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2024 NUR7350 Psychopharmacology Across the Lifespan with Answers (36 Solved Questions) - Document preview page 1

2024 NUR7350 Psychopharmacology Across the Lifespan with Answers (36 Solved Questions) - Page 1

Document preview content for 2024 NUR7350 Psychopharmacology Across the Lifespan with Answers (36 Solved Questions)

2024 NUR7350 Psychopharmacology Across the Lifespan with Answers (36 Solved Questions)

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2024 NUR7350 Psychopharmacology Across the Lifespan with Answers (36 Solved Questions) - Page 1 preview imageNURSING7350PsychopharmacologyAcross the LifespanQ & A w/ Rationales2024
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2024 NUR7350 Psychopharmacology Across the Lifespan with Answers (36 Solved Questions) - Page 2 preview image
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2024 NUR7350 Psychopharmacology Across the Lifespan with Answers (36 Solved Questions) - Page 3 preview image1. A nurse is caring for an elderly patient who has beenrecently diagnosed withdepression. Which of the followingpsychotropic medications would the nurse anticipate beingprescribed due to its efficacy and reduced risk of adverseeffects in older adults?a) Fluoxetine (Prozac)b) Venlafaxine (Effexor)c) Paroxetine (Paxil)d) Sertraline (Zoloft)Answer: d) Sertraline (Zoloft)Rationale: Sertraline is a selective serotonin reuptakeinhibitor (SSRI) commonly prescribed for depression. It isoften preferred in older adults due to its reduced side effectprofile and lower drug-drug interaction potential comparedto other SSRIs.2. A 30-year-old female patient with bipolar disorderpresents with manic symptoms. Considering this patient'sgender and reproductive stage, which mood stabilizerwould be most appropriate to avoid negative effects onfertility and pregnancy?a) Lithiumb) Carbamazepine (Tegretol)c) Valproate (Depakote)d) Lamotrigine (Lamictal)Answer: d) Lamotrigine (Lamictal)Rationale: Lamotrigine has demonstrated a lower risk ofreproductive adverse effects and is considered a safe option
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2024 NUR7350 Psychopharmacology Across the Lifespan with Answers (36 Solved Questions) - Page 4 preview imageduring pregnancy. It is often the preferred choice forwomen of reproductive age who need mood stabilization.3. An adolescent female is experiencing her first episode ofpsychosis. Which atypical antipsychotic would be the mostsuitableoption for reducing the risk of weight gain andmetabolic disturbances?a) Olanzapine (Zyprexa)b) Risperidone (Risperdal)c) Quetiapine (Seroquel)d) Aripiprazole (Abilify)Answer: d) Aripiprazole (Abilify)Rationale: Aripiprazole has a lower risk ofcausing weightgain and metabolic disturbances compared to other atypicalantipsychotics. This makes it a preferable choice forindividuals who may already be at risk for metabolicdisorders.4. A 70-year-old patient is taking warfarin for atrialfibrillation and requires treatment for generalized anxietydisorder. Which anxiolytic would be the best choice in thiscase to minimize drug-drug interactions?a) Alprazolam (Xanax)b) Buspirone (Buspar)c) Clonazepam (Klonopin)d) Diazepam (Valium)Answer: b)Buspirone (Buspar)Rationale: Buspirone is a non-benzodiazepine anxiolytic
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2024 NUR7350 Psychopharmacology Across the Lifespan with Answers (36 Solved Questions) - Page 5 preview imagethat does not interact significantly with warfarin. It istherefore safer to use in patients on warfarin therapy toavoid potential bleeding risks.5. A middle-aged patient with schizophrenia has a historyof poor adherence to oral antipsychotic medications. Whichlong-acting injectable antipsychotic would the nurseanticipate being prescribed to improve compliance?a) Haloperidol (Haldol)b) Quetiapine (Seroquel)c) Aripiprazole (Abilify Maintena)d) Clozapine (Clozaril)Answer: c) Aripiprazole (Abilify Maintena)Rationale: Abilify Maintena is a long-acting injectableform of aripiprazole. It is used to enhance treatmentadherence and reduce the risk of relapse in individuals withschizophrenia who struggle with oral medicationadherence.6. A child with attention deficit hyperactivity disorder(ADHD) has not responded adequately to stimulantmedications. Which non-stimulant medication would be anappropriate next option to consider?a) Methylphenidate (Ritalin)b) Atomoxetine (Strattera)c) Lisdexamfetamine (Vyvanse)d) Guanfacine (Intuniv)Answer: b) Atomoxetine (Strattera)
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2024 NUR7350 Psychopharmacology Across the Lifespan with Answers (36 Solved Questions) - Page 6 preview imageRationale: Atomoxetine is a non-stimulant medicationapproved for the treatment of ADHD. It works byinhibiting norepinephrine reuptake and is often consideredwhen stimulant medications have not resulted insatisfactory symptom control.7. A pregnant patient with a history of panic disorder isexperiencing severe panic attacks and requires immediateintervention. Which medication would be the best option inthis scenario to provide rapid relief without posingsubstantial risks to the fetus?a) Alprazolam (Xanax)b) Clonazepam (Klonopin)c) Lorazepam (Ativan)d) Buspirone (Buspar)Answer: c) Lorazepam (Ativan)Rationale: While no medication is entirely risk-free duringpregnancy, lorazepam is most commonly used due to itsrapid onset of action and shorter half-life compared to otherbenzodiazepines. It can be used for acute symptom relief inpanic disorder during pregnancy, especially if non-pharmacological interventions are insufficient.8. A patient prescribed monoamine oxidase inhibitors(MAOIs) should adhere to dietary restrictions due to therisk of which potentially life-threatening reaction?a) Serotonin syndromeb) Neuroleptic malignant syndromec) Hypertensive crisis
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2024 NUR7350 Psychopharmacology Across the Lifespan with Answers (36 Solved Questions) - Page 7 preview imaged) Extrapyramidal symptomsAnswer: c) Hypertensive crisisRationale: MAOIs inhibit the breakdown of tyramine andcan cause hypertensive crisis if ingested in foods high intyramine,such as aged cheese, cured meats, fermentedproducts, and certain alcoholic beverages.9. A client prescribed lithium for the management ofbipolar disorder should be educated on the importance ofmaintaining a consistent intake of which dietary element toavoid toxicity?a) Calciumb) Sodiumc) Irond) PotassiumAnswer: b) SodiumRationale: Lithium excretion is influenced by sodiumlevels in the body. Low sodium intake or dehydration candecrease lithium excretion, leading to increased levels andpotential toxicity. Clients should be advised to maintain aconsistent sodium intake while on lithium therapy.10. A nurse is caring for a patient prescribed tricyclicantidepressants (TCAs). Which common adverse effect,often seen early in therapy, wouldrequire immediateassessment and intervention due to potential cardiaccomplications?a) Dry mouth
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