Download NU643 FINAL ADVANCED PSYCHOPHARMACOLOGYACTUAL FINAL EXAM 2025|110 Qs&As|GRADED A+ and more Exams Nursing in PDF only on Docsity!
NU643 FINAL ADVANCED
PSYCHOPHARMACOLOGYACTUAL FINAL EXAM
2025|110 Qs&As|GRADED A+
A clinician is considering treatment options for a 28-year-old female with ADHD who has a history of alcohol and marijuana abuse. Which of the following statements accurately explains the effects of different stimulant formulations on neuronal firing? Select one: a .Pulsatile stimulation amplifies A clinician is considering treatment options for a 28-year-old female with ADHD who has a history of alcohol and marijuana abuse. Which of the following statements accurately explains the effects of different stimulant formulations on neuronal firing? Select one: a undesirable phasic dopamine and norepinephrine firing, which can lead to euphoria and abuse. : Pulsatile delivery of stimulants can cause a frequent and rapid increase in norepinephrine and dopamine, and this amplifies phasic firing. Phasic firing is thought to be associated with reward, feelings of euphoria, and abuse potential Problems with selective attention associated with ADHD are hypothetically regulated by the: Select one: a. anterior cingulate cortex Which of the following statements about disulfiram is true? Select one:
a. Disulfiram works by blocking the action of acetaldehyde dehydrogenase.
- What pathway mediates prolactin and is involved in changes in prolactin levels? Select one: d. Tubero infundibular Use the following CYP450 table to hypothesize drug interactions and their clinical significance for a patient on sertraline who begins regularly taking over- the-counter ibuprofen. Select one: e. There is notheoretical interaction between these two medications. . Which of the following statements is true about drug distribution? Select one d. Protein binding of psychotropic drugs can impact their availability at receptor sites. Which of the following statements is TRUE about neuronal gene expression? Select one: a. Environmental factors can alter a neuron's gene expression.
Which of the following statements about FDA warnings and antidepressants in children and adolescents is TRUE? Select one: c. For moderate to severe anxiety and depression, antidepressant benefit may outweigh risks. A 28 y.o. male presents with a severe alcohol abuse problem and you are discussing pharmacotherapy as part of his treatment plan. You advise naltrexone and use which of the following statements to help with you explanation? Select one: a. Naltrexone blocks mu-opioid receptors to reduce the euphoria you might normally experience with heavy drinking. When prescribing atypical antipsychotic medications, which of the following statements is MOST true? Select one: c. Atypical antipsychotics are not approved for the treatment of geriatric dementia-related psychosis and carry increased risk of mortality in this population. Which of the following statements about benzodiazepines in the treatment of bipolar disorder is TRUE? Select one: c. Adjunctive use of benzodiazepines with mood stabilizers is useful for agitation and insomnia. Which of the following statements about lithium carbonate is TRUE? Select one:
c. Kidney impairment after long-term lithium treatment is a common adverse side effect. Which of the following statements is TRUE about mirtazapine? Select one: c. Mirtazapine has side effects of weight gain and sedation. Which of the following statements is TRUE about antidepressant side effects? Select one: c. Discussing possible side effects before starting medication is associated with patients staying on medications longer. Which of the following statements is TRUE about tardive dyskinesia? Select one: c. Elderly patients may develop tardive dyskinesia sooner in treatment than younger patients. Which of the following statements about bupropion is TRUE? Select one: a. Bupropion may help with symptoms of attention and focus in patients with ADHD.
The medication side effect most likely to result in aggression or violence is ________. Select one: a. Akathisia. Which of the following is NOT a potentially serious side effect of psychostimulants? Select one: b. Hyponatremia. Which of the following SSRI medications would be considered first-line treatment for generalized anxiety disorder? Select one: c. Sertraline. Which antidepressant is LEAST likely to cause sexual side effects? Select one: c. Bupropion. Which of the following antipsychotics is LEAST likely to cause significant weight gain? Select one: d. Ziprasidone.
When considering metabolic risk associated with atypical antipsychotics, which of the following statements is TRUE? Select one: b. Patients taking atypical antipsychotics are at increased risk for diabetes and cardiovascular disease. Which of the following is a potentially serious side effect of oxcarbazepine? Select one: c. Hyponatremia. A 73-year-old male presents as a new patient with a history of long-term use of clonazepam 1 mg QID. Which of the following actions is appropriate in the first visit? Select one: d. Assess for safety, educate about the associated risks of benzodiazepines, begin discussion about tapering the medication, obtain and document informed consent. Which of the following statements about long-acting injectable (LAI) antipsychotics is TRUE? Select one: d. Patients with a history of neuroleptic malignant syndrome should not be initiated on LAI antipsychotics. Which of the following is TRUE about hyponatremia and antidepressants? Select one:
Carbamazepine has a half-life of approximately 12 hours. The clinical implications of this are ________. Select one: c. Therapeutic blood monitoring of carbamazepine should not occur before 2½ days of starting the medication. Which of the following statements regarding suicide and antidepressant use is TRUE? Select one: a. Antidepressant use lowers the incidence of suicide in patients over 65. Which of the following statements about anxiety disorders and depressive disorders is TRUE? Select one: d. Overlapping symptoms of depression and anxiety suggest that both disorders can be targeted with the same first-line agents. When a patient achieves remission of depression, what is the recommended length of time that treatment should continue? Select one: a. The recommended length of treatment depends on the number of depressive episodes that a patient has had.
