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NR 546 / NR546 FINAL EXAM ADVANCED PHARMACOLOGY PSYCHOPHARMACOLOGY FOR THE PSYCHIATRIC-MENTAL HEALTH NURSE PRACTITIONER | NEWEST ACTUAL EXAM COMPLETE QUESTIONS AND VERIFIED ANSWERS GRADED A+ | (GUARANTEED PASS) | 2025 UPDATE! (NEW) LATEST VERSION. $22.99
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NR 546 / NR546 FINAL EXAM ADVANCED PHARMACOLOGY PSYCHOPHARMACOLOGY FOR THE PSYCHIATRIC-MENTAL HEALTH NURSE PRACTITIONER | NEWEST ACTUAL EXAM COMPLETE QUESTIONS AND VERIFIED ANSWERS GRADED A+ | (GUARANTEED PASS) | 2025 UPDATE! (NEW) LATEST VERSION.
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NR 546 / NR546 FINAL EXAM ADVANCED PHARMACOLOGY PSYCHOPHARMACOLOGY FOR THE PSYCHIATRIC-MENTAL HEALTH NURSE PRACTITIONER | NEWEST ACTUAL EXAM COMPLETE QUESTIONS AND VERIFIED ANSWERS GRADED A+ | (GUARANTEED PASS) | 2025 UPDATE! (NEW) LATEST VERSION.

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  • January 25, 2025
  • 65
  • 2024/2025
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NR 546 / NR546 FINAL EXAM ADVANCED
PHARMACOLOGY PSYCHOPHARMACOLOGY FOR THE
PSYCHIATRIC-MENTAL HEALTH NURSE PRACTITIONER |
NEWEST ACTUAL EXAM COMPLETE QUESTIONS AND
VERIFIED ANSWERS GRADED A+ | (GUARANTEED PASS)
| 2025 UPDATE! (NEW) LATEST VERSION.

Which NTMs play an important role in the symptoms and treatment of
ADHD? - ✔✔✔ Correct Answer > Norepinephrine and Dopamine


What does DA, NE, Serotonin do? - ✔✔✔ Correct Answer > Dopamine= When
levels are low= loss pleasure, interest, alertness, and even self-
confidence. When levels are high= hallucinations you see in
schizophrenia and psychosis.
Norepinephrine= flight, fight, or fright: when levels are high= antsy,
nervous, and affect ability to focus
Serotonin= play a role in relaxation, comfort, and decrease stress.
Regulates sleep, arousal, libido, aggression, and pain perception


What is required when prescribing mood-stabilizing drugs? - ✔✔✔ Correct
Answer > Mood-stabilizing drugs require baseline and routine laboratory

monitoring to help determine medical appropriateness for the initiation
of therapy and monitoring of adverse effects.

,What are symptoms of decreased positive affect? - ✔✔✔ Correct Answer >
Symptoms of decreased positive affect= DA and NE dysfunction=
depressed mood, loss of joy, lack of interest, loss of energy, decreased
alertness, decreased self-confidence, appetite changes


What are symptoms of increased negative affect? - ✔✔✔ Correct Answer >
Symptoms of increased negative affect= 5HT and NE dysfunction=
depressed mood, guilt, fear/ anxiety, hostility, irritability, loneliness,
appetite changes


Which brain region is affected when a patient is experiencing racing
thoughts and grandiosity? - ✔✔✔ Correct Answer > Nucleus accumbens


The FDA requires _________ _________ for all antidepressants to
contain information about potential risks of mania - ✔✔✔ Correct Answer >
product labeling


Which medication should be taken with at least 350 calories of food for
maximum absorption? - ✔✔✔ Correct Answer > Lurasidone


What is the starting dose requirement for patients with renal failure
who are prescribed lithium carbonate (Lithobid)? - ✔✔✔ Correct Answer > The
starting dose for lithium carbonate should be reduced by at least 50%
in patients with renal failure

,What are two medications that can increase lithium levels? - ✔✔✔ Correct
Answer > NSAIDS and ACE inhibitors.


(Caffeine and Mania decrease lithium levels)


Jade, 24, is newly diagnosed with bipolar I with acute mania. She has an
intrauterine device (IUD). - ✔✔✔ Correct Answer > Lithium is a first-line treatment
for new onset bipolar with acute mania. Lithium is teratogenic; an IUD
will prevent pregnancy. If the client does not want long-term
contraception or decides to get pregnant, you can prescribe lurasidone
as it is nonteratogenic and is monotherapy for acute mania and mixed
mania.


Michelle, 30, has been taking valproic acid for bipolar I disorder. She
and her partner are discussing getting pregnant in the next few months.
- ✔✔✔ Correct Answer > Valproic acid is contraindicated during pregnancy. The

client should be switched to an atypical antipsychotic prior to trying to
conceive - LURASIDONE


Adam, 22, has been diagnosed with bipolar I disorder for 3 years. He
presents with an acute episode of mania. His mother states she isn't
sure how carefully he has been taking his medications - ✔✔✔ Correct Answer >
aripiprazole intramuscular (IM) after an oral trial establishes tolerability
-
Long-acting injectable antipsychotic medications, such as aripiprazole,
may be appropriate for clients who struggle with medication adherence
after a successful oral trial.

, Which labs should be monitored for a patient on lithium? - ✔✔✔ Correct Answer >
serum lithium level (narrow therapeutic index)
renal function
thyroid function


A PMHNP has decided to increase a patient's dose of lithium. When
does the patient need to return for lithium serum level monitoring? -
✔✔✔ Correct Answer > With any lithium dose adjustments, lithium levels should

be monitored 5 days after


How often should lithium be monitored? - ✔✔✔ Correct Answer > Lithium levels
should be monitored regularly at 6 month intervals


Which labs should be monitored for a patient taking valproic acid
(Depakote)? - ✔✔✔ Correct Answer > serum valproate level, liver function
(hepatotoxicity)
CBC (thrombocytopenia, leukopenia)


every 3 months for 1 year and then annually


Which labs should be monitored for a patient taking Carbamazepine? -
✔✔✔ Correct Answer > serum carbamazepine levels


renal and liver function (renal failure, hepatotoxicity)
CBC (blood dyscrasias)

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