lOMoARcPSD|17616083
NURS 6630 Midterm Exam Test Bank k k k k k
Question 1 k
1 out of 1 points
k k k k
A noncompliant patient states, “Why do you want me to put this poison in my body?” Identify the
k k k k k k k k k k k k k k k k k
best response made by the psychiatric-mental health nurse practitioner (PMHNP).
k k k k k k k k k k
Answer: C. “Most medications that work in the brain will result in restoring an imbalance of one
k k k k k k k k k k k k k k k k
or more neurotransmitters that your body already produces helping to alleviate your
k k k k k k k k k k k k
symptoms .” k k
Question 2 k
1 out of 1 points
k k k k
Ms. Hill is currently being treated for schizophrenia but has stopped taking her medications due
k k k k k k k k k k k k k k
to some side effects she claims she was experiencing. She presents to the clinic today with
k k k k k k k k k k k k k k k k
worsening symptoms. She is experiencing anhedonia, agitation, attentional impairment, and
k k k k k k k k k k
affective blunting. Which one of the symptoms mentioned is considered a positive symptom of
k k k k k k k k k k k k k k
schizophrenia?
k
Answer: B. Agitation k
Question 3 k
0 out of 1 points
k k k k
Which statement about neurotransmitters and medications is true?
k k k k k k k
Answer: D. An imbalance of serotonin has been directly linked to depression. Following the
k k k k k k k k k k k k k
discovery of this neurotransmitter, pharmacologists were able to develop a well- known
k k k k k k k k k k k k
drug- Prozac as the first medication used to restore the balance of serotonin.
k k k k k k k k k k k k k
, lOMoARcPSD|17616083
Question 4 k
1 out of 1 points
k k k k
When an unstable patient asks why it is necessary to add medications to his current regimen, the
k k k k k k k k k k k k k k k k
PMHNP’s best response would be:
k k k k k
Answer: C. “Many psychiatric illnesses involve several dys-functioning neurotransmitter
k k k k k k k
systems in the brain. Often, a single medication may only effect one or two of the dys-
k k k k k k k k k k k k k k k k k
functioning systems. The addition of another medication can work with the current k k k k k k k k k k kk
medication in stabilizing multiple neurotransmitter systems and help to alleviate
k k k k k k k k k k k
your symptoms.” k k
Question 5 k
1 out of 1 points
k k k k
During gene expression, what must occur prior to a gene being expressed?
k k k k k k k k k k k
Answers:A.Transcription factor must bind to the regulatory region within the cell’s nucleus.
k k k k k k k k k k k k k
Question 6 k
1 out of 1 points
k k k k
While genes have potential to modify behavior, behavior can also modify genes. How do genes
k k k k k k k k k k k k k k
impact this process?
k k k
Answer: B. Changes made to proteins lead to changes
k k k k k k k
kin behavior. k
Question 7 k
1 out of 1 points
k k k k
Though medications have the ability to target neurotransmitter release into the synapse by the
k k k k k k k k k k k k k
presynaptic neuron it is not always necessary. The PMHNP understands that this is because:
k k k k k k k k k k k k k k
Answer: C. Neurotransmitters can spread by diffusion.
k k k k k
, lOMoARcPSD|17616083
Question 8 k
1 out of 1 points
k k k k
Why is the cytochrome P450 enzyme system of significance to the PMHNP?
k k k k k k k k k k k
Answer: B. The bioavailability of the medication after it passes through the stomach and liver can
k k k k k k k k k k k k k k
be altered. k k
Question 9 k
1 out of 1 points
k k k k
It is important for the PMHNP to recognize differences in pharmacokinetics to safely prescribe
k k k k k k k k k k k k k
and monitor medications. Which of the following statements does the competent PMHNP
k k k k k k k k k k k k
identify as true?
