NU665 EXAM 1 |2025-2026 LATEST UPDATED|REAL EXAM
QUESTIONS AND ANSWERS | 100% RATED CORRECT | 100% VERFIED
SOLUTIONS | ALREADY GRADED A+
What does Lazarus and Folkman's transactional model of stress and coping emphasize? -
(answer)Stress is a result of an individual's appraisal of their resources in relation to
environmental demands.
What is the main critique of traditional Motivational Interviewing (MI) according to Angelini &
Efran (2021)? - (answer)MI's effectiveness is not solely dependent on change talk; the
therapeutic relationship and context are also crucial.
What is Anxious Attachment? - (answer)Anxious attachment arises from inconsistent caregiving,
leading to anxiety about abandonment. Individuals with this style often crave closeness but fear
rejection or being left alone.
What does Secure Attachment look like in adults? - (answer)Adults with secure attachment have
stable, healthy relationships. They balance independence with closeness, communicate
effectively, and are confident in seeking support when needed.
What is Secure Attachment? - (answer)Secure attachment forms when caregivers are consistently
responsive to a child's needs, fostering safety and trust. These individuals feel comfortable with
intimacy, express emotions openly, and trust others.
,A 25-year-old woman with bipolar disorder is newly pregnant. She is currently stable on
valproate. What should be done? - (answer)Discontinue valproate immediately due to its high
risk of neural tube defects. Consider switching to lamotrigine, which is safer in pregnancy.
A 70-year-old woman with GAD and a history of falls is asking for medication. Which
medication should be avoided? - (answer)Benzodiazepines (e.g., alprazolam, diazepam,
lorazepam) - They increase fall risk, cognitive impairment, and dependence in elderly patients.
Consider SSRIs or buspirone instead.
A 36-year-old male combat veteran with PTSD experiences nightmares and hyperarousal. What
medication should be considered? - (answer)A 36-year-old male combat veteran with PTSD
experiences nightmares and hyperarousal. What medication should be considered?
A 28-year-old female with generalized anxiety disorder (GAD) wants a medication that is non-
addictive and does not cause sedation. What is a good option? - (answer)Buspirone - A non-
benzodiazepine option that does not cause sedation or dependence, but takes 2-4 weeks to work.
A 38-year-old male with depression and chronic pain (fibromyalgia) needs an antidepressant.
Which medication would be a good choice? - (answer)Duloxetine - It treats both depression and
neuropathic pain/fibromyalgia.
A 45-year-old woman with treatment-resistant depression has tried fluoxetine, sertraline, and
venlafaxine with minimal improvement. What is the next step? - (answer)Consider augmentation
therapy with lithium, atypical antipsychotics (e.g., aripiprazole), or triiodothyronine (T3).
Alternatively, MAOIs or electroconvulsive therapy (ECT) can be considered.
,A 24-year-old man with major depressive disorder (MDD) and nicotine dependence wants to quit
smoking. He has no history of seizures. What antidepressant might be a good option? -
(answer)Bupropion - It treats MDD and helps with smoking cessation. However, it is
contraindicated in seizure disorders or eating disorders.
A 32-year-old woman presents with depression, decreased appetite, weight loss, and insomnia.
She denies suicidal ideation but feels hopeless. She is underweight (BMI 17.8). Which
antidepressant is a good choice? - (answer)Mirtazapine - It promotes weight gain and improves
sleep, making it ideal for underweight patients with insomnia.
What is the black box warning for all antidepressants? - (answer)What is the black box warning
for all antidepressants?
Which antipsychotic has a black box warning for increased mortality in elderly patients with
dementia-related psychosis? - (answer)All antipsychotics (especially second-generation).
Which benzodiazepine has the highest potential for abuse due to rapid onset? -
(answer)Alprazolam (Xanax).
Which sleep medication is most associated with complex sleep behaviors like sleepwalking? -
(answer)Zolpidem (Ambien).
, What are the three hallmark symptoms of serotonin syndrome? - (answer)Hyperreflexia, clonus,
autonomic instability (fever, sweating, tachycardia).
What is the first-line treatment for serotonin syndrome? - (answer)Discontinue serotonergic
drugs and give cyproheptadine (serotonin antagonist).
What is the hallmark sign of neuroleptic malignant syndrome (NMS)? - (answer)Lead-pipe
rigidity, high fever, altered mental status, autonomic instability.
What is the treatment for neuroleptic malignant syndrome? - (answer)What is the treatment for
neuroleptic malignant syndrome?
Which stimulant ADHD medication has the highest risk of appetite suppression? -
(answer)Methylphenidate (Ritalin, Concerta).
What is the non-stimulant option for ADHD that works as an alpha-2 agonist? -
(answer)Guanfacine or Clonidine.
Which ADHD medication is contraindicated in patients with cardiac conditions due to increased
BP and HR? - (answer)Amphetamines (Adderall, Vyvanse).
What is the mechanism of action of atomoxetine (Strattera)? - (answer)What is the mechanism of
action of atomoxetine (Strattera)?
