PMHNP Exam Prep Questions Complete Solution 2023

The NP is completing an intake interview with a 24 yo female with a hx of depression and anxiety. When discussing med options the pt states she is newly married and is trying to get pregnant. You discuss starting buspar dt "animal reproduction studies having failed to demonstrate a risk to fetus and no adequate and well-controlled studies to show the drug to cx birth defects if used in pregnant women." Which FDA est category to indicate potential risk of a drug to cx birth defects in pregnancy did the NP describe to this pt? A. Category A B. Category B C. Category C D. Category D - B. Category B Category B described as animal reproduction studies have failed to demonstrate a risk to the fetus and there being no adequate and well-controlled studies to show the drug to cx birth defects if used in pregnant women. Pt taking selegiline may test urine positive for which drug? A. Benzo B. meth C. marijuana D. cocaine - B. methamphetamine selegiline is metabolized by the body into I-methamphetamine and I-amphetamine. Selegiline is a substituted phenethylamine used for the tx of early-stage Parkinson's disease, depression, and dementia. In normal clinical doses, it is a selective irreversible MAO-B inhibitor. However, in larger doses it loses its specificity and also inhibits MAO-A. What is the best strategy to stop clonidine? A. increase dose, then taper B. Gradually decrease dose C. Change to another adrenergic blocker, then taper gradually D. stop at once - B. gradually decrease dose. Discontinuation should be gradual to avoid rebounding autonomic sx of hypertensive crisis that have been reported in hypertensive pt who were suddenly withdrawn from the drug