NSG552/ NSG 552 EXAM 2 (NEW 2025/ 2026 Update)
Psychopharmacology Review| Questions & Answers| Grade A|
100% Correct (Verified Solutions)
1. 30 yo male with OCD, MDD started on fluoxetine low dose and does not feel meds
are working.
Answer: Maximize dose.
2. Dementia patient - increase behavior at night, wandering, poor sleep, sleeps during
the day.
Answer: Trazodone.
3. 26 yo college student - Panic Disorder without agoraphobia.
Answer: Fluoxetine - SSRI/SNRI first line (might have hydroxyzine in between).
4. OCD class of medications for high doses.
Answer: SSRIs.
5. 33 yo male with GAD, started on Prozac 1 week ago complaining of worsening
symptoms. No significant history and denies suicidal attempts.
Answer: Continue fluoxetine and start alprazolam due to the initial activating impact
of fluoxetine and no history of suicidal attempts.
6. Initial treatment plan for Panic Disorder; prescribe what?
Answer: Citalopram - SSRI first line.
7. Binge Eating Disorder and MDD; what to prescribe for binge eating, requesting
medication to lose weight.
Answer: Escitalopram - Lexapro.
, 8. 30 yo female with SAD, failed paroxetine and willing to try another medication, no
comorbid, no suicidal attempts.
Answer: Venlafaxine - Effexor.
9. Prazosin is a:
Answer: Alpha-1 receptor antagonist, for nightmares and flashbacks.
10. Sedative hypnotic use in elderly patients.
Answer: Always consider sleep hygiene as first-line. More likely to cause side
effects when used (i.e., memory impairment, ataxia, paradoxical excitement, and
rebound insomnia) = Trazodone is a safer option.
11. Conversion disorder.. what is la bell indifference?
Answer: La belle indifference: Patients are surprisingly calm and unconcerned when
describing symptoms.
12. Propranolol is contraindicated in:
Answer: Contraindicated in asthma or COPD due to bronchospasm.
13. A patient with depression is prescribed an SSRI. Which of the following should the
nurse monitor for?
Answer: Serotonin syndrome.
14. Which medication is considered a first-line treatment for Generalized Anxiety
Disorder (GAD)?
Answer: Escitalopram.
15. A 70-year-old patient with insomnia is being considered for pharmacological
treatment. What is the best first-line approach?
Answer: Non-pharmacological approaches such as sleep hygiene.
Psychopharmacology Review| Questions & Answers| Grade A|
100% Correct (Verified Solutions)
1. 30 yo male with OCD, MDD started on fluoxetine low dose and does not feel meds
are working.
Answer: Maximize dose.
2. Dementia patient - increase behavior at night, wandering, poor sleep, sleeps during
the day.
Answer: Trazodone.
3. 26 yo college student - Panic Disorder without agoraphobia.
Answer: Fluoxetine - SSRI/SNRI first line (might have hydroxyzine in between).
4. OCD class of medications for high doses.
Answer: SSRIs.
5. 33 yo male with GAD, started on Prozac 1 week ago complaining of worsening
symptoms. No significant history and denies suicidal attempts.
Answer: Continue fluoxetine and start alprazolam due to the initial activating impact
of fluoxetine and no history of suicidal attempts.
6. Initial treatment plan for Panic Disorder; prescribe what?
Answer: Citalopram - SSRI first line.
7. Binge Eating Disorder and MDD; what to prescribe for binge eating, requesting
medication to lose weight.
Answer: Escitalopram - Lexapro.
, 8. 30 yo female with SAD, failed paroxetine and willing to try another medication, no
comorbid, no suicidal attempts.
Answer: Venlafaxine - Effexor.
9. Prazosin is a:
Answer: Alpha-1 receptor antagonist, for nightmares and flashbacks.
10. Sedative hypnotic use in elderly patients.
Answer: Always consider sleep hygiene as first-line. More likely to cause side
effects when used (i.e., memory impairment, ataxia, paradoxical excitement, and
rebound insomnia) = Trazodone is a safer option.
11. Conversion disorder.. what is la bell indifference?
Answer: La belle indifference: Patients are surprisingly calm and unconcerned when
describing symptoms.
12. Propranolol is contraindicated in:
Answer: Contraindicated in asthma or COPD due to bronchospasm.
13. A patient with depression is prescribed an SSRI. Which of the following should the
nurse monitor for?
Answer: Serotonin syndrome.
14. Which medication is considered a first-line treatment for Generalized Anxiety
Disorder (GAD)?
Answer: Escitalopram.
15. A 70-year-old patient with insomnia is being considered for pharmacological
treatment. What is the best first-line approach?
Answer: Non-pharmacological approaches such as sleep hygiene.
