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Exam 3: NURS 660/ NURS660 (Latest 2024/ 2025 Update) Psychopharmacology and Advanced Mental Health Review | Qs & As| 100% Correct| Grade A (Verified Answers)- Maryville

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Exam 3: NURS 660/ NURS660 (Latest 2024/ 2025 Update) Psychopharmacology and Advanced Mental Health Review | Qs & As| 100% Correct| Grade A (Verified Answers)- Maryville Q: How does melatonin improve sleep? What receptors does it act on? Agonist or antatonist? Answer: Secreted by the pineal glad to attach to receptors in the suprachiasmic nucleus to regulate the circadian rhythm; agonist Q: Current dx of generalized anxiety disorder (GAD), difficulty concentrating as well as problems falling asleep. She gets very angry over basic things and is very moody in general, excessive stressful reactions, concentrate, irritability. What is going on in her brain? Answer: a. Dysfunction of amygdale and CTSC (serotonin/nor-einephrine) Q: Pt is coming in for detox with a long hx of alcohol abuse, HTN, and cirrhosis. He reports 12 beers daily for weeks. Has w/d seizures when he tries to stop drinking on his own. So he has elevated AST, LFT....what agent would you choose to detox him? Answer: lorazepam Q: Someone comes in with chronic hepatitis, also has chronic neuropathic pain. What medication would you AVOID prescribing to this patient and why? Answer: Cymbalta; elevates LFTs Q: Benzodiazepine patient education Answer: Avoid ETOH may cause dizziness, may slow heart rate, avoid sedating antihistamines Q: What medication or drug class, is second line treatment for fibromyalgia? Answer: cyclobenzaprine Q: What drug is a melatonin receptor agonist?

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Institution
NURS 660/ NURS660
Course
NURS 660/ NURS660

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ExamI3:INURSI660/INURS660I(LatestI2024
/I2025IUpdate)IPsychopharmacologyIandI
AdvancedIMentalIHealthIReviewI|IQsI&IAs
|I100%ICorrect|IGradeIAI(VerifiedIAnswers
)-IMaryville

Q:IHowIdoesImelatoninIimproveIsleep?IWhatIreceptorsIdoesIitIactIon?IAgonistI
orIantatonist?


Answer:
SecretedIbyItheIpinealIgladItoIattachItoIreceptorsIinItheIsuprachiasmicInucleusIto
IregulateItheIcircadianIrhythm;Iagonist




Q:ICurrentIdxIofIgeneralizedIanxietyIdisorderI(GAD),IdifficultyIconcentratingIa
sIwellIasIproblemsIfallingIasleep.ISheIgetsIveryIangryIoverIbasicIthingsIandIisIv
eryImoodyIinIgeneral,IexcessiveIstressfulIreactions,Iconcentrate,Iirritability.IWhat
IisIgoingIonIinIherIbrain?


Answer:
a.IDysfunctionIofIamygdaleIandICTSCI(serotonin/nor-einephrine)




Q:IPtIisIcomingIinIforIdetoxIwithIaIlongIhxIofIalcoholIabuse,IHTN,IandIcirrhos
is.IHeIreportsI12IbeersIdailyIforIweeks.IHasIw/dIseizuresIwhenIheItriesItoIstopId
rinkingIonIhisIown.ISoIheIhasIelevatedIAST,ILFT....whatIagentIwouldIyouIchoos
eItoIdetoxIhim?

, Answer:
lorazepam




Q:ISomeoneIcomesIinIwithIchronicIhepatitis,IalsoIhasIchronicIneuropathicIpain.
IWhatImedicationIwouldIyouIAVOIDIprescribingItoIthisIpatientIandIwhy?


Answer:
Cymbalta;IelevatesILFTs




Q:IBenzodiazepineIpatientIeducation


Answer:
AvoidIETOHImayIcauseIdizziness,ImayIslowIheartIrate,IavoidIsedatingIantihista
mines




Q:IWhatImedicationIorIdrugIclass,IisIsecondIlineItreatmentIforIfibromyalgia?


Answer:
cyclobenzaprine




Q:IWhatIdrugIisIaImelatoninIreceptorIagonist?

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Course
NURS 660/ NURS660

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