Which medication is NOT considered appropriate for the treatment of acute bipolar mania? Select one: c. Lamotrigine. Which of the following is NOT considered efficacious in bipolar depression? Select one: d. Valproic Acid. Which of the following medications is considered second-line (second-tier) treatment for bipolar disorder? Select one: d. Oxcarbazepine. Which of the following statements is TRUE about the use of clonidine and propranolol in the treatment of anxiety? Select one: b. Clonidine and propranolol target the physiologic symptoms associated with anxiety. Buspirone is indicated for which anxiety disorder? Select one: a. Generalized anxiety disorder.
Which of the following statements about memantine is TRUE? Select one: b. Memantine is an NMDA receptor antagonist and is hypothesized to reduce abnormal activation of glutamate. When treating acute aggression, which of the following medication combinations is a suggested treatment? Select one: d. Haldol + lorazepam. Which of the following statements about substance dependence is TRUE? Select one: b. Persons with a history of substance dependence are vulnerable to craving or relapse following exposure to any psychoactive substance. Which of the following statements about opioid withdrawal is TRUE? Select one: d. Buprenorphine should not be administered until a patient is in moderate opioid withdrawal. Which of the following conditions is considered PHYSIOLOGICALLY safe? Select one: d. Opioid withdrawal.
When monitoring patients on psychostimulants, which of the following is NOT a consideration? Select one: a. Glucose. Which of the following statements about preventing and recognizing prescription drug misuse is TRUE? Select one: c. Patients with active substance use should not be prescribed controlled substances. Which of the following is TRUE about medications for nicotine dependence? Select one: a. Nicotine replacement is the treatment of choice for nicotine withdrawal symptoms. When comparing naltrexone with acamprosate for alcohol dependence, which of the following statements is TRUE? Select one: d. Acamprosate and naltrexone are equally effective with similar side effect profiles.
Which of the following medications is FDA approved for the treatment of depression in children? Select one: a. Fluoxetine. Which of the following statements is TRUE when prescribing for pediatric populations? Select one: b. It is important to address parent/caregiver's perception of psychiatric medication. Which of the following statements about antipsychotic use in the elderly is TRUE? Select one: a. Antipsychotic use in patients with dementia is associated with increased risk of CVA and of mortality. Which of the following statements about psychotropic use in pregnancy is TRUE? Select one: d. All medications cross the placenta and pose a potential risk to the fetus. Which of the following statements is TRUE about teratogenicity in pregnancy? Select one:
a. The greatest risk of teratogenicity often occurs before a patient is aware that they are pregnant. Which of the following statements about anticonvulsant use in pregnancy is TRUE? Select one: a. As a class, anticonvulsants carry the highest risk of major congenital malformations. Which of the following statements is TRUE about psychotropic use during lactation? Select one: b. The postpartum period is considered a vulnerable time for onset, relapse, and recurrence of mental disorders. Which of the following statements about antipsychotic use in pregnancy is TRUE? Select one: b. Atypical antipsychotic use in pregnancy does not appear to be associated with major congenital malformations. Which of the following statements about SSRI discontinuation syndrome in neonates is TRUE? Select one: c. SSRI discontinuation syndrome is time-limited and usually resolves within two weeks.
Which of the following herbal formulas may be safe and effective for anxiety? Select one: d. Kava. Which of the following statements about complementary treatments in psychiatry is TRUE? Select one: c. Herbal formulations can interact adversely with psychiatric medications. Which of the following statements about herbal and complementary treatments is TRUE? Select one: c. Quality of herbal and complementary treatments is often inconsistent between brands. Which of the following medications may worsen tics? Select one: a. Methylphenidate. Which medication might be a good choice for a shift worker with excessive daytime sleepiness? Select one: c. Modafinil.
All of the following are important aspects of sleep hygiene practices EXCEPT ________. Select one: d. If unable to fall asleep, stay in bed A clinician is considering treatment options for a 28-year-old female with ADHD who has a history of alcohol and marijuana abuse. Which of the following statements accurately explains the effects of different stimulant formulations on neuronal firing? Select one: a .Pulsatile stimulation amplifies undesirable phasic dopamine and norepinephrine firing, which can lead to euphoria and abuse. : Pulsatile delivery of stimulants can cause a frequent and rapid increase in norepinephrine and dopamine, and this amplifies phasic firing. Phasic firing is thought to be associated with reward, feelings of euphoria, and abuse potential Which of the following statements about metabolic syndrome is TRUE? Select one d. Diet and lifestyle education should be included as a strategy for reducing risk of metabolic syndrome.
