NRl 566/l NR566l Finall Exam:l Advancedl
Pharmacologyl forl Carel ofl thel Familyl
Reviewl (Latestl 2026/l 2027l Update)l |l Qsl
&l As|l Gradel A|l 100%l Correctl (Verifiedl
Answers)-l Chamberlain
QUESTION
Tricyclicl antidepressantsl (TCA)
Baselinel datal neededl tol prescribe
Patientl educationl needed
Answer:
ECGl shouldl bel checked,l especiallyl inl patientsl withl knownl dysrhythmiasl orl patientsl
olderl thanl 40l yearsl ofl age.
Patientsl shouldl bel informedl thatl theyl canl minimizel orthostaticl hypotensionl byl movingl
slowlyl whenl assumingl anl uprightl posture.l Inl addition,l patientsl shouldl bel instructedl tol
sitl orl liel downl ifl symptomsl (dizziness,l lightheadedness)l occur.
QUESTION
Monoaminel oxidasel inhibitorsl (MAOI)
Baselinel datal neededl tol prescribe
Patientl educationl needed
Answer:
Baselinel bloodl pressurel shouldl bel obtained.
Patientsl shouldl bel informedl aboutl thel symptomsl ofl hypertensivel crisisl (headache,l
tachycardia,l palpitations,l nausea,l vomiting,l sweating)l andl instructedl tol seekl immediatel
medicall attentionl ifl thesel develop.
,Inl additionl tol tyramine,l severall otherl dietaryl constituentsl (e.g.,l caffeine,l
phenylethylamine)l canl precipitatel hypertensionl inl patientsl takingl MAOIs.l Foodsl thatl
containl thesel compoundsl arel listedl inl Tablel 27.5.l Patientsl shouldl bel instructedl tol avoidl
them.
QUESTION
Monoaminel oxidasel inhibitorsl (MAOI)
Dietaryl restrictions
Answer:
Dietaryl tyraminel canl producel al life-threateningl hypertensivel crisis.
Vegetablesl --Avocados,l especiallyl ifl overripe;l fermentedl beanl curd;l fermentedl soybean;l
soybeanl paste
Fruits--Figs,l especiallyl ifl overripe;l bananas,l inl largel amounts
Meats--Meatsl thatl arel fermented,l smoked,l orl otherwisel aged;l spoiledl meats;l liver,l unlessl
veryl fresh
sausagel --l Fermentedl varieties:l bologna,l pepperoni,l salami,l others
Fish--l Driedl orl curedl fish;l fishl thatl isl fermented,l smoked,l orl otherwisel aged;l spoiledl
fish
Milk,l milkl productsl --Practicallyl alll cheeses
Foodsl withl yeast--l Yeastl extractl (e.g.,l Marmite,l Bovril)
Beer,l wine--l Somel importedl beers,l Chiantil wine
Otherl foods--l Proteinl dietaryl supplements;l soupsl (mayl containl proteinl extract);l shrimpl
paste;l soyl sauce
Chocolate
Faval beansl
Ginsengl
Caffeinatedl beverages
, QUESTION
Examplesl drugsl froml thel followingl drugl classes
Benzodiazepines
Benzodiazepine-likel drugs
Zolpidem
Melatoninl receptorl agonist
Answer:
Benzodiazepines:l Temazepaml (Restoril),l Clonazepaml (Klonopin,l Rivotril),l Alprazolaml
(Xanax,l Xanaxl XR,l Niravam),l Diazepaml (Valium,l Diastatl AcuDial),l Lorazepaml (Ativan)
Benzodiazepine-Likel Drugs:
zolpideml (Ambien)
zaleplonl (Sonata)
eszopiclonel (Lunesta)
Melatoninl Receptorl Agonist::
Ramelteonl (Rozerem)
Orexinl Receptorl Antagonist:
Suvorexantl (Belsomra)
QUESTION
Symptomsl ofl serotoninl withdrawal
Answer:
Symptomsl includel dizziness,l headache,l nausea,l sensoryl disturbances,l tremor,l anxiety,l andl
dysphoria.l
Thesel beginl withinl daysl tol weeksl ofl thel lastl dosel andl thenl persistl forl 1l tol 3l weeks.
