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NR 547 FINAL EXAM 2024/2025 QUIZ QUESTIONS AND ANSWERS (VERIFIED) 100% CORRECT |RATED A+
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NR 547 FINAL EXAM 2024/2025 QUIZ QUESTIONS AND ANSWERS (VERIFIED) 100% CORRECT |RATED A+
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NR 547 FINAL EXAM 2024/2025 QUIZQUESTIONS AND ANSWERS (VERIFIED)
100% CORRECT |RATED A+
Norepinephrine Dopamine Reuptake Inhibitors (NDRI)
mechanism of action Correct Answer inhibit DA reuptake
(↑alertness, motivation)
inhibit NE reuptake (↑energy)
Selective Serotonin Reuptake Inhibitors (SSRIs) Correct Answer
diarrhea
headache
weight gain
sexual side effects
Medications for depression Correct Answer SSRIs
SNRIs
SDRIs
TCAs
MAOIs
Selective Serotonin Reuptake Inhibitors (SSRI's) mechanism of
action Correct Answer inhibit 5-HT reuptake
Serotonin Norepinephrine Reuptake Inhibitors (SNRIs)
mechanism of action Correct Answer inhibit 5-HT reuptake
inhibit NE reuptake (↑ energy, focus)
increase DA in prefrontal cortex (↑ cognition)
SSRIs Correct Answer -Action: inhibit 5-HT reuptake
-Examples: citalopram, escitalopram, fluoxetine, paroxetine,
sertraline
,-Adverse effects:
• nausea
• agitation
• diarrhea
• headache
• weight gain
• sexual side effects
SNRIs Correct Answer -inhibit 5-HT reuptake
-inhibit NE reuptake (↑ energy, focus)
-increase DA in prefrontal cortex (↑ cognition)
-Examples: desvenlafaxine, duloxetine, levomilnacipran,
venlafaxine
-Adverse effects:
• elevated blood pressure
• nausea
• sweating
• tremors
• anxiety
• insomnia
• constipation
• anorexia
• sexual dysfunction
SDRIs Correct Answer -inhibit DA reuptake (↑alertness,
motivation)
-inhibit NE reuptake (↑energy)
-Adverse effects:
• agitation
• headache
• dry mouth
• constipation
• weight loss
,TCAs Correct Answer -Action: inhibits the reuptake of serotonin
and norepinephrine; blocks norepinephrine, histamine, and
acetylcholine receptors
-Examples: amitriptyline, clomipramine, desipramine, doxepin
-Common Side Effects:
• dry mouth
• constipation
• blurred vision
• urinary retention
• sedation
• weight gain
• hypotension
• tachycardia
• sexual dysfunction
MAOIs Correct Answer -Action: increases norepinephrine and
serotonin by inhibiting the enzyme that inactivates it
-Examples: isocarboxazid, phenelzine, tranylcypromine
-Common Side Effects:
• sedation
• dizziness
• sexual dysfunction
• hypertensive crisis
Prescribing pearls: citalopram (Celexa) Correct Answer mild
antihistamine effects
Prescribing pearls: escitalopram (Lexapro) Correct Answer no
known drug interactions
Prescribing pearls: fluoxetine (Prozac) Correct Answer longest
half-life
Prescribing pearls: paroxetine (Paxil) Correct Answer also treats
social anxiety and insomnia
, Prescribing pearls: fluvoxamine (Luvox) Correct Answer treats
anxious depression smokers require increased dose
Prescribing pearls: sertraline (Zoloft) Correct Answer also treats
social anxiety and hypersomnolence
Prescribing pearls: bupropion (Wellbutrin) Correct Answer NDRI
may improve energy, alertness, and motivation; not first line
treatment for anxiety; contraindicated in clients with a history of
seizures
Prescribing pearls: duloxetine (Cymbalta) Correct Answer
effective for atypical pain at higher doses; appropriate for clients
who present with somatic symptoms of depression; effective for
atypical pain, such as fibromyalgia and diabetic neuropathy
Prescribing pearls: venlafaxine (Effexor) Correct Answer treats
both depression and anxiety disorders, ensure trial of higher dose
before switching to a different medication
Prescribing pearls: desvenlafaxine (Pristiq) Correct Answer
effective for perimenopausal vasomotor symptoms
considered when selecting a medication: Correct Answer -Client
preference
-Prior treatment response
-Anticipated adverse effects
-Comorbidities
-Half-life and interactions
-Cost
if a medication is not achieving efficacy: Correct Answer -
Increase dose gradually
-Switch to a different drug within the same class
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