & As BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ B. iii and v o A. i, iii, and My answers to some of the questions – Some Right some wrong What is the strongest established risk factor for bipolar disorder? NURS6630 PSYCHOPHARMACOLOGY 6630 MIDTERM EXAM WK6 Q & As BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ A. Female > Male B. Family history of bipolar disorder C. Male > female D. Being diagnosed with Major Depressive Disorder Which of the following medications are known as selective serotonin re- uptake inhibitors (SSRIs)? i. Nortriptyline ii. Citalopram iii. Duloxetine iv. Fluoxetine v. Venlafaxine only nly NURS6630 PSYCHOPHARMACOLOGY 6630 MIDTERM EXAM WK6 Q & As BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ C. i only NURS6630 PSYCHOPHARMACOLOGY 6630 MIDTERM EXAM WK6 Q & As BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ resistant depression? Switch from one SSRI to another SSRI Switch from one SSRI to a SNRI Combine two antidepressants with different mechanisms of action Augment with lithium Any of the above would be an appropriate strategy Patient is a 72-year-old male with a past medical history significant for atrial fibrillation and COPD with a new diagnosis of major depression disorder. Based on his comorbid conditions, what antidepressant would you recommend as first-line? A.Fluoxetine NURS6630 PSYCHOPHARMACOLOGY 6630 MIDTERM EXAM WK6 Q & As BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ NURS6630 PSYCHOPHARMACOLOGY 6630 MIDTERM EXAM WK6 Q & As BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ Atomoxetine Nortriptyline Imipramine Which amino acid is involved in the synthesis of both norepinephrine and dopamine? Tyrosine Glutamic acid Tryptophan Phenylalanine An 81-year-old male comes to your clinic today complaining of dry mouth, blurred vision, and constipation. He has a past medical history significant for hypertension, heart failure, and depression. Of the following medications, which one is likely contributing to these side effects? NURS6630 PSYCHOPHARMACOLOGY 6630 MIDTERM EXAM WK6 Q & As BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ Which medication has been studied and recommended in patients with a social anxiety disorder who also suffer from an alcohol use disorder? The serotonin system is involved in many processes in psychiatry, Sertraline Sertraline Citalopram Paroxetine Bupropion Nortriptylin Escitalopram Duloxetine NURS6630 PSYCHOPHARMACOLOGY 6630 MIDTERM EXAM WK6 Q & As BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ including, most prominently, mood, sleep, and psychosis. Of the following neurons listed, from where is serotonin synthesized? NURS6630 PSYCHOPHARMACOLOGY 6630 MIDTERM EXAM WK6 Q & As BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ NURS6630 PSYCHOPHARMACOLOGY 6630 MIDTERM EXAM WK6 Q & As BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ Which of the following statements below is NOT considered an appropriate treatment strategy for treatment- resistant depression? Sertraline + Bupropion Fluoxetine + Venlafaxine Desvenlafaxine + Bupropion D. Fluoxetine + Mirtazapine Which statement is TRUE regarding the use of selective serotonin reuptake inhibitors (SSRI)/serotonin- norepinephrine reuptake inhibitors (SNRI) in patients with Generalized Anxiety Disorder? Symptom remission is expected within 1 week. Symptoms may worsen initially with SSRI treatment. They are considered second-line therapy. Start at the usual starting dose that is consistent with depression treatment. Which atypical antipsychotic(s) require a meal for better absorption? i. Quetiapine ii. Ziprasidone iii. Asenapine NURS6630 PSYCHOPHARMACOLOGY 6630 MIDTERM EXAM WK6 Q & As BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ I and V II and V NURS6630 PSYCHOPHARMACOLOGY 6630 MIDTERM EXAM WK6 Q & As BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ iv. Olanzapine v. Lurasidone Choose the correct statement(s) regarding lithium levels. SELECT ALL THAT APPLY. A. Ibuprofen – decrease lithium