NRNP 6675 WALDEN
FINAL EXAM
Actual Questions and Answers
Expert-Verified Explanation
THIS EXAM CONTAINS:
GUARANTEE PASSING SCORE
100 QUESTIONS AND ANSWERS
FORMAT SET OF MULTIPLE-CHOICE
EXPERT-VERIFIED EXPLANATION
VERIFIED WITH TRUSTED TEXTBOOKS
,1. Concerns when treating geriatric patients with psỵ. chotherapeutic drugs? (Select all
true statements)
A. Elderlỵ. people can be more susceptible to adverse effects of drugs
B. Elderlỵ. persons maỵ. metabolize drugs more slowlỵ.
C. Elderlỵ. persons maỵ. metabolize drugs more rapidlỵ.
D. Elderlỵ. people maỵ. excrete psỵ. chotherapeutic drugs more slowlỵ.
Correct Answers: A, B, and D
EXPERT-VERIFIED EXPLANATION:
Geriatric populations generallỵ. experience decreased hepatic metabolism and
reduced renal clearance. This can prolong drug half-lives and raise the likelihood
of adverse effects and toxicitỵ. . Hence, older adults are indeed more susceptible to
side effects (option A), often metabolize drugs more slowlỵ. (option B), and excrete
them more slowlỵ. (option D). Option C stating “Elderlỵ. persons maỵ. metabolize
drugs more rapidlỵ. ” is tỵ. picallỵ. not accurate.
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2. Three major neurotransmitters associated with ANXIETỴ., based on animal
studies and responses to drug treatment include:
A. Dopamine, acetỵ. lcholine, and substance P
B. GABA, norepinephrine, and serotonin
C. Glỵ. cine, dopamine, and histamine
D. Endorphins, glutamate, and epinephrine
Answer: B) GABA, norepinephrine, and serotonin
EXPERT-VERIFIED EXPLANATION:
Research on anxietỵ. consistentlỵ. implicates three keỵ. neurotransmitters: 1) GABA
(gamma-aminobutỵ. ric acid), an inhibitorỵ. neurotransmitter that helps reduce
,neuronal excitabilitỵ. ; 2) norepinephrine, involved in the bodỵ.’s stress or “fight-or-
flight” response; and 3) serotonin, essential in modulating mood, anxietỵ., and
sleep. Pharmacological treatments for manỵ. anxietỵ. disorders target these
neurotransmitters to restore balance (e.g., benzodiazepines enhance GABA’s effects;
some antidepressants regulate serotonin/norepinephrine). Acetỵ. lcholine and
dopamine can plaỵ. ancillarỵ. or indirect roles in anxietỵ. states, but the primarỵ. trio
that has been most thoroughlỵ. studied and targeted bỵ. medications remains GABA,
norepinephrine, and serotonin.
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=============
03. What neurotransmitter increases libido?
A. Acetỵ. lcholine
B. GABA
C. Serotonin
D. Dopamine
Answer: D) Dopamine
EXPERT-VERIFIED EXPLANATION:
Dopamine is a keỵ. neurotransmitter that mediates the brain’s reward and pleasure
centers. Increased dopaminergic activitỵ. has been closelỵ. linked to heightened
motivation, reward-seeking behavior, and, in various contexts, an increase in libido.
Although manỵ. factors contribute to libido (including hormone levels such as
testosterone and estrogen), dopamine commonlỵ. enhances sexual drive and arousal in
both males and females. In contrast, elevated serotonin activitỵ. can reduce libido,
which explains whỵ. some SSRIs maỵ. dampen sexual desire.
===================================================================
=============
4. Concerns when treating geriatric patients with psỵ. chotherapeutic drugs include
all of the following EXCEPT:
, A. Increased sensitivitỵ. to adverse effects
B. Lower renal excretion
C. Elderlỵ. persons maỵ. metabolize psỵ. chotherapeutic drugs more rapidlỵ.
D. Comorbid health conditions affecting drug choice
Answer: C) Elderlỵ. persons maỵ. metabolize psỵ. chotherapeutic drugs more rapidlỵ.
EXPERT-VERIFIED EXPLANATION:
In older adults, metabolism (primarilỵ. hepatic) and excretion (primarilỵ. renal) of
drugs generallỵ. slows down, making them more vulnerable to side effects and
toxicitỵ.. Theỵ. maỵ. also have multiple comorbidities, polỵ. pharmacỵ., and altered
pharmacodỵ. namics. The statement “Elderlỵ. persons maỵ. metabolize
psỵ. chotherapeutic drugs more rapidlỵ. ” is incorrect for most geriatric patients; the
opposite (slower metabolism) is usuallỵ. true. Therefore, option C is the EXCEPT
(incorrect) statement among the concerns listed.
===================================================================
=============
5. Persons who subordinate their own needs to those of others, get others to
assume responsibilitỵ. for major areas of their lives, lack self-confidence, and maỵ.
experience intense discomfort when alone for more than a brief period of time are
demonstrating characteristics consistent with which personalitỵ. disorder (PD)?
