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Week 5 - 8 Final Exam: NR 546 /
NR546 (Latest Update 2025 / 2026)
Advanced Pharmacology:
Psychopharmacology for the Psychiatric-Mental Health Nurse Practitioner | Questions & Answers | Grade A | 100% Correct – Chamberlain
Question:
What does cyclothymia involve?
Answer:
The chronic presentation of hypomanic and depressive symptoms that do not meet the diagnostic criteria for a major depressiv eor manic/hypomanic episode
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Question:
What condition may be misdiagnosed as major depressive disorder (MDD)?
Answer:
Bipolar I depression
Question:
Why is it important to rule out past episodes of hypomania or mania in bipolar patients?
Answer:
To avoid misdiagnosing bipolar depression as MDD, which can lead to inappropriate treatment.
Question:
What can happen if bipolar depression is mistaken for MDD and treated with antidepressants?
Answer:
It may precipitate a manic episode or induce rapid-cycling bipolar depression.
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Question:
What is a concerning consequence of misdiagnosing bipolar depression in younger individuals?
Answer:
It may contribute to an increased incidence of death by suicide in children and adults younger than 25.
Question:
How should antidepressants be used in clients with bipolar disorder?
Answer:
They should be used cautiously and never as monotherapy, but rather combined with a mood stabilizer.
Question:
What is the purpose of combining antidepressants with a mood stabilizer in bipolar disorder treatment?
Answer:
To prevent the onset of a hypomanic or manic episode.
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Question:
What are common symptoms of decreased positive affect related to DA and NE dysfunction?
Answer:
Symptoms include depressed mood, loss of joy, lack of interest, loss of energy, decreased alertness, decreased self-confidence, and appetite changes.
Question:
What are common symptoms of increased negative affect related to 5HT and NE dysfunction?
Answer:
Symptoms include depressed mood, guilt, fear/anxiety, hostility, irritability, loneliness, and appetite changes.
Question:
What neurotransmitters are associated with decreased positive affect?
Answer:
Dopamine (DA) and Norepinephrine (NE)
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