Podcast
Questions and Answers
What should the NP monitor for in patients taking non-stiumulant or Z-drugs?
What should the NP monitor for in patients taking non-stiumulant or Z-drugs?
- Suicidal ideation (correct)
- Sleep quality
- Dependence
- Next-day drowsiness
Which drug class is not considered 1st line treatment for insomnia due to its potential for misuse?
Which drug class is not considered 1st line treatment for insomnia due to its potential for misuse?
- Antihistamines
- Melatonin
- Z-drugs
- Benzodiazepines (correct)
All of the following are other risk factors for ADHD EXCEPT?
All of the following are other risk factors for ADHD EXCEPT?
- Inconsistent parenting practice
- Phychosocial stress
- Adverse childhood environment
- Multiple siblings (correct)
Why should extended-release (ER) formulas be avoided?
Why should extended-release (ER) formulas be avoided?
What should be avoided in older adults when prescribing hypnotics?
What should be avoided in older adults when prescribing hypnotics?
What is recommended as an alternative to z-drugs in older adults?
What is recommended as an alternative to z-drugs in older adults?
Why does Ritalin have a low risk for adverse effects?
Why does Ritalin have a low risk for adverse effects?
All of the following meds block the reuptake of DA & NE because they are inhibitors EXCEPT?
All of the following meds block the reuptake of DA & NE because they are inhibitors EXCEPT?
All of the following coexisting conditions are common causes of insomnia EXCEPT?
All of the following coexisting conditions are common causes of insomnia EXCEPT?
What percentage of clients with major depressive disorder have insomnia?
What percentage of clients with major depressive disorder have insomnia?
What medication is more potent than Ritalin?
What medication is more potent than Ritalin?
What type of medication is Ropinirole (Requip)?
What type of medication is Ropinirole (Requip)?
What is primary insomnia associated with?
What is primary insomnia associated with?
What is the difference between primary insomnia and psychiatric insomnia?
What is the difference between primary insomnia and psychiatric insomnia?
What stimulant should be avoided when an MAOI has been taken in the past 14 days?
What stimulant should be avoided when an MAOI has been taken in the past 14 days?
What stimulant is the most abused and diverted drug?
What stimulant is the most abused and diverted drug?
What is the primary reason to prescribe Z-drugs for PRN use?
What is the primary reason to prescribe Z-drugs for PRN use?
What is the effect of higher doses or extended use sleep meds on next-day drowsiness?
What is the effect of higher doses or extended use sleep meds on next-day drowsiness?
What are the potential adverse effects of Z-drug medication?
What are the potential adverse effects of Z-drug medication?
What is the proportion of clients older than 65 years who have persistent insomnia?
What is the proportion of clients older than 65 years who have persistent insomnia?
What are common characteristics of insomnia according to the American Psychiatric Association?
What are common characteristics of insomnia according to the American Psychiatric Association?
What stimulant is least abused or diverted and is considered a prodrug?
What stimulant is least abused or diverted and is considered a prodrug?
What is a common trigger for insomnia?
What is a common trigger for insomnia?
What is the proportion of adults who experience chronic insomnia?
What is the proportion of adults who experience chronic insomnia?
Which type of firing is associated with reward, feeling of euphoria, and abuse potential?
Which type of firing is associated with reward, feeling of euphoria, and abuse potential?
What type of stimulants have a higher risk of abuse due to it's effect of rapidly increasing phasic firing of DA &NE?
What type of stimulants have a higher risk of abuse due to it's effect of rapidly increasing phasic firing of DA &NE?
What is the effect of extended-release formulations on NE and DA signals that leads to gradual & sustained increases?
What is the effect of extended-release formulations on NE and DA signals that leads to gradual & sustained increases?
What is the mechanism by which extended-release formulations reduce abuse potential?
What is the mechanism by which extended-release formulations reduce abuse potential?
Why does atomoxetine lack abuse potential?
Why does atomoxetine lack abuse potential?
What non-stimulant enhances precordial function to improve mental focus?
What non-stimulant enhances precordial function to improve mental focus?
Bupropion (Wellbutrin) is considered?
Bupropion (Wellbutrin) is considered?
What non-stimulant is best for patients with concurrent depression and tobacco abuse?
What non-stimulant is best for patients with concurrent depression and tobacco abuse?
Which medication is a first-line agent for treating Restless Leg Syndrome (RLS)?
Which medication is a first-line agent for treating Restless Leg Syndrome (RLS)?
What is the location of the 'on switch' in the brain?
What is the location of the 'on switch' in the brain?
What is the function of Guanfacine?
What is the function of Guanfacine?
What is the effect of Methylphenidate on neurotransmitters?
What is the effect of Methylphenidate on neurotransmitters?
What is the main difference between ADHD symptoms in children and adults?
What is the main difference between ADHD symptoms in children and adults?
What is the function of Melatonin and melatonin receptor agonists?
What is the function of Melatonin and melatonin receptor agonists?
Which brain region is responsible for modulating impulsivity?
Which brain region is responsible for modulating impulsivity?
What part of the brain is associated with hyperactivity in ADHD?
What part of the brain is associated with hyperactivity in ADHD?
