1h |h P a g e
NU 643 ADVANCED PSYCHOPHARMACOLOGY FIN
h h h h
AL EXAM|| ACTUAL AND FULL TEAT BANK WITH A
h h h h h h h h
LL QUESTIONS AND CORRECT ANSWERS ALREAD
h h h h h
Y GRADED A+|| LATEST AND COMPLETE UPDATE
h h h h h h h
WITH VERIFIED SOLUTIONS|| ASSURED PASS!!! h h h h
Tom, a 22 y/o male was dx with schizophrenia and prescribed clozapine 2 weeks ago.
h h h h h h h h h h h h h h
Upon assessment this morning, Tom's V/S are as follows: HR 116, RR 32, 101.2 (F),
h h h h h h h h h h h h h h h h
BP 89/62. Furthermore, Tom is oriented to person but is confused as to where he is at
h h h h h h h h h h h h h h h h h
and is very tense (i.e., stiff neck). Which of the following adverse reactions is Tom ex
h h h h h h h h h h h h h h h
periencing?
a. serotonin syndrome
h h
b. neuroleptic malignant syndrome (NMS)
h h h h
c. tardive dyskinesia
h h
d. discontinuation syndrome
h h
b. neuroleptic malignant syndrome (NMS)
h h h h
- CK and WBC would be elevated
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Which of the following is NOT considered treatment for NMS?
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a. slowly decreasing the administering dose of the antipsychotic being used
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b. administration of Dantrium (dantrolene)
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c. administration of Tylenol (acetaminophen)
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d. administration of Klonopin (clonazepam)
h h h h
,2h |h P a g e
a. slowly decreasing the administering dose of the antipsychotic being used
h h h h h h h h h h
- benzodiazepines are used for muscular rigidity (catatonic symptoms)
h h h h h h h h
- IV fluids should be used for rehydration
h h h h h h h
Sara, a 35 y/o female presents to the clinic with complaints of restlessness, fever/chill
h h h h h h h h h h h h h
s, and diarrhea. Sara's current medication list includes the following: Prozac (fluoxeti
h h h h h h h h h h h
ne), Natazia (estradiol/dienogestrel), and Ativan (lorazepam). Sara also states that sh
h h h h h h h h h h
e takes a multivitamin and St. John's wart daily. Which of the following adverse react
h h h h h h h h h h h h h h
ions is Sara experiencing?
h h h
a. serotonin syndrome
h h
b. neuroleptic malignant syndrome (NMS)
h h h h
c. tardive dyskinesia
h h
d. discontinuation syndrome
h h
a. serotonin syndrome
h h
-
hremember that serotonin syndrome often causes HYPERREFLEXIA, look for clonu
h h h h h h h h h
s
- taper off
h h
Which of the following is defined as motor restlessness or the inability to remain still
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(e.g., rocking, pacing, or constant motion of UNILATERAL limb)
h h h h h h h h
a. akinesia
h
,3h |h P a g e
b. dystonia
h
c. pseudo-parkinson's
h
d. akathisia
h
d. akathisia
h
Which of the following is defined as the ABSENCE of movement or difficulty initiati
h h h h h h h h h h h h h
ng motion and is often mistaken for laziness or disinterest?
h h h h h h h h h
a. akinesia
h
b. dystonia
h
c. pseudo-parkinson's
h
d. akathisia
h
a. akinesia
h
True or False: Atypical antipsychotics (SGAs) have a lower potential of causing EPS
h h h h h h h h h h h h h
symptoms and/or hyperprolactemia compared to that of typical antipsychotics (FGA
h h h h h h h h h
s).
True
Which of the following is true about atypical antipsychotics (SGAs)?
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a. classified as serotonin-dopamine antagonist
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b. results in 5HT1 and D2 partial agonism which decreases EPS S/E
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, 4h |h P a g e
c. may increase risk for metabolic syndrome
h h h h h h
d. all of the above
h h h h
d. all of the above
h h h h
-
hneed to obtain baseline labs due to the risk of metabolic syndrome (I.e., BP, waist cir
h h h h h h h h h h h h h h h
cumference, CBC, CMP, and lipid panel) h h h h h
- baseline labs should be repeated in 3 months (90 days)
h h h h h h h h h h
- BMI and waist circumference should be measured monthly for the first 3 months
h h h h h h h h h h h h h
True or False: NPs in the state of Oklahoma can prescribe schedule II through V drug
h h h h h h h h h h h h h h h
s as a 60 day supply without refills.
h h h h h h h
False
- can prescribe schedule III-V as a 30 day supply without refills
h h h h h h h h h h h
True or False: NPs in the state of Oklahoma may NOT prescribe stimulants used for t
h h h h h h h h h h h h h h h
reatment of ADHD. h h
True
- Amphetamines are controlled substance and are classified as schedule II drugs
h h h h h h h h h h h
- Adderall, Ritalin, Vyvanse
h h h
NU 643 ADVANCED PSYCHOPHARMACOLOGY FIN
h h h h
AL EXAM|| ACTUAL AND FULL TEAT BANK WITH A
h h h h h h h h
LL QUESTIONS AND CORRECT ANSWERS ALREAD
h h h h h
Y GRADED A+|| LATEST AND COMPLETE UPDATE
h h h h h h h
WITH VERIFIED SOLUTIONS|| ASSURED PASS!!! h h h h
Tom, a 22 y/o male was dx with schizophrenia and prescribed clozapine 2 weeks ago.
