NR 508 Advanced pharmacology Quiz 4
(2024/2025) Mid term Exam Q$A Verified Answers
Latest
1. CommonComplete Solutions
mistakes practitioners Questions
make in treating and
anxiety disorders Answers
include:
1. Switching medications after an 8- to 12-week trial
2. Maximizing dosing of antianxiety medications
3. Encouraging exercise and relaxation therapy before starting medication
4. Thinking a partial response to medication is acceptable
2. An appropriate first-line medication to try for mild to moderate generalized anxiety
disorder would be:
1. Alprazolam (Xanax)
2. Diazepam (Valium)
3. Buspirone (Buspar)
4. Amitriptyline (Elavil)
3. An appropriate medication to initially treat panic disorder is:
1. Alprazolam (Xanax)
2. Diazepam (Valium)
3. Buspirone (Buspar)
4. Amitriptyline (Elavil)
4. Prior to starting antidepressants, clients should have laboratory testing to rule out:
1. Hypothyroidism
2. Anemia
3. Diabetes mellitus
4. Low estrogen levels
5. David is a 34-year-old client who is starting on paroxetine (Paxil) for depression. David's
education regarding his medication would include:
1. Paroxetine may cause intermittent diarrhea.
2. He may experience sexual dysfunction beginning a month after he starts therapy.
3. He may have constipation and he should increase fluids and fiber.
4. Paroxetine has a long half-life so he may occasionally skip a prescription.
6. Jamison has been prescribed citalopram (Celexa) to treat his depression. Education
regarding how quickly selective serotonin reuptake inhibitor (SSRI) antidepressants work
would be:
1. Appetite and concentration improve in the first 1 to 2 weeks.
2. Sleep should improve almost immediately upon starting citalopram.
3. Full response to the SSRI may take 2 to 4 months after he reaches the full therapeutic
prescription.
4. His dysphoric mood will improve in 1 to 2 weeks.
7. An appropriate medication for the treatment of depression with anxiety would be:
, 1. Alprazolam (Xanax)
2. Escitalopram (Lexapro)
3. Buspirone (Buspar)
4. Amitriptyline (Elavil)
8. An appropriate first-line medication for the treatment of depression with fatigue
and low energy would be:
1. Venlafaxine (Effexor)
2. Escitalopram (Lexapro)
3. Buspirone (Buspar)
4. Amitriptyline (Elavil)
9. The laboratory monitoring required when a client is on a selective serotonin
reuptake inhibitor is:
1. Complete blood count every 3 to 4 months
2. Therapeutic blood levels every 6 months after a steady state is achieved
3. Blood glucose every 3 to 4 months
4. There is no laboratory monitoring required
10. Jaycee has been on escitalopram (Lexapro) for a year and is willing to try tapering off
of the selective serotonin reuptake inhibitor. What is the initial dosage adjustment
when starting a taper off antidepressants?
1. Change prescription to every other day dosing for a week
2. Reduce prescription by 50% for 3 to 4 days
3. Reduce prescription by 50% every other day
4. Escitalopram (Lexapro) can be stopped abruptly due to its long half-life
11. The longer-term Xanax client comes in and states they need a higher prescription
of the medication. They deny any additional, new, or accelerating triggers of their
anxiety. What is the probable reason?
1. They have become tolerant of the medication, which is characterized by the need for
higher and higher prescriptions.
2. They are a medication seeker.
3. They are suicidal.
4. They only need additional counseling on lifestyle modification.
12. What "onset of action" charactersitics should be reviewed with clients who have
been newly prescribed a selective serotonin reuptake inhibitor?
1. They will have insomnia for a week.
2. They can feel a bit of nausea, but this resolves in a week.
3. They will have an "onset seizure" but this is considered normal.
4. They will no longer dream.
13. Which of the following should not be taken with a selective serotonin reuptake
inhibitor?
1. Aged blue cheese
, 2. Grapefruit
3. Alcohol
4. Green leafy vegetables
14. Why is the consistency of taking paroxetine (Paxil) and never running out of
medication more important than with most other selective serotonin reuptake
inhibitors (SSRIs)?
1. It has a shorter half-life and withdrawal syndrome has a faster onset without taper.
2. It has the longest half-life and the withdrawal syndrome has a faster onset.
3. It is quasi-addictive in the dopaminergic reward system.
4. It is the most activating of SSRI medications and will cause the person to have
sudden deep sadness.
15. The client shares with the provider that he is taking his Prozac at night before going to bed.
What is the best response?
1. This is a good idea because this class of medications generally makes people sleepy.
2. Have you noticed that you are having more sleep issues since you started that?
3. This a good way to remember to take your daily medications because it is near your
toothbrush.
4. This is a good plan because you can eat grapefruit if there is 8-12 hours difference in the time
each are ingested.
16. Nicotine withdrawal prescription include:
1. Nervousness
2. Increased appetite
3. Difficulty concentrating
4. All of the above
17. If a client wants to quit smoking, nicotine substitute therapy is recommended if the
client:
