NR 546 NEWEST EXAM WITH MULTIPLE CHOICE OF QUESTIONS AND
CORRECT ANSWERS ALREADY GRADED A+ AND 100% GUARANTEE
PASS (BRAND NEW!!!!!!!!!)
Prefrontal Cortex Symptoms of MDD - CORRECT ANSWERS-Concentration
Mental Fatigue
Mood
PFC & Amygdala Symptoms of MDD - CORRECT ANSWERS-Guilt
Suicidality
Worthlessness
Striatum Symptoms of MDD - CORRECT ANSWERS-Physical fatigue
Nucleus Accumbens Symptoms of MDD - CORRECT ANSWERS-Pleasure
interests
Hypothalamus Symptoms of MDD - CORRECT ANSWERS-Sleep
Appetite
Thalamus & Hypothalamus Symptoms of Mania - CORRECT ANSWERS-
Decreased sleep/arousal
Striatum Symptoms of Mania - CORRECT ANSWERS-Motor/agitation
,Prefrontal cortex (PFC) Symptoms of Mania - CORRECT ANSWERS-Risk-taking
Talkative/pressured speech
Nucleus Accumbens & PFC Symptoms of Mania - CORRECT ANSWERS-Racing
thoughts, grandiosity
PFC & Amygdala Symptoms of Mania - CORRECT ANSWERS-Mood
Medication Management - CORRECT ANSWERS-SSRI-Selective Serotonin
Reuptake Inhibitors
*Inhibit 5 HT reuptake
SNRI-Serotonin Norepinephrine Reuptake Inhibitors
*inhibit 5-HT reuptake
*inhibit NE reuptake (increase energy, focus)
*increase DA in prefrontal cortex (increase cognition)
NDRI-Norepinephrine Dopamine Reuptake inhibitors
*inhibit DA reuptake (increase alertness, motivation)
*inhibit NE reuptake (increase energy)
SARI-Serotonin Antagonist Reuptake Inhibitors
Selective Serotonin Reuptake Inhibitors (SSRIs): Most adverse effects will
subside after 4-5 days once the body adjusts to increased serotonin levels. -
CORRECT ANSWERS-diarrhea
headache
weight gain
sexual side effects
,Serotonin Norepinephrine Reuptake Inhibitors (SNRIs): Medications should not
be abruptly stopped to avoid discontinuation symptoms. NE effects of the
medication may increase anxiety in some clients. Report worsening anxiety to
the provider. - CORRECT ANSWERS-elevated blood pressure
anxiety
insomnia
constipation
Norepinephrine Dopamine Reuptake Inhibitors (NDRI): Take medication in the
morning. Stop taking medication if seizures occur. Stop taking medication if
anxiety is noted. - CORRECT ANSWERS-agitation
headache
dry mouth
constipation
weight loss
escitalopram (Lexapro) SSRI - CORRECT ANSWERS-no known drug
interactions
best tolerated SSRI
27-32 hour half-life good for forgetful prone clients
least CYP reactions
Substrate for 3A4
citalopram (Celexa) SSRI - CORRECT ANSWERS-mild antihistamine effects;
Half-Life: 23-45 hours
, Weak Inhibitor of 2D6
fluoxetine (Prozac) SSRI - CORRECT ANSWERS-longest half-life
Use caution in patients with comorbid anxiety due to risk for activation and
panic attacks
Half-Life: 2-3 days parent, 2 week metabolite
Inhibits 2D6 and 3A4
paroxetine (Paxil) SSRI - CORRECT ANSWERS-also treats social anxiety and
insomnia
associated with weight gain
will experience withdrawal with missed dose or abrupt stop
Half-Life: 24 hours
Inhibits 2D6
fluvoxamine (Luvox) SSRI - CORRECT ANSWERS-treats anxious depression
smokers require an increased dose
Half-Life: 9-28 hours
Inhibits 3A4, 2C9, 1A2
sertraline (Zoloft) SSRI - CORRECT ANSWERS-also treats social anxiety and
hypersomnolence
Half-Life: 22-36 hour parent; 62-104 hour metabolite
Inhibits 2D6 and 3A4 weakly at low doses
CORRECT ANSWERS ALREADY GRADED A+ AND 100% GUARANTEE
PASS (BRAND NEW!!!!!!!!!)
