3
Walden University, NURS 6630N MIDTERM 2 EXAM
NURS 6630N
MIDTERM 2
EXAM
Exam Elaborations Questions with Answers Exam Review Guide
[Date]
1
, 3
• Question 1
What is the strongest established risk factor for bipolar disorder? Family History
Response “The strongest established risk factor for BPD is a familyhistory
Feedback of BPD.”
:
• Question 2
Which of the following medications are known as selective serotonin re-uptake inhibitors
(SSRIs)?
i. Nortriptyline
ii. Citalopram
iii. Duloxetine
iv. Fluoxetine
v. Venlafaxine
The Food and Drug Administration (FDA) has approved these SSRIs to treat depression:
Citalopram (Celexa)
Escitalopram (Lexapro)
Fluoxetine (Prozac)
Paroxetine (Paxil, Pexeva)
Sertraline (Zoloft)
• Question 3
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? Schizophrenia
Response “Moreover, non-adherent patients with schizophrenia are at greaterrisk for
Feedback substance use, violence, and victimization as well as worse overall quality of
: life.”
[Date]
2
, 3
• Question 4
Patient is a 72-year-old male with a past medical history significant for atrial fibrillation
and COPD with a new diagnosis of major depression disorder. Based on his
comorbid conditions, what antidepressant would you recommend as first-line?
Response (Options C & D are both TCA antidepressants and, based on the patient’sage
Feedback and comorbid conditions, a TCA would likely result in more side effects, such as
: increased fall risk due to potential for orthostatic hypotension and anticholinergic-
related side effects. In addition, patienthas a history for cardiac abnormalities due
to A. fib diagnosis - TCAs result in electrocardiographic changes in susceptible
individuals, therefore, would likely avoid. Choice B is used more for ADHD
purposes than as an antidepressant)
Page numbers used: Page 39 for TCA side-effect profile
• Question 5
Which of the following is an appropriate strategy for managing treatment-resistant
depression?
Use both SSRI and SNRI
• Question 6
Which of the following medications is best to AVOID in maintenance treatment of bipolardisorder
and why?
Response “As noted previously, antidepressants may contribute to anincrease in
Feedback mood episode frequency.”
:
• Question 7
With second-generation antipsychotics, what is the main side effect that requires
frequent monitoring?
Response table 7-6 & page 80, table 7-7; Page 78: “However, attention over the past
Feedback decade has focused on effect of second-generation antipsychotics on glucose
: metabolism and lipids and associated metabolic syndrome.”
• Question 8
Which amino acid is involved in the synthesis of both norepinephrine and dopamine?
• Question 9
An 81-year-old male comes to your clinic today complaining of dry mouth, blurred vision,and
constipation. He has a past medical history significant for hypertension, heart failure,and
depression. Of the following medications, which one is likely contributing to these side
effects?
Response Only TCA is listed with most anticholinergic effects; Page 39 for TCA side effect
Feedback profile: “dry mouth, blurred vision, constipation, urinary hesitancy, tachycardia,
: memory difficulties, and ejaculatory difficulties”
[Date]
3
, 3
• Question 10
Which medication has been studied and recommended in patients with a social anxiety
[Date]
4
Walden University, NURS 6630N MIDTERM 2 EXAM
NURS 6630N
MIDTERM 2
EXAM
Exam Elaborations Questions with Answers Exam Review Guide
[Date]
1
, 3
• Question 1
What is the strongest established risk factor for bipolar disorder? Family History
Response “The strongest established risk factor for BPD is a familyhistory
Feedback of BPD.”
:
• Question 2
Which of the following medications are known as selective serotonin re-uptake inhibitors
(SSRIs)?
i. Nortriptyline
ii. Citalopram
iii. Duloxetine
iv. Fluoxetine
v. Venlafaxine
The Food and Drug Administration (FDA) has approved these SSRIs to treat depression:
Citalopram (Celexa)
Escitalopram (Lexapro)
Fluoxetine (Prozac)
Paroxetine (Paxil, Pexeva)
Sertraline (Zoloft)
• Question 3
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? Schizophrenia
Response “Moreover, non-adherent patients with schizophrenia are at greaterrisk for
Feedback substance use, violence, and victimization as well as worse overall quality of
: life.”
[Date]
2
, 3
• Question 4
Patient is a 72-year-old male with a past medical history significant for atrial fibrillation
and COPD with a new diagnosis of major depression disorder. Based on his
comorbid conditions, what antidepressant would you recommend as first-line?
Response (Options C & D are both TCA antidepressants and, based on the patient’sage
Feedback and comorbid conditions, a TCA would likely result in more side effects, such as
: increased fall risk due to potential for orthostatic hypotension and anticholinergic-
related side effects. In addition, patienthas a history for cardiac abnormalities due
to A. fib diagnosis - TCAs result in electrocardiographic changes in susceptible
individuals, therefore, would likely avoid. Choice B is used more for ADHD
purposes than as an antidepressant)
Page numbers used: Page 39 for TCA side-effect profile
• Question 5
Which of the following is an appropriate strategy for managing treatment-resistant
depression?
Use both SSRI and SNRI
• Question 6
Which of the following medications is best to AVOID in maintenance treatment of bipolardisorder
and why?
Response “As noted previously, antidepressants may contribute to anincrease in
Feedback mood episode frequency.”
:
• Question 7
With second-generation antipsychotics, what is the main side effect that requires
frequent monitoring?
Response table 7-6 & page 80, table 7-7; Page 78: “However, attention over the past
Feedback decade has focused on effect of second-generation antipsychotics on glucose
: metabolism and lipids and associated metabolic syndrome.”
• Question 8
Which amino acid is involved in the synthesis of both norepinephrine and dopamine?
• Question 9
An 81-year-old male comes to your clinic today complaining of dry mouth, blurred vision,and
constipation. He has a past medical history significant for hypertension, heart failure,and
depression. Of the following medications, which one is likely contributing to these side
effects?
Response Only TCA is listed with most anticholinergic effects; Page 39 for TCA side effect
Feedback profile: “dry mouth, blurred vision, constipation, urinary hesitancy, tachycardia,
: memory difficulties, and ejaculatory difficulties”
[Date]
3
, 3
• Question 10
Which medication has been studied and recommended in patients with a social anxiety
[Date]
4
