Final Exam: NR546/ NR 546 Psychopharmacology for the Psychiatric-Mental Health Nurse Practitioner Final Exam Review | 2023/ 2024 Update| Complete Guide
... [Show More] Questions and Verified Answers| New Update!! | Chamberlain
QUESTION
Why is L-Methylfolate recommended as an adjunct in depression?
Answer:
Treatment with l-methylfolate seems to be safe, has few if any side effects, and is generally less expensive than augmenting with a second branded antidepressant or atypical antipsychotic
QUESTION
match the specific complaint to the best antidepressant medication: Lauren, 19, reports she sometimes forgets to take her pills on time.
Answer:
Fluoxetine
-has a 2-3 days half-life, an excellent option for forgetful people.
QUESTION
Not approved for depression in US, only OCD
Answer:
Fluvoxamine
QUESTION
Only SSRI approve for eating disorders
Answer:
Fluoxetine
-5HT2C antagonism may contribute to its efficacy in this disorder
QUESTION
match the specific complaint to the best antidepressant medication: Edna, 62, has difficulty falling asleep most nights.
Answer:
Trazodone
-The sedative effects of trazodone can assist with sleep disturbances when given at bedtime. This medication is most appropriate for sleep concerns. Trazadone is not first line for depression due to the significant sedation side effect.
QUESTION
Antidepressants Lifespan Considerations: Pregnancy
Answer:
Paroxetine is contraindicated in pregnancy due to the risk of congenital defects, including atrial septal defects.
QUESTION
Antidepressants Lifespan Considerations: Breastfeeding
Answer:
Infant irritability should be monitored when SNRIs are prescribed.
QUESTION
Antidepressants Lifespan Considerations: Older Adult
Answer:
-Older adults may not respond to antidepressants as robustly as younger people if the first episode of depression occurs after age 65.
-Citalopram and escitalopram should be dosed at 1/2 dose due to the risk of QTc prolongation.
-2019 American Geriatric Society (AGS) Beers Criteria include the following recommendations:
• Avoid paroxetine in clients with a history of falls/fractures.
• Avoid tricyclic antidepressants prescribed with other central nervous system (CNS) depressants.
QUESTION
Antidepressants Lifespan Considerations: Children
Answer:
Antidepressants increase the risk of death by suicide in children and adults younger than 25.
QUESTION
Christina is a 34-year-old who presents to the office with complaints of loss of energy, anxiety, and excessive sleeping. She has no past medical history. She is diagnosed with depression. She is concerned about starting on antidepressants because she has heard they cause weight gain, and she isn't great at remembering to take pills "unless I can take them in the morning."
Using the prescription pad below, write a prescription for Christina to treat her depression. What medication?
Answer:
Escitalopram
best-tolerated SSRI
fewest drug-drug interactions
27-32-hour half-life which is less prone to side effects if a dose is late or forgotten
QUESTION
Christina returns to the office after 2 weeks and complains that she feels "the same" and wants to know if she can change to a different prescription to treat her depression. Which of the following statements is an appropriate response to Christina?
Answer:
The medication will take several weeks to achieve full effect. A dosage increase is indicated. [Show Less]