NR 546 MIDTERM EXAM
Which of the following data is most accurate in determining a treatment plan for a
patient who presents with depression?
The patient states that they are experiencing feelings of sadness, insomnia, and lack
of appetite
Informed Consent
clients have the right to receive enough information to make decisions about their
treatment. They must also be informed about the potential risks associated with
medication. Clients have the right to refuse treatment and cannot be forcibly
medicated in non-emergencies.
Which lobe is responsible for movement and intelligence and can result in
personality changes if damaged?
Frontal Lobe
The PMHNP wants to prescribe olanzipine for a client with depression. However,
the client currently takes amiodarone for chronic atrial fibrillation. What does the
PMHNP need to do to establish efficiency of this medication?
Decrease the dosage of olanzipine
,Amiodarone is a CYP450 inhibitor which means it will stop/slow down the olanzapine
from metabolizing in the body. Therefore, the olanzapine is at risk for building up in
the client's system rather than being metabolized and secreted.
What NTM is responsible for a patient's diagnosis of Parkinson's?
Dopamine
-dopamine affects balance and coordination, low levels are found in Parkinson's.
A surgical patient is post-op after a hernia repair. The patient is given opioids in
the OR and now has a shallow respiratory rate, pinpoint pupils, and is
unresponsive to verbal stimulation. The PMHNP prescribed naloxone to reverse
the effects of the opioids. Where does Naloxone fall on the agonist spectrum?
Antagonist
Medications for schizophrenia target which main neurotransmitter?
Dopamine
-dopamine causes negative and positive symptoms of schizophrenia, medication
block dopamine to reduce these symptoms
First generation antipsychotics improve _________ symptoms, and there is a higher
risk of developing _________.
, positive, hyperprolactinemia
Which medication is a good option for a patient with schizophrenia who also
suffers from insomnia?
Olanzapine
-Olanzapine is the best tolerated antipsychotic
What brain region is responsible for speech comprehension?
Wernicke's Area
Which neurotransmitter may be responsible for a client's symptoms of
depression? SATA
a. increased level of ACH
b. decreased levels of NE
c. increased levels of 5HT
d. decreased levels of histamine
e. increased levels of glutamate
Which pathway is associated with hyperprolactemia?
Which of the following data is most accurate in determining a treatment plan for a
patient who presents with depression?
The patient states that they are experiencing feelings of sadness, insomnia, and lack
of appetite
Informed Consent
clients have the right to receive enough information to make decisions about their
treatment. They must also be informed about the potential risks associated with
medication. Clients have the right to refuse treatment and cannot be forcibly
medicated in non-emergencies.
Which lobe is responsible for movement and intelligence and can result in
personality changes if damaged?
Frontal Lobe
The PMHNP wants to prescribe olanzipine for a client with depression. However,
the client currently takes amiodarone for chronic atrial fibrillation. What does the
PMHNP need to do to establish efficiency of this medication?
Decrease the dosage of olanzipine
,Amiodarone is a CYP450 inhibitor which means it will stop/slow down the olanzapine
from metabolizing in the body. Therefore, the olanzapine is at risk for building up in
the client's system rather than being metabolized and secreted.
What NTM is responsible for a patient's diagnosis of Parkinson's?
Dopamine
-dopamine affects balance and coordination, low levels are found in Parkinson's.
A surgical patient is post-op after a hernia repair. The patient is given opioids in
the OR and now has a shallow respiratory rate, pinpoint pupils, and is
unresponsive to verbal stimulation. The PMHNP prescribed naloxone to reverse
the effects of the opioids. Where does Naloxone fall on the agonist spectrum?
Antagonist
Medications for schizophrenia target which main neurotransmitter?
Dopamine
-dopamine causes negative and positive symptoms of schizophrenia, medication
block dopamine to reduce these symptoms
First generation antipsychotics improve _________ symptoms, and there is a higher
risk of developing _________.
, positive, hyperprolactinemia
Which medication is a good option for a patient with schizophrenia who also
suffers from insomnia?
Olanzapine
-Olanzapine is the best tolerated antipsychotic
What brain region is responsible for speech comprehension?
Wernicke's Area
Which neurotransmitter may be responsible for a client's symptoms of
depression? SATA
a. increased level of ACH
b. decreased levels of NE
c. increased levels of 5HT
d. decreased levels of histamine
e. increased levels of glutamate
Which pathway is associated with hyperprolactemia?
