NURSING, Approaches to Treatment, Exam - Week 6Midterm
(2023)GRADE A+
1. Que_ McCullin is 64 years old with Parkinson’s disease. The PMHNP caring for Mr.
McCullin wants to start him on a dopamine agonist to help manage and treat his condition. The
PHMNP selects this agent because of which action it has on patients like Mr. McCullin?
2. Que_ Hill is currently being ... for schizophrenia but has stopped taking her medications
due to some side effects she claims she was experiencing. She presents to the clinic today with
worsening symptoms. She is experiencing anhedonia, agitation, attentional impairment, and
affective blunting. Which one of the symptoms mentioned is considered a positive symptom of
schizophrenia?
3. Que_The PMHNP evaluates the patient for “fear conditioning” when he asks:
4. Que_While genes have potential to modify behavior, behavior can also modify genes.
How do genes impact this process?
5. Que_The PMHNP is caring for a patient with schizophrenia and is considering a variety
of treatment approaches. The PHMNP selects a viable treatment that is consistent with the
“dopamine hypothesis of schizophrenia.” What action does the PMHNP anticipate this treatment
having on the patient?
6. Que_A patient is diagnosed with schizophrenia. What increases the patient’s potential to
mediate the cognitive symptoms of the disease?
7. Que_The PMHNP is assessing a patient in the psychiatric emergency room. The patient
tells the PMHNP that he does not understand why his depression has not lifted after being on
four different antidepressants over the course of a year. Which of the following symptoms can be
residual symptoms for patients who do not achieve remission with major depressive disorder?
8. Que_Though medications have the ability to target neurotransmitter release into the
synapse by the presynaptic neuron it is not always necessary. The PMHNP understands that this
is because:
9. Que_A patient diagnosed with PTSD is ... propranolol (Inderal) and the PMHNP
understands that he was prescribed this medication for what purpose:
10. Que_A patient presents with frequent episodes of mania. Which statement describes an
appropriate treatment approach for this patient?
11. Que_ Gordon is a middle-aged patient who is taking antipsychotics. When meeting with
the PMHNP, he reports positive responses to the medication, stating, “I really feel as though the
effects of my depression are going away.” Which receptor action in antipsychotic medications is
believed to ... the most beneficial in producing the effects ... by Mr. Gordon?
12. Que_The PMHNP is assessing a client in the emergency room. The client shares that he
has been on lithium for many years. What blood test does the PMHNP order?
13. Que_ Schwartzman is a 52-year-old patient with schizophrenia and no established history
of depression. When meeting with the PMHNP, she presents with apathy and withdrawn social
behavior, and she reports a loss of joy from enjoyable activities. What does the PMHNP infer
from this encounter with the patient?
14. Que_A patient with schizophrenia is given an inverse agonist that acts on the receptor
5HT and neurotransmitter serotonin. What is the rationale for prescribing a medication such as
this?
, 15. Que_Which statement made by the patient suggests the patient will need to be ... with
antipsychotics that target paranoid psychosis?
16. Que_A noncompliant patient states, “Why do you want me to put this poison in my
body?” Identify the best response made by the psychiatric-mental health nurse practitioner
(PMHNP).
17. Que_Fluoxetine (Prozac) has been prescribed for a patient. Which of the following
statements is true regarding the action of this medication?
18. Que_The PMHNP understands that which mechanism contributes to a worse tolerability
profile for patients taking tricyclic antidepressants (TCAs)?
19. Que_The student inquires about antipsychotic medications. Which response by the
PMHNP describes the factors that contribute to reduced risk of extrapyramidal symptoms (EPS)
for patients who take antipsychotics?
20. Que_A patient is being ... a sedating antidepressant, but is concerned about weight gain.
Which medication is most likely to ... prescribed to addresses the patient’s concerns?
21. Que_A 45 year old female client with allergic rhinitis and normal blood pressure has had
no reduction in depressive symptoms after trying bupropion, paroxetine, and venlafaxine. What
precautions are needed when considering phenelzine in treating her depression?
