NURS6630N/NURS 6630N MIDTERM EXAM 51 QUESTIONS WITH 100% CORRECT AND COMPLETE SOLUTIONS/A+ GRADE/2023

NURS6630N/NURS 6630N MIDTERM EXAM 51 QUESTIONS WITH 100% CORRECT AND COMPLETE SOLUTIONS/A+ GRADE/2023 A 32-year-old males calls you complaining of decreased libido since starting Paroxetine 20 mg 2 weeks ago. He reported stopping the medication 1 day ago and is now experiencing extreme irritability and nervousness. He wishes to stop this medication due to side effects. What do you recommend? Response Feedback: under selective serotonin re-uptake inhibitors discontinuation syndrome subtitle: “The risk of such adverse events occurring seems to be inversely related to the half-life of the SSRI, with fluoxetine reported as having a significantly lower risk than paroxetine in two studies. For more severe discontinuation-related adverse events, re-institution of the SSRI and slow taper may be necessary to alleviate these symptoms.” 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? 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? Response Feedback: “Moreover, non-adherent patients with schizophrenia are at greater risk for substance use, violence, and victimization as well as worse overall quality of life.” How do you manage a patient who develops neuroleptic malignant syndrome while on an atypical antipsychotic? Which of the following are NOT primary target(s) symptom for antipsychotic agents in schizophrenia? i. Depression, anxiety, demoralization, suicidality, excitability, and agitation ii. Delusions, hallucinations, disorganized thoughts iii. Affective flattening, alogia, avolition, anhedonia, social withdrawal iv. Attention, memory, and executive functions Response Feedback: “For schizophrenia, the primary target symptoms for antipsychotic agents fall into three categories: psychotic symptoms (e.g., hallucinations, • Question 4 • Question 2 • Question 1 • Question 6 • Question 8 delusions, disorganization); agitation (e.g., distractibility, affective lability, tension, increased motor activity); and negative symptoms (e.g. apathy, diminished affect, social withdrawal, poverty of speech.” AND “Although cognitive deficits are an important contributor to disability in schizophrenia, cognitive deficits usually are not considered a target for antipsychotic agents because they are not very responsible to current agents.” Choose the correct option regarding the major classes of GABA receptors and the ions involved in inhibition of the neurotransmitter pathway Response Feedback: “GABAB receptors, akin to the metabotropic glutamate receptors, are Gprotein-coupled receptors rather than ion channels. Activation of GABAB causes downstream changes in potassium (K+) and Ca+2 channels, largely via G-protein-mediated inhiation of cAMP.” Which amino acid is involved in the synthesis of both norepinephrine and dopamine? Choose the correct statement(s) regarding lithium levels. SELECT ALL THAT APPLY. Response Feedback: under pharmacokinetics and pharmacodynamics subtitle - “NSAIDs or other COX-2 inhibitors may decrease renal blood flow and thereby increase lithium levels by up to 25%.” - “Therefore, thiazide diuretics, which act distally, will tend to increase lithium levels by up to 50%