NU 665 Exam 1 With Certified Answers
What fdoes fLazarus fand fFolkman's ftransactional fmodel fof fstress fand fcoping
femphasize? f- fCORRECT✅✅Stress fis fa fresult fof fan findividual's fappraisal fof ftheir
fresources fin frelation fto fenvironmental fdemands.
What fis fthe fmain fcritique fof ftraditional fMotivational fInterviewing f(MI) faccording fto
fAngelini f& fEfran f(2021)? f- fCORRECT✅✅MI's feffectiveness fis fnot fsolely fdependent
fon fchange ftalk; fthe ftherapeutic frelationship fand fcontext fare falso fcrucial.
What fis fAnxious fAttachment? f- fCORRECT✅✅Anxious fattachment farises ffrom
finconsistent fcaregiving, fleading fto fanxiety fabout fabandonment. fIndividuals fwith fthis
fstyle foften fcrave fcloseness fbut ffear frejection for fbeing fleft falone.
What fdoes fSecure fAttachment flook flike fin fadults? f- fCORRECT✅✅Adults fwith
fsecure fattachment fhave fstable, fhealthy frelationships. fThey fbalance findependence
fwith fcloseness, fcommunicate feffectively, fand fare fconfident fin fseeking fsupport fwhen
fneeded.
What fis fSecure fAttachment? f- fCORRECT✅✅Secure fattachment fforms fwhen
fcaregivers fare fconsistently fresponsive fto fa fchild's fneeds, ffostering fsafety fand ftrust.
fThese findividuals ffeel fcomfortable fwith fintimacy, fexpress femotions fopenly, fand ftrust
fothers.
A f25-year-old fwoman fwith fbipolar fdisorder fis fnewly fpregnant. fShe fis fcurrently fstable
fon fvalproate. fWhat fshould fbe fdone? f- fCORRECT✅✅Discontinue fvalproate
fimmediately fdue fto fits fhigh frisk fof fneural ftube fdefects. fConsider fswitching fto
flamotrigine, fwhich fis fsafer fin fpregnancy.
A f70-year-old fwoman fwith fGAD fand fa fhistory fof ffalls fis fasking ffor fmedication. fWhich
fmedication fshould fbe favoided? f- fCORRECT✅✅Benzodiazepines f(e.g., falprazolam,
fdiazepam, florazepam) f- fThey fincrease ffall frisk, fcognitive fimpairment, fand
fdependence fin felderly fpatients. fConsider fSSRIs for fbuspirone finstead.
A f36-year-old fmale fcombat fveteran fwith fPTSD fexperiences fnightmares fand
fhyperarousal. fWhat fmedication fshould fbe fconsidered? f- fCORRECT✅✅A f36-year-
old fmale fcombat fveteran fwith fPTSD fexperiences fnightmares fand fhyperarousal. fWhat
fmedication fshould fbe fconsidered?
A f28-year-old ffemale fwith fgeneralized fanxiety fdisorder f(GAD) fwants fa fmedication
fthat fis fnon-addictive fand fdoes fnot fcause fsedation. fWhat fis fa fgood foption? f-
, fCORRECT✅✅Buspirone f- fA fnon-benzodiazepine foption fthat fdoes fnot fcause
fsedation for fdependence, fbut ftakes f2-4 fweeks fto fwork.
A f38-year-old fmale fwith fdepression fand fchronic fpain f(fibromyalgia) fneeds fan
fantidepressant. fWhich fmedication fwould fbe fa fgood fchoice? f-
fCORRECT✅✅Duloxetine f- fIt ftreats fboth fdepression fand fneuropathic
fpain/fibromyalgia.
A f45-year-old fwoman fwith ftreatment-resistant fdepression fhas ftried ffluoxetine,
fsertraline, fand fvenlafaxine fwith fminimal fimprovement. fWhat fis fthe fnext fstep? f-
fCORRECT✅✅Consider faugmentation ftherapy fwith flithium, fatypical fantipsychotics
f(e.g., faripiprazole), for ftriiodothyronine f(T3). fAlternatively, fMAOIs for felectroconvulsive
ftherapy f(ECT) fcan fbe fconsidered.
