nr_547_psychopharmacology_____pmhnp_midterm___final_exam_study_guide_____nurse_practitioner_progr

NR 547 Psychopharmacology–PMHNPMidterm&FinalExam
Study Guide Nurse Practitioner Program 2025–2026 – Verified
Questions and Answers (Graded A+)
This up-to-date NR 547 test bank provides the most recent and accurate preparationmaterial for
both the Midterm and Final Examsinthe 2025–2026 PMHNP psychopharmacology
curriculum. it includes real, graded A+ questions and verifiedanswers covering all key areas:
neurotransmitter systems, pharmacokinetics, drug-recepto interactions, psychiatric
medication management, and clinical case applications. ideal for students aiming for top scores
in their NP program.



1. Ameeta, a 42-year- A A


old female, presents to the primary care clinic with a three-
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month history of "feeling low and sad" with poor energy, inability to concentr
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ate, and irritability. She indicates that the symptoms were initially present onc
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e per week but have increased to 4-
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5 times per week. She reports making an error last week at the grocery store w
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here she works as a cashier and snapping at the customer when the error was
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Abrought to her attention. She is concerned about her loss of interest in her us
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ual social activities and a 20-
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pound weight gain. She also reports frequent headaches, difficulty getting ou
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t of bed in the morning, feeling worthless, and low libido. She acknowledges t
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hat she feels guilty daily as she has not visited her son in 6 months and believ
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es that she has "let him down". Thinking about it keeps her "up at night". She h
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1A/A
121

,as difficulty falling and staying asleep every night. She denies suicidal idea: ci
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talopram 20 mg po daily
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121

,Rationale: Although all three drugs are appropriate to use when treating unipolar de
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pression, Citalopram is an SSRI and is considered a first-line choice.
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2. Seth is a 22-year-old with a court- A A A A A A


ordered referral for assessment. He was arrested on charges of stealing from
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an aunt while he was house-
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sitting. This is the third time he has been caught stealing from the family in th
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e past two years, but the first time that the victim pressed charges. Seth state
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s that he isn't too worried about his stealing behaviors, because his family "h
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as a lot of money, and they are not going to miss a little here and there." Seth
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has held several entry-
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level jobs over the past three years, but he has left each position after only a f
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ew months because he felt he was "above that kind of work". He endorses ha
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ving multiple unprotected sexual experiences, but he denies ever being in a r
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elationship.

Seth meets several criteria for antisocial personality disorder. Which of the f
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ollowing statements will help support this diagnosis? Select all that apply. S
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eth states that he has been stealing from: -Dependent personal disorder
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Rationale: Nora meets diagnostic criteria for dependent personality disorder. She ha
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s difficulty making decisions without input from others, has difficulty expressing disa
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greement, and has feelings of discomfort about being alone and caring for herself.
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3. SDRIs: -inhibit DA reuptake (‘alertness, motivation) - A A A A A A


inhibit NE reuptake (‘energy) -Adverse effects:
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• agitation
• headache
• dry mouth A


• constipation • weight loss A A A


4. TCAs: - A


Action: inhibits the reuptake of serotonin and norepinephrine; blocks norepi
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nephrine, histamine, and acetylcholine receptors -
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Examples: amitriptyline, clomipramine, desipramine, doxepin -
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3A/A
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, Common Side Effects:
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• dry mouth A




4A/A
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