22. Que_During assessment a patient states “Why are you asking me about my heart, I am
here for my head”, the PMHNP’s best response is:
23. Que_A patient is seeking pharmacological treatment for smoking cessation. Which drug
class does the PMHNP prescribe to the patient?
24. Que_Which statement made by the PMHNP exemplifies correct teaching of
physiological effects in the body?
25. Que_A patient was diagnosed with GAD 4 weeks ago and was placed on Clonazepam
(klonopin) twice a day and citalopram (citalopram (celexa)) once daily. When he asks the
PMHNP why it is necessary to wean him off of the Clonazepam (klonopin) the best response is:
26. Que_ Boeckh is a 42-year-old client who is taking an antidepressant therapy. The
PMHNP understands that this medication can have substantial food interactions that can cause
Ms. Boeckh to develop a hypertensive crisis. Which antidepressant class is Ms. Boeckh’s
medication in?
27. Que_The nurse education knows that teaching was effective when one of the students
compares fluvoxamine to sertraline and notes which of the following similarities?
28. Que_The PMHNP is meeting with a new mother who would like to begin taking
medication again to treat her bipolar depression; she is breastfeeding her 2-month old daughter.
The PMHNP recognizes that which of the following medications is contraindicated for this
client?
29. Que_The PMHNP is caring for several patients who present with various symptoms and
health issues. For which patient does the PMHNP prescribe pregabalin (Lyrica)?
30. Que_A patient recently transferred following a suicide attempt has a history of
schizophrenia, depression, and fibromyalgia. He is currently taking Amitriptyline (Elavil),
Lisinopril, aspirin, and fluoxetine (Prozac). When assessing the psychiatric medications and the
reason for admission, what would ... the best course of action for the PMHNP with this client?
31. Que_What characteristics do the nicotinic, cholinergic, serotonin 3, and glycine receptors
all have in common?
32. Que_During gene expression, what must occur prior to a gene being ... ?
(2023)GRADE A+
1. Que_ McCullin is 64 years old with Parkinson’s disease. The PMHNP caring for Mr.
McCullin wants to start him on a dopamine agonist to help manage and treat his condition. The
PHMNP selects this agent because of which action it has on patients like Mr. McCullin?
2. Que_ Hill is currently being ... for schizophrenia but has stopped taking her medications
due to some side effects she claims she was experiencing. She presents to the clinic today with
worsening symptoms. She is experiencing anhedonia, agitation, attentional impairment, and
affective blunting. Which one of the symptoms mentioned is considered a positive symptom of
schizophrenia?
3. Que_The PMHNP evaluates the patient for “fear conditioning” when he asks:
4. Que_While genes have potential to modify behavior, behavior can also modify genes.
How do genes impact this process?
5. Que_The PMHNP is caring for a patient with schizophrenia and is considering a variety
of treatment approaches. The PHMNP selects a viable treatment that is consistent with the
“dopamine hypothesis of schizophrenia.” What action does the PMHNP anticipate this treatment
having on the patient?
6. Que_A patient is diagnosed with schizophrenia. What increases the patient’s potential to
mediate the cognitive symptoms of the disease?
7. Que_The PMHNP is assessing a patient in the psychiatric emergency room. The patient
tells the PMHNP that he does not understand why his depression has not lifted after being on
four different antidepressants over the course of a year. Which of the following symptoms can be
residual symptoms for patients who do not achieve remission with major depressive disorder?
8. Que_Though medications have the ability to target neurotransmitter release into the
synapse by the presynaptic neuron it is not always necessary. The PMHNP understands that this
is because:
9. Que_A patient diagnosed with PTSD is ... propranolol (Inderal) and the PMHNP
understands that he was prescribed this medication for what purpose:
10. Que_A patient presents with frequent episodes of mania. Which statement describes an
appropriate treatment approach for this patient?
