Health Care > EXAM > ADULT-GERONTOLOGY ACUTE CARE NURSE PRACTITIONER CERTIFICATION 2024-25 QUESTIONS AND ANSWERS (All)

ADULT-GERONTOLOGY ACUTE CARE NURSE PRACTITIONER CERTIFICATION 2024-25 QUESTIONS AND ANSWERS

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ADULT-GERONTOLOGY ACUTE CARE NURSE PRACTITIONER CERTIFICATION 2024-25 QUESTIONS AND ANSWERS Exam 1 1. The patient is a 27-year-old woman who presents to your health care facility with a history o... f depressed mood that has worsened during the past few weeks. She gained 8 kg in the past 2 months; she reports that she is eating when she is not sleeping. She is very stressed and worried about her job. She has passive thoughts of harming herself but no definite plan. Her medical history includes anxiety, and she takes 0.5 mg of alprazolam three times daily. Which medication is the best to treat this patient? 1. Paroxetine. 2. Fluoxetine. 3. Imipramine. 4. Mirtazapine. 2. Fluoxetine. Rationale: The patient presents with signs and symptoms of major depressive disorder. Selective serotonin receptor inhibitors are considered a first-line agent in treatment for this patient. The patient gained 8 kg in the past 2 months; therefore paroxetine (answer 1) is not recommended for her case because it leads to increased appetite and causes somnolence. Fluoxetine (answer 2) is the best medication for this patient because it does not affect weight or appetite. In addition, fluoxetine could concomitantly relieve her symptoms of anxiety. Imipramine is a tricyclic antidepressant agent (TCA) that has a warning that patients with passive suicidal ideas should not receive TCAs (answer 3). Mirtazapine (answer 4), like paroxetine, could increase appetite and lead to weight gain. [Show More]

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