NURS 6630 Midterm Exam
Question1 1
out of 1 points
When an unstable patient asks why it is necessary to
add medications to his current regimen, the PMHNP’s
best response would be:
Selected C.
Answ “Many psychiatric illnesses involve several dys-functioning
er: neurotransmitter systems in the brain. Often, a single medication may
only effect one or two of the dys-functioning systems. The addition of
another medication can work with the current medication in stabilizing
multiple neurotransmitter systems and help to alleviate your
symptoms.”
• Question
2 out of 1 0
points
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
patient?
Select C.
ed Lithium
Answe (Lithobid)
r:
• Question
3 1 out of 1
points
Mr. Gordon is a middle-aged client who was started on
antidepressant monotherapy for depression. After beginning this
1
amurimi
, medication, the PMHNP noticed that this client seemed to swing
into a hypomanic episode. What can the PMHNP infer from this
behavior change?
Select A.
ed This client may have Bipolar III disorder
Answe
r:
• Question
4 1 out of 1
points
A patient presents with frequent episodes of mania.
Which statement describes an appropriate treatment
approach for this patient?
Select B.
ed “The patient could benefit from an
Answe
r:
2
amurimi
, anticonvulsant.”
• Question 5
1 out of 1 points
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?
Select B.
ed Those that are potent D2 antagonists with
Answe 5HT2A antagonism properties
r:
• Question
6 1 out of 1
points
After ordering flumazenil (Rumazicon) the PMHNP cautions the staff to
monitor for which possible effect?
Select D.
ed All of
Answe the
r: above
• Question
7 1 out of 1
points
The PMHNP is caring for a patient who is taking
antipsychotics heard the psychiatrist tell the patient
that the patient would be placed on a different
antipsychotic agent called an atypical antipsychotic. What
neurotransmitters will this new medication work on?
Select A.
ed dopamine and serotonin
Answe
r:
• Question 8
3
amurimi
, 1 out of 1 points
While genes have potential to modify behavior, behavior
can also modify genes. How do genes impact this process?
Select B.
ed Changes made to proteins lead to
Answe changes in behavior.
r:
• Question
9 1 out of 1
points
Mrs. Schwartzman is a 52-year-old client 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 since
starting her new medication. What does
4
amurimi
Question1 1
out of 1 points
When an unstable patient asks why it is necessary to
add medications to his current regimen, the PMHNP’s
best response would be:
Selected C.
Answ “Many psychiatric illnesses involve several dys-functioning
er: neurotransmitter systems in the brain. Often, a single medication may
only effect one or two of the dys-functioning systems. The addition of
another medication can work with the current medication in stabilizing
multiple neurotransmitter systems and help to alleviate your
symptoms.”
• Question
2 out of 1 0
points
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
patient?
Select C.
ed Lithium
Answe (Lithobid)
r:
• Question
3 1 out of 1
points
Mr. Gordon is a middle-aged client who was started on
antidepressant monotherapy for depression. After beginning this
1
amurimi
, medication, the PMHNP noticed that this client seemed to swing
into a hypomanic episode. What can the PMHNP infer from this
behavior change?
Select A.
ed This client may have Bipolar III disorder
Answe
r:
• Question
4 1 out of 1
points
A patient presents with frequent episodes of mania.
Which statement describes an appropriate treatment
approach for this patient?
Select B.
ed “The patient could benefit from an
Answe
r:
2
amurimi
, anticonvulsant.”
• Question 5
1 out of 1 points
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?
Select B.
ed Those that are potent D2 antagonists with
Answe 5HT2A antagonism properties
r:
• Question
6 1 out of 1
points
After ordering flumazenil (Rumazicon) the PMHNP cautions the staff to
monitor for which possible effect?
Select D.
ed All of
Answe the
r: above
• Question
7 1 out of 1
points
The PMHNP is caring for a patient who is taking
antipsychotics heard the psychiatrist tell the patient
that the patient would be placed on a different
antipsychotic agent called an atypical antipsychotic. What
neurotransmitters will this new medication work on?
Select A.
ed dopamine and serotonin
Answe
r:
• Question 8
3
amurimi
, 1 out of 1 points
While genes have potential to modify behavior, behavior
can also modify genes. How do genes impact this process?
Select B.
ed Changes made to proteins lead to
Answe changes in behavior.
r:
• Question
9 1 out of 1
points
Mrs. Schwartzman is a 52-year-old client 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 since
starting her new medication. What does
4
amurimi
