NR 547 FINAL EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) ALL ANSWERED DIFFERENTAL
DIAGNOSIS IN PSYCHIATRIC- MENTAL HEALTH
Maois - ✔✔✔ Correct Answer > -Action: increases norepinephrine and serotonin by
inhibiting the enzyme that inactivates it
-Examples: isocarboxazid, phenelzine, tranylcypromine
-Common Side Effects:
• sedation
• dizziness
• sexual dysfunction
• hypertensive crisis
Prescribing pearls: citalopram (Celexa) - ✔✔✔ Correct Answer > mild antihistamine
effects
Prescribing pearls: escitalopram (Lexapro) - ✔✔✔ Correct Answer > no known drug
interactions
Prescribing pearls: fluoxetine (Prozac) - ✔✔✔ Correct Answer > longest half-life
Prescribing pearls: paroxetine (Paxil) - ✔✔✔ Correct Answer > also treats social
anxiety and insomnia
,Prescribing pearls: fluvoxamine (Luvox) - ✔✔✔ Correct Answer > treats anxious
depression smokers require increased dose
Prescribing pearls: sertraline (Zoloft) - ✔✔✔ Correct Answer > also treats social
anxiety
and hypersomnolence
Prescribing pearls: bupropion (Wellbutrin) - ✔✔✔ Correct Answer > NDRI may
improve energy, alertness, and motivation; not first line treatment for anxiety;
contraindicated in clients with a history of seizures
Prescribing pearls: duloxetine (Cymbalta) - ✔✔✔ Correct Answer > effective for
atypical pain at higher doses; appropriate for clients who present with somatic
symptoms of depression; effective for atypical pain, such as fibromyalgia and
diabetic neuropathy
Prescribing pearls: venlafaxine (Effexor) - ✔✔✔ Correct Answer > treats both
depression and anxiety disorders, ensure trial of higher dose before switching to a
different medication
Prescribing pearls: desvenlafaxine (Pristiq) - ✔✔✔ Correct Answer > effective for
perimenopausal vasomotor symptoms
Considered when selecting a medication: - ✔✔✔ Correct Answer > -Client
preference
-Prior treatment response
-Anticipated adverse effects
-Comorbidities
,-Half-life and interactions
-Cost
If a medication is not achieving efficacy: - ✔✔✔ Correct Answer > -Increase dose
gradually
-Switch to a different drug within the same class
-Switch to drug in a different class
-Add a second medication
Use to protect against suicide - ✔✔✔ Correct Answer > lithium
Medications for depression - ✔✔✔ Correct Answer > ssris
Snris
Sdris
Tcas
Maois
Ssris - ✔✔✔ Correct Answer > -Action: inhibit 5-HT reuptake
-Examples: citalopram, escitalopram, fluoxetine, paroxetine, sertraline
-Adverse effects:
• nausea
• agitation
• diarrhea
• headache
, • weight gain
• sexual side effects
Snris - ✔✔✔ Correct Answer > -inhibit 5-HT reuptake
-inhibit NE reuptake (↑ energy, focus)
-increase DA in prefrontal cortex (↑ cognition)
-Examples: desvenlafaxine, duloxetine, levomilnacipran, venlafaxine -
Adverse effects:
• elevated blood pressure
• nausea
• sweating
• tremors
• anxiety
• insomnia
• constipation
• anorexia
• sexual dysfunction
Sdris - ✔✔✔ Correct Answer > -inhibit DA reuptake (↑alertness, motivation)
-inhibit NE reuptake (↑energy) -
Adverse effects:
• agitation
• headache
• dry mouth
ANSWERS (VERIFIED ANSWERS) ALL ANSWERED DIFFERENTAL
DIAGNOSIS IN PSYCHIATRIC- MENTAL HEALTH
Maois - ✔✔✔ Correct Answer > -Action: increases norepinephrine and serotonin by
inhibiting the enzyme that inactivates it
-Examples: isocarboxazid, phenelzine, tranylcypromine
-Common Side Effects:
• sedation
• dizziness
• sexual dysfunction
• hypertensive crisis
Prescribing pearls: citalopram (Celexa) - ✔✔✔ Correct Answer > mild antihistamine
effects
Prescribing pearls: escitalopram (Lexapro) - ✔✔✔ Correct Answer > no known drug
interactions
Prescribing pearls: fluoxetine (Prozac) - ✔✔✔ Correct Answer > longest half-life
Prescribing pearls: paroxetine (Paxil) - ✔✔✔ Correct Answer > also treats social
anxiety and insomnia
,Prescribing pearls: fluvoxamine (Luvox) - ✔✔✔ Correct Answer > treats anxious
depression smokers require increased dose
Prescribing pearls: sertraline (Zoloft) - ✔✔✔ Correct Answer > also treats social
anxiety
and hypersomnolence
Prescribing pearls: bupropion (Wellbutrin) - ✔✔✔ Correct Answer > NDRI may
improve energy, alertness, and motivation; not first line treatment for anxiety;
contraindicated in clients with a history of seizures
Prescribing pearls: duloxetine (Cymbalta) - ✔✔✔ Correct Answer > effective for
atypical pain at higher doses; appropriate for clients who present with somatic
symptoms of depression; effective for atypical pain, such as fibromyalgia and
diabetic neuropathy
Prescribing pearls: venlafaxine (Effexor) - ✔✔✔ Correct Answer > treats both
depression and anxiety disorders, ensure trial of higher dose before switching to a
different medication
Prescribing pearls: desvenlafaxine (Pristiq) - ✔✔✔ Correct Answer > effective for
perimenopausal vasomotor symptoms
Considered when selecting a medication: - ✔✔✔ Correct Answer > -Client
preference
-Prior treatment response
-Anticipated adverse effects
-Comorbidities
,-Half-life and interactions
-Cost
If a medication is not achieving efficacy: - ✔✔✔ Correct Answer > -Increase dose
gradually
-Switch to a different drug within the same class
-Switch to drug in a different class
-Add a second medication
Use to protect against suicide - ✔✔✔ Correct Answer > lithium
Medications for depression - ✔✔✔ Correct Answer > ssris
Snris
Sdris
Tcas
Maois
Ssris - ✔✔✔ Correct Answer > -Action: inhibit 5-HT reuptake
-Examples: citalopram, escitalopram, fluoxetine, paroxetine, sertraline
-Adverse effects:
• nausea
• agitation
• diarrhea
• headache
, • weight gain
• sexual side effects
Snris - ✔✔✔ Correct Answer > -inhibit 5-HT reuptake
-inhibit NE reuptake (↑ energy, focus)
-increase DA in prefrontal cortex (↑ cognition)
-Examples: desvenlafaxine, duloxetine, levomilnacipran, venlafaxine -
Adverse effects:
• elevated blood pressure
• nausea
• sweating
• tremors
• anxiety
• insomnia
• constipation
• anorexia
• sexual dysfunction
Sdris - ✔✔✔ Correct Answer > -inhibit DA reuptake (↑alertness, motivation)
-inhibit NE reuptake (↑energy) -
Adverse effects:
• agitation
• headache
• dry mouth