11. Que_ Gordon is a middle-aged patient who is taking antipsychotics. When meeting with
the PMHNP, he reports positive responses to the medication, stating, “I really feel as though the
effects of my depression are going away.” Which receptor action in antipsychotic medications is
believed to ... the most beneficial in producing the effects ... by Mr. Gordon?
12. Que_The PMHNP is assessing a client in the emergency room. The client shares that he
has been on lithium for many years. What blood test does the PMHNP order?
13. Que_ Schwartzman is a 52-year-old patient with schizophrenia and no established history
of depression. When meeting with the PMHNP, she presents with apathy and withdrawn social
behavior, and she reports a loss of joy from enjoyable activities. What does the PMHNP infer
from this encounter with the patient?
14. Que_A patient with schizophrenia is given an inverse agonist that acts on the receptor
5HT and neurotransmitter serotonin. What is the rationale for prescribing a medication such as
this?
, 15. Que_Which statement made by the patient suggests the patient will need to be ... with
antipsychotics that target paranoid psychosis?
16. Que_A noncompliant patient states, “Why do you want me to put this poison in my
body?” Identify the best response made by the psychiatric-mental health nurse practitioner
(PMHNP).
17. Que_Fluoxetine (Prozac) has been prescribed for a patient. Which of the following
statements is true regarding the action of this medication?
18. Que_The PMHNP understands that which mechanism contributes to a worse tolerability
profile for patients taking tricyclic antidepressants (TCAs)?
19. Que_The student inquires about antipsychotic medications. Which response by the
PMHNP describes the factors that contribute to reduced risk of extrapyramidal symptoms (EPS)
for patients who take antipsychotics?
20. Que_A patient is being ... a sedating antidepressant, but is concerned about weight gain.
Which medication is most likely to ... prescribed to addresses the patient’s concerns?
21. Que_A 45 year old female client with allergic rhinitis and normal blood pressure has had
no reduction in depressive symptoms after trying bupropion, paroxetine, and venlafaxine. What
precautions are needed when considering phenelzine in treating her depression?
22. Que_During assessment a patient states “Why are you asking me about my heart, I am
here for my head”, the PMHNP’s best response is:
23. Que_A patient is seeking pharmacological treatment for smoking cessation. Which drug
class does the PMHNP prescribe to the patient?
24. Que_Which statement made by the PMHNP exemplifies correct teaching of
physiological effects in the body?
25. Que_A patient was diagnosed with GAD 4 weeks ago and was placed on Clonazepam
(klonopin) twice a day and citalopram (citalopram (celexa)) once daily. When he asks the
PMHNP why it is necessary to wean him off of the Clonazepam (klonopin) the best response is:
26. Que_ Boeckh is a 42-year-old client who is taking an antidepressant therapy. The
PMHNP understands that this medication can have substantial food interactions that can cause
Ms. Boeckh to develop a hypertensive crisis. Which antidepressant class is Ms. Boeckh’s
medication in?
27. Que_The nurse education knows that teaching was effective when one of the students
compares fluvoxamine to sertraline and notes which of the following similarities?
28. Que_The PMHNP is meeting with a new mother who would like to begin taking
medication again to treat her bipolar depression; she is breastfeeding her 2-month old daughter.
The PMHNP recognizes that which of the following medications is contraindicated for this
client?
29. Que_The PMHNP is caring for several patients who present with various symptoms and
health issues. For which patient does the PMHNP prescribe pregabalin (Lyrica)?
30. Que_A patient recently transferred following a suicide attempt has a history of
schizophrenia, depression, and fibromyalgia. He is currently taking Amitriptyline (Elavil),
Lisinopril, aspirin, and fluoxetine (Prozac). When assessing the psychiatric medications and the
reason for admission, what would ... the best course of action for the PMHNP with this client?
31. Que_What characteristics do the nicotinic, cholinergic, serotonin 3, and glycine receptors
all have in common?
32. Que_During gene expression, what must occur prior to a gene being ... ?