QUESTION
Firstl generationl antipsychoticsl (FGA)
Patientl teaching
Pharmacologyl forl Carel ofl thel Familyl
Reviewl (Latestl 2026/l 2027l Update)l |l Qsl
&l As|l Gradel A|l 100%l Correctl (Verifiedl
Answers)-l Chamberlain
QUESTION
Tricyclicl antidepressantsl (TCA)
Baselinel datal neededl tol prescribe
Patientl educationl needed
Answer:
ECGl shouldl bel checked,l especiallyl inl patientsl withl knownl dysrhythmiasl orl patientsl
olderl thanl 40l yearsl ofl age.
Patientsl shouldl bel informedl thatl theyl canl minimizel orthostaticl hypotensionl byl movingl
slowlyl whenl assumingl anl uprightl posture.l Inl addition,l patientsl shouldl bel instructedl tol
sitl orl liel downl ifl symptomsl (dizziness,l lightheadedness)l occur.
QUESTION
Monoaminel oxidasel inhibitorsl (MAOI)
Baselinel datal neededl tol prescribe
Patientl educationl needed
Answer:
Baselinel bloodl pressurel shouldl bel obtained.
Patientsl shouldl bel informedl aboutl thel symptomsl ofl hypertensivel crisisl (headache,l
tachycardia,l palpitations,l nausea,l vomiting,l sweating)l andl instructedl tol seekl immediatel
medicall attentionl ifl thesel develop.
,Inl additionl tol tyramine,l severall otherl dietaryl constituentsl (e.g.,l caffeine,l
phenylethylamine)l canl precipitatel hypertensionl inl patientsl takingl MAOIs.l Foodsl thatl
containl thesel compoundsl arel listedl inl Tablel 27.5.l Patientsl shouldl bel instructedl tol avoidl
them.
QUESTION
Monoaminel oxidasel inhibitorsl (MAOI)
Dietaryl restrictions
Answer:
Dietaryl tyraminel canl producel al life-threateningl hypertensivel crisis.
Vegetablesl --Avocados,l especiallyl ifl overripe;l fermentedl beanl curd;l fermentedl soybean;l
soybeanl paste
Fruits--Figs,l especiallyl ifl overripe;l bananas,l inl largel amounts
Meats--Meatsl thatl arel fermented,l smoked,l orl otherwisel aged;l spoiledl meats;l liver,l unlessl
veryl fresh
sausagel --l Fermentedl varieties:l bologna,l pepperoni,l salami,l others
Fish--l Driedl orl curedl fish;l fishl thatl isl fermented,l smoked,l orl otherwisel aged;l spoiledl
fish
Milk,l milkl productsl --Practicallyl alll cheeses
Foodsl withl yeast--l Yeastl extractl (e.g.,l Marmite,l Bovril)
Beer,l wine--l Somel importedl beers,l Chiantil wine
Otherl foods--l Proteinl dietaryl supplements;l soupsl (mayl containl proteinl extract);l shrimpl
paste;l soyl sauce
Chocolate
Faval beansl
Ginsengl
Caffeinatedl beverages
, QUESTION
Examplesl drugsl froml thel followingl drugl classes
Benzodiazepines
Benzodiazepine-likel drugs
Zolpidem
Melatoninl receptorl agonist
Answer:
Benzodiazepines:l Temazepaml (Restoril),l Clonazepaml (Klonopin,l Rivotril),l Alprazolaml
(Xanax,l Xanaxl XR,l Niravam),l Diazepaml (Valium,l Diastatl AcuDial),l Lorazepaml (Ativan)
Benzodiazepine-Likel Drugs:
zolpideml (Ambien)
zaleplonl (Sonata)
eszopiclonel (Lunesta)
Melatoninl Receptorl Agonist::
Ramelteonl (Rozerem)
Orexinl Receptorl Antagonist:
Suvorexantl (Belsomra)
QUESTION
Symptomsl ofl serotoninl withdrawal
Answer:
Symptomsl includel dizziness,l headache,l nausea,l sensoryl disturbances,l tremor,l anxiety,l andl
dysphoria.l
Thesel beginl withinl daysl tol weeksl ofl thel lastl dosel andl thenl persistl forl 1l tol 3l weeks.
QUESTION
Firstl generationl antipsychoticsl (FGA)
Patientl teaching
