Page 1 of 42
WEEK 4 MIDTERM EXAM: NR546 / NR-546 (LATEST
UPDATE ) ADVANCED PHARMACOLOGY
PSYCHOPHARMACOLOGY FOR THE PSYCHIATRIC-
MENTAL HEALTH NURSE PRACTITIONER | QUESTIONS
AND ANSWERS | 100% CORRECT | GRADE A -
CHAMBERLAIN
clinical indications .....ANSWER.....Sedation and anxiolysis
Treatment of insomnia
General anesthesia
Seizures
Alcohol withdrawal states
As adjunctive management with neuromuscular blockage/muscle
relaxationTo induce or maintain sleepUse associated with
sedative-hypnotic medications .....ANSWER.....1 in 8 adults
,Page 2 of 42
Higher incidence in older adults
Often co-prescribed with opioids
misuse associated with sedative-hypnotic medications
.....ANSWER.....Taken outside of prescriptive guidelines (larger
amounts over longer time period)
Taken without prescription (often obtained from friend/relative)
Polysubstance Abuse
Are common as second drugs of abuse, often taken with opioids
and/or alcohol
Increased respiratory and CNS depression
Increased risk of emergency department visits
withdrawal symptoms associated with sedative-hypnotic
medications .....ANSWER.....May be severe
Signs and symptoms include psychosis, hallucinations, delirium,
seizures
,Page 3 of 42
Mild signs and symptoms: irritability, tremor, anxiety,
palpitations, insomnia, nausea, vomiting, diaphoresis, headache
Benzodiazepine intoxication can resemble alcohol intoxication:
unsteady gait, cognitive impairment, discoordination, slurred
speech
Overdose may lead to respiratory depression and stupor/coma
Polysubstance Abuse .....ANSWER.....Are common as second drugs
of abuse, often taken with opioids and/or alcohol
Increased respiratory and CNS depression
Increased risk of emergency department visits
Anxiety .....ANSWER.....a response to situations that are
perceived as stressful or dangerous
increases alertness, heart rate, and respirations, preparing the
body to respond to perceived threatening environmental stimuli
, Page 4 of 42
one of the most common mental health concerns in the United
States .....ANSWER.....Anxiety disorders
25% of people develop pathological anxiety during their
lifetime.
Anxiety affects more women than men.
Anxiety disorders can be debilitating and negatively impact the
quality of life.
leads to increased utilization of healthcare, morbidity, and
mortality .....ANSWER.....Untreated anxiety
anxiety disorders include .....ANSWER.....separation anxiety
disorder
selective mutism
WEEK 4 MIDTERM EXAM: NR546 / NR-546 (LATEST
UPDATE ) ADVANCED PHARMACOLOGY
PSYCHOPHARMACOLOGY FOR THE PSYCHIATRIC-
MENTAL HEALTH NURSE PRACTITIONER | QUESTIONS
AND ANSWERS | 100% CORRECT | GRADE A -
CHAMBERLAIN
clinical indications .....ANSWER.....Sedation and anxiolysis
Treatment of insomnia
General anesthesia
Seizures
Alcohol withdrawal states
As adjunctive management with neuromuscular blockage/muscle
relaxationTo induce or maintain sleepUse associated with
sedative-hypnotic medications .....ANSWER.....1 in 8 adults
,Page 2 of 42
Higher incidence in older adults
Often co-prescribed with opioids
misuse associated with sedative-hypnotic medications
.....ANSWER.....Taken outside of prescriptive guidelines (larger
amounts over longer time period)
Taken without prescription (often obtained from friend/relative)
Polysubstance Abuse
Are common as second drugs of abuse, often taken with opioids
and/or alcohol
Increased respiratory and CNS depression
Increased risk of emergency department visits
withdrawal symptoms associated with sedative-hypnotic
medications .....ANSWER.....May be severe
Signs and symptoms include psychosis, hallucinations, delirium,
seizures
,Page 3 of 42
Mild signs and symptoms: irritability, tremor, anxiety,
palpitations, insomnia, nausea, vomiting, diaphoresis, headache
Benzodiazepine intoxication can resemble alcohol intoxication:
unsteady gait, cognitive impairment, discoordination, slurred
speech
Overdose may lead to respiratory depression and stupor/coma
Polysubstance Abuse .....ANSWER.....Are common as second drugs
of abuse, often taken with opioids and/or alcohol
Increased respiratory and CNS depression
Increased risk of emergency department visits
Anxiety .....ANSWER.....a response to situations that are
perceived as stressful or dangerous
increases alertness, heart rate, and respirations, preparing the
body to respond to perceived threatening environmental stimuli
, Page 4 of 42
one of the most common mental health concerns in the United
States .....ANSWER.....Anxiety disorders
25% of people develop pathological anxiety during their
lifetime.
Anxiety affects more women than men.
Anxiety disorders can be debilitating and negatively impact the
quality of life.
leads to increased utilization of healthcare, morbidity, and
mortality .....ANSWER.....Untreated anxiety
anxiety disorders include .....ANSWER.....separation anxiety
disorder
selective mutism
