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NR 546 PSYCHOPHARM FINAL EXAM
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NR 546 PSYCHOPHARM FINAL EXAM
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NR 546 PSYCHOPHARM FINAL EXAM 2024 ACTUALEXAM COMPLETE 200 QUESTIONS WITH DETAILED
VERIFIED ANSWERS (100% CORRECT) ALREADY
GRADED A+
https://www.youtube.com/watch?v=l8pObJTzRzY - ANSWER: SUCH A GOOD VIDEO
AND WHERE GOT MEMORY IDEAS
A client with acute mania is prescribed lithium. During this time, the nurse would
anticipate obtaining blood concentrations how often? - ANSWER: twice a week
A client taking lithium for bipolar disorder comes to the clinic and reports symptoms
which the nurse interprets as consistent with moderate lithium toxicity. Which
action should the nurse perform? Select all that apply. - ANSWER: Withhold
additional doses of lithium, Obtain a blood sample for lithium level, Push fluids,
Contact the physician.
A client with bipolar disorder is receiving lithium therapy. The nurse is reviewing the
client's serum plasma drug levels and determines that the client's level is therapeutic
based on what? - ANSWER: 1.0 mEq/L
Once a client's condition is stabilized on lithium, serum levels should be monitored
every ... - ANSWER: 2 months
Both valproate and carbamazepine may be lethal if high doses are ingested. Toxic
symptoms appear in 1 to 3 hours and include what? - ANSWER: neurological
disturbances
Concomitant use of antidepressants with monoamine oxidase inhibitors (MAOIs) can
cause which life-threatening drug interaction? - ANSWER: hypertension crisis
Which client is most likely to be at risk for drug dependence and difficulties with
withdrawal?
-A client who has recently begun treatment with propranolol for the treatment of
social phobia
-A client with generalized anxiety disorder who has responded well since beginning
treatment with fluoxetine earlier in the year -A woman who has been taking
lorazepam for several months after witnessing a traumatic motor vehicle accident
-A man whose obsessive-compulsive disorder is being treated long term with
paroxetine - ANSWER: A woman who has been taking lorazepam for several months
after witnessing a traumatic motor vehicle accident
The potential for dependence and difficulties with withdrawal is much higher with
benzodiazepines than with beta-blockers or SSRIs.
,Which medication classification has most commonly been used to treat social
phobia? - ANSWER: Selective serotonin reuptake inhibitors (SSRIs)
A client asks how the client's prescribed alprazolam helps the client's anxiety
disorder. The nurse explains while teaching the client about medications that
antianxiety medications such as alprazolam affect the function of which
neurotransmitter that is believed to be dysfunctional in anxiety disorders? -
ANSWER: Gamma-aminobutyric acid (GABA)
After teaching a client about possible side effects of benzodiazepines, the nurse
determines that additional teaching is needed when the client identifies which h of
the following as a possible side effect of the drug? - ANSWER: metallic taste
A male combat veteran with a diagnosis of post-traumatic stress disorder has been
prescribed prazosin. What outcome would most clearly indicate the effectiveness of
this treatment? - ANSWER: The client reports fewer and less intense nightmares.
A client with post-traumatic stress disorder (PTSD) has just been prescribed
sertraline by her primary care provider. What topic should the nurse include during
health education? - ANSWER: The importance of avoiding alcohol use during
treatment
A client with post-traumatic stress disorder has just been prescribed sertraline.
When teaching the client about this medication, which information would the nurse
most likely stress? - ANSWER: Taking the medication once per day
A client is prescribed lorazepam for anxiety experienced with the death of a parent.
Which instruction should the nurse provide related to the medication? - ANSWER:
orthostatic hypotension
A client with posttraumatic stress disorder (PTSD) has been prescribed lorazepam 1
mg SL q6h PRN. What assessment finding indicates that treatment is having the
desired effect? - ANSWER: reduced anxiety
meds for AN and BN - ANSWER: No evidence SSRIs are effective for AN symptoms
SSRIs may be helpful in reducing BN symptoms
Lisdexaphetamine (Vyvanse) used for? - ANSWER: binge eating disorder (BED)
tx for BN (bulimia nervosa) - ANSWER: CBT and SSRI Fluoxetine for BN sx
tx eating disorders - ANSWER: SSRIs, Vitamin and Potassium replacement, Proton-
pump inhibitors (decrease gastric acid secreation, decrease metabolic acidosis and
conserve potassium)
, approved for BN - ANSWER: Prozac is FDA approved for treatment, but efficacy
varies and many people do not find it useful to reduce purging
what is contraindicated in AN/BN - ANSWER: Wellbutrin
med tx for AN - ANSWER: No FDA approved medications; Zyprexa is sometimes used
to promote weight gain and decrease ruminative thoughts.
which meds are avoided in AN and BN - ANSWER: TCAs avoided just as with frail
elders
med tx for very agitated elderly - ANSWER: atypical antipsychotics has black box
warning for pts with dementia (risk for sudden death increased)
if going to use anti psychotics need to use conventional first generation drugs like
haloperidol
Sertraline (SSRI) - ANSWER: - often used for older adults because least affect of drug-
drug interactions
- wash out is 48h so use if not sure if bipolar or not
- bad side effect when stop abruptly
- CAN GIVE in pregnancy
Fluoxetine (SSRI) - ANSWER: - highest drug-drug interactions so avoided in elderly
- 3-4 weeks to flush out (so not for if not sure if bipolar or not)
- SE longer with stop abruptly
- only one approved for bulimia
- "flu" you throw up, so used to tx Bulimia
Paroxetine (SSRI) - ANSWER: - CONTRAINDICATED in pregnancy (not good for a
"PAIR")
- rapidly absorbed so worse withdrawal if stop abruptly
Citalopram (SSRI) - ANSWER: - at higher doses, need yearly EKGs
Escitalopram (SSRI) - ANSWER: - version of Citalopram
Fluvoxamine - ANSWER: - only approved for OCD
- NOT approved MD
"flu-OC-amine"
1st, 2nd, and 3rd line tx of MD - ANSWER: - 1. SSRIs
- 2. SNRIs
- 3. NDRI- (Bupropion)
SSRIs - ANSWER: Citalopram (Celexa)
Escitalopram (Lexapro)
Fluoxetine (Prozac)
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