levels B. Hydrochlorothiazide – decrease lithium levels C. Naproxen – increase lithium levels D. Chlorthalidone – increase lithium levels NURS6630 PSYCHOPHARMACOLOGY 6630 MIDTERM EXAM WK6 Q & As BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ III and V V only Quetiapine Clozapine NURS6630 PSYCHOPHARMACOLOGY 6630 MIDTERM EXAM WK6 Q & As BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ Of the following antipsychotic medications listed below, which one has a Black Box Warning for seizure, agranulocytosis, and seizures? Which neurotransmitter is considered the major inhibitory neurotransmitter? a. Glutamate b. Glycine c. GABA d. Acetylchol ine NURS6630 PSYCHOPHARMACOLOGY 6630 MIDTERM EXAM WK6 Q & As BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ Olanzapine Lurasidone ≥ 6 months ≤ 1 week 2–4 weeks 4–12 weeks True False ≥ 6 months ≥ 12 months 3 months NURS6630 PSYCHOPHARMACOLOGY 6630 MIDTERM EXAM WK6 Q & As BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ Selection of an antipsychotic agent is usually guided by the side-effect profile and by available formulations. K. B. never felt relief from his depressive symptoms, even after appropriate time and dose titration of Venlafaxine. He was switched to Bupropion 150 mg about 2 months ago and is following up with you today. He reported feeling “great” and that his relationship with his girlfriend is “better than ever now.” Because he is feeling so well at this time, he is wondering when he can stop taking Bupropion. How long must the patient be symptom-free before he may begin a trial to taper off the antidepressant therapy? NURS6630 PSYCHOPHARMACOLOGY 6630 MIDTERM EXAM WK6 Q & As BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ D. 4–12 weeks NURS6630 PSYCHOPHARMACOLOGY 6630 MIDTERM EXAM WK6 Q & As BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ Close-ended questions will help identify when patients are taking medications incorrectly. a. True b. Fals e K. T. is a 35-year-old woman who was diagnosed with Generalized Anxiety Disorder about 4 weeks ago. She was prescribed Clonazepam 2 mg at bedtime but was referred to you to determine chronic treatment. K. T. states the new medication has been helping a lot but worries about all the side effects that come with it. She wants to discontinue the medication. What is the appropriate next step to help K. T.? Inform her that the therapy is working and there is no need to discontinue. Begin a slow taper of clonazepam and talk about alternative medications to help with her new diagnosis. Discontinue clonazepam at this visit and begin Escitalopram 5 mg daily. Change her scheduled dosing to as needed to help with anxiety symptoms. Which answer choice includes all the components of patient-focused interventions to enhance adherence? NURS6630 PSYCHOPHARMACOLOGY 6630 MIDTERM EXAM WK6 Q & As BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ Logistics I, II, and III only I, II, III, and IV II and III only I and IV only Whentiating lithium, ini lithium level? goal el of levlithium? 5 days; 0.6 to 0.8 mEq/L 4–6 weeks; 0.6 to 0.8 mEq/L NURS6630 PSYCHOPHARMACOLOGY 6630 MIDTERM EXAM WK6 Q & As BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ I. Education II. Motivation III. Skills C. 3 days; 0.8 – 1.2 mEq/L D.No need to check until patient experiences symptoms of lithium toxicity NURS6630 PSYCHOPHARMACOLOGY 6630 MIDTERM EXAM WK6 Q & As BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ p NURS6630 PSYCHOPHARMACOLOGY 6630 MIDTERM EXAM WK6 Q & As BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ NURS6630 PSYCHOPHARMACOLOGY 6630 MIDTERM EXAM WK6 Q & As BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ han d.Pheny la lanine NURS6630 PSYCHOPHARMACOLOGY 6630 MIDTERM EXAM WK6 Q & As BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ NURS6630 PSYCHOPHARMACOLOGY 6630 MIDTERM EXAM WK6 Q & As BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ Which drug below differs from other atypical antipsychotics in causing persistent