NURS 660 EXAM 3 QUESTIONS AND
CORRECT CORRECT CORRECT
ANSWERWERS LATEST VERSION 2023
2024 GUARANTEED SUCCESS
A woman was raped, and continues to have fear of opposite sex on her way to parking garage. Which two areas of the brain are involved? - CORRECT ANSWER amygdala and hippocampus
Benzodiazepine patient education - CORRECT ANSWER Avoid ETOH may cause dizziness, may slow heart rate, avoid sedating antihistamines
Current dx of generalized anxiety disorder (GAD), difficulty concentrating as well as problems falling asleep. She gets very angry over basic things and is very moody in general, excessive stressful reactions, concentrate, irritability. What is going on in her brain? - CORRECT ANSWER a. Dysfunction of amygdale and CTSC (serotonin/nor- einephrine)
Diagnose this pt: Patient comes in with a CC of anxiety. She has been excessively worrying, increased arousal, increased tiredness and irritability. What is the primary and least likely diagnosis? - CORRECT ANSWER GAD; Panic Disorder
During an initial eval with someone with panic disorder and you start them on an SSRI.Which med is FDA approved until the SSRI effects are shown? - CORRECT ANSWER Benzodiazepines
How does melatonin improve sleep? What receptors does it act on? Agonist or antatonist? - CORRECT ANSWER Secreted by the pineal glad to attach to receptors in the suprachiasmic nucleus to regulate the circadian rhythm; agonist
Know the MOA of buspirone. Which receptor does it primarily act upon? - CORRECT ANSWER serotonin 1a 5HT1A partial agonist
MOA of modafinil (Provigil). How does it promote normal wakefulness - CORRECT ANSWER histamine, NE at alpha adrenergic receptor sites, dopamine at D2 receptors
Name 2 additional receptors that regulate sleep and wake - CORRECT ANSWER Orexin and hypocretin
Pt is coming in for detox with a long hx of alcohol abuse, HTN, and cirrhosis. He reports 12 beers daily for weeks. Has w/d seizures when he tries to stop drinking on his own.So he has elevated AST, LFT....what agent would you choose to detox him? - CORRECT ANSWER lorazepam
- / 1