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Exam 3 : NSG552 / NSG 552 (Latest 2025 / 2026):
Psychopharmacology | Grade A | Questions and
Answers (Verified Elaborations) 100% Correct –
Wilkes
Question:
What is the mechanism of action of Naloxone?
Answer:
Pure opioid antagonist that competes and displaces opioids receptor sites.
Question:
What medications treat opioid disorder?
Answer:
Methadone; Buprenorphine, buprenorphine + Naloxone
Question:
What medication for opioid use disorder is used with comorbid pain?
Answer:
Buprenorphine + Naloxone
Question:
Inappropriate use of what substance may be due to uncontrolled pain?
Answer:
Opioids
Question:
What are the Naltrexone delivery methods?
Answer:
Tablet; Injectable; Implant
Question:
What is one form of Naltrexone delivery method limited to inpatient use?
Answer:
Implant
Question:
What is the mechanism of action buprenorphine?
Answer:
Mu receptor partial agonist for opioid withdrawal
Restlessness; Yawning; Twitching; Increased heart rate and blood pressure; Chills; Increased temperature; Rhinorrhea; Lacrimation; Dilated pupils
Question:
What medication is given for opioid intoxication during cardiac or respiratory depression is a concern?
Answer:
Naloxone
Question:
What are symptoms of cocaine intoxication?
Answer:
Dilated pupils; Headache; Tremor; Hyper-reflexia; Twitching; MI; Nausea and vomiting;
Incontinence/ARF; Rhabdomyolysis
Question:
What is the treatment for cocaine intoxication?
Answer:
Benzodiazepines; Antipsychotics; Management of medical problems that include hypertension, stroke, cardiac arrhythmias, hyperthermia, and seizures
Question:
What would not be the treatment for chest pain and MI from cocaine?
Answer:
Beta blockers are to be avoided due to unopposed a-adrenergic stimulation.
Question:
What are the symptoms for alcohol intoxication?
Answer:
Blood levels; Decreased reaction time; Muscle incoordination; Ataxia; Dysarthria; Respiratory failure;
Question:
What kind of half-life do diazepam and chlordiazepoxide have?
Answer:
Longer half-life
Question:
What medications can you give for patients with hepatic dysfunction?
Answer:
Oxazepam and lorazepam
Question:
What benzodiazepines with a long half-life are used to treat AUD?
Answer:
Diazepam and chlordiazepoxide
Question:
What benzodiazepines with a moderate half-life are used in AUD patients with liver disease?
Answer:
Oxazepam and lorazepam
Question:
What are the treatments for alcohol withdrawal symptoms?
Answer:
Diazepam intravenous; Lorazepam intravenous or intramuscular; Thiamine intravenous or intramuscular; Addressing electrolyte imbalances
Question:
What are the treatments for DT?
Answer:
Acute care management; Parenteral diazepam or lorazepam; Thiamine; Antipsychotics if necessary
Question:
What is the mechanism of action of disulfiram?
Answer:
Via negative reinforcement, where drinking is avoided due to unpleasant effects.
Question:
What is the mechanism of action of Acamprosate?
Answer:
Question:
What medication only deals with physical dependence, but does not address the psychological component of smoking?
Answer:
NRT
Question:
What medications are oral stop-smoking aids?
Answer:
Varenicline; Bupropion; Clonidine "Very Bad Cancer"
Question:
What are the "Very Bad Cancer" medications?
Answer:
Varenicline; Bupropion; Clonidine
Question:
What medication for smoking cessation treatment should be observed for neuropsychiatric symptoms that include changes in behavior, hostility, agitation, depressed mood, and suicide- related events that include ideation, behavior, and attempted suicide?
Answer:
Bupropion
Question:
What is the treatment for cocaine induced chest pain or myocardial infarction?
Answer:
Intravenous benzodiazepines
Question:
What medications can treat agitation in patients with dementia?
Answer:
Atypical antipsychotics
Question:
What type of medications are used only for short-term and acute episodes of aggression, agitation, and psychosis in patients with dementia?
Answer:
Benzodiazepines
Question:
What medical emergency can be caused with TCAs, anticholinergics, benzodiazepines, non- benzodiazepines, corticosteroids, H2 blockers, and opioids in elderly patients?
Answer:
Delirium
Answer:
NMDA receptor antagonist that promotes synaptic plasticity.
Question:
What medication is used for moderate to severe dementia?
Answer:
Memantine
Question:
What TCA has the fewest anticholinergic effects?
Answer:
Nortriptyline
Question:
What TCA is the most appropriate in the elderly?
Answer:
Nortriptyline
Question:
What type of medications are preferred in the elderly?
Answer:
SSRIs
Question:
What medication is the most appropriate for elderly patients with MDD, insomnia, and decreased appetite? Mirtazapine
Answer:
Question:
What medication may be used as an adjunct to antidepressants for sever depression or psychomotor retardation in low doses?
Answer:
Methylphenidate
Question:
What medication is the best alternative to sedative-hypnotic use for insomnia in the elderly as it is less likely to cause memory impairment, paradoxical excitement, or rebound insomnia?
Answer:
Trazadone
Question:
What is a reversible condition that may be caused by drugs, electrolyte imbalance, low O saturation, infection, reduced sensory input, intracranial events, urinary retention, or myocardial issues?
Answer:
Delirium
Question:
What are the "Calm Teens Give Better Answers" medications?
Answer:
TCAs; Clonidine; Guanfacine; Bupropion; Atomoxetine
Question:
What baseline measurements are needed prior to starting treatment for ADHD?
Answer:
Height; Weight; Blood pressure; Heart rate; EKG
Question:
What medication is second-line treatment, a non-stimulant, used in patients with history of SUD, or when family prefers a non-stimulant?
Answer:
Atomoxetine
Question:
What types of stimulants are use when patient needs a duration of action longer than 4 hours, improves adherence, and is less likely to be abused?
Answer:
Intermediate or long acting
Question:
What are common adverse effects of stimulants?
Answer:
Dizziness; Poor growth; Decreased appetite; Insomnia; Mood lability
Question:
What are "Dizzy Patients Demand Immediate Monitoring" symptoms?
Answer:
Dizziness; Poor growth; Decreased appetite; Insomnia; Mood lability
Question:
What stimulant side effect may require discontinuation of medication?
Answer:
Tics
Question:
What condition is pharmacological treatment initiated as first-line therapy after careful assessment and targets co-occurring disorders?
Answer:
Intellectual disability
Question:
What medications should not be combined with stimulants?
Answer:
SNRIs; Mood stabilizers; MAOIs; Antipsychotics; TCAs
Question:
What medications are "Stimulants Make Me Act Tense?"
Answer:
SNRIs; Mood stabilizers; MAOIs; Antipsychotics; TCAs
Question:
What non-stimulant ADHD medication is most appropriate in a patient with co-occurring depression?
Answer:
Bupropion
Question:
What type of medication class is considered a "reasonable choice" in a patient with co-occurring depression and anxiety?
Answer:
TCA
Question:
What 2 medications are approved by the FDA to treat severe behavioral issues in ASD, specifically tantrums, self-injury, and aggression?
Answer:
Risperidone;
