NURS 6630 Self Assessment Assessing and Treating Patients With Psychopharmacology<\/figcaption><\/figure>\nBottom of Form<\/span>\u00a0<\/span><\/p>\nA Sample Answer For the Assignment: NURS 6630 Self Assessment Assessing and Treating Patients With Psychopharmacology<\/strong><\/h2>\nTitle: NURS 6630 Self Assessment Assessing and Treating Patients With Psychopharmacology<\/strong><\/h2>\nQuestion 1\u00a0<\/span><\/b>\u00a0<\/span><\/p>\n\n- Jordyn is a 27-year-old patient who presents to the clinic with GAD. She is 30 weeks pregnant and has been well controlled on a regimen of sertraline 50mg daily. Jordyn says that “about once or twice a week my husband really gets on my nerves and I can’t take it.” She is opposed to having the sertraline dose increased due to the risk of further weight gain. You have decided to prescribe the patient a short-term course of benzodiazepines for breakthrough anxiety. Which of the following is the LEAST appropriate benzodiazepines to prescribe to this patient?<\/span>\u00a0<\/span><\/li>\n<\/ol>\n
\n\n\n[Control]\u00a0<\/span><\/td>\n | a.<\/span>\u00a0<\/span><\/td>\n | diazepam<\/span>\u00a0<\/span><\/td>\n<\/tr>\n\n[Control]\u00a0<\/span><\/td>\n | b.<\/span>\u00a0<\/span><\/td>\n | alprazolam<\/span>\u00a0<\/span><\/td>\n<\/tr>\n\n[Control]\u00a0<\/span><\/td>\n | c.<\/span>\u00a0<\/span><\/td>\n | clonazepam<\/span>\u00a0<\/span><\/td>\n<\/tr>\n\n[Control]\u00a0<\/span><\/td>\n | d.<\/span>\u00a0<\/span><\/td>\n | lorazepam<\/span>\u00a0<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n 0 points \u202f\u00a0<\/span>\u00a0<\/span><\/p>\nQuestion 2\u00a0<\/span><\/b>\u00a0<\/span><\/p>\n\n- Jane is a 17-year-old patient who presents to the office with signs consistent with schizophrenia. She states multiple times that she is concerned about gaining weight, as she has the perfect prom dress picked out and she finally got a date. Which of the following is the least appropriate choice to prescribe Jane?<\/span>\u00a0<\/span><\/li>\n<\/ol>\n
\n\n\n[Control]\u00a0<\/span><\/td>\n | a.<\/span>\u00a0<\/span><\/td>\n | Aripiprazole<\/span>\u00a0<\/span><\/td>\n<\/tr>\n\n[Control]\u00a0<\/span><\/td>\n | b.<\/span>\u00a0<\/span><\/td>\n | Olanzapine<\/span>\u00a0<\/span><\/td>\n<\/tr>\n\n[Control]\u00a0<\/span><\/td>\n | c.<\/span>\u00a0<\/span><\/td>\n | Haloperidol<\/span>\u00a0<\/span><\/td>\n<\/tr>\n\n[Control]\u00a0<\/span><\/td>\n | d.<\/span>\u00a0<\/span><\/td>\n | Brexpiprazole<\/span>\u00a0<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n 0 points \u202f\u00a0<\/span>\u00a0<\/span><\/p>\nQuestion 3\u00a0<\/span><\/b>\u00a0<\/span><\/h2>\n\n- Which of the following statements are true?<\/span>\u00a0<\/span><\/li>\n<\/ol>\n
\n\n\n[Control]\u00a0<\/span><\/td>\n | a.<\/span>\u00a0<\/span><\/td>\n | First-generation (typical) antipsychotics are associated with a higher incidence of EPS.<\/span>\u00a0<\/span><\/td>\n<\/tr>\n\n[Control]\u00a0<\/span><\/td>\n | b.<\/span>\u00a0<\/span><\/td>\n | Second-generation (atypical) antipsychotics are associated with a higher risk of metabolic side effects.<\/span>\u00a0<\/span><\/td>\n<\/tr>\n\n[Control]\u00a0<\/span><\/td>\n | c.<\/span>\u00a0<\/span><\/td>\n | There is evidence that atypical antipsychotics are significantly more effective than typical antipsychotics in the treatment of cognitive symptoms associated with schizophrenia.<\/span>\u00a0<\/span><\/td>\n<\/tr>\n\n[Control]\u00a0<\/span><\/td>\n | d.<\/span>\u00a0<\/span><\/td>\n | A & B<\/span>\u00a0<\/span><\/td>\n<\/tr>\n\n[Control]\u00a0<\/span><\/td>\n | e.<\/span>\u00a0<\/span><\/td>\n | A, B, and C<\/span>\u00a0<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n 0 points \u202f\u00a0<\/span>\u00a0<\/span><\/p>\nQuestion<\/span> 4\u00a0<\/span><\/b>\u00a0<\/span><\/h2>\n\n- Stephanie is a 36-year-old female who presents to the clinic with a history of anxiety. Social history is unremarkable. For the last 4 years, she has been well controlled on paroxetine, however she feels \u201cit just doesn’t work anymore.\u201d You have decided to change her medication regimen to vortioxetine 5mg, titrating up to a max dose of 20mg per day based on tolerability. The patient states, “I can’t even last 1 more day without feeling like my insides are going to explode with anxiety.” The most appropriate course of action would be:<\/span>\u00a0<\/span><\/li>\n<\/ol>\n
