NR546 FINAL EXAM STUDY GUIDE
FOR NURSING LATEST UPDATE
VERIFIED QUESTIONS & DETAILED
EXPLANATIONS GRADED A+
Professional Academic Assistance Services
What is the monoamine hypothesis of depression? - Answer: It
theorizes that depression is caused by a deficiency in
monoamine neurotransmission, while mania is due to an excess.
What is a key prescribing consideration for antidepressants in
bipolar disorder? - Answer: Antidepressants should not be given
as monotherapy; they must be combined with a mood stabilizer
to avoid inducing mania.
What should be monitored when prescribing SNRIs to
breastfeeding patients? - Answer: Infant irritability.
What factors should be considered when prescribing
antidepressants? - Answer: Client preference, prior treatment
response, anticipated adverse effects, comorbidities, half-life,
interactions, and cost.
,What should be done if the initial antidepressant does not
work? - Answer: First, increase the dose; if that fails, switch to a
different drug in the same class, then try a drug in a different
class, and possibly add a second medication.
What is the recommended dose adjustment for older patients
taking citalopram and escitalopram? - Answer: They should
receive half the usual dose.
Which SSRI has the least CYP interactions? - Answer:
Escitalopram (Lexapro).
Which SSRI is considered good for forgetful patients? - Answer:
Fluoxetine, due to its 2-3 day half-life.
What is the longest-acting antidepressant? - Answer: Fluoxetine,
with a half-life of 1-2 weeks.
What is discontinuation syndrome and which medication is
more likely to cause it? - Answer: Discontinuation syndrome
occurs when stopping an antidepressant, and paroxetine is more
likely to cause it.
, Which antidepressant is safe during nursing and pregnancy? -
Answer: Sertraline.
What is serotonin syndrome? - Answer: A condition that occurs
when two serotonergic drugs are used together, leading to
symptoms such as mental status changes, autonomic instability,
neuromuscular symptoms, seizures, and gastrointestinal
symptoms.
What is the treatment for serotonin syndrome? - Answer: Stop
the medication, provide supportive care, and use
benzodiazepines.
What is the black box warning for MAOIs? - Answer: They carry a
warning for suicidal ideation in children, adolescents, and young
adults.
What is the half-life of MAOIs? - Answer: 2-4 hours.
What is the black box warning for SSRIs? - Answer: They carry a
warning for suicidal tendencies.
FOR NURSING LATEST UPDATE
VERIFIED QUESTIONS & DETAILED
EXPLANATIONS GRADED A+
Professional Academic Assistance Services
What is the monoamine hypothesis of depression? - Answer: It
theorizes that depression is caused by a deficiency in
monoamine neurotransmission, while mania is due to an excess.
What is a key prescribing consideration for antidepressants in
bipolar disorder? - Answer: Antidepressants should not be given
as monotherapy; they must be combined with a mood stabilizer
to avoid inducing mania.
What should be monitored when prescribing SNRIs to
breastfeeding patients? - Answer: Infant irritability.
What factors should be considered when prescribing
antidepressants? - Answer: Client preference, prior treatment
response, anticipated adverse effects, comorbidities, half-life,
interactions, and cost.
,What should be done if the initial antidepressant does not
work? - Answer: First, increase the dose; if that fails, switch to a
different drug in the same class, then try a drug in a different
class, and possibly add a second medication.
What is the recommended dose adjustment for older patients
taking citalopram and escitalopram? - Answer: They should
receive half the usual dose.
Which SSRI has the least CYP interactions? - Answer:
Escitalopram (Lexapro).
Which SSRI is considered good for forgetful patients? - Answer:
Fluoxetine, due to its 2-3 day half-life.
What is the longest-acting antidepressant? - Answer: Fluoxetine,
with a half-life of 1-2 weeks.
What is discontinuation syndrome and which medication is
more likely to cause it? - Answer: Discontinuation syndrome
occurs when stopping an antidepressant, and paroxetine is more
likely to cause it.
, Which antidepressant is safe during nursing and pregnancy? -
Answer: Sertraline.
What is serotonin syndrome? - Answer: A condition that occurs
when two serotonergic drugs are used together, leading to
symptoms such as mental status changes, autonomic instability,
neuromuscular symptoms, seizures, and gastrointestinal
symptoms.
What is the treatment for serotonin syndrome? - Answer: Stop
the medication, provide supportive care, and use
benzodiazepines.
What is the black box warning for MAOIs? - Answer: They carry a
warning for suicidal ideation in children, adolescents, and young
adults.
What is the half-life of MAOIs? - Answer: 2-4 hours.
What is the black box warning for SSRIs? - Answer: They carry a
warning for suicidal tendencies.