hyperprolactinemia? A.Cloza pi ne B.Rispe ri done C.Aripipraz ole D.Olanz a pine M. M. is a 27-year-old female student pharmacist who presents to the ER after experiencing extreme lightheadedness during her fourth-year seminar presentation. Her vitals are as follows: BP (107/65) and HR of 45. What medication below is likely the cause of these symptoms? A. Tranylc y promine B.Clonaz ep am C.Propranolol D.Fluoxet in e NURS6630 PSYCHOPHARMACOLOGY 6630 MIDTERM EXAM WK6 Q & As BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ NURS6630 PSYCHOPHARMACOLOGY 6630 MIDTERM EXAM WK6 Q & As BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ B. B. is a 26-year old-female at your clinic today with the diagnosis, "treatment-resistant depression." She is currently on Bupropion 300 mg daily and has been at this dose for 6 weeks with no alleviation in depressive symptoms. She has trialed the following medications in the past with treatment duration listed: -Paroxetine 40 mg daily for 4 weeks -Citalopram 20 mg daily for 2 weeks A. True B. False How do you manage a patient who develops neuroleptic malignant syndrome while on an atypical antipsychotic? A. Stop offending agent B. Initiate Dantrolene C. Both A & B D. None of the above NURS6630 PSYCHOPHARMACOLOGY 6630 MIDTERM EXAM WK6 Q & As BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ NURS6630 PSYCHOPHARMACOLOGY 6630 MIDTERM EXAM WK6 Q & As BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ A 25-year-old female comes into your clinic today informing you she is ready to have a baby and wishes to discontinue her birth control at this time. After reviewing her chart, you notice she has a history of bipolar disorder and was previously prescribed valproic acid by another doctor. What is your concern with this medication in this specific patient? A. The drug causes weight gain, therefore, I would likely not want patient on it for her disease state. B. This drug is safe to use by this patient. C. This drug is used more for seizures than bipolar disorder, therefore, I would want to look at other options first. D. This drug is a teratogen, therefore, I would need to counsel on avoidance of this medication while trying for a baby, and to follow-up with the doctor who prescribed it. Choose the correct option regarding the major classes of GABA receptors and the ions involved in inhibition of the neurotransmitter pathway a. GABAA - ionotropic - calcium and potassium b. GABAB - ionotropic - chloride c. GABAB - metabotropic - Calcium and potassium NURS6630 PSYCHOPHARMACOLOGY 6630 MIDTERM EXAM WK6 Q & As BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ NURS6630 PSYCHOPHARMACOLOGY 6630 MIDTERM EXAM WK6 Q & As BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ d. GABAA - metabotropic - chloride Choose the appropriate statement regarding lamotrigine dosing. A.If adding carbamazepine decrease lamotrigine dose B. If adding valproic acid decrease lamotrigine dose C. If adding carbamazepine no dose change is needed D. If adding valproic acid no dose change is neeed Patient is a 59-year-old male with a past medical history significant for bipolar disorder I, hypertension, and COPD. He calls your clinic today complaining of extreme fatigue and a new tremor in his hand. He reports starting lithium 600 mg at bedtime about 5 days ago and thinks that may be the cause. What is the appropriate next step for this patient? A. Start propranolol for the tremor. B. Tell patient to cut dose in half to stop the tremor. C. Verify labs to determine appropriate lithium level. D. Tell patient to discontinue the medication all together due to lithium toxicity. NURS6630 PSYCHOPHARMACOLOGY 6630 MIDTERM EXAM WK6 Q & As BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ NURS6630 PSYCHOPHARMACOLOGY 6630 MIDTERM EXAM WK6 Q & As BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ tobacco use/non-use? A.Rispe ri done B.Halo pe ridol C.Aripi pr azole D.Cloza p ine Of the following medications, which ones are considered first-line in treatment of an acute manic episode of bipolar disorder (assuming monotherapy)? 