NR 547 Psychopharmacology – PMHNP Midterm & Final Exam
Study Guide – Nurse Practitioner Program 2025–2026 – Verified
Questions and Answers (Graded A+)
This62up-to-
date62NR6254762test62bank62provides62the62most62recent62and62accurate62preparation62material62f
or62both62the62Midterm62and62Final62Exams62in62the622025–
202662PMHNP62psychopharmacology62curriculum.62It62includes62real,62graded62A+62question
s62and62verified62answers62covering62all62key62areas:62neurotransmitter62systems,62pharmacokin
etics,62drug-
receptor62interactions,62psychiatric62medication62management,62and62clinical62case62applicatio
ns.62Ideal62for62students62aiming62for62top62scores62in62their62NP62program.
1. Ameeta,62a6242-year-
old62female,62presents62to62the62primary62care62clinic62with62a62three-
month62history62of62"feeling62low62and62sad"62with62poor62energy,62inability62to62c
oncentrate,62and62irritability.62She62indicates62that62the62symptoms62were62initial
ly62present62once62per62week62but62have62increased62to624-
562times62per62week.62She62reports62making62an62error62last62week62at62the62grocer
y62store62where62she62works62as62a62cashier62and62snapping62at62the62customer62
when62the62error62was62brought62to62her62attention.62She62is62concerned62about62
her62loss62of62interest62in62her62usual62social62activities62and62a6220-
pound62weight62gain.62She62also62reports62frequent62headaches,62difficulty62gett
ing62out62of62bed62in62the62morning,62feeling62worthless,62and62low62libido.62She62
acknowledges62that62she62feels62guilty62daily62as62she62has62not62visited62her62so
162/62
150
,n62in62662months62and62believes62that62she62has62"let62him62down".62Thinking62abou
t62it62keeps62her62"up62at62night".62She62has62difficulty62falling62and62staying62asle
ep62every62night.62She62denies62suicidal62idea:62citalopram622062mg62po62daily
262/62
150
,Rationale:62Although62all62three62drugs62are62appropriate62to62use62when62treating62uni
polar62depression,62Citalopram62is62an62SSRI62and62is62considered62a62first-
line62choice.
2. Seth62is62a6222-year-old62with62a62court-
ordered62referral62for62assessment.62He62was62arrested62on62charges62of62stealin
g62from62an62aunt62while62he62was62house-
sitting.62This62is62the62third62time62he62has62been62caught62stealing62from62the62fa
mily62in62the62past62two62years,62but62the62first62time62that62the62victim62pressed62c
harges.62Seth62states62that62he62isn't62too62worried62about62his62stealing62behavi
ors,62because62his62family62"has62a62lot62of62money,62and62they62are62not62going62t
o62miss62a62little62here62and62there."62Seth62has62held62several62entry-
level62jobs62over62the62past62three62years,62but62he62has62left62each62position62afte
r62only62a62few62months62because62he62felt62he62was62"above62that62kind62of62work
".62He62endorses62having62multiple62unprotected62sexual62experiences,62but62he
62denies62ever62being62in62a62relationship.
Seth62meets62several62criteria62for62antisocial62personality62disorder.62Which62
of62the62following62statements62will62help62support62this62diagnosis?62Select62al
l62that62apply.62Seth62states62that62he62has62been62stealing62from:62-
Dependent62personal62disorder
Rationale:62Nora62meets62diagnostic62criteria62for62dependent62personality62disorder.62
She62has62difficulty62making62decisions62without62input62from62others,62has62difficulty62e
xpressing62disagreement,62and62has62feelings62of62discomfort62about62being62alone62a
nd62caring62for62herself.
