NURS6630N/NURS 6630N MIDTERM EXAM 51
QUESTIONS WITH 100% CORRECT AND COMPLETE
SOLUTIONS/A+ GRADE/2023
A 32-year-old males calls you complaining of
... [Show More] decreased libido since starting Paroxetine 20
mg 2 weeks ago. He reported stopping the medication 1 day ago and is now experiencing
extreme irritability and nervousness. He wishes to stop this medication due to side
effects. What do you recommend?
Response
Feedback:
under selective serotonin re-uptake inhibitors discontinuation syndrome
subtitle: “The risk of such adverse events occurring seems to be inversely
related to the half-life of the SSRI, with fluoxetine reported as having a
significantly lower risk than paroxetine in two studies. For more severe
discontinuation-related adverse events, re-institution of the SSRI and slow
taper may be necessary to alleviate these symptoms.”
Glia cells play a supportive role in the neuron. A few of the functions of the glial cells
include providing nutrition, maintaining homeostasis, stabilizing synapses, and
myelinating axons. The glial cells are categorized as microglia or macroglia. Of the
macroglia cells, which one plays a role in myelinating axons, which may contribute to
mood disorders if altered?
Which disease state of a non-adherent patient is at greater risk for substance use,
violence, and victimization as well as worse overall quality of life?
Response
Feedback:
“Moreover, non-adherent patients with schizophrenia are at greater risk
for substance use, violence, and victimization as well as worse overall
quality of life.”
How do you manage a patient who develops neuroleptic malignant syndrome while on an
atypical antipsychotic?
Which of the following are NOT primary target(s) symptom for antipsychotic agents in
schizophrenia?
i. Depression, anxiety, demoralization, suicidality, excitability, and agitation
ii. Delusions, hallucinations, disorganized thoughts
iii. Affective flattening, alogia, avolition, anhedonia, social withdrawal
iv. Attention, memory, and executive functions
Response
Feedback:
“For schizophrenia, the primary target symptoms for antipsychotic agents
fall into three categories: psychotic symptoms (e.g., hallucinations,
• Question 4
• Question 2
• Question 1
• Question 6
• Question 8
delusions, disorganization); agitation (e.g., distractibility, affective lability,
tension, increased motor activity); and negative symptoms (e.g. apathy,
diminished affect, social withdrawal, poverty of speech.” AND “Although
cognitive deficits are an important contributor to disability in
schizophrenia, cognitive deficits usually are not considered a target for
antipsychotic agents because they are not very responsible to current
agents.”
Choose the correct option regarding the major classes of GABA receptors and the ions
involved in inhibition of the neurotransmitter pathway
Response
Feedback:
“GABAB receptors, akin to the metabotropic glutamate receptors, are Gprotein-coupled receptors rather than ion channels. Activation of GABAB
causes downstream changes in potassium (K+) and Ca+2 channels,
largely via G-protein-mediated inhiation of cAMP.”
Which amino acid is involved in the synthesis of both norepinephrine and dopamine?
Choose the correct statement(s) regarding lithium levels. SELECT ALL THAT APPLY.
Response
Feedback:
under pharmacokinetics and pharmacodynamics subtitle
- “NSAIDs or other COX-2 inhibitors may decrease renal blood flow and
thereby increase lithium levels by up to 25%.”
- “Therefore, thiazide diuretics, which act distally, will tend to increase
lithium levels by up to 50% while those that act more proximally
generally have less of an effect on [Show Less]