1. Lithium 2. Fluoxetine 3. Aripiprazole 4. Risperidone 5. Ziprasidone 6. Venlafaxine 7. Quetiapine 8. Valproate A. I, III, and VIII only NURS6630 PSYCHOPHARMACOLOGY 6630 MIDTERM EXAM WK6 Q & As BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ NURS6630 PSYCHOPHARMACOLOGY 6630 MIDTERM EXAM WK6 Q & As BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ B. I, III, IV, V, VII, and VIII only C. I, III, and VI only D.I only E.All that are listed are appropriate in treating the acute episode. Which answer choice includes all the components of patient-focused interventions to enhance adherence? 1. Education 2. Motivation 3. Skills 4. Logi s tics a.I, II, and III only NURS6630 PSYCHOPHARMACOLOGY 6630 MIDTERM EXAM WK6 Q & As BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ NURS6630 PSYCHOPHARMACOLOGY 6630 MIDTERM EXAM WK6 Q & As BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ b.I, II, III, and IV c.II and III only d.I and IV only K. T. is a 35-year-old woman who was diagnosed with Generalized Anxiety Disorder about 4 weeks ago. She was prescribed Clonazepam 2 mg at bedtime but was referred to you to determine chronic treatment. K. T. states the new medication has been helping a lot but worries about all the side effects that come with it. She wants to discontinue the medication. What is the appropriate next step to help K. T.? A. Inform her that the therapy is working and there is no need to discontinue. B. Begin a slow taper of clonazepam and talk about alternative medications to help with her new diagnosis. C.Discontinue clonazepam at this visit and begin Escitalopram 5 mg daily. D.Change her scheduled dosing to as needed to help with anxiety symptoms. Close-ended questions will help identify when patients are taking medications incorrectly. a.True b.False NURS6630 PSYCHOPHARMACOLOGY 6630 MIDTERM EXAM WK6 Q & As BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ NURS6630 PSYCHOPHARMACOLOGY 6630 MIDTERM EXAM WK6 Q & As BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ B.Fa l se Answer:1:- Initiating lithium, how long should you wait before checking a lithium level? What is the therapeutic goal level of lithium? A).5 days; 0.6 to 0.8 mEq/L. Answer:2:- In order for the NMDA receptor to fully open and allow an influx of calcium, both glutamate and glycine must bind to cause a depolarization of the cell that will ultimately displace which ion. a). Sodium - ionotropic NURS6630 PSYCHOPHARMACOLOGY 6630 MIDTERM EXAM WK6 Q & As BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ NURS6630 PSYCHOPHARMACOLOGY 6630 MIDTERM EXAM WK6 Q & As BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ Answer:3:- drug below has an interaction with cigarette smoking and should be adjusted based on patient's tobacco use/non-use. d). Clozapine. Answer:4:- ones are considered first-line in treatment of an acute manic episode of bipolar disorder (assuming monotherapy. B). I, III, IV, V, VII, and VIII only Answer:5:- choice includes all the components of patient- focused interventions to enhance adherence. d). I and IV only Answer:6:- Discontinue the medication. What is the appropriate next step to help K. T. B). Begin a slow taper of clonazepam and talk about alternative medications to help with her new diagnosis. Answer:7:- Close-ended questions will help identify when patients NURS6630 PSYCHOPHARMACOLOGY 6630 MIDTERM EXAM WK6 Q & As BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ NURS6630 PSYCHOPHARMACOLOGY 6630 MIDTERM EXAM WK6 Q & As BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+ are taking medications incorrectly. a.True. Answer:8:- How long must the patient be symptom-free before he may begin a trial to taper off the antidepressant therapy: A). ≥ 12 months Answer:9:- Selection of an antipsychotic agent is usually guided by the side-effect profile and by available formulations. A.)True NURS6630 PSYCHOPHARMACOLOGY 6630 MIDTERM EXAM WK6 Q & As BEST EXAM SOLUTION LATEST UPDATE 2022/2023 GRADED A+