NR547 Final Exam Questions And Answers
TEST BANK FOR NR547 FINAL
EXAM QUESTIONS AND WELL
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NR547 Final Exam Questions And Answers
1. Medications for depression:
SSRIs SNRIs
SDRIs
TCAs
MAOI
s
2.SSRIs: -Action: inhibit 5-HT reuptake
-Examples: citalopram, escitalopram, fluoxetine, paroxetine,
sertraline
-Adverse effects:
• nausea
• agitation
• diarrhea
• headache
• weight gain
• sexual side effects
3.SNRIs: -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
4.SDRIs: -inhibit DA reuptake (‘alertness, motivation)
-inhibit NE reuptake (‘energy)
-Adverse effects:
• agitation
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NR547 Final Exam Questions And Answers
• headache
• dry mouth
• constipation
• weight loss
5. TCAs: -Action: inhibits the reuptake of serotonin and
norepinephrine; blocks norepinephrine, histamine, and
acetylcholine receptors
-Examples: amitriptyline, clomipramine, desipramine, doxepin
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NR547 Final Exam Questions And Answers
-Common Side Effects:
• dry mouth
• constipation
• blurred vision
• urinary retention
• sedation
• weight gain
• hypotension
• tachycardia
• sexual dysfunction
6. MAOIs: -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
7.Prescribing pearls: citalopram (Celexa): mild antihistamine effects
8.Prescribing pearls: escitalopram (Lexapro): no known drug interactions
9.Prescribing pearls: fluoxetine (Prozac): longest half-life
10. Prescribing pearls: paroxetine (Paxil): also treats social anxiety
and insomnia
11. Prescribing pearls: fluvoxamine (Luvox): treats anxious
depression smokers require increased dose
12. Prescribing pearls: sertraline (Zoloft): also treats social anxiety
and hyper- somnolence
13. Prescribing pearls: bupropion (Wellbutrin): NDRI may improve
energy, alert- ness, and motivation; not first line treatment for
anxiety; contraindicated in clients with a history of seizures
14. Prescribing pearls: duloxetine (Cymbalta): 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
15. Prescribing pearls: venlafaxine (Effexor): treats both depression
and anxiety disorders, ensure trial of higher dose before
switching to a different medication
16. Prescribing pearls: desvenlafaxine (Pristiq): effective for
perimenopausal vasomotor symptoms
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