Question 1 : A sixty-six-year-old male was prescribed phenelzine (Nardil) while in an acute psychiatric unit for recalcitrant depression. The nurse practitioner managing his primary healthcare needs to understand the following regarding phenelzine and other monoamine oxidase inhibitors (MAOIs): He should not be prescribed any serotonergic drug such as sumatriptan (Imitrex). MAOIs interact with many common foods, including yogurt, sour cream, and soy sauce. Symptoms of hypertensive crisis (headache, tachycardia, sweating, etc.) require immediate treatment. All the above options are correct. Question 2 . Jack, eight years old, has attention deficit disorder (ADD) and is prescribed methylphenidate (Ritalin). He and his parents should be educated about the side effects of methylphenidate, which are: Slurred speech and insomnia Bradycardia and confusion Dizziness and orthostatic hypotension Insomnia and decreased appetite Question 3 . Question : Cecilia presents with depression associated with complaints of fatigue, sleeping all the time, and lack of motivation. An appropriate initial antidepressant for her would be: Student Answer: Fluoxetine (Prozac)

Paroxetine (Paxil) Amitriptyline (Elavil) Duloxetine (Cymbalta) Question 4 . Jake, a forty-five-year-old patient with schizophrenia, was recently hospitalized for acute psychosis due to medication noncompliance. He was treated with intramuscular (IM) long-acting haloperidol. Besides being monitored for his schizophrenia symptoms, the patient should be assessed by his primary care provider: For excessive weight loss With the Abnormal Involuntary Movement Scale (AIMS) for