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2024 NR546 WEEK 5 EXAM WITH CORRECT ANSWERS
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2024 NR546 WEEK 5 EXAM WITH CORRECT ANSWERS
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2024 NR546 WEEK 5 EXAM WITHCORRECT ANSWERS
Pharmacologic Treatment of Major Depressive Disorder - CORRECT-
ANSWERSSelective serotonin reuptake inhibitors (SSRIs)
Serotonin-norepinephrine reuptake inhibitors (SNRIs)
Norepinephrine and dopamine reuptake inhibitors (NDRIs)
Serotonin antagonists and reuptake inhibitors (SARIs)
Miscellaneous antidepressants
Monoamine oxidase (MAO)-B inhibitors
Adjunct: antipsychotics
Pharmacologic Treatment of Bipolar Disorder - CORRECT-ANSWERSLithium
Anticonvulsants
Second generation antipsychotics
Which of the following education topics are indicated when initiating
medication for depression? - CORRECT-ANSWERSpotential side effects, the
potential for worsening mood or suicidal ideation, expected response time to
medication
Rebecca presents for treatment of moderate depression. Her medical history
includes the use of four medications for comorbid physical diagnoses. Which
medication is least likely to interact with other prescriptions? - CORRECT-
ANSWERSescitalopram
Rationale: Escitalopram is the best choice, as there are no known drug
interactions. The other options utilize CYP450 2D6 and therefore have the
potential for drug interactions.
Kristin is a 56-year-old client of Asian descent recently diagnosed with
bipolar disorder. Which medication would require genetic testing to ensure
safe administration? - CORRECT-ANSWERSCarbemazepine
Rationale: Carbemazepine may cause Stevens-Johnson Syndrome in people
of Asian descent who have a higher risk of HLA-B 1502. Genetic testing
would need to be performed prior to prescribing this medication.
Acute agitation in mania may be treated with: - CORRECT-ANSWERSrapid-
acting oral, inhaled, or IM antimanic agents
,Non-euphoric manic symptoms - CORRECT-ANSWERSpsychomotor agitation,
impulsivity, irritability, and racing/crowded thoughts
Match diagnostic symptom to Malfunctioning Brain Circuit: Prefrontal Cortex
(PFC) - CORRECT-ANSWERSManic Episode
-Racing thoughts
-Grandiosity
-Distractibility
-Talkative/pressured speech
Major Depressive Episode
-Concentration
-Interest/pleasure
-psychomotor
-fatigue (mental)
Match diagnostic symptom to Malfunctioning Brain Circuit: Basal Forebrain
(BF) - CORRECT-ANSWERSManic Episode
-Decreased sleep/arousal
Match diagnostic symptom to Malfunctioning Brain Circuit: Striatum (S) -
CORRECT-ANSWERSManic Episode
-
Major Depressive Episode
-Psychomotor
-Fatigue (physical)
Match diagnostic symptom to Malfunctioning Brain Circuit: Nucleus
Accumbens (NA) - CORRECT-ANSWERSManic Episode
-Racing thoughts
-Goal-directed
-Grandiosity
Major Depressive Episode
-Pleasure
-Interests
-Fatigue/energy
Match diagnostic symptom to Malfunctioning Brain Circuit: Thalamus (T) -
CORRECT-ANSWERSManic Episode
-Decreased sleep/arousal
Match diagnostic symptom to Malfunctioning Brain Circuit: Hypothalamus
(Hy) - CORRECT-ANSWERSManic Episode
-Decreased sleep/arousal
, Major Depressive Episode
-Sleep
-Appetite
Match diagnostic symptom to Malfunctioning Brain Circuit: Amygdala (A) -
CORRECT-ANSWERSManic Episode
-Mood
Major Depressive Episode
-Guilt
-Suicidality
-Worthlessness
-Mood
Match diagnostic symptom to Malfunctioning Brain Circuit: Spinal Cord (SC) -
CORRECT-ANSWERSMajor Depressive Episode
-Fatigue (physical)
Match diagnostic symptom to Malfunctioning Brain Circuit: Cerebellum (C) -
CORRECT-ANSWERSMajor Depressive Episode
-Psychomotor
Mood disorders: role of the psychiatric mental health nurse practitioner
(PMHNP) is to: - CORRECT-ANSWERSdetermine the malfunctioning brain
circuit responsible for the client's presenting symptoms and select the
appropriate medication that targets the associated neurotransmitter(s)
Mood disorders manifest across a spectrum from: - CORRECT-
ANSWERSmania to major depressive disorder (MDD)
Unipolar depression - CORRECT-ANSWERSmajor depressive disorder (MDD)
one of the most common mental disorders
-Approximately 7.1% of adults in the U.S. had episode in last year,
prevalence highest (13.1%) among individuals aged 18-25
S/S
-depressed mood
-loss of interest or pleasure in daily activities
-irritability
-withdrawal
-problems with sleep, eating, energy, concentration, or self-worth
-severe depression: may experience thoughts of suicide or psychotic
symptoms.
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