QUESTIONS AND ANSWERS | 100% RATED CORRECT | 100% VERFIED
SOLUTIONS | ALREADY GRADED A+
What does Lazarus and Folkman's transactional model of stress and coping emphasize? -
(answer)Stress is a result of an individual's appraisal of their resources in relation to
environmental demands.
What is the main critique of traditional Motivational Interviewing (MI) according to Angelini &
Efran (2021)? - (answer)MI's effectiveness is not solely dependent on change talk; the
therapeutic relationship and context are also crucial.
What is Anxious Attachment? - (answer)Anxious attachment arises from inconsistent caregiving,
leading to anxiety about abandonment. Individuals with this style often crave closeness but fear
rejection or being left alone.
What does Secure Attachment look like in adults? - (answer)Adults with secure attachment have
stable, healthy relationships. They balance independence with closeness, communicate
effectively, and are confident in seeking support when needed.
What is Secure Attachment? - (answer)Secure attachment forms when caregivers are consistently
responsive to a child's needs, fostering safety and trust. These individuals feel comfortable with
intimacy, express emotions openly, and trust others.
,A 25-year-old woman with bipolar disorder is newly pregnant. She is currently stable on
valproate. What should be done? - (answer)Discontinue valproate immediately due to its high
risk of neural tube defects. Consider switching to lamotrigine, which is safer in pregnancy.
A 70-year-old woman with GAD and a history of falls is asking for medication. Which
medication should be avoided? - (answer)Benzodiazepines (e.g., alprazolam, diazepam,
lorazepam) - They increase fall risk, cognitive impairment, and dependence in elderly patients.
Consider SSRIs or buspirone instead.
A 36-year-old male combat veteran with PTSD experiences nightmares and hyperarousal. What
medication should be considered? - (answer)A 36-year-old male combat veteran with PTSD
experiences nightmares and hyperarousal. What medication should be considered?
A 28-year-old female with generalized anxiety disorder (GAD) wants a medication that is non-
addictive and does not cause sedation. What is a good option? - (answer)Buspirone - A non-
benzodiazepine option that does not cause sedation or dependence, but takes 2-4 weeks to work.
A 38-year-old male with depression and chronic pain (fibromyalgia) needs an antidepressant.
Which medication would be a good choice? - (answer)Duloxetine - It treats both depression and
neuropathic pain/fibromyalgia.
A 45-year-old woman with treatment-resistant depression has tried fluoxetine, sertraline, and
venlafaxine with minimal improvement. What is the next step? - (answer)Consider augmentation
therapy with lithium, atypical antipsychotics (e.g., aripiprazole), or triiodothyronine (T3).
Alternatively, MAOIs or electroconvulsive therapy (ECT) can be considered.
,A 24-year-old man with major depressive disorder (MDD) and nicotine dependence wants to quit
smoking. He has no history of seizures. What antidepressant might be a good option? -
(answer)Bupropion - It treats MDD and helps with smoking cessation. However, it is
contraindicated in seizure disorders or eating disorders.
A 32-year-old woman presents with depression, decreased appetite, weight loss, and insomnia.
She denies suicidal ideation but feels hopeless. She is underweight (BMI 17.8). Which
antidepressant is a good choice? - (answer)Mirtazapine - It promotes weight gain and improves
sleep, making it ideal for underweight patients with insomnia.
What is the black box warning for all antidepressants? - (answer)What is the black box warning
for all antidepressants?
Which antipsychotic has a black box warning for increased mortality in elderly patients with
dementia-related psychosis? - (answer)All antipsychotics (especially second-generation).
Which benzodiazepine has the highest potential for abuse due to rapid onset? -
(answer)Alprazolam (Xanax).
Which sleep medication is most associated with complex sleep behaviors like sleepwalking? -
(answer)Zolpidem (Ambien).
, What are the three hallmark symptoms of serotonin syndrome? - (answer)Hyperreflexia, clonus,
autonomic instability (fever, sweating, tachycardia).
What is the first-line treatment for serotonin syndrome? - (answer)Discontinue serotonergic
drugs and give cyproheptadine (serotonin antagonist).
What is the hallmark sign of neuroleptic malignant syndrome (NMS)? - (answer)Lead-pipe
rigidity, high fever, altered mental status, autonomic instability.
What is the treatment for neuroleptic malignant syndrome? - (answer)What is the treatment for
neuroleptic malignant syndrome?
Which stimulant ADHD medication has the highest risk of appetite suppression? -
(answer)Methylphenidate (Ritalin, Concerta).
What is the non-stimulant option for ADHD that works as an alpha-2 agonist? -
(answer)Guanfacine or Clonidine.
Which ADHD medication is contraindicated in patients with cardiac conditions due to increased
BP and HR? - (answer)Amphetamines (Adderall, Vyvanse).
What is the mechanism of action of atomoxetine (Strattera)? - (answer)What is the mechanism of
action of atomoxetine (Strattera)?