k k k
Answer: A.About 1 out of 5Asians requires lower-than-normal doses of some antidepressants and
k k k k k k k k k k k k k
antipsychotics. k
Question 10 k
1 out of 1 points
k k k k
As it relates to G-protein linked receptors, what does the PMHNP understand about medications
k k k k k k k k k k k k k
that are used in practice?
k k k k k
Answer: A. Most medications that act on G-protein linked receptors have antagonistic traits.k k k k k k k k k k k
Question 11 k
1 out of 1 points
k k k k
The PMHNP is considering prescribing a 49-year-old male clozapine (Clozaril) to treat his
k k k k k k k k k k k k
schizophrenia and suicidal ideations. The PMHNP is aware that which factor may impact the dose
k k k k k k k k k k k k k k k
needed to effectively treat his condition:
k k k k k k
Answer: A. The patient smokes cigarettes.
k k k k
Question 12 k
0 out of 1 points
k k k k
, lOMoARcPSD|17616083
A patient is diagnosed with bipolar disorder and is currently taking carbamazepine (Tegretol),
k k k k k k k k k k k k
aripiprazole (Abilify), and melatonin. The PMHNP has just written an order to discontinue the
k k k k k k k k k k k k k k
carbamazepine (Tegretol) for drug-induced thrombocytopenia. The PMHNP is aware that his next best
k k k k k k k k k k k k k
action is to:
k k k
Answer: B. Write an order for a different mood stabilizer
k k k k k k k k
Question 13 k
1 out of 1 points
k k k k
A patient recently transferred following a suicide attempt has a history of schizophrenia,
k k k k k k k k k k k k
depression, and fibromyalgia. He is currently taking Amitriptyline (Elavil), Lisinopril, aspirin,
k k k k k k k k k k k
and fluoxetine (Prozac). When assessing the psychiatric medications and the reason for
k k k k k k k k k k k k
admission, what would be the best course of action for the PMHNP with this client?
k k k k k k k k k k k k k k k
Answer A. ReviewAmitriptyline (Elavil) level
k k k k
:
Question 14 k
0 out of 1 points
k k k k
A patient with schizophrenia is given an inverse agonist that acts on the receptor 5HT and neurotransmitter
k k k k k k k k k k k k k k k k
serotonin. What is the rationale for prescribing a medication such as this?
k k k k k k k k k k k k
Answer D. To help decrease the amount of serotonin and dopamine
k k k k k k k k k
:
Question 15 k
1 out of 1 points
k k k k
The PMHNP is caring for four patients. Which patient statement indicates that benzodiazepines
k k k k k k k k k k k k
would be beneficial?
k k k
Answer: D. “I feel nervous to go outside and be in large crowds.”
k k k k k k k k k k k
Question 16 k
1 out of 1 points
k k k k
NURS 6630 Midterm Exam Test Bank k k k k k
Question 1 k
1 out of 1 points
k k k k
A noncompliant patient states, “Why do you want me to put this poison in my body?” Identify the
k k k k k k k k k k k k k k k k k
best response made by the psychiatric-mental health nurse practitioner (PMHNP).
k k k k k k k k k k
Answer: C. “Most medications that work in the brain will result in restoring an imbalance of one
k k k k k k k k k k k k k k k k
or more neurotransmitters that your body already produces helping to alleviate your
k k k k k k k k k k k k
symptoms .” k k
Question 2 k
1 out of 1 points
k k k k
Ms. Hill is currently being treated for schizophrenia but has stopped taking her medications due
k k k k k k k k k k k k k k
to some side effects she claims she was experiencing. She presents to the clinic today with
k k k k k k k k k k k k k k k k
worsening symptoms. She is experiencing anhedonia, agitation, attentional impairment, and
k k k k k k k k k k
affective blunting. Which one of the symptoms mentioned is considered a positive symptom of
k k k k k k k k k k k k k k
schizophrenia?
k
Answer: B. Agitation k
Question 3 k
0 out of 1 points
k k k k
Which statement about neurotransmitters and medications is true?
