NR547 Final Exam Questions AND Correct Answers
- ✔✔Three principal neurotransmitters
-norepinephrine (NE), dopamine (DA), and serotonin 5HT
• comprise the monoamine neurotransmitter system
• implications for the pathophysiology and treatment of mood
disorders
• All known pharmacologic treatments for mood disorders act
upon one or more of these three neurotransmitters
-Many of the symptoms of mood disorders are hypothesized
to involve dysfunction of various combinations of the
monoamine neurotransmitters
_____________ is used to rapidly reverse an opioid overdose -
✔✔Naloxone
-can be administered nasally, intramuscularly,
subcutaneously, or intravenously
_________________ is the current gold standard in the
treatment of opioid use disorder with physiologic dependence
for both detoxification and as a maintenance agent -
✔✔Methadone
-can only be dispensed at an outpatient opioid treatment
program
,10 specific types of personality disorders in the DSM-5-TR: -
✔✔-Antisocial personality disorder
-Avoidant personality disorder
-Borderline personality disorder
-Dependent personality disorder
-Histrionic personality disorder
-Narcissistic personality disorder
-Obsessive-compulsive personality disorder
-Paranoid personality disorder
-Schizoid personality disorder
-Schizotypal personality disorder
72-year-old Luciana presents with concerns about her
memory. She reports having trouble remembering what day it
is and has missed weekly bunco with her friends six times in 2
months. A Mini-Cog™ assessment is performed.
Which of the following is the most appropriate supplemental
assessment for Luciana?
Administer a figure rearranging test.
,Ask the patient to name as many types of mammals as
possible in 1 minute.
Ask the patient to explain the meaning of "you can't judge a
book by its cover."
Show the patient photos of three vegetables, then ask her to
name the vegetables later. - ✔✔Ask the patient to name as
many types of mammals as possible in 1 minute.
Rationale: The figure rearranging test would be similar to the
clock drawing activity in the Mini-Cog™; repeating this activity
will not yield meaningful results. Likewise, showing Luciana
photos of three vegetables and asking her to recall them is
similar to the word recall exercise in the Mini-Cog™. Asking
her to explain the meaning of "you can't judge a book by its
cover" is a test of abstract thought which is a higher-level
domain than is relevant to her concern. Naming items within a
particular category is an executive function test in alignment
with Luciana's current concerns.
A client with Alzheimer's dementia is prescribed donepezil.
Which of the following is the most anticipated client
outcome?
cured Alzheimer's disease
, complete return of cognitive function
prevention of further cognitive and functional decline
improved memory and thinking - ✔✔improved memory and
thinking
Rationale: The effect of donepezil is to increase the
availability of acetylcholine, which results in enhanced
transmission and improved cognition. Donepezil does not cure
Alzheimer's disease, result in a complete return of cognitive
function, or prevent further decline, although it may slow
progression.
Addiction - ✔✔A change in behavior caused by biochemical
changes in the brain after continued substance use
characterized by preoccupation with and repeated use of a
substance despite of negative outcomes.
Aducanumab - ✔✔has been used with clients with mild
dementia in clinical trials. This drug acts by binding to and
reducing amyloid-beta plaque in the brain.
Alcohol Use Disorder - ✔✔Clinical Features
-daily need for a large amount of alcohol to function
- ✔✔Three principal neurotransmitters
-norepinephrine (NE), dopamine (DA), and serotonin 5HT
• comprise the monoamine neurotransmitter system
• implications for the pathophysiology and treatment of mood
disorders
• All known pharmacologic treatments for mood disorders act
upon one or more of these three neurotransmitters
-Many of the symptoms of mood disorders are hypothesized
to involve dysfunction of various combinations of the
monoamine neurotransmitters
_____________ is used to rapidly reverse an opioid overdose -
✔✔Naloxone
-can be administered nasally, intramuscularly,
subcutaneously, or intravenously
_________________ is the current gold standard in the
treatment of opioid use disorder with physiologic dependence
for both detoxification and as a maintenance agent -
✔✔Methadone
-can only be dispensed at an outpatient opioid treatment
program
,10 specific types of personality disorders in the DSM-5-TR: -
✔✔-Antisocial personality disorder
-Avoidant personality disorder
-Borderline personality disorder
-Dependent personality disorder
-Histrionic personality disorder
-Narcissistic personality disorder
-Obsessive-compulsive personality disorder
-Paranoid personality disorder
-Schizoid personality disorder
-Schizotypal personality disorder
72-year-old Luciana presents with concerns about her
memory. She reports having trouble remembering what day it
is and has missed weekly bunco with her friends six times in 2
months. A Mini-Cog™ assessment is performed.
Which of the following is the most appropriate supplemental
assessment for Luciana?
Administer a figure rearranging test.
,Ask the patient to name as many types of mammals as
possible in 1 minute.
Ask the patient to explain the meaning of "you can't judge a
book by its cover."
Show the patient photos of three vegetables, then ask her to
name the vegetables later. - ✔✔Ask the patient to name as
many types of mammals as possible in 1 minute.
Rationale: The figure rearranging test would be similar to the
clock drawing activity in the Mini-Cog™; repeating this activity
will not yield meaningful results. Likewise, showing Luciana
photos of three vegetables and asking her to recall them is
similar to the word recall exercise in the Mini-Cog™. Asking
her to explain the meaning of "you can't judge a book by its
cover" is a test of abstract thought which is a higher-level
domain than is relevant to her concern. Naming items within a
particular category is an executive function test in alignment
with Luciana's current concerns.
A client with Alzheimer's dementia is prescribed donepezil.
Which of the following is the most anticipated client
outcome?
cured Alzheimer's disease
, complete return of cognitive function
prevention of further cognitive and functional decline
improved memory and thinking - ✔✔improved memory and
thinking
Rationale: The effect of donepezil is to increase the
availability of acetylcholine, which results in enhanced
transmission and improved cognition. Donepezil does not cure
Alzheimer's disease, result in a complete return of cognitive
function, or prevent further decline, although it may slow
progression.
Addiction - ✔✔A change in behavior caused by biochemical
changes in the brain after continued substance use
characterized by preoccupation with and repeated use of a
substance despite of negative outcomes.
Aducanumab - ✔✔has been used with clients with mild
dementia in clinical trials. This drug acts by binding to and
reducing amyloid-beta plaque in the brain.
Alcohol Use Disorder - ✔✔Clinical Features
-daily need for a large amount of alcohol to function
