NURS 6630N Week 6 Midterm EXAM
NURS-6630N: Psychopharmacologic Approaches
to Treatment of Psychopathology.
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Course NURS-6630N,Approaches to Treatment.2020 Winter Qtr 11/30-02/21
Test Midterm Exam - Week 6
Started 1/8/21
Submitted 1/9/21
Due Date 1/11/21
Status Completed
Attempt Score 64 out of 100 points
Time Elapsed 2 hours, 29 minutes out of 2 hours and 30 minutes
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
Which of the following medications are known as selective serotonin re-uptake inhibitors (SSRIs)?
i. Nortriptyline
ii. Citalopram
iii. Duloxetine
iv. Fluoxetine
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
, Response (Options C & D are both TCA antidepressants and, based on the patient’s age and
Feedback: 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?
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?
Response Only TCA is listed with most anticholinergic effects; Page 39 for TCA side effect profile:
Feedback: “dry mouth, blurred vision, constipation, urinary hesitancy, 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?