h h h h h h h h h h h h h h
Upon assessment this morning, Tom's V/S are as follows: HR 116, RR 32, 101.2 (F),
h h h h h h h h h h h h h h h h
BP 89/62. Furthermore, Tom is oriented to person but is confused as to where he is at
h h h h h h h h h h h h h h h h h
and is very tense (i.e., stiff neck). Which of the following adverse reactions is Tom ex
h h h h h h h h h h h h h h h
periencing?
a. serotonin syndrome
h h
b. neuroleptic malignant syndrome (NMS)
h h h h
c. tardive dyskinesia
h h
d. discontinuation syndrome
h h
b. neuroleptic malignant syndrome (NMS)
h h h h
- CK and WBC would be elevated
h h h h h h
Which of the following is NOT considered treatment for NMS?
h h h h h h h h h
a. slowly decreasing the administering dose of the antipsychotic being used
h h h h h h h h h h
b. administration of Dantrium (dantrolene)
h h h h
c. administration of Tylenol (acetaminophen)
h h h h
d. administration of Klonopin (clonazepam)
h h h h
,2h |h P a g e
a. slowly decreasing the administering dose of the antipsychotic being used
h h h h h h h h h h
- benzodiazepines are used for muscular rigidity (catatonic symptoms)
h h h h h h h h
- IV fluids should be used for rehydration
h h h h h h h
Sara, a 35 y/o female presents to the clinic with complaints of restlessness, fever/chill
h h h h h h h h h h h h h
s, and diarrhea. Sara's current medication list includes the following: Prozac (fluoxeti
h h h h h h h h h h h
ne), Natazia (estradiol/dienogestrel), and Ativan (lorazepam). Sara also states that sh
h h h h h h h h h h
e takes a multivitamin and St. John's wart daily. Which of the following adverse react
h h h h h h h h h h h h h h
ions is Sara experiencing?
h h h
a. serotonin syndrome
h h
b. neuroleptic malignant syndrome (NMS)
h h h h
c. tardive dyskinesia
h h
d. discontinuation syndrome
h h
a. serotonin syndrome
h h
-
hremember that serotonin syndrome often causes HYPERREFLEXIA, look for clonu
h h h h h h h h h
s
- taper off
h h
Which of the following is defined as motor restlessness or the inability to remain still
h h h h h h h h h h h h h h h
(e.g., rocking, pacing, or constant motion of UNILATERAL limb)
h h h h h h h h
a. akinesia
h
,3h |h P a g e
b. dystonia
h
c. pseudo-parkinson's
h
d. akathisia
h
d. akathisia
h
Which of the following is defined as the ABSENCE of movement or difficulty initiati
h h h h h h h h h h h h h
ng motion and is often mistaken for laziness or disinterest?
h h h h h h h h h
a. akinesia
h
b. dystonia
h
c. pseudo-parkinson's
h
d. akathisia
h
a. akinesia
h
True or False: Atypical antipsychotics (SGAs) have a lower potential of causing EPS
h h h h h h h h h h h h h
symptoms and/or hyperprolactemia compared to that of typical antipsychotics (FGA
h h h h h h h h h
s).
True
Which of the following is true about atypical antipsychotics (SGAs)?
h h h h h h h h h
a. classified as serotonin-dopamine antagonist
h h h h
b. results in 5HT1 and D2 partial agonism which decreases EPS S/E
h h h h h h h h h h h
, 4h |h P a g e
c. may increase risk for metabolic syndrome
h h h h h h
d. all of the above
h h h h
d. all of the above
h h h h
-
hneed to obtain baseline labs due to the risk of metabolic syndrome (I.e., BP, waist cir
h h h h h h h h h h h h h h h
cumference, CBC, CMP, and lipid panel) h h h h h
- baseline labs should be repeated in 3 months (90 days)
h h h h h h h h h h
- BMI and waist circumference should be measured monthly for the first 3 months
h h h h h h h h h h h h h
True or False: NPs in the state of Oklahoma can prescribe schedule II through V drug
h h h h h h h h h h h h h h h
s as a 60 day supply without refills.
h h h h h h h
False
- can prescribe schedule III-V as a 30 day supply without refills
h h h h h h h h h h h
True or False: NPs in the state of Oklahoma may NOT prescribe stimulants used for t
h h h h h h h h h h h h h h h
reatment of ADHD. h h
True
- Amphetamines are controlled substance and are classified as schedule II drugs
h h h h h h h h h h h
- Adderall, Ritalin, Vyvanse
h h h
