NSG 552 Exam 3 Study Guide: Addiction, Withdrawal, Dementia & Psychopharmacology

NSG 552 Exam 3 Study Guide: Addiction, Withdrawal, Dementia & Psychopharmacology This comprehensive study guide is designed for nursing and psychiatric mental health students preparing for NSG 552 Exam 3. It covers evidence-based treatments for alcohol withdrawal, delirium tremens (DT), opioid and cocaine intoxication, smoking cessation, and ADHD management. Key topics include mechanisms of action for disulfiram, acamprosate, naltrexone, buprenorphine, and naloxone; medication selection for comorbid conditions (e.g., AUD with hepatic dysfunction or OUD); geriatric psychopharmacology (dementia, delirium, appropriate antidepressants); and FDA-approved treatments for behavioral issues in ASD and tic disorders. Perfect for exam prep, clinical rotations, and board review NSG 552 Exam 3 Psychopharmacology Questions with Correct verified Answers Reviewed and Updated 2026/2027 (NEW!!) What are the treatments for alcohol withdrawal symptoms? - ANSWER️️-Diazepam intravenous; Lorazepam intravenous or intramuscular; Thiamine intravenous or intramuscular; Addressing electrolyte imbalances What are the treatments for DT? - ANSWER️️-Acute care management; Parenteral diazepam or lorazepam; Thiamine; Antipsychotics if necessary What is the mechanism of action of disulfiram? - ANSWER️️-Via negative reinforcement, where drinking is avoided due to unpleasant effects. What is the mechanism of action of Acamprosate? - ANSWER️️-NMDA receptor antagonist How is Acamprosate cleared? - ANSWER️️-Renally What medication can be given to patients with AUD with hepatic dysfunction? - ANSWER️️-Acamprosate What medication is suitable for AUD with comorbid OUD? - ANSWER️️-Naltrexone What medication reduces consumption by decreasing reinforcement properties? - ANSWER️️-Naltrexone What medication only deals with physical dependence, but does not address the psychological component of smoking? - ANSWER️️-NRT What medications are oral stop-smoking aids? - ANSWER️️-Varenicline; Bupropion; Clonidine "Very Bad Cancer" What are the "Very Bad Cancer" medications? - ANSWER️️-Varenicline; Bupropion; Clonidine What medication for smoking cessation treatment should be observed for neuropsychiatric symptoms that include changes in behavior, hostility, agitation, depressed mood, and suicide-related events that include ideation, behavior, and attempted suicide? - ANSWER️️-Bupropion What is the treatment for cocaine induced chest pain or myocardial infarction? - ANSWER️️-Intravenous benzodiazepines What medications can treat agitation in patients with dementia? - ANSWER️️-Atypical antipsychotics What is the mechanism of action of Naloxone? - ANSWER️️-Pure opioid antagonist that competes and displaces opioids receptor sites. What medications treat opioid disorder? - ANSWER️️-Methadone; Buprenorphine, buprenorphine + Naloxone What medication for opioid use disorder is used with comorbid pain? - ANSWER️️-Buprenorphine + Naloxone Inappropriate use of what substance may be due to uncontrolled pain? - ANSWER️️-Opioids What are the Naltrexone delivery methods? - ANSWER️️-Tablet; Injectable; Implant What is one form of Naltrexone delivery method limited to inpatient use? - ANSWER️️-Implant What is the mechanism of action buprenorphine? - ANSWER️️-Mu receptor partial agonist for opioid withdrawal What medication taken too soon after last opioid use increases the chances of intense withdrawal that comes on very quickly (precipitated withdrawal)? - ANSWER️️-Buprenorphine What are symptoms of opioid intoxication? - ANSWER️️-Nausea and vomiting; Respiratory depression; Constipation; Itching; Meiosis (small pupil); Euphoria; and Sedation What withdrawal symptoms of opioids? - ANSWER️️-Nausea and vomiting; Diarrhea; Dehydration; Irritability; Restlessness; Yawning; Twitching; Increased heart rate and blood pressure; Chills; Increased temperature; Rhinorrhea; Lacrimation; Dilated pupils What medication is given for opioid intoxication during cardiac or respiratory depression is a concern? - ANSWER️️-Naloxone What are symptoms of cocaine intoxication? - ANSWER️️-Dilated pupils; Headache; Tremor;