3. SDRIs:6 2 -inhibit6 2 DA6 2 reuptake6 2 (‘alertness,6 2 motivation)6 2 -
inhibit6 2 NE6 2 reuptake62(‘energy)62-Adverse62effects:
• agitation
• headache
• dry62mouth
• constipation62•62weight62loss
4. TCAs:62-
362/62
150
, Action:62inhibits62the62reuptake62of62serotonin62and62norepinephrine;62blocks6
2norepinephrine,62histamine,62and62acetylcholine62receptors62-
Examples:62amitriptyline,62clomipramine,62desipramine,62doxepin62-
Common62Side62Effects:
• dry62mouth
462/62
150
Study Guide – Nurse Practitioner Program 2025–2026 – Verified
Questions and Answers (Graded A+)
This62up-to-
date62NR6254762test62bank62provides62the62most62recent62and62accurate62preparation62material62f
or62both62the62Midterm62and62Final62Exams62in62the622025–
202662PMHNP62psychopharmacology62curriculum.62It62includes62real,62graded62A+62question
s62and62verified62answers62covering62all62key62areas:62neurotransmitter62systems,62pharmacokin
etics,62drug-
receptor62interactions,62psychiatric62medication62management,62and62clinical62case62applicatio
ns.62Ideal62for62students62aiming62for62top62scores62in62their62NP62program.
1. Ameeta,62a6242-year-
old62female,62presents62to62the62primary62care62clinic62with62a62three-
month62history62of62"feeling62low62and62sad"62with62poor62energy,62inability62to62c
oncentrate,62and62irritability.62She62indicates62that62the62symptoms62were62initial
ly62present62once62per62week62but62have62increased62to624-
562times62per62week.62She62reports62making62an62error62last62week62at62the62grocer
y62store62where62she62works62as62a62cashier62and62snapping62at62the62customer62
when62the62error62was62brought62to62her62attention.62She62is62concerned62about62
her62loss62of62interest62in62her62usual62social62activities62and62a6220-
pound62weight62gain.62She62also62reports62frequent62headaches,62difficulty62gett
ing62out62of62bed62in62the62morning,62feeling62worthless,62and62low62libido.62She62
acknowledges62that62she62feels62guilty62daily62as62she62has62not62visited62her62so
162/62
150
,n62in62662months62and62believes62that62she62has62"let62him62down".62Thinking62abou
t62it62keeps62her62"up62at62night".62She62has62difficulty62falling62and62staying62asle
ep62every62night.62She62denies62suicidal62idea:62citalopram622062mg62po62daily
262/62
150
,Rationale:62Although62all62three62drugs62are62appropriate62to62use62when62treating62uni
polar62depression,62Citalopram62is62an62SSRI62and62is62considered62a62first-
line62choice.
2. Seth62is62a6222-year-old62with62a62court-
ordered62referral62for62assessment.62He62was62arrested62on62charges62of62stealin
g62from62an62aunt62while62he62was62house-
sitting.62This62is62the62third62time62he62has62been62caught62stealing62from62the62fa
mily62in62the62past62two62years,62but62the62first62time62that62the62victim62pressed62c
harges.62Seth62states62that62he62isn't62too62worried62about62his62stealing62behavi
ors,62because62his62family62"has62a62lot62of62money,62and62they62are62not62going62t
o62miss62a62little62here62and62there."62Seth62has62held62several62entry-
level62jobs62over62the62past62three62years,62but62he62has62left62each62position62afte
r62only62a62few62months62because62he62felt62he62was62"above62that62kind62of62work
".62He62endorses62having62multiple62unprotected62sexual62experiences,62but62he
62denies62ever62being62in62a62relationship.
Seth62meets62several62criteria62for62antisocial62personality62disorder.62Which62
of62the62following62statements62will62help62support62this62diagnosis?62Select62al
l62that62apply.62Seth62states62that62he62has62been62stealing62from:62-
Dependent62personal62disorder
Rationale:62Nora62meets62diagnostic62criteria62for62dependent62personality62disorder.62
She62has62difficulty62making62decisions62without62input62from62others,62has62difficulty62e
xpressing62disagreement,62and62has62feelings62of62discomfort62about62being62alone62a
nd62caring62for62herself.
3. SDRIs:6 2 -inhibit6 2 DA6 2 reuptake6 2 (‘alertness,6 2 motivation)6 2 -
inhibit6 2 NE6 2 reuptake62(‘energy)62-Adverse62effects:
• agitation
• headache
• dry62mouth
• constipation62•62weight62loss
4. TCAs:62-
362/62
150
, Action:62inhibits62the62reuptake62of62serotonin62and62norepinephrine;62blocks6
2norepinephrine,62histamine,62and62acetylcholine62receptors62-
Examples:62amitriptyline,62clomipramine,62desipramine,62doxepin62-
Common62Side62Effects:
• dry62mouth
462/62
150
