2024 NUR7350 Psychopharmacology Across the Lifespan with Answers (36 Solved Questions)

Name: 2024 NUR7350 Psychopharmacology Across the Lifespan with Answers (36 Solved Questions)
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NURSING 7350
Psychopharmacology
Across the Lifespan
Q & A w/ Rationales
2024

1. A nurse is caring for an elderly patient who has been
recently diagnosed with depression. Which of the following
psychotropic medications would the nurse anticipate being
prescribed due to its efficacy and reduced risk of adverse
effects in older adults?
a) Fluoxetine (Prozac)
b) Venlafaxine (Effexor)
c) Paroxetine (Paxil)
d) Sertraline (Zoloft)
Answer: d) Sertraline (Zoloft)
Rationale: Sertraline is a selective serotonin reuptake
inhibitor (SSRI) commonly prescribed for depression. It is
often preferred in older adults due to its reduced side effect
profile and lower drug-drug interaction potential compared
to other SSRIs.
2. A 30-year-old female patient with bipolar disorder
presents with manic symptoms. Considering this patient's
gender and reproductive stage, which mood stabilizer
would be most appropriate to avoid negative effects on
fertility and pregnancy?
a) Lithium
b) Carbamazepine (Tegretol)
c) Valproate (Depakote)
d) Lamotrigine (Lamictal)
Answer: d) Lamotrigine (Lamictal)
Rationale: Lamotrigine has demonstrated a lower risk of
reproductive adverse effects and is considered a safe option

during pregnancy. It is often the preferred choice for
women of reproductive age who need mood stabilization.
3. An adolescent female is experiencing her first episode of
psychosis. Which atypical antipsychotic would be the most
suitable option for reducing the risk of weight gain and
metabolic disturbances?
a) Olanzapine (Zyprexa)
b) Risperidone (Risperdal)
c) Quetiapine (Seroquel)
d) Aripiprazole (Abilify)
Answer: d) Aripiprazole (Abilify)
Rationale: Aripiprazole has a lower risk of causing weight
gain and metabolic disturbances compared to other atypical
antipsychotics. This makes it a preferable choice for
individuals who may already be at risk for metabolic
disorders.
4. A 70-year-old patient is taking warfarin for atrial
fibrillation and requires treatment for generalized anxiety
disorder. Which anxiolytic would be the best choice in this
case to minimize drug-drug interactions?
a) Alprazolam (Xanax)
b) Buspirone (Buspar)
c) Clonazepam (Klonopin)
d) Diazepam (Valium)
Answer: b) Buspirone (Buspar)
Rationale: Buspirone is a non-benzodiazepine anxiolytic

that does not interact significantly with warfarin. It is
therefore safer to use in patients on warfarin therapy to
avoid potential bleeding risks.
5. A middle-aged patient with schizophrenia has a history
of poor adherence to oral antipsychotic medications. Which
long-acting injectable antipsychotic would the nurse
anticipate being prescribed to improve compliance?
a) Haloperidol (Haldol)
b) Quetiapine (Seroquel)
c) Aripiprazole (Abilify Maintena)
d) Clozapine (Clozaril)
Answer: c) Aripiprazole (Abilify Maintena)
Rationale: Abilify Maintena is a long-acting injectable
form of aripiprazole. It is used to enhance treatment
adherence and reduce the risk of relapse in individuals with
schizophrenia who struggle with oral medication
adherence.
6. A child with attention deficit hyperactivity disorder
(ADHD) has not responded adequately to stimulant
medications. Which non-stimulant medication would be an
appropriate next option to consider?
a) Methylphenidate (Ritalin)
b) Atomoxetine (Strattera)
c) Lisdexamfetamine (Vyvanse)
d) Guanfacine (Intuniv)
Answer: b) Atomoxetine (Strattera)

Rationale: Atomoxetine is a non-stimulant medication
approved for the treatment of ADHD. It works by
inhibiting norepinephrine reuptake and is often considered
when stimulant medications have not resulted in
satisfactory symptom control.
7. A pregnant patient with a history of panic disorder is
experiencing severe panic attacks and requires immediate
intervention. Which medication would be the best option in
this scenario to provide rapid relief without posing
substantial risks to the fetus?
a) Alprazolam (Xanax)
b) Clonazepam (Klonopin)
c) Lorazepam (Ativan)
d) Buspirone (Buspar)
Answer: c) Lorazepam (Ativan)
Rationale: While no medication is entirely risk-free during
pregnancy, lorazepam is most commonly used due to its
rapid onset of action and shorter half-life compared to other
benzodiazepines. It can be used for acute symptom relief in
panic disorder during pregnancy, especially if non-
pharmacological interventions are insufficient.
8. A patient prescribed monoamine oxidase inhibitors
(MAOIs) should adhere to dietary restrictions due to the
risk of which potentially life-threatening reaction?
a) Serotonin syndrome
b) Neuroleptic malignant syndrome
c) Hypertensive crisis

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d) Extrapyramidal symptoms
Answer: c) Hypertensive crisis
Rationale: MAOIs inhibit the breakdown of tyramine and
can cause hypertensive crisis if ingested in foods high in
tyramine, such as aged cheese, cured meats, fermented
products, and certain alcoholic beverages.
9. A client prescribed lithium for the management of
bipolar disorder should be educated on the importance of
maintaining a consistent intake of which dietary element to
avoid toxicity?
a) Calcium
b) Sodium
c) Iron
d) Potassium
Answer: b) Sodium
Rationale: Lithium excretion is influenced by sodium
levels in the body. Low sodium intake or dehydration can
decrease lithium excretion, leading to increased levels and
potential toxicity. Clients should be advised to maintain a
consistent sodium intake while on lithium therapy.
10. A nurse is caring for a patient prescribed tricyclic
antidepressants (TCAs). Which common adverse effect,
often seen early in therapy, would require immediate
assessment and intervention due to potential cardiac
complications?
a) Dry mouth

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