NURS 6630 MIDTERM EXAM 5 A+ GRADED LATEST 2022 WALDEN UNIVERSITY
Question 1 1 out of 1 points
A patient recently transferred following a suicide attempt has a history of schizophrenia, depression,
and fibromyalgia. He is currently taking Amitriptyline (Elavil), Lisinopril, aspirin, and fluoxetine
(Prozac). When assessing the psychiatric medications and the reason for admission, what
would be the best course of action for the PMHNP with this client?
Selected Answer: A. Review Amitriptyline (Elavil) level
Question 2 0 out of 1 points
A patient is diagnosed with schizophrenia. What increases the patient’s potential to mediate the
cognitive symptoms of the disease?
Selected B.
Answer: Achieving overactivity of the mesocorticol projections to the ventromedial
prefrontal cortex
Question 3 1 out of 1 points
A patient with schizophrenia is given an inverse agonist that acts on the receptor 5HT and
neurotransmitter serotonin. What is the rationale for prescribing a medication such as this?
Selected Answer: B. To decrease serotonin
Question 4 1 out of 1 points
https://class.waldenu.edu/webapps/assessment/review/review.jsp?attempt_id=_63872894_1&course_id=_16694197_1&content_id=_55956384_1&return_content=1… 1/14
, 7/7/2020 Review Test Submission: Week 6 Midterm Exam – NURS-6630N...
Ms. Skidmore presents for a follow-up appointment after being prescribed phenelzine (Nardil), and
reports “I take my 45 mg pill, three times a day, just like I’m supposed to.” What does the PMHNP
understand about this patient?
Selected C.
Answer: Ms. Skidmore is taking too much of the phenelzine (Nardil); she should be taking the
45 mg in three doses.
Question 5 0 out of 1 points
The student inquires about antipsychotic medications. Which response by the PMHNP describes the
factors that contribute to reduced risk of extrapyramidal symptoms (EPS) for patients who take
antipsychotics?
Selected D.
Answer: Potent D2 antagonists that block the muscarinic anti-M1 cholinergic receptors
Question 6 1 out of 1 points
A client is prescribed fluoxetine but is concerned about side effects. Which statement demonstrates
accurate client teaching when discussing the side effects associated with fluoxetine?
Selected Answer: A. Weight gain is common
Question 7 0 out of 1 points
Though medications have the ability to target neurotransmitter release into the synapse by the
presynaptic neuron it is not always necessary. The PMHNP understands that this is because:
Selected A.
Answer: Neurotransmission occurring along the axon is normally at a level to prevent
symptoms of mental illness and rarely require augmentation from medication
therapy.
Question 8 0 out of 1 points
The PMHNP is caring for four patients. Which patient statement indicates that benzodiazepines would
be beneficial?
Selected Answer: A. “I have trouble staying asleep in the middle of the night.”
Question 9 1 out of 1 points
Ms. Ryerson is a 28-year-old patient with a mood disorder. She recently requested to transfer to a new
PMHNP, after not getting along well with her previous provider. The new PHMNP is reviewing Ms.
Ryerson’s medical chart prior to their first appointment. Upon review, the PMHNP sees that the former
provider last documented “patient had rapid poop out.” What does the PMHNP infer about the patient’s
prescription based on this documentation?
Selected Answer: A. The patient has an unsustained response to antidepressants.
https://class.waldenu.edu/webapps/assessment/review/review.jsp?attempt_id=_63872894_1&course_id=_16694197_1&content_id=_55956384_1&return_content=1… 2/14
Question 1 1 out of 1 points
A patient recently transferred following a suicide attempt has a history of schizophrenia, depression,
and fibromyalgia. He is currently taking Amitriptyline (Elavil), Lisinopril, aspirin, and fluoxetine
(Prozac). When assessing the psychiatric medications and the reason for admission, what
would be the best course of action for the PMHNP with this client?
Selected Answer: A. Review Amitriptyline (Elavil) level
Question 2 0 out of 1 points
A patient is diagnosed with schizophrenia. What increases the patient’s potential to mediate the
cognitive symptoms of the disease?
Selected B.
Answer: Achieving overactivity of the mesocorticol projections to the ventromedial
prefrontal cortex
Question 3 1 out of 1 points
A patient with schizophrenia is given an inverse agonist that acts on the receptor 5HT and
neurotransmitter serotonin. What is the rationale for prescribing a medication such as this?
Selected Answer: B. To decrease serotonin
Question 4 1 out of 1 points
https://class.waldenu.edu/webapps/assessment/review/review.jsp?attempt_id=_63872894_1&course_id=_16694197_1&content_id=_55956384_1&return_content=1… 1/14
, 7/7/2020 Review Test Submission: Week 6 Midterm Exam – NURS-6630N...
Ms. Skidmore presents for a follow-up appointment after being prescribed phenelzine (Nardil), and
reports “I take my 45 mg pill, three times a day, just like I’m supposed to.” What does the PMHNP
understand about this patient?
Selected C.
Answer: Ms. Skidmore is taking too much of the phenelzine (Nardil); she should be taking the
45 mg in three doses.
Question 5 0 out of 1 points
The student inquires about antipsychotic medications. Which response by the PMHNP describes the
factors that contribute to reduced risk of extrapyramidal symptoms (EPS) for patients who take
antipsychotics?
Selected D.
Answer: Potent D2 antagonists that block the muscarinic anti-M1 cholinergic receptors
Question 6 1 out of 1 points
A client is prescribed fluoxetine but is concerned about side effects. Which statement demonstrates
accurate client teaching when discussing the side effects associated with fluoxetine?
Selected Answer: A. Weight gain is common
Question 7 0 out of 1 points
Though medications have the ability to target neurotransmitter release into the synapse by the
presynaptic neuron it is not always necessary. The PMHNP understands that this is because:
Selected A.
Answer: Neurotransmission occurring along the axon is normally at a level to prevent
symptoms of mental illness and rarely require augmentation from medication
therapy.
Question 8 0 out of 1 points
The PMHNP is caring for four patients. Which patient statement indicates that benzodiazepines would
be beneficial?
Selected Answer: A. “I have trouble staying asleep in the middle of the night.”
Question 9 1 out of 1 points
Ms. Ryerson is a 28-year-old patient with a mood disorder. She recently requested to transfer to a new
PMHNP, after not getting along well with her previous provider. The new PHMNP is reviewing Ms.
Ryerson’s medical chart prior to their first appointment. Upon review, the PMHNP sees that the former
provider last documented “patient had rapid poop out.” What does the PMHNP infer about the patient’s
prescription based on this documentation?
Selected Answer: A. The patient has an unsustained response to antidepressants.
https://class.waldenu.edu/webapps/assessment/review/review.jsp?attempt_id=_63872894_1&course_id=_16694197_1&content_id=_55956384_1&return_content=1… 2/14
