NURS 663O MIDTERM EXAM 2022 WEEK SIX GRADED A+

• QUIZ 3 User nursmerit Course NURS -6630N,Approaches to Treatment.2022 Test Midterm Exam - Week 6 Started 2022-2023 Submitted LATEST Due Date 2023 Status Completed Attempt Score 100 out of 100 points Time Elapsed 2 hours, 29 minutes out of 2 hours and 30 minutes Results Displayed Feedback after exam below – QUIZ s on last pages What is the strongest established risk factor for bipolar disorder? Family History Selected answer : “The strongest established risk factor for BPD is a family history of BPD.” Which of the following medications are known as selective serotonin re-uptake inhibitors (SSRIs)? i. Nortriptyline ii. Citalopram iii. Duloxetine iv. Fluoxetine v. Venlafaxine Which disease state of a non-adherent patient is at greater risk for substance use, violence, and victimization as well as worse overall quality of life? Schizophrenia Selected answer : “Moreover, non-adherent patients with schizophrenia are at greater risk for substance use, violence, and victimization as well as worse overall quality of life.” Patient is a 72-year-old male with a past medical history significant for atrial fibrillation and COPD with a new diagnosis of major depression disorder. Based on his comorbid • QUIZ 4 • QUIZ 2 • QUIZ 1 NURS 663O MIDTERM EXAM 2022 WEEK SIX GRADED A+ • QUIZ 6 • QUIZ 9 conditions, what antidepressant would you recommend as first-line? Selected answer : (Options C & D are both TCA antidepressants and, based on the patient’s age and comorbid conditions, a TCA would likely result in more side effects, such as increased fall risk due to potential for orthostatic hypotension and anticholinergic -related side effects. In addition, patient has a history for cardiac abnormalities due to A. fib diagnosis - TCAs result in electrocardiographic changes in susceptible individuals, therefore, would likely avoid. Choice B is used more for ADHD purposes than as an antidepressant) Page numbers used: Page 39 for TCA side -effect profile Which of the following is an appropriate strategy for managing treatment -resistant depression? Use both SSRI and SNRI Which of the following medications is best to AVOID in maintenance treatment of bipolar disorder and why? Selected answer : “As noted previously, antidepressants may contribute to an increase in mood episode frequency.” With second -generation antipsychotics, what is the main side effect that requires frequent monitoring? Selected answer : table 7 -6 & page 80, table 7 -7; Page 78: “However, attention over the past decade has focused on effect of second -generation antipsychotics on glucose metabolism and lipids and associated metabolic syndrome.” Which amino acid is involved in the synthesis of both norepinephrine and dopamine? An 81-year-old male comes to your clinic today complaining of dry mouth, blurred vision, and constipation. He has a past medical history significant for hypertension, heart failure, and depression. Of the following medications, which one is likely contributing to these side effects? Selected answer : Only TCA is listed with most anticholinergic effects; Page 39 for TCA side effect profile: “dry mouth, blurred vision, constipation, urinary hesitancy, tachycardia, memory difficulties, and ejaculatory difficulties” Which medication has been studied and recommended in patients with a social anxiety • QUIZ 10 • QUIZ 8 • QUIZ 7 • QUIZ 5 disorder who also suffer from an alcohol use disorder? Selected answer : “Suggested that treatment with the SSRI paroxetine decreased the anxiety and may have reduced the alcohol use as well” M. B. was just diagnosed with Generalized Anxiety Disorder and pharmacotherapy is needed. Which of the following would be a first-line treatment option for M. B.? i. Duloxetine ii. Quetiapine iii. Diazepam iv. Escitalopram Selected answer : “As is true for panic and the other anxiety disorders, the SSRIs and SNRIS are generally considered first-line agents for the treatment of GAD because of their favorable side effect profile….” The serotonin system is involved in many processes in psychiatry, including, most prominently, mood, sleep, and psychosis. Of the following neurons listed, from where is serotonin synthesized? Selected answer : under serotonin subheading and figure 1-18 on page 16: Locus Coeruleus: Norepinephrine Nucleus basalis: cholinergic neurons Substantia Nigra: dopamine Ventral Tegmental area: dopamine Which of the following symptoms is NOT part of the diagnostic features for bipolar disorder? Selected answer : “Psychosis is not represented in the diagnostic features for BPD.” - “Psychosis typically resolves along with the mood symptoms, though diagnostic criteria acknowledge that psychotic symptoms may linger beyond the end of the episode.” A 32-year-old males calls you complaining of decreased libido since starting Paroxetine 20 mg 2 weeks ago. He reported stopping the medication 1 day ago and is now experiencing extreme irritability and nervousness. He wishes to stop this medication due to side effects. What do you recommend? Selected answer : under selective serotonin re -uptake inhibitors discontinuation syndrome subtitle: “The risk of such adverse events occurring seems to be inversely related to the half -life of the SSRI, with fluoxetine reported as having a significantly lower risk than paroxetine in two studies. For more severe discontinuation -related adverse events, re-institution of the SSRI and slow taper may be necessary to alleviate these symptoms.” • QUIZ 15 • QUIZ 14 • QUIZ 13 • QUIZ 12 • QUIZ 11