WALDEN UNIVERSITY, NURS 6630N MIDTERM 2 EXAM (Newly Updated Exam Elaborations Questions with Answers Exam Review Guide) Latest Verified Review 2024 Practice Questions and Answers for Exam Preparation, 100% Correct with Explanations, Highly Recommended, Do

WALDEN UNIVERSITY, NURS 6630N MIDTERM 2 EXAM (Newly Updated Exam Elaborations Questions with Answers Exam Review Guide) Latest Verified Review 2024 Practice Questions and Answers for Exam Preparation, 100% Correct with Explanations, Highly Recommended, Download to Score A+ Walden University, NURS 6630N MIDTERM 2 EXAM NURS 6630N MIDTERM 2 EXAM Exam Elaborations Questions with Answers Exam Review Guide What is the strongest established risk factor for bipolar disorder? Family History Response Feedback: “The strongest established risk factor for BPD is a familyhistory of BPD.” Which of the following medications are known as selective serotonin re-uptake inhibitors (SSRIs)? i. Nortriptyline ii. Citalopram iii. Duloxetine iv. Fluoxetine v. Venlafaxine The Food and Drug Administration (FDA) has approved these SSRIs to treat depression:  Citalopram (Celexa)  Escitalopram (Lexapro)  Fluoxetine (Prozac)  Paroxetine (Paxil, Pexeva)  Sertraline (Zoloft) Which disease state of a non-adherent patient is at greater risk for substance use,violence, and victimization as well as worse overall quality of life? Schizophrenia Response Feedback: “Moreover, non-adherent patients with schizophrenia are at greaterrisk for substance use, violence, and victimization as well as worse overall quality of life.” • Question 2 • Question 1 • Question 3 Patient is a 72-year-old male with a past medical history significant for atrial fibrillation and COPD with a new diagnosis of major depression disorder. Based on his comorbid conditions, what antidepressant would you recommend as first-line? Response Feedback: (Options C & D are both TCA antidepressants and, based on the patient’sage and comorbid conditions, a TCA would likely result in more side effects, such as increased fall risk due to potential for orthostatic hypotension and anticholinergicrelated side effects. In addition, patienthas a history for cardiac abnormalities due to A. fib diagnosis - TCAs result in electrocardiographic changes in susceptible individuals, therefore, would likely avoid. Choice B is used more for ADHD purposes than as an antidepressant) Page numbers used: Page 39 for TCA side-effect profile Which of the following is an appropriate strategy for managing treatment-resistant depression? Use both SSRI and SNRI Which of the following medications is best to AVOID in maintenance treatment of bipolardisorder and why? Response Feedback: “As noted previously, antidepressants may contribute to anincrease in mood episode frequency.” With second-generation antipsychotics, what is the main side effect that requires frequent monitoring? Response Feedback: table 7-6 & page 80, table 7-7; Page 78: “However, attention over the past decade has focused on effect of second-generation antipsychotics on glucose metabolism and lipids and associated metabolic syndrome.” Which amino acid is involved in the synthesis of both norepinephrine and dopamine? 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 Feedback: Only TCA is listed with most anticholinergic effects; Page 39 for TCA side effect profile: “dry mouth, blurred vision, constipation, urinary hesitancy, tachycardia, memory difficulties, and ejaculatory difficulties” Which medication has been studied and recommended in patients with a social anxiety • Question 10 • Question 8 • Question 7 • Question 5 • Question 4 • Question 6 • Question 9 disorder who also suffer from an alcohol use disorder? Response Feedback: “Suggested that treatment with the SSRI paroxetine decreased theanxiety and may have reduced the alcohol use as well”