NR 547 Psychopharmacology – PMHNP Midterm & Final Exam
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 preparation
material for both the Midterm and Final Exams in the 2025–2026 PMHNP
psychopharmacology curriculum. It includes real, graded A+ questions and verified
answers covering all key areas: neurotransmitter systems, pharmacokinetics, drug-receptor
interactions, psychiatric medication management, and clinical case applications. Ideal for
students aiming for top scores in their NP program.
1. Ameeta, a 42-year- ws ws
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 co
ws ws ws ws ws ws ws ws ws ws ws ws
ncentrate, and irritability. She indicates that the symptoms were initially
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present once 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
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store where she works as a cashier and snapping at the customer wh
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en the error was brought to her attention. She is concerned about her l
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oss of interest in her usual social activities and a 20-
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pound weight gain. She also reports frequent headaches, difficulty getti
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ng out of bed in the morning, feeling worthless, and low libido. She ac
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knowledges that she feels guilty daily as she has not visited her son i
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n 6 months and believes that she has "let him down". Thinking about it
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1ws/ws
146
,keeps her "up at night". She has difficulty falling and staying asleep ev
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ery night. She denies suicidal idea: citalopram 20 mg po daily
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2ws/ws
146
,Rationale: Although all three drugs are appropriate to use when treating unipol
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ar depression, Citalopram is an SSRI and is considered a first-line choice.
ws ws ws ws ws ws ws ws ws ws ws
2. Seth is a 22-year-old with a court- ws ws ws ws ws ws
ordered referral for assessment. He was arrested on charges of stealing
ws ws ws ws ws ws ws ws ws ws
wsfrom an aunt while he was house-
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sitting. This is the third time he has been caught stealing from the fam
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ily in the past two years, but the first time that the victim pressed char
ws ws ws ws ws ws ws ws ws ws ws ws ws ws
ges. Seth states that he isn't too worried about his stealing behaviors,
ws ws ws ws ws ws ws ws ws ws ws ws
because his family "has a lot of money, and they are not going to miss
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wsa little here and there." Seth has held several entry-
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level jobs over the past three years, but he has left each position after
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sonly a few months because he felt he was "above that kind of work".
ws ws ws ws ws ws ws ws ws ws ws ws ws ws
He endorses having multiple unprotected sexual experiences, but he de
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nies ever being in a relationship.
ws ws ws ws ws
Seth meets several criteria for antisocial personality disorder. Which o
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f the following statements will help support this diagnosis? Select all t
ws ws ws ws ws ws ws ws ws ws ws
hat apply. Seth states that he has been stealing from: -
ws ws ws ws ws ws ws ws ws ws
Dependent personal disorder ws ws
Rationale: Nora meets diagnostic criteria for dependent personality disorder. S
ws ws ws ws ws ws ws ws ws
he has difficulty making decisions without input from others, has difficulty expr
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essing disagreement, and has feelings of discomfort about being alone and c
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aring for herself. ws ws
3. SDRIs: -inhibit DA reuptake (‘alertness, motivation) -
w s w s w s w s w s w s
inhibit NE reuptake (‘energy) -Adverse effects:
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• agitation
• headache
• dry mouth ws
• constipation • weight loss ws ws ws
4. TCAs: - ws
Action: inhibits the reuptake of serotonin and norepinephrine; blocks n
ws ws ws ws ws ws ws ws ws
3ws/ws
146
, orepinephrine, histamine, and acetylcholine receptors -
ws ws ws ws ws
Examples: amitriptyline, clomipramine, desipramine, doxepin -
ws ws ws ws ws
Common Side Effects:
ws ws
• dry mouth ws
4ws/ws
146
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 preparation
material for both the Midterm and Final Exams in the 2025–2026 PMHNP
psychopharmacology curriculum. It includes real, graded A+ questions and verified
answers covering all key areas: neurotransmitter systems, pharmacokinetics, drug-receptor
interactions, psychiatric medication management, and clinical case applications. Ideal for
students aiming for top scores in their NP program.