A f24-year-old fman fwith fmajor fdepressive fdisorder f(MDD) fand fnicotine fdependence
fwants fto fquit fsmoking. fHe fhas fno fhistory fof fseizures. fWhat fantidepressant fmight fbe
fa fgood foption? f- fCORRECT✅✅Bupropion f- fIt ftreats fMDD fand fhelps fwith fsmoking
fcessation. fHowever, fit fis fcontraindicated fin fseizure fdisorders for feating fdisorders.
A f32-year-old fwoman fpresents fwith fdepression, fdecreased fappetite, fweight floss, fand
finsomnia. fShe fdenies fsuicidal fideation fbut ffeels fhopeless. fShe fis funderweight f(BMI
f17.8). fWhich fantidepressant fis fa fgood fchoice? f- fCORRECT✅✅Mirtazapine f- fIt
fpromotes fweight fgain fand fimproves fsleep, fmaking fit fideal ffor funderweight fpatients
fwith finsomnia.
What fis fthe fblack fbox fwarning ffor fall fantidepressants? f- fCORRECT✅✅What fis fthe
fblack fbox fwarning ffor fall fantidepressants?
Which fantipsychotic fhas fa fblack fbox fwarning ffor fincreased fmortality fin felderly
fpatients fwith fdementia-related fpsychosis? f- fCORRECT✅✅All fantipsychotics
f(especially fsecond-generation).
Which fbenzodiazepine fhas fthe fhighest fpotential ffor fabuse fdue fto frapid fonset? f-
fCORRECT✅✅Alprazolam f(Xanax).
Which fsleep fmedication fis fmost fassociated fwith fcomplex fsleep fbehaviors flike
fsleepwalking? f- fCORRECT✅✅Zolpidem f(Ambien).
What fare fthe fthree fhallmark fsymptoms fof fserotonin fsyndrome? f-
fCORRECT✅✅Hyperreflexia, fclonus, fautonomic finstability f(fever, fsweating,
ftachycardia).
What fis fthe ffirst-line ftreatment ffor fserotonin fsyndrome? f- fCORRECT✅✅Discontinue
fserotonergic fdrugs fand fgive fcyproheptadine f(serotonin fantagonist).
What fdoes fLazarus fand fFolkman's ftransactional fmodel fof fstress fand fcoping
femphasize? f- fCORRECT✅✅Stress fis fa fresult fof fan findividual's fappraisal fof ftheir
fresources fin frelation fto fenvironmental fdemands.
What fis fthe fmain fcritique fof ftraditional fMotivational fInterviewing f(MI) faccording fto
fAngelini f& fEfran f(2021)? f- fCORRECT✅✅MI's feffectiveness fis fnot fsolely fdependent
fon fchange ftalk; fthe ftherapeutic frelationship fand fcontext fare falso fcrucial.
What fis fAnxious fAttachment? f- fCORRECT✅✅Anxious fattachment farises ffrom
finconsistent fcaregiving, fleading fto fanxiety fabout fabandonment. fIndividuals fwith fthis
fstyle foften fcrave fcloseness fbut ffear frejection for fbeing fleft falone.
What fdoes fSecure fAttachment flook flike fin fadults? f- fCORRECT✅✅Adults fwith
fsecure fattachment fhave fstable, fhealthy frelationships. fThey fbalance findependence
fwith fcloseness, fcommunicate feffectively, fand fare fconfident fin fseeking fsupport fwhen
fneeded.
What fis fSecure fAttachment? f- fCORRECT✅✅Secure fattachment fforms fwhen
fcaregivers fare fconsistently fresponsive fto fa fchild's fneeds, ffostering fsafety fand ftrust.
fThese findividuals ffeel fcomfortable fwith fintimacy, fexpress femotions fopenly, fand ftrust
fothers.
A f25-year-old fwoman fwith fbipolar fdisorder fis fnewly fpregnant. fShe fis fcurrently fstable
fon fvalproate. fWhat fshould fbe fdone? f- fCORRECT✅✅Discontinue fvalproate
fimmediately fdue fto fits fhigh frisk fof fneural ftube fdefects. fConsider fswitching fto
flamotrigine, fwhich fis fsafer fin fpregnancy.
