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NURS 665 Exam 2 2025/2026 – 250+ Verified Q&A on Benzodiazepines, SSRIs, Anxiolytics, TCAs, Antihistamines, Beta Blockers & Psychiatric Pharmacology

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This NURS 665 Exam 2 2025/2026 study guide delivers over 250 fully verified and accurate questions with detailed answers, providing an in-depth review of advanced psychiatric pharmacology. It thoroughly covers benzodiazepines (mechanism of action, FDA-approved and off-label uses, dosing, side effects, withdrawal, and patient education) for agents such as alprazolam, chlordiazepoxide, clonazepam, diazepam, lorazepam, and oxazepam. The guide also explains non-benzodiazepine anxiolytics like buspirone, including their advantages, disadvantages, and clinical applications. You’ll gain comprehensive knowledge of antidepressants, including SSRIs such as fluoxetine and paroxetine, their therapeutic indications, dosing ranges, advantages/disadvantages, and important patient counseling points. The material also details tricyclic antidepressants (TCAs) like clomipramine, addressing their use in OCD, depression, and insomnia, along with potential interactions and risks. Antihistamines such as hydroxyzine and beta blockers like propranolol are covered for their psychiatric and neurological applications, including anxiety, migraine prophylaxis, tremor, PTSD, and aggression management. With precise drug dosing protocols for both adult and geriatric populations, metabolic pathways, and clinical cautions, this resource is invaluable for students in Psychiatric Nursing, Mental Health Nursing, Nurse Practitioner Programs, Clinical Psychopharmacology, and Behavioral Health Studies. It is equally beneficial for nursing board exam candidates, psychiatric NPs, prescribing clinicians, and mental health professionals seeking to strengthen their pharmacology expertise for both exams and practice. Keywords: benzodiazepines, alprazolam, chlordiazepoxide, clonazepam, diazepam, lorazepam, oxazepam, buspirone, fluoxetine, paroxetine, clomipramine, hydroxyzine, propranolol, psychiatric pharmacology, SSRIs, TCAs, anxiolytics, antidepressants, beta blockers, psychiatric nursing, psychopharmacology

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NURS 665 Exam 2 2025/2026 Exam
Questions and Correct Answers | New
Update



Benzodiazepines (class) - 🧠 ANSWER ✔✔Their clinical effects result from

interactions with GABA-receptor complexes at binding domains located close to or

coupled to benzodiazepine receptors.


Benzodiazepines FDA approved indications - 🧠 ANSWER ✔✔Generalized anxiety

disorder (GAD); Social phobia; Panic disorder; Insomnia; Status

epilepticus/seizures; Premedication for anesthetic procedures


Benzodiazepines NON-FDA APPROVED USES - 🧠 ANSWER ✔✔Agitation;

Alcohol withdrawal symptoms; Muscle spasms; Sedation; Restless legs syndrome;

Sleepwalking disorder

,Benzodiazepine Mechanism of action - 🧠 ANSWER ✔✔enhances the effect of the

neurotransmitter gamma-aminobutyric acid (GABA) at the GABAA receptor;

resulting in sedative; hypnotic (sleep-inducing); anxiolytic (anti-anxiety);

anticonvulsant; and muscle relaxant properties.


Benzodiazepine Indications for use - 🧠 ANSWER ✔✔Can be used for insomnia;

anxiety disorder; panic disorder; social phobia; mixed anxiety-depressive disorder;

bipolar I disorder; akathisia; Parkinson's disease; and overdose.

Benzodiazepine General Side effects due to their inhibitory effects on brain

neurotransmission - 🧠 ANSWER ✔✔Anterograde amnesia; Confusion; Dizziness;

Depression; Sedation


Benzodiazepine Withdrawal symptoms - 🧠 ANSWER ✔✔seizures; hallucinations;

agitation; tremors are most common when using benzodiazepines with shorter half-

lives


Alprazolam's common side effects - 🧠 ANSWER ✔✔Changes in appetite (decrease

or increase); weight gain; reduced mucosal production leading to xerostomia and

constipation; confusion; sedation; cognitive impairment; memory impairment;

irritability

, Chlordiazepoxide's common side effects - 🧠 ANSWER ✔✔Edema; constipation;

nausea; confusion; sedation; cognitive impairment; memory impairment;

irritability


Clonazepam's common side effects - 🧠 ANSWER ✔✔Depression; ataxia;

dizziness; confusion; sedation; cognitive impairment; memory impairment;

irritability; upper respiratory infection; respiratory depression


Diazepam's common side effects - 🧠 ANSWER ✔✔Hypotension; ataxia; dizziness;

confusion; sedation; cognitive impairment


Lorazepam's common side effects - 🧠 ANSWER ✔✔Depression; ataxia; dizziness;

confusion; sedation; cognitive impairment


Oxazepam's common side effects - 🧠 ANSWER ✔✔Dizziness; headache; sedation


Alprazolam's occasional side effects - 🧠 ANSWER ✔✔Decreased libido


Chlordiazepoxide's occasional side effects - 🧠 ANSWER ✔✔Irregular menses;

decreased libido


Clonazepam's occasional side effects - 🧠 ANSWER ✔✔ideation


Diazepam's occasional side effects - 🧠 ANSWER ✔✔Muscle weakness; respiratory

depression; rash and diarrhea can occur with rectal gel use

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STATEMENT. ALL RIGHTS RESERVED



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