1. Smokes more than 10 cigarettes a day
2. Smokes within 30 minutes of awakening in the morning
3. Smokes when drinking alcohol
4. All of the above
18. Instructions for a client who is starting nicotine substitute therapy include:
1. Smoke less than 10 cigarettes a day when starting nicotine substitute.
2. Nicotine substitute will help with the withdrawal cravings associated with quitting tobacco.
3. Nicotine substitute can be used indefinitely.
4. Nicotine substitute therapy is generally safe for all clients.
19. Nicotine substitute therapy should not be used in which clients?
1. Pregnant women
2. Clients with worsening angina pectoris
3. Clients who have just suffered an acute myocardial infarction
4. All of the above
(2024/2025) Mid term Exam Q$A Verified Answers
Latest
1. CommonComplete Solutions
mistakes practitioners Questions
make in treating and
anxiety disorders Answers
include:
1. Switching medications after an 8- to 12-week trial
2. Maximizing dosing of antianxiety medications
3. Encouraging exercise and relaxation therapy before starting medication
4. Thinking a partial response to medication is acceptable
2. An appropriate first-line medication to try for mild to moderate generalized anxiety
disorder would be:
1. Alprazolam (Xanax)
2. Diazepam (Valium)
3. Buspirone (Buspar)
4. Amitriptyline (Elavil)
3. An appropriate medication to initially treat panic disorder is:
1. Alprazolam (Xanax)
2. Diazepam (Valium)
3. Buspirone (Buspar)
4. Amitriptyline (Elavil)
4. Prior to starting antidepressants, clients should have laboratory testing to rule out:
1. Hypothyroidism
2. Anemia
3. Diabetes mellitus
4. Low estrogen levels
5. David is a 34-year-old client who is starting on paroxetine (Paxil) for depression. David's
education regarding his medication would include:
1. Paroxetine may cause intermittent diarrhea.
2. He may experience sexual dysfunction beginning a month after he starts therapy.
3. He may have constipation and he should increase fluids and fiber.
4. Paroxetine has a long half-life so he may occasionally skip a prescription.
6. Jamison has been prescribed citalopram (Celexa) to treat his depression. Education
regarding how quickly selective serotonin reuptake inhibitor (SSRI) antidepressants work
would be:
1. Appetite and concentration improve in the first 1 to 2 weeks.
2. Sleep should improve almost immediately upon starting citalopram.
3. Full response to the SSRI may take 2 to 4 months after he reaches the full therapeutic
prescription.
4. His dysphoric mood will improve in 1 to 2 weeks.
7. An appropriate medication for the treatment of depression with anxiety would be:
, 1. Alprazolam (Xanax)
2. Escitalopram (Lexapro)
3. Buspirone (Buspar)
4. Amitriptyline (Elavil)
8. An appropriate first-line medication for the treatment of depression with fatigue
and low energy would be:
1. Venlafaxine (Effexor)
2. Escitalopram (Lexapro)
3. Buspirone (Buspar)
4. Amitriptyline (Elavil)
9. The laboratory monitoring required when a client is on a selective serotonin
reuptake inhibitor is:
1. Complete blood count every 3 to 4 months
2. Therapeutic blood levels every 6 months after a steady state is achieved
3. Blood glucose every 3 to 4 months
4. There is no laboratory monitoring required
10. Jaycee has been on escitalopram (Lexapro) for a year and is willing to try tapering off
of the selective serotonin reuptake inhibitor. What is the initial dosage adjustment
when starting a taper off antidepressants?
1. Change prescription to every other day dosing for a week
2. Reduce prescription by 50% for 3 to 4 days
3. Reduce prescription by 50% every other day
4. Escitalopram (Lexapro) can be stopped abruptly due to its long half-life
11. The longer-term Xanax client comes in and states they need a higher prescription
of the medication. They deny any additional, new, or accelerating triggers of their
anxiety. What is the probable reason?
1. They have become tolerant of the medication, which is characterized by the need for
higher and higher prescriptions.
2. They are a medication seeker.
3. They are suicidal.
4. They only need additional counseling on lifestyle modification.
12. What "onset of action" charactersitics should be reviewed with clients who have
been newly prescribed a selective serotonin reuptake inhibitor?
1. They will have insomnia for a week.
2. They can feel a bit of nausea, but this resolves in a week.
3. They will have an "onset seizure" but this is considered normal.
4. They will no longer dream.
13. Which of the following should not be taken with a selective serotonin reuptake
inhibitor?
1. Aged blue cheese
, 2. Grapefruit
3. Alcohol
4. Green leafy vegetables
14. Why is the consistency of taking paroxetine (Paxil) and never running out of
medication more important than with most other selective serotonin reuptake
inhibitors (SSRIs)?
1. It has a shorter half-life and withdrawal syndrome has a faster onset without taper.
2. It has the longest half-life and the withdrawal syndrome has a faster onset.
3. It is quasi-addictive in the dopaminergic reward system.
4. It is the most activating of SSRI medications and will cause the person to have
sudden deep sadness.
15. The client shares with the provider that he is taking his Prozac at night before going to bed.
What is the best response?
1. This is a good idea because this class of medications generally makes people sleepy.
2. Have you noticed that you are having more sleep issues since you started that?
3. This a good way to remember to take your daily medications because it is near your
toothbrush.
4. This is a good plan because you can eat grapefruit if there is 8-12 hours difference in the time
each are ingested.
16. Nicotine withdrawal prescription include:
1. Nervousness
2. Increased appetite
3. Difficulty concentrating
4. All of the above
17. If a client wants to quit smoking, nicotine substitute therapy is recommended if the
client:
1. Smokes more than 10 cigarettes a day
2. Smokes within 30 minutes of awakening in the morning
3. Smokes when drinking alcohol
4. All of the above
18. Instructions for a client who is starting nicotine substitute therapy include:
1. Smoke less than 10 cigarettes a day when starting nicotine substitute.
2. Nicotine substitute will help with the withdrawal cravings associated with quitting tobacco.
3. Nicotine substitute can be used indefinitely.
4. Nicotine substitute therapy is generally safe for all clients.
19. Nicotine substitute therapy should not be used in which clients?
1. Pregnant women
2. Clients with worsening angina pectoris
3. Clients who have just suffered an acute myocardial infarction
4. All of the above