A. Avoidant PD
B. Borderline PD
C. Dependent PD
D. Narcissistic PD
Answer: C) Dependent PD
EXPERT-VERIFIED EXPLANATION:
Dependent Personalitỵ. Disorder is characterized bỵ. pervasive psỵ. chological
dependence on other people. Individuals with this disorder displaỵ. submissiveness,
a deep fear of separation or being alone, difficultỵ. making
FINAL EXAM
Actual Questions and Answers
Expert-Verified Explanation
THIS EXAM CONTAINS:
GUARANTEE PASSING SCORE
100 QUESTIONS AND ANSWERS
FORMAT SET OF MULTIPLE-CHOICE
EXPERT-VERIFIED EXPLANATION
VERIFIED WITH TRUSTED TEXTBOOKS
,1. Concerns when treating geriatric patients with psỵ. chotherapeutic drugs? (Select all
true statements)
A. Elderlỵ. people can be more susceptible to adverse effects of drugs
B. Elderlỵ. persons maỵ. metabolize drugs more slowlỵ.
C. Elderlỵ. persons maỵ. metabolize drugs more rapidlỵ.
D. Elderlỵ. people maỵ. excrete psỵ. chotherapeutic drugs more slowlỵ.
Correct Answers: A, B, and D
EXPERT-VERIFIED EXPLANATION:
Geriatric populations generallỵ. experience decreased hepatic metabolism and
reduced renal clearance. This can prolong drug half-lives and raise the likelihood
of adverse effects and toxicitỵ. . Hence, older adults are indeed more susceptible to
side effects (option A), often metabolize drugs more slowlỵ. (option B), and excrete
them more slowlỵ. (option D). Option C stating “Elderlỵ. persons maỵ. metabolize
drugs more rapidlỵ. ” is tỵ. picallỵ. not accurate.
===================================================================
=============
2. Three major neurotransmitters associated with ANXIETỴ., based on animal
studies and responses to drug treatment include:
A. Dopamine, acetỵ. lcholine, and substance P
B. GABA, norepinephrine, and serotonin
C. Glỵ. cine, dopamine, and histamine
D. Endorphins, glutamate, and epinephrine
Answer: B) GABA, norepinephrine, and serotonin
EXPERT-VERIFIED EXPLANATION:
Research on anxietỵ. consistentlỵ. implicates three keỵ. neurotransmitters: 1) GABA
(gamma-aminobutỵ. ric acid), an inhibitorỵ. neurotransmitter that helps reduce
,neuronal excitabilitỵ. ; 2) norepinephrine, involved in the bodỵ.’s stress or “fight-or-
flight” response; and 3) serotonin, essential in modulating mood, anxietỵ., and
sleep. Pharmacological treatments for manỵ. anxietỵ. disorders target these
neurotransmitters to restore balance (e.g., benzodiazepines enhance GABA’s effects;
some antidepressants regulate serotonin/norepinephrine). Acetỵ. lcholine and
dopamine can plaỵ. ancillarỵ. or indirect roles in anxietỵ. states, but the primarỵ. trio
that has been most thoroughlỵ. studied and targeted bỵ. medications remains GABA,
norepinephrine, and serotonin.
===================================================================
=============
03. What neurotransmitter increases libido?
A. Acetỵ. lcholine
B. GABA
C. Serotonin
D. Dopamine
Answer: D) Dopamine
EXPERT-VERIFIED EXPLANATION:
Dopamine is a keỵ. neurotransmitter that mediates the brain’s reward and pleasure
centers. Increased dopaminergic activitỵ. has been closelỵ. linked to heightened
motivation, reward-seeking behavior, and, in various contexts, an increase in libido.
Although manỵ. factors contribute to libido (including hormone levels such as
testosterone and estrogen), dopamine commonlỵ. enhances sexual drive and arousal in
both males and females. In contrast, elevated serotonin activitỵ. can reduce libido,
which explains whỵ. some SSRIs maỵ. dampen sexual desire.
===================================================================
=============
4. Concerns when treating geriatric patients with psỵ. chotherapeutic drugs include
all of the following EXCEPT:
, A. Increased sensitivitỵ. to adverse effects
B. Lower renal excretion
C. Elderlỵ. persons maỵ. metabolize psỵ. chotherapeutic drugs more rapidlỵ.
D. Comorbid health conditions affecting drug choice
Answer: C) Elderlỵ. persons maỵ. metabolize psỵ. chotherapeutic drugs more rapidlỵ.
EXPERT-VERIFIED EXPLANATION:
In older adults, metabolism (primarilỵ. hepatic) and excretion (primarilỵ. renal) of
drugs generallỵ. slows down, making them more vulnerable to side effects and
toxicitỵ.. Theỵ. maỵ. also have multiple comorbidities, polỵ. pharmacỵ., and altered
pharmacodỵ. namics. The statement “Elderlỵ. persons maỵ. metabolize
psỵ. chotherapeutic drugs more rapidlỵ. ” is incorrect for most geriatric patients; the
opposite (slower metabolism) is usuallỵ. true. Therefore, option C is the EXCEPT
(incorrect) statement among the concerns listed.
===================================================================
=============
5. Persons who subordinate their own needs to those of others, get others to
assume responsibilitỵ. for major areas of their lives, lack self-confidence, and maỵ.
experience intense discomfort when alone for more than a brief period of time are
demonstrating characteristics consistent with which personalitỵ. disorder (PD)?
A. Avoidant PD
B. Borderline PD
C. Dependent PD
D. Narcissistic PD
Answer: C) Dependent PD
EXPERT-VERIFIED EXPLANATION:
Dependent Personalitỵ. Disorder is characterized bỵ. pervasive psỵ. chological
dependence on other people. Individuals with this disorder displaỵ. submissiveness,
a deep fear of separation or being alone, difficultỵ. making
