MH701 Safety Exam 1 Review Questions and
answers with 100% correct solutions | A+ Grade
Short acting Benzos often used in elderly with dementia or PRN use? ✔✔Lorazepam (Ativan)-
More tolerable in the elderly, less fall risk. Clonazepam and Diazepam are LONG acting.
Abruptly stopping a benzodiazepine can lead to? ✔✔Seizure-CNS depressant, Benzos work to depress
the brain, nerves, excitability. Associated with abuse/addiction, when taken longer than 4 months. The
brain tries to fight its way back from the depression of the benzos to have feeling again. Benzos are for
short term or an as needed PRN prescription.
Patient on Lithium reveals she was recently started on Naproxen for pain daily. Your response?
✔✔Naproxen can increase Lithium levels.
Which of the following is considered a short-acting Benzodiazepine? ✔✔Lorazepam (Ativan)
Beta-blocker used for anxiety, restlessness, and agitation? ✔✔Propranolol or Inderol-5 mg-10 mg
used 2-3 times/day as needed for anxiety. Wonderful for social anxiety, used for anticipatory anxiety
situation, stage presentations. Can be given 20-30 minutes before.
Anxiety about being in places or situation from which escape might be difficult? ✔✔Agoraphobia-
May be afraind to leave home. Can have panic with or without. Panic-1 month of worrying.
, Anxious patient struggles with weight, which of following meds more likely to worsen this issue?
✔✔Valproic Acid or Depakote. Bruproprion (Wellbutrin) and Fluoetine (Prozac) can aid in weight loss
Exposure to trauma, negative mood, irritability, sleep issues, flashbacks lasting 3 days to 1 month.
✔✔Acute Stress Disorder-Will be within 1 month, happened recently, will be PTSD. If severe case, will be
getting worse after 1 month.
Medication believed to block effects of adrenaline and suppress nightmares? ✔✔Prazosin or
minipress-1 mg-2 mg starting dose. Old BP medication. Monitor BP. Guafacine and Mirtazepine can
also be used for nightmares.
Patient who is stable complains of decreased sex drive from Sertraline, possible solution? ✔✔add-
on Buproprion (Wellbutrin)-Hits the Dopamine, pleasure chemical. Can help with orgasm issues,
drive, erectile issues.
Tetracyclic antidepressant that can help with sleep, appetite stimulation, and nightmares?
✔✔Mirtazepine-Montor weight for heavier child.
A patient with schizophrenia complains of constant auditory hallucinations, what neurotransmitter is
associated with this? ✔✔Dopamine-Too much dopamine or overstimulation of the brain. Heightens
positive symptoms that we do not want. ie. hallucinations, delusions. ADHD is too little Dopamine.
Which neurotransmitters are most theorized when decreased lead to depression and
anxiety? ✔✔Norepinephrine and Serotonin
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