NR 546 Midterm Exam Questions and Answers Latest Update 2023/2024

NR 546 Midterm Exam Chlorpromazine Thiazide & Pimozide Aripiprazole Correct! Clozapine & Olanzapine Question 2 2 / 2 pts The PMHNP has prescribed chlorpromazine hydrochloride (Thorazine) for a patient with psychosis, and the patient is to continue on the oral medication after discharge from the psychiatric unit. As part of educating the patient about the medication, the PMHNP should advise him or her to avoid: exercise. Correct! sun exposure. tobacco products. milk products. socially sensitive Correct! appropriate social behaviors Correct! Display little of the "give and take" attitude Correct! Up-regulation of striatal dopamine receptors Enhanced stimulation of D2 dopamine auto-receptors Loss of cholinergic neurons in striatum Increased tolerance to antipsychotic agents Chlorpromazine Correct! A, B and C Quetiapine Clozapine Risperidone Retrograde neurotransmission occurs when the post synaptic neuron “talks back” with the presynaptic neuron Correct! If a chemical messenger spills over, nothing happens Neurotransmssion is the foundation of psychopharmacology Starts with the stimulation of the cell by a molecule (ligand) or other stimuli that activates the receptors. A. Overreactive to induced sadness D. Neither A nor B Correct! C. A and B Question 8 2 / 2 pts A patient with obsessive-compulsive disorder (OCD) will begin medication to control symptoms. An FDA-approved drug for OCD that the PMHNP may prescribe is: Correct! fluoxetine (Prozac). imipramine (Tofranil). nefazodone. amitriptyline (Elavil). Correct! False Review summary for Chapter 1 in Stahl's Essential Psychopharmacology Lifetime risk of suicide among people with untreated depression ranges from 2.2-15%. Incidence of depression in younger age groups is increasing. You Answered One of two patients with an acute first depressive episode will have recurrences throughout life. Correct Answer Manic forms of mood disorders predominate in men. Concentrated in the bile Correct Answer Unbound to plasma proteins Bound to plasma albumin You Answered Not absorbed from the GI tract Question 12 2 / 2 pts A 36-year-old man with depression has had 3 therapeutic trials of serotonin reuptake inhibitors (SRIs) without notable improvement. His clinician is now considering switching the patient's SRI to a monoamine oxidase inhibitor (MAOI). Which of the following is an appropriate switching strategy in this situation? Discontinue SRI, then wait 14 days before initiating MAOI Correct! Discontinue SRI, then wait 5 half-lives before initiating MAOI Cross-titrate SRI with MAOI Discontinue SRI, then initiate MAOI Grandiosity Psychomotor acceleration Correct Answer Irritability Low-self esteem Question 14 2 / 2 pts A female patient reports an intense, overwhelming fear of driving a car. The fear has disrupted all elements of the patient's life. The patient does not go to the grocery store unless someone transports her, has relinquished her job, and has few social contacts. The patient's treatment plan includes: Correct! systematic desensitization. biofeedback. assertiveness training. stress management assistance. Correct! Generalized Anxiety Disorder excessive rumination/worrying Correct! Major Depressive Disorder sadness, anhedonia Correct! Atypical depression hypersomnia, psychosis Correct! Panic Attack SOB, tachycardia Correct! Agoraphobia fear of being trapped Question 16 2 / 2 pts The following are possible reasons for non-adherence to medications, EXCEPT: side effects that are poorly tolerated Correct! support from friends and family unconscious need to "defeat" the doctor secondary gain from being in the sick role You Answered Prefrontal cortex elevated mood in bipolar disorder/impulsivity in schizophrenia Correct Answer blunted affect/negative symptoms in schizophrenia Correct! Mesolimbic circuit delusions and hallucinations/positive symptoms in schizophrenia You Answered amygdala motor agitation in bipolar disorder/more severe psychotic symptoms in schizophrenia Correct Answer elevated mood in bipolar disorder/impulsivity in schizophrenia You Answered striatum blunted affect/negative symptoms in schizophrenia Correct Answer motor agitation in bipolar disorder/more severe psychotic symptoms in schizophrenia Question 18 2 / 2 pts The amygdala has the capacity to register, perceive, and analyze sensory data in a crude manner, based on pattern recognition. Although this adaptive system can help with survival, wrong interpretations (a piece of rope being mistaken for a snake) can cause "false alarms" and trigger anxiety. Correct! True False CNS depressant drugs use/abuse (benzodiazepines) Nutritional deficiencies (malnutrition, anemia) life stressors Autoimmune diseases (arthritis, SLE) Numerous clinical conditions and pharmacological agents, as well as life stressors may result in the underlying neuroanatomical and chemical changes that cause depression. Identifying the causes that can be treated or reduced is very important to improve the outcome of treatment. Question 20 2 / 2 pts Psychomotor retardation is characterized by all of the following except Correct! restlessness reduced speech amplitude and flow paucity of spontaneous movements poor concentration indecisiveness