Page 1 of 34
NR 546 Advanced Pharmacology Psychopharmacology for the
Psychiatric-Mental Health Nurse Practitioner
Midterm Exam
1. A 22-year-old patient recently diagnosed with bipolar disorder and states "I'm
not crazy" and is refusing to take his prescribed medication. Which type of factor
is contributing to this patient's nonadherence?
A. Client factors
B. Clinician factors
C. Structural factors
D. Environmental factors
:Ans>> C. Structural factors
, Page 2 of 34
2. Using Dell'Osso et al.'s sequential framework of priorities to promote med-
ication adherence, determine which step is being defined
:Ans>> The PMHNP ex- plains the mechanism of action, anticipated time to
experience effects, side effects, and lifestyle instructions to a patient after
prescribing Wellbutrin.
A. Diagnosis
B. Medication education
C. Monitoring plan
D. Adherence reinforcement
:Ans>> B. Medication education
3. A patient recovering from a stroke has trouble with speech comprehension and
works with a speech therapist twice a week. Which part of the patient's brain has
been affected by the stroke?
A. The Broca's area
B. The Basal ganglia
C. The Limbic system
, Page 3 of 34
D. The Wernicke's area
:Ans>> D. The Wernicke's area
4. Which of the following poses a potential ethical concern when prescribing
psychiatric medications?
A. The patient is homeless and uninsured
B. The patient poses a risk to themself as they state they are experiencing very scary
auditory and visual hallucinations
C. The patient's family voices a stigma against psychiatric medications
D. The patient states they worry about the potential side effects of the med-
ication
:Ans>> B. The patient poses a risk to themself as they state they are experiencing very
scary auditory and visual hallucinations
5. What is the name of the lobe that controls visual processing?
A. Gyrus
B. Frontal Lobe
, Page 4 of 34
C. Occipital Lobe pu
D. Parietal Lobe pu
:Ans>> C. Occipital Lobe pu pu pu
6. The cerebellum, cerebrum, brain stem, and butterfly-shaped portion of the
pu pu pu pu pu pu pu pu pu
pu central spinal cord are comprised of
pu pu pu pu pu pu which contains neural
pu pu
pu cell bodies, axon terminals, dendrites, and all nerve synapses.
pu pu pu pu pu pu pu pu
A. Frontal lobe pu
B. White mater pu
C. Grey mater pu
D. Corpus callosum pu
:Ans>> C. Grey mater pu pu pu
7. What is the function of the central sulcus?
pu pu pu pu pu pu pu
A. Separates the temporal from the occipital lobe pu pu pu pu pu pu
B. Separates the frontal from the parietal lobe pu pu pu pu pu pu
C. Involved in complex motor activities pu pu pu pu
D. Keeps us alert to our environment
pu pu pu pu pu
NR 546 Advanced Pharmacology Psychopharmacology for the
Psychiatric-Mental Health Nurse Practitioner
Midterm Exam
1. A 22-year-old patient recently diagnosed with bipolar disorder and states "I'm
not crazy" and is refusing to take his prescribed medication. Which type of factor
is contributing to this patient's nonadherence?
A. Client factors
B. Clinician factors
C. Structural factors
D. Environmental factors
:Ans>> C. Structural factors
, Page 2 of 34
2. Using Dell'Osso et al.'s sequential framework of priorities to promote med-
ication adherence, determine which step is being defined
:Ans>> The PMHNP ex- plains the mechanism of action, anticipated time to
experience effects, side effects, and lifestyle instructions to a patient after
prescribing Wellbutrin.
A. Diagnosis
B. Medication education
C. Monitoring plan
D. Adherence reinforcement
:Ans>> B. Medication education
3. A patient recovering from a stroke has trouble with speech comprehension and
works with a speech therapist twice a week. Which part of the patient's brain has
been affected by the stroke?
A. The Broca's area
B. The Basal ganglia
C. The Limbic system
, Page 3 of 34
D. The Wernicke's area
:Ans>> D. The Wernicke's area
4. Which of the following poses a potential ethical concern when prescribing
psychiatric medications?
A. The patient is homeless and uninsured
B. The patient poses a risk to themself as they state they are experiencing very scary
auditory and visual hallucinations
C. The patient's family voices a stigma against psychiatric medications
D. The patient states they worry about the potential side effects of the med-
ication
:Ans>> B. The patient poses a risk to themself as they state they are experiencing very
scary auditory and visual hallucinations
5. What is the name of the lobe that controls visual processing?
A. Gyrus
B. Frontal Lobe
, Page 4 of 34
C. Occipital Lobe pu
D. Parietal Lobe pu
:Ans>> C. Occipital Lobe pu pu pu
6. The cerebellum, cerebrum, brain stem, and butterfly-shaped portion of the
pu pu pu pu pu pu pu pu pu
pu central spinal cord are comprised of
pu pu pu pu pu pu which contains neural
pu pu
pu cell bodies, axon terminals, dendrites, and all nerve synapses.
pu pu pu pu pu pu pu pu
A. Frontal lobe pu
B. White mater pu
C. Grey mater pu
D. Corpus callosum pu
:Ans>> C. Grey mater pu pu pu
7. What is the function of the central sulcus?
pu pu pu pu pu pu pu
A. Separates the temporal from the occipital lobe pu pu pu pu pu pu
B. Separates the frontal from the parietal lobe pu pu pu pu pu pu
C. Involved in complex motor activities pu pu pu pu
D. Keeps us alert to our environment
pu pu pu pu pu
