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3P Psychiatry Complete Guide With Solutions Of Answers Graded A+.

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For the initial treatment of alcohol dependency, naltrexone (Vivitrol) should be continued for at least: - correct answer 3 months after cessation of drinking. Which of the following is NOT a true statement about treatment of ADHD with methylphenidate (Ritalin)? - correct answer It may improve symptoms of depression. The generic name for Intuniv, used in the treatment of attention deficit disorder, is: - correct answer guanfacine. Before initiating doxepin (Silenor) for the treatment of insomnia, the nurse practitioner should assure that the patient is not taking a(n): - correct answer MAO Inhibitor. Guanfacine (Intuniv), used in the treatment of attention deficit disorder, is classified as a(n): - correct answer alpha-2- adrenergic agonist. Non-benzodiazepine hypnotic agonists for the treatment of insomnia induce sleep by: - correct answer raising the levels of gamma-aminobutyric acid (GABA). Suvorexant (Belsomra), used in the treatment of insomnia, induces sleep by: - correct answer blocking the signals of orexin chemicals in the hypothalamus. Sertraline (Zoloft) is approved for the treatment of: - correct answer panic disorder. In the treatment of depression, the mechanism of action of fluoxetine (Prozac) is to: - correct answer increase serotonin availability in the synaptic space, causing a downregulation of 5HT1A receptors. Therapeutic drug levels and predictability of clinical response are difficult to determine in first-generation antipsychotics (e.g., haloperidol [Haldol]) because they: - correct answer have variable bioavailability, are lipophilic and highly protein bound. Prior to the initiation of atomoxetine (Strattera) for treatment of attention deficit disorder, patients should be carefully evaluated for: - correct answer cardiac disease. Laboratory monitoring for patients receiving serotonin-norepinephrine reuptake inhibitors (SNRIs) would NOT include: - correct answer thyroid stimulating hormone. Ramelteon (Rozerem), a melatonin receptor agonist,: - correct answer does not cause physical dependence. First-generation antipsychotics (e.g., haloperidol [Haldol]) are associated with side effects including: - correct answer tardive dyskinesia. Bupropion (Wellbutrin), used in the treatment of depression, should NOT be administered to a patient with: - correct answer seizure disorder. A potential side effect of atomoxetine (Strattera) for the treatment of attention deficit disorder is: - correct answer suicidality. The generic name of Zyprexa is: - correct answer olanzapine. The mechanism of action of atomoxetine (Strattera), used in the treatment of attention deficit disorder, is to: - correct answer selectively inhibit norepinephrine reuptake. Naltrexone (Vivitrol) is indicated for treatment of addiction to: - correct answer alcohol. Quetiapine (Seroquel) should NOT be prescribed during: - correct answer dementia- related psychosis in an older adult. Buspirone (BuSpar), an anxiolytic,: - correct answer is excreted by the kidneys. After initiation or increase in dose of a selective serotonin receptor inhibitor (SSRI) such as escitalopram (Lexapro), the patient should be monitored for: - correct answer hyperthermia, akathisia and clonus. The mechanism of action of second-generation antipsychotic medications such as aripiprazole (Abilify) does NOT include: - correct answer serotonin reuptake stimulation. In the treatment of depression, the mechanism of action of bupropion (Wellbutrin) is to: - correct answer Inhibit the reuptake of norepinephrine and dopamine. Drug-drug interactions that may lead to serotonin syndrome would NOT be potentiated by the concomitant use of serotonin-norepinephrine reuptake inhibitors (SNRIs) and: - correct answer aspirin (Ecotrin). Duloxetine (Cymbalta) should be avoided in patients with: - correct answer hepatic impairment The most commonly reported side effects of desvenlafaxine (Pristiq) are: - correct answer nausea and dizziness. When initiating bupropion hydrochloride (Zyban), patients should be informed to stop smoking: - correct answer after 7 days and continue therapy for up to 12 weeks. The drug of choice for the treatment of attention deficit disorder in children and adolescents who are overaroused and easily frustrated is: - correct answer guanfacine (Intuniv). The drug class that is considered the first-line option for the treatment of insomnia with the least possible side effects is: - correct answer non- benzodiazepine hypnotics. If methylphenidate is contraindicated, which of the following medications is recommended for treatment of ADHD in an adult? - correct answer Bupropion (Wellbutrin) Which statement about naltrexone (Vivitrol) is correct? - correct answer Naltrexone does not cause physical dependence.

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