NURS 6630 MIDTERM Exam (3 Latest Versions) /NURS 6630 MIDTERM Exam Preparation/NURS 6630 MIDTERM Exam Practice Exam With Questions And Correct Answers| Brand New

NURS 6630 MIDTERM Exam (3 Latest Versions) /NURS 6630 MIDTERM Exam Preparation/NURS 6630 MIDTERM Exam Practice Exam With Questions And Correct Answers| Brand New Version! • Question 1 The serotonin system is involved in many processes in psychiatry, including, most prominently, mood, sleep, and psychosis. Of the following neurons listed, from where is serotonin synthesized? Response Feedback: • Question 2 under serotonin subheading and figure 1-18 on page 16: Locus Coeruleus: Norepinephrine Nucleus basalis: cholinergic neurons Substantia Nigra: dopamine Ventral Tegmental area: dopamine Glia cells play a supportive role in the neuron. A few of the functions of the glial cells include providing nutrition, maintaining homeostasis, stabilizing synapses, and myelinating axons. The glial cells are categorized as microglia or macroglia. Of the macroglia cells, which one plays a role in myelinating axons, which may contribute to mood disorders if altered? • Question 3 Which of the following statements below is NOT considered an appropriate treatment strategy for treatment-resistant depression? Response Feedback: “Combination of an SSRI OR an SNRI with a norepinephrine-dopamine re-uptake inhibitor (bupropion) or a serotonin-norepinephrine antagonist (mirtazapine or mianserin) is a commonly used combination” • Question 4 What is the strongest established risk factor for bipolar disorder? Response Feedback: MIDTERM EXAM • Question 5 “The strongest established risk factor for BPD is a family history of BPD.” Choose the appropriate pair regarding acetylcholine receptors. Response Feedback: “There are two classes of ACh receptors: muscarinic and nicotinic. While muscarinic receptors are G-protein-coupled, nicotinic receptors are ion channels, which allows for rapid influx of NA+ and Ca2+ into the post- synaptic neuron.” • Question 6 An 81-year-old male comes to your clinic today complaining of dry mouth, blurred vision, and constipation. He has a past medical history significant for hypertension, heart failure, and depression. Of the following medications, which one is likely contributing to these side effects? Response Only TCA is listed with most anticholinergic effects; Page 39 for TCA MIDTERM EXAM Feedback: side effect profile: “dry mouth, blurred vision, constipation, urinary hesitancy, tachycardia, memory difficulties, and ejaculatory difficulties” • Question 7 When initiating lithium, how long should you wait before checking a lithium level? What is the therapeutic goal level of lithium? • Question 8 Austin is one of your clients and he asks you why exercise makes him feel better and lifts his mood. You tell him that his body is releasing which you know is a naturally occurring . Response Feedback: The client is releasing a naturally occurring opioid (endorphins) that are considered peptides. The other neurotransmitters mentioned are not released during exercise and do not match the correct classification • Question 9 K. B. is a 28-year-old male who was started on Venlafaxine 75 mg about 2 weeks ago and is now calling you asking how long it should take for this medication to begin to work. He is concerned his girlfriend will leave him if he doesn’t get better quickly. What is the appropriate amount of time to allot to see a therapeutic response? Response Feedback: “It has been consistently observed and reported that remission of depression often requires 4 weeks of treatment or more;” Page 33: “Use of antidepressant for at least 6–12 weeks to determine whether it is helping or not” • Question 10 What is the therapeutic plasma level of carbamazepine? • Question 11 Jamie has major depressive disorder and you decide to prescribe an SSRI. Jamie wants to make sure her medication is covered by her insurance plan. You review a list of SSRIs and notice that one medication listed on the list is not FDA-approved for the treatment of depression. Which of the following medications do you decide to NOT prescribe for Jamie’s depression? Response Feedback: Only one of the SSRIs, fluvoxamine, is not approved for the treatment of depression in the United States, as it is approved only for the treatment of obsessive-compulsive disorder (OCD). • Question 12 Is this a TRUE or FALSE statement? The following patient case is considered an example of treatment-resistant depression. B. B. is a 26-year old-female at your clinic today with the diagnosis, “treatment-resistant depression.” She is currently on Bupropion 300 mg daily and has been at this dose for 6