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Finall Exam:l NRl 546/l NR546l (Latestl
2026/l 2027l Update)l Advancedl
Pharmacology:l Psychopharmacologyl forl
thel Psychiatric-Mentall Healthl Nursel Practitionerl Review|l Q/Al |l Gradel A|l 100%l Correctl (Verifiedl Answers)l - Chamberlain
Q:l Whatl canl increasel lithiuml levels?
Answer:
Nonsteroidall anti-inflammatoryl drugsl (NSAIDs)l andl angiotensin-convertingl enzymel (ACE)l inhibitors.
Q:l Whatl canl decreasel lithiuml levels?
Answer:
Caffeinel andl mania.
Q:l Whatl isl thel rolel ofl L-Methylfolatel inl depressionl treatment?
Answer:
Itl isl necessaryl forl thel synthesisl ofl monoaminesl andl isl al bioavailablel forml ofl folatel thatl entersl thel brain.
Q:l Whatl arel thel recommendationsl forl usingl paroxetinel duringl pregnancy?
Answer: 1 / 4
Paroxetinel isl contraindicatedl duel tol thel riskl ofl congenitall defects,l includingl atriall septall defects.
Q:l Whatl shouldl bel monitoredl whenl SNRIsl arel prescribedl tol breastfeedingl mothers?
Answer:
Infantl irritability.
Q:l Howl dol olderl adultsl respondl tol antidepressantsl comparedl tol youngerl individuals?
Answer:
Olderl adultsl mayl notl respondl asl robustly,l especiallyl ifl thel firstl episodel ofl depressionl occursl afterl agel 65.
Q:l Whatl isl thel recommendedl dosingl forl citalopraml andl escitalopraml inl olderl adults?
Answer:
Theyl shouldl bel dosedl atl halfl thel normall dosel duel tol thel riskl ofl QTcl prolongation.
Q:l Whatl doesl thel 2019l Americanl Geriatricl Societyl (AGS)l Beersl Criterial recommendl regardingl paroxetine?
Answer:
Avoidl paroxetinel inl clientsl withl al historyl ofl falls/fractures.
Q:l Whatl isl thel riskl associatedl withl antidepressantsl inl childrenl andl youngl adults?
Answer:
Antidepressantsl increasel thel riskl ofl deathl byl suicidel inl childrenl andl adultsl youngerl thanl 25.
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Q:l Whatl counselingl shouldl bel providedl tol womenl ofl childbearingl agel regardingl medications?
Answer:
Pre-conceptionl andl contraceptivel counseling,l discussingl thel risk-benefitl ratiol andl selectingl medicationsl notl contraindicatedl inl pregnancy.
Q:l Howl shouldl Lurasidonel (Latuda)l bel takenl forl maximuml absorption?
Answer:
Itl shouldl bel takenl withl food,l atl leastl 350l calories.
Q:l Whatl isl thel startingl dosel adjustmentl forl lithiuml carbonatel inl clientsl withl renall impairment?
Answer:
Thel startingl dosel isl reducedl byl atl leastl 50%.
Q:l Whatl medicationsl arel contraindicatedl duringl pregnancyl duel tol teratogenicl effects?
Answer:
Lithium,l valproicl acid,l andl carbamazepine.
Q:l Whatl isl notedl aboutl Lurasidone'sl usel inl pregnancy?
Answer:
Lurasidonel hasl beenl usedl inl pregnancyl withoutl teratogenicl effects.
Q:l Whatl medicationsl shouldl bel avoidedl whilel breastfeeding?
Answer:
Carbamazepine,l lithium,l andl lamotrigine. 3 / 4
Q:l Whatl doesl thel 2019l AGSl Beersl Criterial recommendl regardingl carbamazepine?
Answer:
Avoidl carbamazepinel asl itl mayl causel syndromel ofl inappropriatel antidiureticl hormonel secretionl (SIADH).
Q:l Whatl risksl arel associatedl withl antipsychoticl medicationsl inl olderl adults?
Answer:
Theyl mayl increasel thel riskl ofl falls,l stroke,l cognitivel decline,l andl deathl inl demential clients.
Q:l Whatl shouldl bel avoidedl inl clientsl takingl ACEl inhibitorsl orl loopl diuretics?
Answer:
Lithium.
Q:l Whatl medicationsl arel approvedl forl childrenl agedl 10l andl olderl forl bipolarl depressionl andl mania?
Answer:
Lurasidone,l aripiprazole,l quetiapine,l asenapine,l andl risperidone.
Q:l Whichl medicationl isl approvedl forl childrenl agedl 13l andl olderl forl acutel andl mixedl mania?
Answer:
Olanzapine.
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