NSG 552 Exam 1 [Wilkes University].

NSG 552 Exam 1 (Wilkes).

A 38-year-old woman presents in January with a depressed mood. She has also had a lack of interest in activities, hypersomnia, increased appetite, inappropriate guilt, poor concentration, and thoughts of death. She describes symptoms consistent with having one major depressive episode between the months of January and March in each of the past three years, but no significant symptoms at other times of the year. She has no history of a psychotic or anxiety disorder. She does not smoke or drink alcohol. Her current stressors include relationship problems, and she would like to avoid sexual side effects. She denies using illicit drugs. Of the following, which is the most appropriate management for this patient?

1. A) Venlafaxine
2. B) ✅ Bupropion
3. C) Mirtazapine
4. D) Fluoxetine

Which of the following is false regarding tricyclic overdose?

1. A) Gastric aspiration is helpful
2. B) ✅ Antiarrhythmia drugs should be used routinely
3. C) Cardiac monitoring is important
4. D) Desipramine is the most lethal tricyclic antidepressant

Because of the severe problems caused by chronic extrapyramidal side effects (EPSs), patients receiving long-term use of antipsychotics must be carefully monitored for the development of EPS symptoms. One of the most used screeners is:

1. A) Beck’s inventory scale
2. B) Ham-D scale
3. C) Zung scale
4. D) ✅ AIMS scale

How does smoking affect the metabolism of certain antipsychotic medications?

1. A) Smoking inhibits CYP1A2 enzymes, leading to increased levels of antipsychotic medications.
2. B) Smoking induces CYP1A2 enzymes, leading to increased levels of antipsychotic medications.
3. C) Smoking inhibits CYP1A2 enzymes, leading to decreased levels of antipsychotic medications.
4. D) ✅ Smoking induces CYP1A2 enzymes, leading to decreased levels of antipsychotic medications.

What is the black box warning associated with the use of antipsychotic medications?

1. A) Increased risk of suicide in children and adolescents
2. B) Increased risk of QT prolongation and torsades de pointes
3. C) Increased risk of agranulocytosis and leukopenia
4. D) ✅ Increased risk of death in elderly patients with dementia-related psychosis

A 40-year-old woman with bipolar disorder presents to the emergency room 2 weeks after starting a new medication. She reports that she was doing well until she got a viral gastroenteritis and was unable to eat for several days. While the viral symptoms have resolved, she now complains of nausea and vomiting, ataxia and tremor. Which of the following studies should be ordered first?

1. A) Head CT
2. B) Depakote level
3. C) Lithium level
4. D) Urine tox screen

✅ Answer: C) Lithium level

Which of the following best describes the monoamine hypothesis of mood disorders?

1. A) Excessive levels of monoamines lead to mood disorders.
2. B) Monoamine deficiency is associated with memory impairment.
3. C) ✅ A deficit in monoamines, including serotonin, norepinephrine, and dopamine, is linked to mood disorders.
4. D) Monoamine imbalance primarily affects motor functions.………………………………purchase this entire exam at $30 only