Final Exam: NR546 NR 546 Latest

Final Exam: NR546 / NR 546 (Latest

Update 2025 / 2026) Advanced

Pharmacology: Psychopharmacology

for the Psychiatric-Mental Health Nurse Practitioner | Questions with Answers | Grade A | 100% Correct – Chamberlain

Question:

Mild alcohol withdrawal

Answer:

This phase of alcohol withdrawal causes anxiety, irritability, headache, insomnia, tremors, nausea/vomiting.

Question:

Moderate alcohol withdrawal

Answer:

usually occurs 24-36 hours after the cessation of alcohol intake, intense anxiety, tremors, insomnia, increased BP and HR, confusion. 1 / 4

Question:

Severe alcohol withdrawal

Answer:

more than 48 hours after a cessation or decrease in alcohol consumption and includes hallucinations, seizures, disorientation, impaired attention, delirium tremors, and death.

Question:

CIWA-Ar frequency

Answer:

Used every 4-8 hours until score is lower than 8-10 for 24 hours.

Question:

CIWA-Ar medication protocol

Answer:

Administer bento when score is 8 or above, reassess every hour.

Question:

Benzos for ETOH withdrawal

Answer:

lorazepam, diazepam, chlordiazepoxide 2 / 4

Question:

Can be used for both alcohol and opioid abuse

Answer:

naltrexone (brevia)

Question:

Nicotine

Answer:

The addictive drug found in tobacco that is rapidly absorbed.

Question:

nicotine gum

Answer:

If pt smokes within 30 min of waking up - 4 mg dose. If pt waits longer than 30 min after waking up - 2 mg dose. Wean after 2-3 months.

Question:

nicotine lozenge

Answer:

use every 1-2 hours. 4 mg if smoking within 30 min of wake time. Wean after

• weeks. 3 / 4

Question:

how long does pt puff on nicotine inhaler

Answer:

20 minutes. weaned after 12 weeks.

Question:

bupropion for smoking cessation

Answer:

start 1-2 weeks before quit date. 150 mg QD x3 days, then 150 BID x7-12 weeks.

Question:

Varenicline (Chantix)

Answer:

highly selective to alpha-4 beta-2 nicotinic receptors and moderately selective to 5HT-3 receptor. Start 1 week before quit date. 0.5 mg QD x3 days, 0.5 mg BID days 4-7, 1 mg BID on day 8. Continue for 12 weeks.

Question:

phasic firing is associated with

Answer:

reward, feelings of euphoria, and abuse potential.

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