\n\n\n[Control]\u00a0<\/span><\/td>\n | a.<\/span>\u00a0<\/span><\/td>\n | Inform the patient to try yoga or other natural remedies until the vortioxetine takes effect.<\/span>\u00a0<\/span><\/td>\n<\/tr>\n\n[Control]\u00a0<\/span><\/td>\n | b.<\/span>\u00a0<\/span><\/td>\n | Prescribe a short-term course of low dose benzodiazepine, such as alprazolam.<\/span>\u00a0<\/span><\/td>\n<\/tr>\n\n[Control]\u00a0<\/span><\/td>\n | c.<\/span>\u00a0<\/span><\/td>\n | Prescribe an SNRI, such as venlafaxine, in addition to the vortioxetine.<\/span>\u00a0<\/span><\/td>\n<\/tr>\n\n[Control]\u00a0<\/span><\/td>\n | d.<\/span>\u00a0<\/span><\/td>\n | Recommend in-patient mental health for the foreseeable future.<\/span>\u00a0<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n 0 points \u202f\u00a0<\/span>\u00a0<\/span><\/p>\nQuestion 5\u00a0<\/span><\/b>\u00a0<\/span><\/h2>\n\n- Martin is a 92-year-old male who presents to the clinic with signs\/symptoms consistent with MDD. The patient suffers from glaucoma and just recently underwent surgery for a cataract. Which of the following is the LEAST appropriate course of therapy when treating the MDD?<\/span>\u00a0<\/span><\/li>\n<\/ol>\n
\n\n\n[Control]\u00a0<\/span><\/td>\n | a.<\/span>\u00a0<\/span><\/td>\n | sertraline<\/span>\u00a0<\/span><\/td>\n<\/tr>\n\n[Control]\u00a0<\/span><\/td>\n | b.<\/span>\u00a0<\/span><\/td>\n | amitriptyline<\/span>\u00a0<\/span><\/td>\n<\/tr>\n\n[Control]\u00a0<\/span><\/td>\n | c.<\/span>\u00a0<\/span><\/td>\n | duloxetine<\/span>\u00a0<\/span><\/td>\n<\/tr>\n\n[Control]\u00a0<\/span><\/td>\n | d.<\/span>\u00a0<\/span><\/td>\n | vilazodone<\/span>\u00a0<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n 0 points \u202f\u00a0<\/span>\u00a0<\/span><\/p>\nQuestion 6\u00a0<\/span><\/b>\u00a0<\/span><\/h2>\n\n- Steve is a 35-year-old male who presents to the primary care office complaining of anxiety secondary to quitting smoking cold turkey 2 weeks ago. The patient has a 14-year history of smoking two packs per day. The patient has an unremarkable social history other than a recent divorce from his wife, Brittany. Which of the following would be the LEAST effective medication to treat Steve’s anxiety?<\/span>\u00a0<\/span><\/li>\n<\/ol>\n
\n\n\n[Control]\u00a0<\/span><\/td>\n | a.<\/span>\u00a0<\/span><\/td>\n | Buproprion<\/span>\u00a0<\/span><\/td>\n<\/tr>\n\n[Control]\u00a0<\/span><\/td>\n | b.<\/span>\u00a0<\/span><\/td>\n | Sertraline<\/span>\u00a0<\/span><\/td>\n<\/tr>\n\n[Control]\u00a0<\/span><\/td>\n | c.<\/span>\u00a0<\/span><\/td>\n | Varenicline<\/span>\u00a0<\/span><\/td>\n<\/tr>\n\n[Control]\u00a0<\/span><\/td>\n | d.<\/span>\u00a0<\/span><\/td>\n | Alprazolam<\/span>\u00a0<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n 0 points \u202f\u00a0<\/span>\u00a0<\/span><\/p>\nQuestion 7\u00a0<\/span><\/b>\u00a0<\/span><\/h2>\n\n- Sam is a 48-year-old male who presents to the clinic with signs and symptoms consistent with GAD & MDD. Which of the following medications would be the LEAST appropriate choice when initiating pharmacotherapy?<\/span>\u00a0<\/span><\/li>\n<\/ol>\n
\n\n\n[Control]\u00a0<\/span><\/td>\n | a.<\/span>\u00a0<\/span><\/td>\n | duloxetine<\/span>\u00a0<\/span><\/td>\n<\/tr>\n\n[Control] | | | | | | | | | | | | | | | | | | | | | | | | | | |