1. For the initial treatment of alcohol dependency, naltrexone Vivitrol shouldbe continued

3P Psychiatry

• For the initial treatment of alcohol dependency, naltrexone (Vivitrol) shouldbe continued

for at least:

Answer: 3 months after cessation of drinking.

• Which of the following is NOT a true statement about treatment of ADHDwith

methylphenidate (Ritalin)?

Answer: It may improve symptoms of depression.

• The generic name for Intuniv, used in the treatment of attention deficitdisorder, is:

Answer: guanfacine.

• Before initiating doxepin (Silenor) for the treatment of insomnia, the nursepractitioner

should assure that the patient is not taking a(n):

Answer: MAO Inhibitor.

• Guanfacine (Intuniv), used in the treatment of attention deficit disorder, isclassified as a(n):

Answer: alpha-2- adrenergic agonist.

• Non-benzodiazepine hypnotic agonists for the treatment of insomnia in-duce sleep by:

Answer: raising the levels of gamma-aminobutyric acid (GABA).

7. Suvorexant (Belsomra), used in the treatment of insomnia, induces sleepby:

Answer: blocking the signals of orexin chemicals in the hypothalamus.

8. Sertraline (Zoloft) is approved for the treatment of:

Answer: panic disorder.

• In the treatment of depression, the mechanism of action of fluoxetine (Prozac) is to:

Answer: increase serotonin availability in the synaptic space, causing adownregulation of 5HT1A receptors.

• Therapeutic drug levels and predictability of clinical response are difficult to determine in

first-generation antipsychotics (e.g., haloperidol [Haldol]) be-cause they:

Answer: have variable bioavailability, are lipophilic and highly protein bound.

• Prior to the initiation of atomoxetine (Strattera) for treatment of attention deficit disorder,

patients should be carefully evaluated for:

Answer: cardiac disease. 1 / 2

• Laboratory monitoring for patients receiving serotonin-norepinephrine re-uptake inhibitors

(SNRIs) would NOT include:

Answer: thyroid stimulating hormone.

13. Ramelteon (Rozerem), a melatonin receptor agonist,:

Answer: does not cause physical dependence.

• First-generation antipsychotics (e.g., haloperidol [Haldol]) are associatedwith side effects

including:

Answer: tardive dyskinesia.

• Bupropion (Wellbutrin), used in the treatment of depression, should NOT be administered

to a patient with:

Answer: seizure disorder.

• A potential side effect of atomoxetine (Strattera) for the treatment of attention deficit

disorder is:

Answer: suicidality.

17. The generic name of Zyprexa is:

Answer: olanzapine.

• The mechanism of action of atomoxetine (Strattera), used in the treatment of attention

deficit disorder, is to:

Answer: selectively inhibit norepinephrine reuptake.

19. Naltrexone (Vivitrol) is indicated for treatment of addiction to:

Answer: alcohol.

20. Quetiapine (Seroquel) should NOT be prescribed during:

Answer: dementia- relatedpsychosis in an older adult.

21. Buspirone (BuSpar), an anxiolytic,:

Answer: is excreted by the kidneys.

• After initiation or increase in dose of a selective serotonin receptor inhibitor (SSRI) such

as escitalopram (Lexapro), the patient should be monitored for:

Answer: hyperthermia, akathisia and clonus.

• The mechanism of action of second-generation antipsychotic medicationssuch as

aripiprazole (Abilify) does NOT include:

Answer: serotonin reuptake stimulation.

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