NURS-6630A-2NURS-6630N- 2NURS6630D-2NURS-6630C-2- MIDTERM EXAM 2023 QUESTIONS WITH CORRECT ANSWERS
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Course
NURS-6630
Institution
NURS-6630
NURS-6630A-2NURS-6630N- 2NURS6630D-2NURS-6630C-2- MIDTERM
EXAM 2023 QUESTIONS WITH CORRECT
ANSWERS
Is this a TRUE or FALSE statement? The following patient case is considered an
example of treatment-resistant depression.
B. B. is a 26-year old-female at your clinic today with the diagnosis, ...
NURS-6630A-2 NURS-6630N- 2 NURS-
6630D-2 NURS-6630C-2- MIDTERM EXAM 2023 QUESTIONS WITH CORRECT ANSWERS Is this a TRUE or FALSE statement? The following patient case is considered an example of treatment -resistant depression. B. B. is a 26 -year old -female at your clinic today with the diagnosis, “treatment -resistant depression.” She is currently on Bupropion 300 mg daily and has been at this dose for 6 weeks with no alleviation in depressive symptoms. She has trialed the following medications in the past with treatment duration listed: - Paroxetine 40 mg daily for 6 weeks - Citalopram 20 mg daily for 2 weeks Response Feedback: “At least one trial with an antidepressant with established efficacy in MDD (with sufficient duration and doses) is considered to be adequate antidepressant treatment.” • Question 2 Ronnie presents to your clinic with tremor, bradykinesia, and rigidity. The symptoms are very similar to what you would see in a patient with Parkinson’s disease. The client was prescribed risperidone several weeks ago. What is the reason for Ronnie’s symptoms? Response Feedback: Risperidone is an antipsychotic that works by blocking dopamine receptors in the striatum. Dopamine blockade has been associated with the extrapyramidal symptoms that are seen with antipsychotic usage. Scott is a 70-year-old man that is taking citalopram 40 mg daily. You discuss changing citalopram to another medication or decreasing the dose. He is hesitant to change medications since citalopram works for him. You e nd up decreasing his dose to 20 mg/day. He asks why you are wanting to change his medication or lower his dose. Which of the following reasons is the main reason you made the decision to decrease his dose. Response Feedback: A maximum daily dose of 20 mg/day is recommended in patients greater than 60 years of age due to the increased risk of QT prolongation. • Question 4 M. B. was just diagnosed with Generalized Anxiety Disorder and pharmacotherapy is needed. Which of the following would be a first-line treatment option for M. B.? I. Duloxetine II. Quetiapine III. Diazepam IV. Escitalopram Response Feedback: “As is true for panic and the other anxiety disorders, the SSRIs and SNRIS are generally considered first-line agents for the treatment of GAD because of their favorable side effect profile….” • Question 5 Which one of the anticonvulsants mentioned below has sufficient data to support its use in bipolar disorder? Response Feedback: Carbamazepine has data to support its use in the treatment of bipolar disorder. The other medications listed do not have data to support the use in any phase of bipolar disorder. A 23-year-old female was just diagnosed with major depressive disorder and is being started on escitalopram 10 mg daily. The patient should be counseled about which Black Box warning? Response Feedback: “In 2004, the FDA asked manufacturers of almost all the new antidepressant drugs to include in their labeling a warning statement that recommends close observation of adult and pediatric patients treated with these drugs for worsening depression or the emergence of suicidality." • Question 7 • Question 6 • Question 3
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