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Maryville NURS 660 Psychopharmacology Exam 4 – Questions with Correct Verified Solutions

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This document includes the complete and verified set of questions with correct solutions for Maryville University’s NURS 660 Psychopharmacology Exam 4. It covers essential topics in psychiatric medication management, mechanisms of action, side effects, and clinical applications. Ideal for advanced nursing students, this resource supports effective exam preparation and strengthens understanding of psychopharmacological treatment principles.

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MARYVILLE NURS660 PSYCHOPHARMACOLOGY

EXAM 4 QUESTIONS WITH CORRECT VERIFIED

SOLUTIONS 100% GUARANTEED PASS.


1. A nurse is educating a patient about a new prescription for donepezil (Aricept) for

Alzheimer's disease. Which statement should the nurse include in the teaching plan?

A. "This medication works by blocking the effects of excess glutamate in the brain."

B. "You may experience some temporary gastrointestinal upset when first starting this

medication."

C. "This medication is available as a patch to help minimize side effects."

D. "You will need regular blood draws to monitor for liver or kidney damage."

CORRECT ANSWER: B

Rationale: Donepezil is a reversible, long-acting acetylcholinesterase inhibitor. Its most

common side effects are gastrointestinal (nausea, diarrhea) and are often transient. It is

taken orally once daily and does not require routine blood monitoring for renal or

hepatic function.

, 2|Page


2. A patient is being prescribed galantamine for mild to moderate Alzheimer's disease.

The nurse reviews the patient's chart and would question this order if the patient has

a history of which condition?

A. Hypertension

B. Type 2 diabetes mellitus

C. Severe renal impairment

D. Osteoporosis

CORRECT ANSWER: C

Rationale: Galantamine is contraindicated in patients with severe renal or hepatic

impairment. Its clearance is reduced in these populations, increasing the risk of adverse

effects. The other conditions do not represent absolute contraindications.

3. A nurse is comparing donepezil and rivastigmine. Which statement accurately

describes a key difference between these two medications?

A. Donepezil inhibits both AChE and BuChE, while rivastigmine only inhibits AChE.

B. Rivastigmine is available in an oral and transdermal formulation, while donepezil is

only oral.

C. Rivastigmine has a longer half-life and is dosed once daily, while donepezil requires

twice-daily dosing.

D. Donepezil acts as a positive allosteric modulator of nicotinic receptors, while

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