NR546 / NR 546 Final Exam (Latest Update 2024 / 2025): Advanced Pharmacology Psychopharmacology for the Psychiatric-Mental Health Nurse Practitioner | Complete Guide with Questions and Verified Answers| 100% Correct - Chamberlain

Final Exam: NR546 / NR 546 (Latest Update 2024 / 2025) Advanced Pharmacology Psychopharmacology for the Psychiatric-Mental Health Nurse Practitioner Review | Complete Guide with Questions and Verified Answers | 100% Correct - Chamberlain Q: SSRI MOA inhibit 5HT reuptake first line of treatment for depression Q: SSRI s/e Answer: 7 S's of SSRIs 1.Stomach l dysfunction onin syndrome difficulties dal thoughts s (weight) Q: serotonin s/e Answer: head, red, fed head = decreased anxiety, impulsivity, sex drive red = platelets and bleeding fed = gi motility and nausea Q: SSRI pt education Answer: most adverse affects will subside after 4-5 days once body adjusts to increased serotonin levels Q: SSRI drugs Answer: citalopram fluoxetine paroxetine sertraline fluvoxamine bupropion Q: citalopram Answer: *has a mild antihistamine effect *causes QT prolongation citalopram = celexa, think of cel LEXUS (car) = car - get an electrocardiogram if on this drug Q: escitalopram Answer: *no known drug interactions, used with polypharmacy *best tolerated SSRI *27-32 hr half life Q: fluoxetine Answer: *longest half life - prescribe to patient who may forget to take their meds THINK fluoxetine - when you spent a long week in bed with the FLU (referring to the long half life) *use with caution if pt has comorbid anxiety due to risk of activation and panic attacks Q: paroxetine Answer: *also treats social anxiety disorder *highest risk of discontinuation syndrome due to serotonin transporter inhibition and anticholinergic rebound *patient will experience withdrawal symptoms if with a missed dose or late dose *contraindicated in pregnancy due to risk of congenital defects *avoid in hx of falls/fractures *associated with weight gain Q: sertraline Answer: *treats social anxiety *27-36 hr half life *THINK sertraline =