Author Question: A 20-year-old college student has presented to his campus medical clinic because of his unshakable ... (Read 171 times)

jhjkgdfhk · **on:** Jun 25, 2018

A 20-year-old college student has presented to his campus medical clinic because of his unshakable despondency in recent months. He has been diagnosed with depression based on his signs, symptoms, and history.

The nurse knows that which of the following treatments will likely be prescribed for this student?
A)
Medication that inhibits the reuptake of serotonin in his presynaptic space
B)
Drugs that inhibit the accumulation of cyclic adenosine monophosphate (cAMP)
C)
Benzodiazepines such as clonazepam that modulate his GABA receptors.
D)
Cholinesterase inhibitors that potentiate the action of available acetylcholine
E)
Antipsychotics such as olanzapine

Question 2

A 17-year-old female is suspected of having narcolepsy. Which of the following aspects of her medical history and sleep analysis would contribute to a confirmation of the diagnosis?

Select all that apply.
A)
She repeatedly moves her large toe, ankle, and knee during sleep.
B)
She complains of a powerful urge to move her legs when in bed at night.
C)
She has frequently awakened unable to move or speak.
D)
She believes that she experiences auditory hallucinations when she awakens.
E)
Her sleep latency is normally around 1 hour.

JYan · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Ans:
A

Feedback:

SSRIs are common pharmacologic treatment modalities for depression. Drugs that inhibit the accumulation of cyclic adenosine monophosphate (cAMP) (answer B) are usually used in the treatment of bipolar depression. Benzodiazepines address anxiety, while cholinesterase inhibitors are used in the treatment of dementia. Antipsychotics are more often used in cases of schizophrenia.

Answer to Question 2

Ans:
C, D

Feedback:

Sleep paralysis and hypnopompic hallucinations are symptoms of narcolepsy. Repeated toe, ankle, and leg movements are associated with periodic limb movement disorder, while an urge to move her legs would suggest restless legs syndrome. Narcolepsy is not normally associated with long sleep latency periods.