NURS 660 Exam 3: Psychopharmacology
and Advanced Mental Health Questions
with correct Answers – Maryville.
Which neurotransmitter is affected by light and activity? Melatonin
Someone comes in with chronic hepatitis, also has chronic neuropathic
pain. What medication would you AVOID prescribing to this patient and
why? Cymbalta; elevates LFTs
What condition does this describe a. worry, anxiety, arousal, fatigue,
sleeplessness, muscle tension? GAD
A woman was raped, and continues to have fear of opposite sex on her
way to parking garage. Which two areas of the brain are involved?
amygdala and hippocampus
MOA of modafinil (Provigil). How does it promote normal wakefulness
histamine, NE at alpha adrenergic receptor sites, dopamine at D2
receptors
What is the MOA of eszopiclone? What receptors does it act on?
Binds to GABA receptors to increase GABA to increase sleepiness
, Which would be the first line appropriate pharmacological agent for
PTSD? Paroxetine
What mediation is used to alleviate to help cognitive pain and physical
symptoms in fibromyalgia? Milnacepran (Savella)
With the difficulty breathing is related hypothetically to the activation
of what area of the brain? parabrachial nucleous
What medications are good for falling asleep "sleep induction" and are
not addictive? Suvorexant (Belsmora)
Know the MOA of buspirone. Which receptor does it primarily act
upon? serotonin 1a 5HT1A partial agonist
How does melatonin improve sleep? What receptors does it act on?
Agonist or antatonist? Secreted by the pineal glad to attach to
receptors in the suprachiasmic nucleus to regulate the circadian
rhythm; agonist
Current dx of generalized anxiety disorder (GAD), difficulty
concentrating as well as problems falling asleep. She gets very angry
over basic things and is very moody in general, excessive stressful
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