1
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NU 665 Exam 1 Questions and Answers
(100% Correct Answers) Already Graded
A+
What does Lazarus and Folkman's transactional model of stress
and coping emphasize?—Ans: Stress is a result of an individual's
appraisal of their resources in relation to environmental demands.
What is the main critique of traditional Motivational Interviewing
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(MI) according to Angelini & Efran (2021)?—Ans: MI's
effectiveness is not solely dependent on change talk; the
therapeutic relationship and context are also crucial.
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What is Anxious Attachment?—Ans: Anxious attachment arises
from inconsistent caregiving, leading to anxiety about
abandonment. Individuals with this style often crave closeness but
fear rejection or being left alone.
What does Secure Attachment look like in adults?—Ans: Adults
with secure attachment have stable, healthy relationships. They
balance independence with closeness, communicate effectively,
and are confident in seeking support when needed.
What is Secure Attachment?—Ans: Secure attachment forms
when caregivers are consistently responsive to a child's needs,
fostering safety and trust. These individuals feel comfortable with
intimacy, express emotions openly, and trust others.
A 25-year-old woman with bipolar disorder is newly pregnant. She
is currently stable on valproate. What should be done?—Ans:
Discontinue valproate immediately due to its high risk of neural
tube defects. Consider switching to lamotrigine, which is safer in
pregnancy.
A 70-year-old woman with GAD and a history of falls is asking for
medication. Which medication should be avoided?—Ans:
, 2
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Benzodiazepines (e.g., alprazolam, diazepam, lorazepam) - They
increase fall risk, cognitive impairment, and dependence in
elderly patients. Consider SSRIs or buspirone instead.
A 36-year-old male combat veteran with PTSD experiences
nightmares and hyperarousal. What medication should be
considered?—Ans: A 36-year-old male combat veteran with PTSD
experiences nightmares and hyperarousal. What medication
should be considered?
A 28-year-old female with generalized anxiety disorder (GAD)
wants a medication that is non-addictive and does not cause
sedation. What is a good option?—Ans: Buspirone - A non-
benzodiazepine option that does not cause sedation or
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dependence, but takes 2-4 weeks to work.
A 38-year-old male with depression and chronic pain
(fibromyalgia) needs an antidepressant. Which medication would
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be a good choice?—Ans: Duloxetine - It treats both depression
and neuropathic pain/fibromyalgia.
A 45-year-old woman with treatment-resistant depression has tried
fluoxetine, sertraline, and venlafaxine with minimal improvement.
What is the next step?—Ans: Consider augmentation therapy with
lithium, atypical antipsychotics (e.g., aripiprazole), or
triiodothyronine (T3). Alternatively, MAOIs or electroconvulsive
therapy (ECT) can be considered.
A 24-year-old man with major depressive disorder (MDD) and
nicotine dependence wants to quit smoking. He has no history of
seizures. What antidepressant might be a good option?—Ans:
Bupropion - It treats MDD and helps with smoking cessation.
However, it is contraindicated in seizure disorders or eating
disorders.
A 32-year-old woman presents with depression, decreased
appetite, weight loss, and insomnia. She denies suicidal ideation
but feels hopeless. She is underweight (BMI 17.8). Which
antidepressant is a good choice?—Ans: Mirtazapine - It promotes
, 3
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weight gain and improves sleep, making it ideal for underweight
patients with insomnia.
What is the black box warning for all antidepressants?—Ans: What
is the black box warning for all antidepressants?
Which antipsychotic has a black box warning for increased
mortality in elderly patients with dementia-related psychosis?—
Ans: All antipsychotics (especially second-generation).
Which benzodiazepine has the highest potential for abuse due to
rapid onset?—Ans: Alprazolam (Xanax).
Which sleep medication is most associated with complex sleep
behaviors like sleepwalking?—Ans: Zolpidem (Ambien).
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What are the three hallmark symptoms of serotonin syndrome?—
Ans: Hyperreflexia, clonus, autonomic instability (fever, sweating,
tachycardia).
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What is the first-line treatment for serotonin syndrome?—Ans:
Discontinue serotonergic drugs and give cyproheptadine
(serotonin antagonist).
What is the hallmark sign of neuroleptic malignant syndrome
(NMS)?—Ans: Lead-pipe rigidity, high fever, altered mental status,
autonomic instability.
What is the treatment for neuroleptic malignant syndrome?—Ans:
What is the treatment for neuroleptic malignant syndrome?
Which stimulant ADHD medication has the highest risk of appetite
suppression?—Ans: Methylphenidate (Ritalin, Concerta).
What is the non-stimulant option for ADHD that works as an alpha-
2 agonist?—Ans: Guanfacine or Clonidine.
Which ADHD medication is contraindicated in patients with
cardiac conditions due to increased BP and HR?—Ans:
Amphetamines (Adderall, Vyvanse).
What is the mechanism of action of atomoxetine (Strattera)?—
Ans: What is the mechanism of action of atomoxetine (Strattera)?