A f70-year-old fwoman fwith fGAD fand fa fhistory fof ffalls fis fasking ffor fmedication. fWhich
fmedication fshould fbe favoided? f- fCORRECT✅✅Benzodiazepines f(e.g., falprazolam,
fdiazepam, florazepam) f- fThey fincrease ffall frisk, fcognitive fimpairment, fand
fdependence fin felderly fpatients. fConsider fSSRIs for fbuspirone finstead.
A f36-year-old fmale fcombat fveteran fwith fPTSD fexperiences fnightmares fand
fhyperarousal. fWhat fmedication fshould fbe fconsidered? f- fCORRECT✅✅A f36-year-
old fmale fcombat fveteran fwith fPTSD fexperiences fnightmares fand fhyperarousal. fWhat
fmedication fshould fbe fconsidered?
A f28-year-old ffemale fwith fgeneralized fanxiety fdisorder f(GAD) fwants fa fmedication
fthat fis fnon-addictive fand fdoes fnot fcause fsedation. fWhat fis fa fgood foption? f-
, fCORRECT✅✅Buspirone f- fA fnon-benzodiazepine foption fthat fdoes fnot fcause
fsedation for fdependence, fbut ftakes f2-4 fweeks fto fwork.
A f38-year-old fmale fwith fdepression fand fchronic fpain f(fibromyalgia) fneeds fan
fantidepressant. fWhich fmedication fwould fbe fa fgood fchoice? f-
fCORRECT✅✅Duloxetine f- fIt ftreats fboth fdepression fand fneuropathic
fpain/fibromyalgia.
A f45-year-old fwoman fwith ftreatment-resistant fdepression fhas ftried ffluoxetine,
fsertraline, fand fvenlafaxine fwith fminimal fimprovement. fWhat fis fthe fnext fstep? f-
fCORRECT✅✅Consider faugmentation ftherapy fwith flithium, fatypical fantipsychotics
f(e.g., faripiprazole), for ftriiodothyronine f(T3). fAlternatively, fMAOIs for felectroconvulsive
ftherapy f(ECT) fcan fbe fconsidered.
A f24-year-old fman fwith fmajor fdepressive fdisorder f(MDD) fand fnicotine fdependence
fwants fto fquit fsmoking. fHe fhas fno fhistory fof fseizures. fWhat fantidepressant fmight fbe
fa fgood foption? f- fCORRECT✅✅Bupropion f- fIt ftreats fMDD fand fhelps fwith fsmoking
fcessation. fHowever, fit fis fcontraindicated fin fseizure fdisorders for feating fdisorders.
A f32-year-old fwoman fpresents fwith fdepression, fdecreased fappetite, fweight floss, fand
finsomnia. fShe fdenies fsuicidal fideation fbut ffeels fhopeless. fShe fis funderweight f(BMI
f17.8). fWhich fantidepressant fis fa fgood fchoice? f- fCORRECT✅✅Mirtazapine f- fIt
fpromotes fweight fgain fand fimproves fsleep, fmaking fit fideal ffor funderweight fpatients
fwith finsomnia.
What fis fthe fblack fbox fwarning ffor fall fantidepressants? f- fCORRECT✅✅What fis fthe
fblack fbox fwarning ffor fall fantidepressants?
Which fantipsychotic fhas fa fblack fbox fwarning ffor fincreased fmortality fin felderly
fpatients fwith fdementia-related fpsychosis? f- fCORRECT✅✅All fantipsychotics
f(especially fsecond-generation).
Which fbenzodiazepine fhas fthe fhighest fpotential ffor fabuse fdue fto frapid fonset? f-
fCORRECT✅✅Alprazolam f(Xanax).
Which fsleep fmedication fis fmost fassociated fwith fcomplex fsleep fbehaviors flike
fsleepwalking? f- fCORRECT✅✅Zolpidem f(Ambien).
What fare fthe fthree fhallmark fsymptoms fof fserotonin fsyndrome? f-
fCORRECT✅✅Hyperreflexia, fclonus, fautonomic finstability f(fever, fsweating,
ftachycardia).
What fis fthe ffirst-line ftreatment ffor fserotonin fsyndrome? f- fCORRECT✅✅Discontinue
fserotonergic fdrugs fand fgive fcyproheptadine f(serotonin fantagonist).
