NR546 Week 4 Midterm Exam 2025: Psychiatric Mental Health Psychopharmacology

Page 1 of 42


WEEK 4 MIDTERM EXAM: NR546 / NR-546 (LATEST

UPDATE ) ADVANCED PHARMACOLOGY

PSYCHOPHARMACOLOGY FOR THE PSYCHIATRIC-

MENTAL HEALTH NURSE PRACTITIONER | QUESTIONS

AND ANSWERS | 100% CORRECT | GRADE A -

CHAMBERLAIN

clinical indications .....ANSWER.....Sedation and anxiolysis

Treatment of insomnia

General anesthesia

Seizures

Alcohol withdrawal states

As adjunctive management with neuromuscular blockage/muscle

relaxationTo induce or maintain sleepUse associated with

sedative-hypnotic medications .....ANSWER.....1 in 8 adults

,Page 2 of 42


Higher incidence in older adults

Often co-prescribed with opioids

misuse associated with sedative-hypnotic medications

.....ANSWER.....Taken outside of prescriptive guidelines (larger

amounts over longer time period)

Taken without prescription (often obtained from friend/relative)

Polysubstance Abuse

Are common as second drugs of abuse, often taken with opioids

and/or alcohol

Increased respiratory and CNS depression

Increased risk of emergency department visits

withdrawal symptoms associated with sedative-hypnotic

medications .....ANSWER.....May be severe

Signs and symptoms include psychosis, hallucinations, delirium,

seizures

,Page 3 of 42


Mild signs and symptoms: irritability, tremor, anxiety,

palpitations, insomnia, nausea, vomiting, diaphoresis, headache

Benzodiazepine intoxication can resemble alcohol intoxication:

unsteady gait, cognitive impairment, discoordination, slurred

speech

Overdose may lead to respiratory depression and stupor/coma

Polysubstance Abuse .....ANSWER.....Are common as second drugs

of abuse, often taken with opioids and/or alcohol

Increased respiratory and CNS depression

Increased risk of emergency department visits

Anxiety .....ANSWER.....a response to situations that are

perceived as stressful or dangerous




increases alertness, heart rate, and respirations, preparing the

body to respond to perceived threatening environmental stimuli

, Page 4 of 42


one of the most common mental health concerns in the United

States .....ANSWER.....Anxiety disorders




25% of people develop pathological anxiety during their

lifetime.




Anxiety affects more women than men.




Anxiety disorders can be debilitating and negatively impact the

quality of life.

leads to increased utilization of healthcare, morbidity, and

mortality .....ANSWER.....Untreated anxiety

anxiety disorders include .....ANSWER.....separation anxiety

disorder

selective mutism