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WALDEN | NURS-6630N,Approaches to Treatment.2025 | Winter Review Test Submission: Midterm Exam - Week 6 questions and answers

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WALDEN | NURS-6630N,Approaches to Treatment.2025 | Winter Review Test Submission: Midterm Exam - Week 6 questions and answers

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WALDEN NURS-
6630N,Approaches to
Treatment.2025 Winter Review
Test Submission: Midterm Exam -
Week 6 questions and answers
User Smiles Smiler Smillest
Course NURS-6630N,Approaches to Treatment.2025 Winter
Qtr 11/30-02/25
Test Midterm Exam - Week 6
Started 1/8/25
Submitted 1/9/25
Due Date 1/11/25
Status Completed
Attempt 64 out of 100 points
Score
Time 2 hours, 29 minutes out of 2 hours and 30 minutes
Elapsed
Results Displayed Feedback
• Question 1

What is the strongest established risk factor for bipolar disorder? Family
History


Response Feedback: “The strongest established risk factor for BPD is a
family history of BPD.”

• Question 2


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Which of the following medications are known as selective

serotonin re-uptake inhibitors (SSRIs)? i. Nortriptyline

ii.
Citalopr
am iii.
Duloxet
ine iv.
Fluoxeti
ne
v. Venlafaxine



• 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 greater risk for substance Feedback: use, violence, and
victimization as well as worse overall quality of life.”

• 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? Atomoxetine




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Response (Options C & D are both TCA antidepressants and,
Feedback: based on the patient’s age 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, patient has 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 bipolar disorder and why?

Response “As noted previously, antidepressants may contribute to
an increase in mood Feedback: episode frequency.”

• Question 7

With second-generation antipsychotics, what is the main side effect that
requires frequent monitoring?
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Response table 7-6 & page 80, table 7-7; Page 78: “However,
attention over the past decade has
Feedback: 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?
Only TCA is listed with most anticholinergic effects;
Page 39 for TCA side effect profile: “dry mouth,
Response blurred vision, constipation, urinary hesitancy,
Feedback: tachycardia, memory difficulties, and ejaculatory
difficulties”
• Question 10

Which medication has been studied and recommended in patients
with a social anxiety disorder who also suffer from an alcohol use
disorder?




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