Prefrontal Cortex Symptoms of MDD - CORRECT ANSWERS-Concentration
Mental Fatigue
Mood
PFC & Amygdala Symptoms of MDD - CORRECT ANSWERS-Guilt
Suicidality
Worthlessness
Striatum Symptoms of MDD - CORRECT ANSWERS-Physical fatigue
Nucleus Accumbens Symptoms of MDD - CORRECT ANSWERS-Pleasure
interests
Hypothalamus Symptoms of MDD - CORRECT ANSWERS-Sleep
Appetite
Thalamus & Hypothalamus Symptoms of Mania - CORRECT ANSWERS-
Decreased sleep/arousal
Striatum Symptoms of Mania - CORRECT ANSWERS-Motor/agitation
,Prefrontal cortex (PFC) Symptoms of Mania - CORRECT ANSWERS-Risk-taking
Talkative/pressured speech
Nucleus Accumbens & PFC Symptoms of Mania - CORRECT ANSWERS-Racing
thoughts, grandiosity
PFC & Amygdala Symptoms of Mania - CORRECT ANSWERS-Mood
Medication Management - CORRECT ANSWERS-SSRI-Selective Serotonin
Reuptake Inhibitors
*Inhibit 5 HT reuptake
SNRI-Serotonin Norepinephrine Reuptake Inhibitors
*inhibit 5-HT reuptake
*inhibit NE reuptake (increase energy, focus)
*increase DA in prefrontal cortex (increase cognition)
NDRI-Norepinephrine Dopamine Reuptake inhibitors
*inhibit DA reuptake (increase alertness, motivation)
*inhibit NE reuptake (increase energy)
SARI-Serotonin Antagonist Reuptake Inhibitors
Selective Serotonin Reuptake Inhibitors (SSRIs): Most adverse effects will
subside after 4-5 days once the body adjusts to increased serotonin levels. -
CORRECT ANSWERS-diarrhea
headache
weight gain
sexual side effects
,Serotonin Norepinephrine Reuptake Inhibitors (SNRIs): Medications should not
be abruptly stopped to avoid discontinuation symptoms. NE effects of the
medication may increase anxiety in some clients. Report worsening anxiety to
the provider. - CORRECT ANSWERS-elevated blood pressure
anxiety
insomnia
constipation
Norepinephrine Dopamine Reuptake Inhibitors (NDRI): Take medication in the
morning. Stop taking medication if seizures occur. Stop taking medication if
anxiety is noted. - CORRECT ANSWERS-agitation
headache
dry mouth
constipation
weight loss
escitalopram (Lexapro) SSRI - CORRECT ANSWERS-no known drug
interactions
best tolerated SSRI
27-32 hour half-life good for forgetful prone clients
least CYP reactions
Substrate for 3A4
citalopram (Celexa) SSRI - CORRECT ANSWERS-mild antihistamine effects;
Half-Life: 23-45 hours
, Weak Inhibitor of 2D6
fluoxetine (Prozac) SSRI - CORRECT ANSWERS-longest half-life
Use caution in patients with comorbid anxiety due to risk for activation and
panic attacks
Half-Life: 2-3 days parent, 2 week metabolite
Inhibits 2D6 and 3A4
paroxetine (Paxil) SSRI - CORRECT ANSWERS-also treats social anxiety and
insomnia
associated with weight gain
will experience withdrawal with missed dose or abrupt stop
Half-Life: 24 hours
Inhibits 2D6
fluvoxamine (Luvox) SSRI - CORRECT ANSWERS-treats anxious depression
smokers require an increased dose
Half-Life: 9-28 hours
Inhibits 3A4, 2C9, 1A2
sertraline (Zoloft) SSRI - CORRECT ANSWERS-also treats social anxiety and
hypersomnolence
Half-Life: 22-36 hour parent; 62-104 hour metabolite
Inhibits 2D6 and 3A4 weakly at low doses
