NR546 (Latest Update )
Advanced Pharmacology:
Psychopharmacology for the
Psychiatric-Mental Health Nurse
Practitioner | Questions & Answers
| Grade A | 100% Correct –
Chamberlain
Question:
What does cyclothymia involve?
Answer:
The chronic presentation of hypomanic and depressive symptoms that do not
meet the diagnostic criteria for a major depressiv eor manic/hypomanic
episode
,Question:
What condition may be misdiagnosed as major depressive disorder (MDD)?
Answer:
Bipolar I depression
Question:
Why is it important to rule out past episodes of hypomania or mania in
bipolar patients?
Answer:
To avoid misdiagnosing bipolar depression as MDD, which can lead to
inappropriate treatment.
Question:
What can happen if bipolar depression is mistaken for MDD and treated with
antidepressants?
Answer:
It may precipitate a manic episode or induce rapid-cycling bipolar depression.
,Question:
What is a concerning consequence of misdiagnosing bipolar depression in
younger individuals?
Answer:
It may contribute to an increased incidence of death by suicide in children
and adults younger than 25.
Question:
How should antidepressants be used in clients with bipolar disorder?
Answer:
They should be used cautiously and never as monotherapy, but rather
combined with a mood stabilizer.
Question:
What is the purpose of combining antidepressants with a mood stabilizer in
bipolar disorder treatment?
Answer:
To prevent the onset of a hypomanic or manic episode.
, Question:
What are common symptoms of decreased positive affect related to DA and
NE dysfunction?
Answer:
Symptoms include depressed mood, loss of joy, lack of interest, loss of energy,
decreased alertness, decreased self-confidence, and appetite changes.
Question:
What are common symptoms of increased negative affect related to 5HT and
NE dysfunction?
Answer:
Symptoms include depressed mood, guilt, fear/anxiety, hostility, irritability,
loneliness, and appetite changes.
Question:
What neurotransmitters are associated with decreased positive affect?
Answer:
Dopamine (DA) and Norepinephrine (NE)