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Advanced Pharmacology: Psychopharmacology for the Psychiatric–Mental Health Nurse Practitioner – Midterm Exam Week 4 Complete Study Guide

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This study guide is designed for the Advanced Pharmacology Psychopharmacology course for the Psychiatric-Mental Health Nurse Practitioner (PMHNP), specifically aligned with the Week 4 Midterm Exam. It covers core psychopharmacology principles, major psychiatric medication classes, mechanisms of action, pharmacokinetics, adverse effects, contraindications, and clinical decision-making essential for safe and effective PMHNP practice.

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Uploaded on
January 28, 2026
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23
Written in
2025/2026
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NR 546 Advanced Pharmacology Psychopharmacology

for the Psychiatric-Mental Health Nurse Practitioner

Midterm Exam Week 4



1. How does the orbitofrontal cortex (OFC) affect the amygdala?: inhibits and

activates the amygdala



2. Wernicke's area is associated with which of the following?: speech compre-hension




3. The limbic system is associated with which of the following: emotion and

learning



4. Which brain structure is most associated with long term memory?: hip-

pocampus

,5. When prescribing psychotropic medications, the PMHNP knows that these

medications work within which specific areas?: mood



6. Which of the following are involved in regulating neurotransmission via ex-

citation-secretion coupling?: voltage-sensitive sodium channels and voltage-sen- sitive

calcium channels




7. What system influences the length of time for a drug to achieve efficacy?: -

signal transduction cascades




8. One of the signal transduction cascades, pass the message from a first

receptor to a second messenger.: G protein linked systems



9. Human central nervous system communication at synapses is which of the

following?: chemical

, 10. Which of the following is an excitatory neurotransmitter?: glutamate

11. Which statement correctly pairs the pharmacodynamic effect with its defi-

nition?: antagonist effect - drug binds to receptor, but does not activate a response



12. A major current hypothesis for the cause of schizophrenia proposes thatN-

methyl-d-aspartate (NMDA) receptors may be which of the following? Correct!:

hypofunctional




13. Which medication is least associated with weight gain?: aripiprazole

14. Which dopamine pathway is associated with positive symptoms of schiz-

ophrenia?: mesolimbic pathway



15. Which pathway is associated with negative symptoms?: The mesocortical

pathway




16. Is part of the extrapyramidal nervous system and associated with ex-

trapyramidal symptoms (EPS): nigrostriatal pathway
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