NURS 6501 Final Exam
LATEST QUESTIONS AND
VERIFIED CORRECT
ANSWERS
What is discontinuation syndrome (from SSRIs)?
"FINISH" - correct answer 2-3 days after stopping SSRIs abruptly
F: flu-like SS
I: insomnia
N: nausea
I: imbalance
S: sensory disturbances
H: hyperarousal
Bupropion
- MOA
- BENFITS
AE
CONTRA - correct answer MOA
- act to inhibit reuptake of NE, dopamine, and serotonin
,BENFIT
- Depression
- Smoking cessation
- Seasonal affective disorder
- Treat sexual dysfunction relative to SSRI therapy
AE
- weight loss
- increases libido ⇒ combine with SSRI
- can cause seizures by lowering the seizure threshold
CONTRA
- History of seizures
- Do not prescribe to pts with psych disorders ⇒ ↑ risk for delusions or hallucinations
RF for ETOH abuse 4 - correct answer Younger adults (18-29 yrs)
Men > women
Native americans
Genetics (low response to ETOH), environment (peer influences), specific personality traits
(impulsivity, extroversion), cognitive fxn
What are predisposing factors impacting the likelihood of someone developing a SA issue? -
correct answer Predisposing Factors:
- Unhealthy use of one substance increases the likelihood of unhealthy use of other substances
- Family history
- Social history
, - Partner or friends with SA, living in a community with poverty, violence, and/or high
ETOH/drug use
Use of:
- Caffeine, tobacco, ETOH, prescription meds, marijuana, illicit drugs
- Mental health disorders
- Highest in personality disorders
What is withdrawal - correct answer process of removal of the drug of dependence from the
body
SS of substance abuse withdrawal 3 - correct answer Can last days to weeks
- NVD
- Flu-like SS: lacrimation, rhinorrhea, diaphoresis, shivering, piloerection
- SNS/CNS Arousal: mydriasis, mild HTN and tachy, anxiety, irritability, insomnia, agitation,
restless leg, general restlessness, tremor, low grade temp
Which medications are central nervous system sedatives? - correct answer Include sedatives,
tranquilizers, hypnotics
- Good for treating anxiety, panic, acute stress reactions, sleep disorders
Examples:
Benzos:
- Diazepam (valium), clonazepam (klonopin), alprazolam (xanax)
Non-Benzo Sedative Hypnotics
- Zolpidem (ambien)
Barbiturates
LATEST QUESTIONS AND
VERIFIED CORRECT
ANSWERS
What is discontinuation syndrome (from SSRIs)?
"FINISH" - correct answer 2-3 days after stopping SSRIs abruptly
F: flu-like SS
I: insomnia
N: nausea
I: imbalance
S: sensory disturbances
H: hyperarousal
Bupropion
- MOA
- BENFITS
AE
CONTRA - correct answer MOA
- act to inhibit reuptake of NE, dopamine, and serotonin
,BENFIT
- Depression
- Smoking cessation
- Seasonal affective disorder
- Treat sexual dysfunction relative to SSRI therapy
AE
- weight loss
- increases libido ⇒ combine with SSRI
- can cause seizures by lowering the seizure threshold
CONTRA
- History of seizures
- Do not prescribe to pts with psych disorders ⇒ ↑ risk for delusions or hallucinations
RF for ETOH abuse 4 - correct answer Younger adults (18-29 yrs)
Men > women
Native americans
Genetics (low response to ETOH), environment (peer influences), specific personality traits
(impulsivity, extroversion), cognitive fxn
What are predisposing factors impacting the likelihood of someone developing a SA issue? -
correct answer Predisposing Factors:
- Unhealthy use of one substance increases the likelihood of unhealthy use of other substances
- Family history
- Social history
, - Partner or friends with SA, living in a community with poverty, violence, and/or high
ETOH/drug use
Use of:
- Caffeine, tobacco, ETOH, prescription meds, marijuana, illicit drugs
- Mental health disorders
- Highest in personality disorders
What is withdrawal - correct answer process of removal of the drug of dependence from the
body
SS of substance abuse withdrawal 3 - correct answer Can last days to weeks
- NVD
- Flu-like SS: lacrimation, rhinorrhea, diaphoresis, shivering, piloerection
- SNS/CNS Arousal: mydriasis, mild HTN and tachy, anxiety, irritability, insomnia, agitation,
restless leg, general restlessness, tremor, low grade temp
Which medications are central nervous system sedatives? - correct answer Include sedatives,
tranquilizers, hypnotics
- Good for treating anxiety, panic, acute stress reactions, sleep disorders
Examples:
Benzos:
- Diazepam (valium), clonazepam (klonopin), alprazolam (xanax)
Non-Benzo Sedative Hypnotics
- Zolpidem (ambien)
Barbiturates
