Final Exam Test Questions

Final Exam Test Questio
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1.Question 18: bn

Christine is a 9-year- bn bn bn

old female who presents for care after having been placed in the local fos
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ter care system. She has been in and out of foster care for the last 4 ye
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ars after her parents were killed in an automobile accident. Christine has
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bnbeen placed in a variety of homes and residential care facilities. The P
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MHNP recognizes that Christine is at high risk for:: A. Dissociative disor
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ders
B. Post-traumatic stress disorder
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C. Impulse-control disorder
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D. Attachment disorder
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2.Question 7: bn

Caylee is a 5-year- bn bn bn

old girl who is referred for evaluation by child protective services. She
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was recently removed from her biological family and placed in foster car
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e, as her home environment was reportedly unsafe due to conditions of e
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xtreme neglect. Her foster mother reports that Caylee is very quiet and
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withdrawn and always appears sad and disinterested in her surrounding
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s; however, she becomes very irritable when anything unexpected or unpl
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anned occurs. The foster mother became very concerned when it appear
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ed that Caylee was hallucinating. The PMHNP considers that:: A. Caylee
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nis at high risk for suicide and precautions should be taken
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B. The hallucinations are consistent with brief psychotic disorder or sc
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izophrenia
C. The history and reported symptoms are typical of depressive disor
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der in young children
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D. This is a common situation when prepubertal children are removed
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bnfrom the biological parents regardless of how dysfunctional they are
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3.Question 2: bn

Debi is a 15-year- bn bn bn

old girl who is currently being treated for depression. Her parents have
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been very proactive and involved in her care, and Debi has achieved re
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mission 2 months after beginning treatment with a combination of pharm
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acotherapy and cognitive behavioral therapy. While counseling Debi's par
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ents about important issues in management, the PMHNP advises that:: A
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. There is a > 50% likelihood that Debi's younger sibling will develop
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bndepressive symptoms bn

B. The mean length of major depressive episode in adolescents is 4 m
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onths
C. 20 to 40% of adolescents who have major depressive disorder will d
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, Final Exam Test Questio
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evelop bipolar I within 5 years
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D. Adolescent-onset depression typically need long-
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term pharmacologic manage- ment to prevent relapses
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4.Agomelatine: Brand: Valdoxan
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-Melatonin multimodal (Mel-MM)
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, Final Exam Test Questio
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-Agonist at melatonergic 1 and melatonergic 2 receptors
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-Antagonist at 5HT2C receptors bn bn bn

-Not FDA approved: Rx for Depression, Generalized anxiety disorder
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-Initial 25 mg/day at bedtime; after 2 weeks can increase to 50 mg/
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day at bedtime
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5.Amitriptyline (Elavil): Tricyclic antidepressant. bn bn bn


6.Aripiprazole (Abilify): Treatment for depression. Atypical antipsychoti
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c. "Dopamine stabilizer". Dopamine receptor antagonist in high conce
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ntration and also stimulates increase of dopamine in low concentratio
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ns. Side effects: insomnia, akathisia.
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7.Brexpiprazole (Rexulti): Treatment for depression. Atypical antipsycho
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c
8.Bupropion (Wellbutrin): Antidepressant and smoking cessation aid, It
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ncan treat depression and help people quit smoking. It can also preve
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nt depression caused by seasonal affective disorder (SAD).
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9.Citalopram (Celexa): Antidepressant, SSRI: 20-40 mg qd.
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10.Clomipramine (Anafranil): -Serotonin reuptake inhibitor (S-RI) bn bn bn bn bn

-Tricyclic antidepressant (TCA) bn bn

-Parent drug is a potent serotonin reuptake inhibitor
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Active metabolite is a potent norepinephrine/
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noradrenaline reuptake inhibitor bn bn

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Increases serotonergic neurotransmission by blocking the serotonin reu
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ptake pump (transporter), -
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Desensitization of serotonin receptors, especially serotonin 1A recep-
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bntors
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Increases noradrenergic neurotransmission by blocking the norepinep
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hrine reup- take pump (transporter), -
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Desensitization of beta adrenergic receptors bn bn bn bn

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Dopamine is inactivated by norepinephrine reuptake in the frontal cor
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ex
-Lacks dopamine transporters
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-Increases dopamine neurotransmission in this part of the brain
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**FDA Approved for Pediatrics in tx Obsessive-
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compulsive disorder (OCD) (ages 10 and older) bn bn bn bn bn bn


*Off-Label for Pediatric Use: Depression, Severe and treatment-
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resistant, depres- sion, Cataplexy syndrome, Anxiety, Insomnia,
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, Final Exam Test Questio
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Neuropathic pain/chronic pain bn bn

-Full therapeutic benefits may take 2-8 weeks
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-Dosing: in Peds/Adolescents/Adults:
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100-250mg/day
11.Cyamemazine (Tercian): Treatment for depression.
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-Known as cyamepromazine bn bn

-Typical antipsychotic drug of the phenothiazine class.
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-
Treatment for schizophreni bn bn

a and psychosis-
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associated




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