Final Exam: NR568 NR 568 Latest

Final Exam: NR568 / NR 568 (Latest

Update 2025 / 2026) Advanced Pharmacology for the Adult- Gerontology Primary Care Nurse Practitioner | Questions and Answers | 100% Correct | Grade A - Chamberlain

Question:

What do patients need to know about starting and stopping SSRIs?

Answer:

The best way to stop taking your medication is not by abruptly stopping, it's by slowly tapering the medication while under a doctor's supervision. No two people will respond to tapering off SSRIs the same way. Talk with your doctor to come up with a plan that works best for you and your treatment goals.

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Question:

What patient type would be appropriate for MAOIs?

Answer:

A good candidate for an MAOI is someone who can follow the basic dietary advice and who agrees to check with his or her clinician before starting new medications’

isocarboxazid, phenelzine, selegiline, and tranylcypromine

Question:

Citalopram and escitalopram

Answer:

should be dosed at 1/2 dose due to risk of QT prolongation.

Question:

2019 American Geriatric Society (AGS) Beers Criteria include the following

recommendations:

Answer:

avoid paroxetine in patients with history of falls/fractures avoid tricyclic antidepressants prescribed with other CNS depressants

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Question:

Valproic acid (hepatic) and Lithium (renal)

Answer:

Dosing of mood stabilizers is affected by age due to slowed elimination of drugs. Examples include slowed renal elimination of lithium and slowed hepatic metabolism of valproic acid

Question:

Lithium and diuretics

Answer:

2019 American Geriatric Society (AGS) Beers Criteria include the following

recommendations: avoid lithium in patients taking ACEIs or loop diuretics

Question:

Lithium and pregnancy

Answer:

Lithium, valproate, and carbamazepine are teratogenic and should be avoided in pregnancy

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Question:

Buspirone (Buspar)

Answer:

taking other antianxiety medications severe hepatic impairmentsevere renal impairmentlactation- small amounts are noted in breastmilk

contraindicated severe renal impairmentsevere hepatic impairment concurrent use of MAOIs

Question:

beers criteria for older adults

Answer:

2019 American Geriatric Society (AGS) Beers Criteria include the following

recommendations:

avoid barbiturates (increased dependence, tolerance, risk of overdose) avoid benzodiazepines (increased sensitivity, decreased metabolism)

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