NUR 230 THE CHILDBEARING CHILD CARING
FAMILY EXAM 1 2026 ACTUAL TEST PAPER
COMPLETE SOLUTIONS VERIFIED
◉ SSRIs. Answer: -Action: inhibit 5-HT reuptake
-Examples: citalopram, escitalopram, fluoxetine, paroxetine, sertraline
-Adverse effects:
• nausea
• agitation
• diarrhea
• headache
• weight gain
• sexual side effects
◉ SNRIs. Answer: -inhibit 5-HT reuptake
-inhibit NE reuptake (↑ energy, focus)
-increase DA in prefrontal cortex (↑ cognition)
-Examples: desvenlafaxine, duloxetine, levomilnacipran, venlafaxine
-Adverse effects:
• elevated blood pressure
• nausea
• sweating
,• tremors
• anxiety
• insomnia
• constipation
• anorexia
• sexual dysfunction
◉ SDRIs. Answer: -inhibit DA reuptake (↑alertness, motivation)
-inhibit NE reuptake (↑energy)
-Adverse effects:
• agitation
• headache
• dry mouth
• constipation
• weight loss
◉ TCAs. Answer: -Action: inhibits the reuptake of serotonin and
norepinephrine; blocks norepinephrine, histamine, and acetylcholine
receptors
-Examples: amitriptyline, clomipramine, desipramine, doxepin
-Common Side Effects:
• dry mouth
,• constipation
• blurred vision
• urinary retention
• sedation
• weight gain
• hypotension
• tachycardia
• sexual dysfunction
◉ MAOIs. Answer: -Action: increases norepinephrine and serotonin by
inhibiting the enzyme that inactivates it
-Examples: isocarboxazid, phenelzine, tranylcypromine
-Common Side Effects:
• sedation
• dizziness
• sexual dysfunction
• hypertensive crisis
◉ Prescribing pearls: citalopram (Celexa). Answer: mild antihistamine
effects
◉ Prescribing pearls: escitalopram (Lexapro). Answer: no known drug
interactions
, ◉ Prescribing pearls: fluoxetine (Prozac). Answer: longest half-life
◉ Prescribing pearls: paroxetine (Paxil). Answer: also treats social
anxiety and insomnia
◉ Prescribing pearls: fluvoxamine (Luvox). Answer: treats anxious
depression smokers require increased dose
◉ Prescribing pearls: sertraline (Zoloft). Answer: also treats social
anxiety and hypersomnolence
◉ Prescribing pearls: bupropion (Wellbutrin). Answer: NDRI may
improve energy, alertness, and motivation; not first line treatment for
anxiety; contraindicated in clients with a history of seizures
◉ Prescribing pearls: duloxetine (Cymbalta). Answer: effective for
atypical pain at higher doses; appropriate for clients who present with
somatic symptoms of depression; effective for atypical pain, such as
fibromyalgia and diabetic neuropathy
◉ Prescribing pearls: venlafaxine (Effexor). Answer: treats both
depression and anxiety disorders, ensure trial of higher dose before
switching to a different medication
FAMILY EXAM 1 2026 ACTUAL TEST PAPER
COMPLETE SOLUTIONS VERIFIED
◉ SSRIs. Answer: -Action: inhibit 5-HT reuptake
-Examples: citalopram, escitalopram, fluoxetine, paroxetine, sertraline
-Adverse effects:
• nausea
• agitation
• diarrhea
• headache
• weight gain
• sexual side effects
◉ SNRIs. Answer: -inhibit 5-HT reuptake
-inhibit NE reuptake (↑ energy, focus)
-increase DA in prefrontal cortex (↑ cognition)
-Examples: desvenlafaxine, duloxetine, levomilnacipran, venlafaxine
-Adverse effects:
• elevated blood pressure
• nausea
• sweating
,• tremors
• anxiety
• insomnia
• constipation
• anorexia
• sexual dysfunction
◉ SDRIs. Answer: -inhibit DA reuptake (↑alertness, motivation)
-inhibit NE reuptake (↑energy)
-Adverse effects:
• agitation
• headache
• dry mouth
• constipation
• weight loss
◉ TCAs. Answer: -Action: inhibits the reuptake of serotonin and
norepinephrine; blocks norepinephrine, histamine, and acetylcholine
receptors
-Examples: amitriptyline, clomipramine, desipramine, doxepin
-Common Side Effects:
• dry mouth
,• constipation
• blurred vision
• urinary retention
• sedation
• weight gain
• hypotension
• tachycardia
• sexual dysfunction
◉ MAOIs. Answer: -Action: increases norepinephrine and serotonin by
inhibiting the enzyme that inactivates it
-Examples: isocarboxazid, phenelzine, tranylcypromine
-Common Side Effects:
• sedation
• dizziness
• sexual dysfunction
• hypertensive crisis
◉ Prescribing pearls: citalopram (Celexa). Answer: mild antihistamine
effects
◉ Prescribing pearls: escitalopram (Lexapro). Answer: no known drug
interactions
, ◉ Prescribing pearls: fluoxetine (Prozac). Answer: longest half-life
◉ Prescribing pearls: paroxetine (Paxil). Answer: also treats social
anxiety and insomnia
◉ Prescribing pearls: fluvoxamine (Luvox). Answer: treats anxious
depression smokers require increased dose
◉ Prescribing pearls: sertraline (Zoloft). Answer: also treats social
anxiety and hypersomnolence
◉ Prescribing pearls: bupropion (Wellbutrin). Answer: NDRI may
improve energy, alertness, and motivation; not first line treatment for
anxiety; contraindicated in clients with a history of seizures
◉ Prescribing pearls: duloxetine (Cymbalta). Answer: effective for
atypical pain at higher doses; appropriate for clients who present with
somatic symptoms of depression; effective for atypical pain, such as
fibromyalgia and diabetic neuropathy
◉ Prescribing pearls: venlafaxine (Effexor). Answer: treats both
depression and anxiety disorders, ensure trial of higher dose before
switching to a different medication
