NR 547 Psychopharmacology – PMHNP Midterm & Final Exam Study Guide – Nurse Practitioner Program 2025–2026 – Verified Questions and Answers (GradedA+)

NR 547 Psychopharmacology – PMHNP Midterm & Final Exam
Study Guide – Nurse Practitioner Program 2025–2026 – Verified
Questions and Answers (Graded A+)
This up-to- A


date NR 547 test bank provides the most recent and accurate preparation material for both t
A A A A A A A A A A A A A A A


he Midterm and Final Exams in the 2025–
A A A A A A A


2026 PMHNP psychopharmacology curriculum. It includes real, graded A+ questions and
A A A A A A A A A A A


verified answers covering all key areas: neurotransmitter systems, pharmacokinetics, drug-
A A A A A A A A A


receptor interactions, psychiatric medication management, and clinical case applications. I
A A A A A A A A A


deal for students aiming for top scores in their NP program.
A A A A A A A A A A




1. Ameeta, a 42-year- A A


old female, presents to the primary care clinic with a three-
A A A A A A A A A A


month history of "feeling low and sad" with poor energy, inability to concentr
A A A A A A A A A A A A


ate, and irritability. She indicates that the symptoms were initially present onc
A A A A A A A A A A A


e per week but have increased to 4-
A A A A A A A


5 times per week. She reports making an error last week at the grocery store
A A A A A A A A A A A A A A A


where she works as a cashier and snapping at the customer when the error w
A A A A A A A A A A A A A A


as brought to her attention. She is concerned about her loss of interest in her
A A A A A A A A A A A A A A A


usual social activities and a 20-
A A A A A


pound weight gain. She also reports frequent headaches, difficulty getting ou
A A A A A A A A A A


t of bed in the morning, feeling worthless, and low libido. She acknowledges t
A A A A A A A A A A A A A


hat she feels guilty daily as she has not visited her son in 6 months and believ
A A A A A A A A A A A A A A A A


es that she has "let him down". Thinking about it keeps her "up at night". She
A A A A A A A A A A A A A A A A

,has difficulty falling and staying asleep every night. She denies suicidal idea:
A A A A A A A A A A A A


citalopram 20 mg po daily
A A A A




1/85

,Rationale: Although all three drugs are appropriate to use when treating unipolar d
A A A A A A A A A A A A


epression, Citalopram is an SSRI and is considered a first-line choice.
A A A A A A A A A A



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
A A A A A A A A A A A A


an aunt while he was house-
A A A A A


sitting. This is the third time he has been caught stealing from the family in th
A A A A A A A A A A A A A A A


e past two years, but the first time that the victim pressed charges. Seth state
A A A A A A A A A A A A A A


s that he isn't too worried about his stealing behaviors, because his family "h
A A A A A A A A A A A A A


as a lot of money, and they are not going to miss a little here and there." Seth
A A A A A A A A A A A A A A A A A A


has held several entry-
A A A


level jobs over the past three years, but he has left each position after only a f
A A A A A A A A A A A A A A A A


ew months because he felt he was "above that kind of work". He endorses ha
A A A A A A A A A A A A A A


ving multiple unprotected sexual experiences, but he denies ever being in a r
A A A A A A A A A A A A


elationship.

Seth meets several criteria for antisocial personality disorder. Which of the fol
A A A A A A A A A A A




lowing statements will help support this diagnosis? Select all that apply. Seth
A A A A A A A A A A A A




states that he has been stealing from: -Dependent personal disorder
A A A A A A A A A




Rationale: Nora meets diagnostic criteria for dependent personality disorder. She
A A A A A A A A A A


has difficulty making decisions without input from others, has difficulty expressing
A A A A A A A A A A A


disagreement, and has feelings of discomfort about being alone and caring for her
A A A A A A A A A A A A


self.
3. SDRIs: -inhibit DA reuptake (‘alertness, motivation) -inhibit NE reuptake
A AA AA AA AA AA AA AA


(‘energy) -Adverse effects: A A


• agitation
A


• headache
A


• dry mouth
A A


• constipation • weight loss
A A A A


4. TCAs: -Action: inhibits the reuptake of serotonin and norepinephrine;
A A A A A A A A


blocks norepinephrine, histamine, and acetylcholine receptors -Examples:
A A A A A A


amitriptyline, clomipramine, desipramine, doxepin -Common Side Effects:
A A A A A A


• dry mouth A

, 2/85