NURS 307 Final Questions With Complete Solutions
6 classes psychopharmacology Correct Answer 1.
Antipsychotic Medications
2. Anticholinergic (Movement Disorders) Medication)
3a. Antimania (Mood Stabilizer) Medication
3b. Antidepressants (Mood Stabilizer) Medication
4. Antianxiety/Anxiolytic/Sedative-hypnotic Medication
5. Amphetamines/Stimulants Medication
6. Anti-Seizure/Anticonvulsants Medication
Acute Illness of Schizophrenia Correct Answer • Prodromal
symptoms
- May be subtle
- Most often occurs in adolescence or early adult life.
- First- episode pyschosis - the initial episode of psychosis,
which most often occurs in adolescence or early adult life. This
early stage of illness, defined as the first 3 to 5 years following
the onset of symptoms, is considered a critical period for
intervention.
Addiction Correct Answer • chronic, relapsing, and treatable
medical condition, is the leading preventable cause of death,
disability, and disease globally. It is a disease of the brain and
not an expression of moral character.
Addiction is a primary, chronic disease of brain reward,
motivation, memory and related circuitry. Dysfunction in these
circuits leads to characteristic biological, psychological, social
and spiritual manifestations.
,Addictive personalities Correct Answer - Need to feel self-
worth
- Need to have control over the environment
- Need to feel intimate contact
- Need to accomplish something
- Need to eliminate pain or negative feelings
ADME Correct Answer Absorption - Movement from the site
of administration into the plasma
Distribution - Reflects how easy it is for a drug to pass out of the
systemic circulation and move into other types of tissues.
Excretion - The elimination of drugs from the body either
unchanged or as metabolites.
Adverse effects TCAs Correct Answer •sedation, dizziness,
orthostasis, blurred vision, dry mouth, tachycardia, cognitive
impairment, constipation, dry eyes, urinary retention
Anticholinergic activity
Akathisia, acute dystonia, Parkinsonism Correct Answer •
Akathisia: very restless or tense
• Acute dystonia: involuntary muscle contractions. Movements
often repetitive and may include eye spasms or blinking,
twisting head, protruding tongue, extended neck
• Parkinsonism: describes symptoms that resemble those of PD:
rigid muscles in your limbs; tremors.
Amino Acids Correct Answer building block of proteins (many
roles
• Function as neurotransmitters in 60-70% of synaptic sites in
the brain
, • Amino acids are the most prevalent neurotransmitters.
• Virtually all of the neurons in the CNS are:
• activated by excitatory amino acids, such as glutamate, and
inhibited by inhibitory amino acids, such as GABA and glycine.
• Many of these amino acids coexist with other
neurotransmitters.
Anticholinergics Correct Answer Block the neurotransmitter
acetylcholine in the CNS and PNS. Treat variety of conditions
associated with activation of the PNS.
Anticonvulsant - mood stabilizer Correct Answer
•carbamazepine, divalproex, lamotrigine, valproic acid,
gabapentin, topiramate
•Also alter transport of ions across cell membranes
•Most require therapeutic drug levels/monitoring
•Will often see combination of up to 3 drug classes
Anticonvulsant examples Correct Answer · carbamazepine
(Tegretol)
· divalproex sodium (Depakote) [valproic acid]
· gabapentin (Neurontin)
· pregabalin (Lyrica)
· phenytoin (Dilantin)GABA
Anticonvulsant side effects Correct Answer Dizziness,
drowsiness, fatigue, nausea, tremor, weight gain
Anticonvulsants Correct Answer Indications: anti-seizure, anti-
epileptic, anticonvulsant