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Midterm Exam: NR546 / NR 546
(Latest Update 2025 / 2026)
Advanced Pharmacology:
Psychopharmacology for the Psychiatric-Mental Health Nurse Practitioner | Questions with Answers | 100% Correct | Grade A - Chamberlain
Question:
prescribing antipsychotics
Answer:
-begin with monotherapy -multiple antipsychotics can increase risk of QT prolongation -combos only considered after monotherapy has not worked -when switching, try to switch to different drug within the same class to avoid withdrawal -cross titration over several days to weeks is required to prevent side effects such as agitation, activation, insomnia
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Question:
Neuroleptic Malignant Syndrome
Answer:
*a medical emergency -diaphoresis, anxiety, tachypnea, muscle stiffness, AMS, tachycardia, hyperthermia _treatment = hydration, benzos, muscle relaxants, reversible when caught early
Question:
olanzapine special considerations
Answer:
use caution when suspected alcohol withdrawal, stimulant intoxication, anticholinergic intoxication -high and repeated doses of amphetamines and cocaine can mimic positive symptoms of paranoid schizophrenia
Question:
which 2 medications are decreased risk of death by suicide
Answer:
clozapine and olanzapine
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Question:
Haloperidol
Answer:
-starting dose 1-15mg once a day or divided doses
-increase prn up to 100mg/day
Question:
olanzapine
Answer:
-schizophrenia age 13 and older -best tolerated antipsychotic -5-10mg once/day -increase by 5 mg a day each week max 20 mg/day -high metabolic risk -highest weight gain risk
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Question:
quetiapine
Answer:
-schizophrenia ages 13 and older
-moderate metabolic risk
-low eps risk
-starting dose 50 mg BID
-risk of orthostatic hypotension, weight gain, prolonged QT
Question:
asenapine
Answer:
-schizophrenia age 10 and up
-sublingual or TD patch
-low metabolic risk
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