1. Ameeta, a 42-year- ws ws
old female, presents to the primary care clinic with a three-
ws ws ws ws ws ws ws ws ws ws
month history of "feeling low and sad" with poor energy, inability to co
ws ws ws ws ws ws ws ws ws ws ws ws
ncentrate, and irritability. She indicates that the symptoms were initially
ws ws ws ws ws ws ws ws ws w
present once per week but have increased to 4-
s ws ws ws ws ws ws ws ws
5 times per week. She reports making an error last week at the grocery
ws ws ws ws ws ws ws ws ws ws ws ws ws
store where she works as a cashier and snapping at the customer wh
ws ws ws ws ws ws ws ws ws ws ws ws ws
en the error was brought to her attention. She is concerned about her l
ws ws ws ws ws ws ws ws ws ws ws ws ws
oss of interest in her usual social activities and a 20-
ws ws ws ws ws ws ws ws ws ws
pound weight gain. She also reports frequent headaches, difficulty getti
ws ws ws ws ws ws ws ws ws
ng out of bed in the morning, feeling worthless, and low libido. She ac
ws ws ws ws ws ws ws ws ws ws ws ws ws
knowledges that she feels guilty daily as she has not visited her son i
ws ws ws ws ws ws ws ws ws ws ws ws ws
n 6 months and believes that she has "let him down". Thinking about it
ws ws ws ws ws ws ws ws ws ws ws ws ws ws
1ws/ws
146
,keeps her "up at night". She has difficulty falling and staying asleep ev
ws ws ws ws ws ws ws ws ws ws ws ws
ery night. She denies suicidal idea: citalopram 20 mg po daily
ws ws ws ws ws ws ws ws ws ws
2ws/ws
146
,Rationale: Although all three drugs are appropriate to use when treating unipol
ws ws ws ws ws ws ws ws ws ws ws
ar depression, Citalopram is an SSRI and is considered a first-line choice.
ws ws ws ws ws ws ws ws ws ws ws
2. Seth is a 22-year-old with a court- ws ws ws ws ws ws
ordered referral for assessment. He was arrested on charges of stealing
ws ws ws ws ws ws ws ws ws ws
wsfrom an aunt while he was house-
ws ws ws ws ws ws
sitting. This is the third time he has been caught stealing from the fam
ws ws ws ws ws ws ws ws ws ws ws ws ws
ily in the past two years, but the first time that the victim pressed char
ws ws ws ws ws ws ws ws ws ws ws ws ws ws
ges. Seth states that he isn't too worried about his stealing behaviors,
ws ws ws ws ws ws ws ws ws ws ws ws
because his family "has a lot of money, and they are not going to miss
ws ws ws ws ws ws ws ws ws ws ws ws ws ws
wsa little here and there." Seth has held several entry-
ws ws ws ws ws ws ws ws ws
level jobs over the past three years, but he has left each position after
ws ws ws ws ws ws ws ws ws ws ws ws ws w
sonly a few months because he felt he was "above that kind of work".
ws ws ws ws ws ws ws ws ws ws ws ws ws ws
He endorses having multiple unprotected sexual experiences, but he de
ws ws ws ws ws ws ws ws ws
nies ever being in a relationship.
ws ws ws ws ws
Seth meets several criteria for antisocial personality disorder. Which o
ws ws ws ws ws ws ws ws ws
f the following statements will help support this diagnosis? Select all t
ws ws ws ws ws ws ws ws ws ws ws
hat apply. Seth states that he has been stealing from: -
ws ws ws ws ws ws ws ws ws ws
Dependent personal disorder ws ws
Rationale: Nora meets diagnostic criteria for dependent personality disorder. S
ws ws ws ws ws ws ws ws ws
he has difficulty making decisions without input from others, has difficulty expr
ws ws ws ws ws ws ws ws ws ws ws
essing disagreement, and has feelings of discomfort about being alone and c
ws ws ws ws ws ws ws ws ws ws ws
aring for herself. ws ws
3. SDRIs: -inhibit DA reuptake (‘alertness, motivation) -
w s w s w s w s w s w s
inhibit NE reuptake (‘energy) -Adverse effects:
w s w s ws ws ws
• agitation
• headache
• dry mouth ws
• constipation • weight loss ws ws ws
4. TCAs: - ws
Action: inhibits the reuptake of serotonin and norepinephrine; blocks n
ws ws ws ws ws ws ws ws ws
3ws/ws
146
, orepinephrine, histamine, and acetylcholine receptors -
ws ws ws ws ws
Examples: amitriptyline, clomipramine, desipramine, doxepin -
ws ws ws ws ws
Common Side Effects:
ws ws
• dry mouth ws
4ws/ws
146