For Expert help and assignment solutions, +254707240657
NU 665 Exam 1 Questions and Answers
(100% Correct Answers) Already Graded
A+
What does Lazarus and Folkman's transactional model of stress
and coping emphasize?—Ans: Stress is a result of an individual's
appraisal of their resources in relation to environmental demands.
What is the main critique of traditional Motivational Interviewing
© 2025 Assignment Expert
(MI) according to Angelini & Efran (2021)?—Ans: MI's
effectiveness is not solely dependent on change talk; the
therapeutic relationship and context are also crucial.
Guru01 - Stuvia
What is Anxious Attachment?—Ans: Anxious attachment arises
from inconsistent caregiving, leading to anxiety about
abandonment. Individuals with this style often crave closeness but
fear rejection or being left alone.
What does Secure Attachment look like in adults?—Ans: Adults
with secure attachment have stable, healthy relationships. They
balance independence with closeness, communicate effectively,
and are confident in seeking support when needed.
What is Secure Attachment?—Ans: Secure attachment forms
when caregivers are consistently responsive to a child's needs,
fostering safety and trust. These individuals feel comfortable with
intimacy, express emotions openly, and trust others.
A 25-year-old woman with bipolar disorder is newly pregnant. She
is currently stable on valproate. What should be done?—Ans:
Discontinue valproate immediately due to its high risk of neural
tube defects. Consider switching to lamotrigine, which is safer in
pregnancy.
A 70-year-old woman with GAD and a history of falls is asking for
medication. Which medication should be avoided?—Ans:
, 2
For Expert help and assignment solutions, +254707240657
Benzodiazepines (e.g., alprazolam, diazepam, lorazepam) - They
increase fall risk, cognitive impairment, and dependence in
elderly patients. Consider SSRIs or buspirone instead.
A 36-year-old male combat veteran with PTSD experiences
nightmares and hyperarousal. What medication should be
considered?—Ans: A 36-year-old male combat veteran with PTSD
experiences nightmares and hyperarousal. What medication
should be considered?
A 28-year-old female with generalized anxiety disorder (GAD)
wants a medication that is non-addictive and does not cause
sedation. What is a good option?—Ans: Buspirone - A non-
benzodiazepine option that does not cause sedation or
© 2025 Assignment Expert
dependence, but takes 2-4 weeks to work.
A 38-year-old male with depression and chronic pain
(fibromyalgia) needs an antidepressant. Which medication would
Guru01 - Stuvia
be a good choice?—Ans: Duloxetine - It treats both depression
and neuropathic pain/fibromyalgia.
A 45-year-old woman with treatment-resistant depression has tried
fluoxetine, sertraline, and venlafaxine with minimal improvement.
What is the next step?—Ans: Consider augmentation therapy with
lithium, atypical antipsychotics (e.g., aripiprazole), or
triiodothyronine (T3). Alternatively, MAOIs or electroconvulsive
therapy (ECT) can be considered.
A 24-year-old man with major depressive disorder (MDD) and
nicotine dependence wants to quit smoking. He has no history of
seizures. What antidepressant might be a good option?—Ans:
Bupropion - It treats MDD and helps with smoking cessation.
However, it is contraindicated in seizure disorders or eating
disorders.
A 32-year-old woman presents with depression, decreased
appetite, weight loss, and insomnia. She denies suicidal ideation
but feels hopeless. She is underweight (BMI 17.8). Which
antidepressant is a good choice?—Ans: Mirtazapine - It promotes
, 3
For Expert help and assignment solutions, +254707240657
weight gain and improves sleep, making it ideal for underweight
patients with insomnia.
What is the black box warning for all antidepressants?—Ans: What
is the black box warning for all antidepressants?
Which antipsychotic has a black box warning for increased
mortality in elderly patients with dementia-related psychosis?—
Ans: All antipsychotics (especially second-generation).
Which benzodiazepine has the highest potential for abuse due to
rapid onset?—Ans: Alprazolam (Xanax).
Which sleep medication is most associated with complex sleep
behaviors like sleepwalking?—Ans: Zolpidem (Ambien).
© 2025 Assignment Expert
What are the three hallmark symptoms of serotonin syndrome?—
Ans: Hyperreflexia, clonus, autonomic instability (fever, sweating,
tachycardia).
Guru01 - Stuvia
What is the first-line treatment for serotonin syndrome?—Ans:
Discontinue serotonergic drugs and give cyproheptadine
(serotonin antagonist).
What is the hallmark sign of neuroleptic malignant syndrome
(NMS)?—Ans: Lead-pipe rigidity, high fever, altered mental status,
autonomic instability.
What is the treatment for neuroleptic malignant syndrome?—Ans:
What is the treatment for neuroleptic malignant syndrome?
Which stimulant ADHD medication has the highest risk of appetite
suppression?—Ans: Methylphenidate (Ritalin, Concerta).
What is the non-stimulant option for ADHD that works as an alpha-
2 agonist?—Ans: Guanfacine or Clonidine.
Which ADHD medication is contraindicated in patients with
cardiac conditions due to increased BP and HR?—Ans:
Amphetamines (Adderall, Vyvanse).
What is the mechanism of action of atomoxetine (Strattera)?—
Ans: What is the mechanism of action of atomoxetine (Strattera)?