What is a characteristic of non-stimulant medications?
What is a characteristic of non-stimulant medications?
All of the following are reasons why non-stimulant medications be used?
All of the following are reasons why non-stimulant medications be used?
What should be monitored when taking non-stimulant drugs?
What should be monitored when taking non-stimulant drugs?
What is a contraindication for concurrent use of non-stimulants?
What is a contraindication for concurrent use of non-stimulants?
What may non-stimulant medications exacerbate in clients with a history of the disorder?
What may non-stimulant medications exacerbate in clients with a history of the disorder?
What is a characteristic of non-stimulant medications in terms of effectiveness?
What is a characteristic of non-stimulant medications in terms of effectiveness?
Why is withdrawal from non-stimulant medications tapered?
Why is withdrawal from non-stimulant medications tapered?
What is a significant cause of societal morbidity, lost productivity, and reduced quality of life?
What is a significant cause of societal morbidity, lost productivity, and reduced quality of life?
What is the recommended approach when using z-drugs?
What is the recommended approach when using z-drugs?
This part of the brain contains the "off" switch
This part of the brain contains the "off" switch
All of the following are sedating antidepressants EXCEPT?
All of the following are sedating antidepressants EXCEPT?
Z-drugs are considered what schedule controlled substance?
Z-drugs are considered what schedule controlled substance?
Restless Leg Syndrome (RLS) is idiopathic and associated with which of the following conditions
Restless Leg Syndrome (RLS) is idiopathic and associated with which of the following conditions
Why should z-drugs be avoided in clients with dementia?
Why should z-drugs be avoided in clients with dementia?
What is considered a psychiatric 'vital sign'?
What is considered a psychiatric 'vital sign'?
All of the following are BZOs EXCEPT?
All of the following are BZOs EXCEPT?
What is the function of dual orexin receptor antagonists (DORA)?
What is the function of dual orexin receptor antagonists (DORA)?
What is the effect of Valarian root on other sleep medications?
What is the effect of Valarian root on other sleep medications?
What is the function of Ramelteon?
What is the function of Ramelteon?
Daytime NTMs include all of the following EXCEPT?
Daytime NTMs include all of the following EXCEPT?
Why should Suvorexant be decreased when combined with CYP 450 inhibitors such as diltiazem, erythromycin, & ketoconazole?
Why should Suvorexant be decreased when combined with CYP 450 inhibitors such as diltiazem, erythromycin, & ketoconazole?
What is the mechanism of action of Z drugs?
What is the mechanism of action of Z drugs?
When prescribing non-stimulants it is important to pay special attention to what parts of the clients history?
When prescribing non-stimulants it is important to pay special attention to what parts of the clients history?
Beers criteria includes all of the following
Beers criteria includes all of the following
alking excessively, blurting out answers in class, & not waiting thier turn are all examples of which ADHD symptoms?
alking excessively, blurting out answers in class, & not waiting thier turn are all examples of which ADHD symptoms?
What medication is recommended to control irritability and help with sleep if taken at bedtime?
What medication is recommended to control irritability and help with sleep if taken at bedtime?
Not listening & making careless mistakes is an example of what ADHD symptoms?
Not listening & making careless mistakes is an example of what ADHD symptoms?
Inability to find the motivation to complete his homework or pay attention in class is an example of what ADHD symptoms?
Inability to find the motivation to complete his homework or pay attention in class is an example of what ADHD symptoms?
What is the recommended 1st step to increasing the dose of methylphenidate from 5 mg q day?
What is the recommended 1st step to increasing the dose of methylphenidate from 5 mg q day?
running & climbing on the chairs & desks, trouble playing quietly, & refusing to stay in seat are examples of what ADHD symptoms?
running & climbing on the chairs & desks, trouble playing quietly, & refusing to stay in seat are examples of what ADHD symptoms?
Inhibiting NE NTM in the PFC increases what?
Inhibiting NE NTM in the PFC increases what?
Benadryl can cause anticholinergic effects due to the _________ ________.
Benadryl can cause anticholinergic effects due to the _________ ________.
What is the primary reason for treating alcohol abuse before treating ADHD and anxiety disorders?
What is the primary reason for treating alcohol abuse before treating ADHD and anxiety disorders?
What is the effect of pulsed stimulation on dopamine and norepinephrine firing?
What is the effect of pulsed stimulation on dopamine and norepinephrine firing?
All of the following medications are good alternatives for sleep in pt.s with insomnia EXCEPT?
All of the following medications are good alternatives for sleep in pt.s with insomnia EXCEPT?
Which brain region is involved in the reward center of the brain?
Which brain region is involved in the reward center of the brain?
Amitriptyline is an acceptable sleep medication not typically used first line due to risk for falls. It is classified as?
Amitriptyline is an acceptable sleep medication not typically used first line due to risk for falls. It is classified as?
All of the following should be monitored when RLS is suspected EXCEPT?
All of the following should be monitored when RLS is suspected EXCEPT?
Which medication is a DA-NR reuptake inhibitor?
Which medication is a DA-NR reuptake inhibitor?
Wellbutrin is a _______________?
Wellbutrin is a _______________?
