*NURSING > EXAM PROCTORED > WALDEN UNIVERSITY NURS 6630 PSYCHOPHARMACOLOGY MIDTERM EXAM 7. Contain 50 Q&A Plus Response Feedbac (All)

WALDEN UNIVERSITY NURS 6630 PSYCHOPHARMACOLOGY MIDTERM EXAM 7. Contain 50 Q&A Plus Response Feedback

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NURS 6630 MIDTERM EXAM 7 WALDEN UNIVERSITY 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 Feedback: “Moreover, non-adherent patients with schizophrenia are at greater risk for substance 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? AtomoxetineResponse Feedback: (Options C & D are both TCA antidepressants and, 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? [Show More]

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