k k k k k k k
Answer: D. An imbalance of serotonin has been directly linked to depression. Following the
k k k k k k k k k k k k k
discovery of this neurotransmitter, pharmacologists were able to develop a well- known
k k k k k k k k k k k k
drug- Prozac as the first medication used to restore the balance of serotonin.
k k k k k k k k k k k k k
, lOMoARcPSD|17616083
Question 4 k
1 out of 1 points
k k k k
When an unstable patient asks why it is necessary to add medications to his current regimen, the
k k k k k k k k k k k k k k k k
PMHNP’s best response would be:
k k k k k
Answer: C. “Many psychiatric illnesses involve several dys-functioning neurotransmitter
k k k k k k k
systems in the brain. Often, a single medication may only effect one or two of the dys-
k k k k k k k k k k k k k k k k k
functioning systems. The addition of another medication can work with the current k k k k k k k k k k kk
medication in stabilizing multiple neurotransmitter systems and help to alleviate
k k k k k k k k k k k
your symptoms.” k k
Question 5 k
1 out of 1 points
k k k k
During gene expression, what must occur prior to a gene being expressed?
k k k k k k k k k k k
Answers:A.Transcription factor must bind to the regulatory region within the cell’s nucleus.
k k k k k k k k k k k k k
Question 6 k
1 out of 1 points
k k k k
While genes have potential to modify behavior, behavior can also modify genes. How do genes
k k k k k k k k k k k k k k
impact this process?
k k k
Answer: B. Changes made to proteins lead to changes
k k k k k k k
kin behavior. k
Question 7 k
1 out of 1 points
k k k k
Though medications have the ability to target neurotransmitter release into the synapse by the
k k k k k k k k k k k k k
presynaptic neuron it is not always necessary. The PMHNP understands that this is because:
k k k k k k k k k k k k k k
Answer: C. Neurotransmitters can spread by diffusion.
k k k k k
, lOMoARcPSD|17616083
Question 8 k
1 out of 1 points
k k k k
Why is the cytochrome P450 enzyme system of significance to the PMHNP?
k k k k k k k k k k k
Answer: B. The bioavailability of the medication after it passes through the stomach and liver can
k k k k k k k k k k k k k k
be altered. k k
Question 9 k
1 out of 1 points
k k k k
It is important for the PMHNP to recognize differences in pharmacokinetics to safely prescribe
k k k k k k k k k k k k k
and monitor medications. Which of the following statements does the competent PMHNP
k k k k k k k k k k k k
identify as true?
k k k
Answer: A.About 1 out of 5Asians requires lower-than-normal doses of some antidepressants and
k k k k k k k k k k k k k
antipsychotics. k
Question 10 k
1 out of 1 points
k k k k
As it relates to G-protein linked receptors, what does the PMHNP understand about medications
k k k k k k k k k k k k k
that are used in practice?
k k k k k
Answer: A. Most medications that act on G-protein linked receptors have antagonistic traits.k k k k k k k k k k k
Question 11 k
1 out of 1 points
k k k k
The PMHNP is considering prescribing a 49-year-old male clozapine (Clozaril) to treat his
k k k k k k k k k k k k
schizophrenia and suicidal ideations. The PMHNP is aware that which factor may impact the dose
k k k k k k k k k k k k k k k
needed to effectively treat his condition:
k k k k k k
Answer: A. The patient smokes cigarettes.
k k k k
Question 12 k
0 out of 1 points
k k k k
, lOMoARcPSD|17616083
A patient is diagnosed with bipolar disorder and is currently taking carbamazepine (Tegretol),
k k k k k k k k k k k k
aripiprazole (Abilify), and melatonin. The PMHNP has just written an order to discontinue the
k k k k k k k k k k k k k k
carbamazepine (Tegretol) for drug-induced thrombocytopenia. The PMHNP is aware that his next best
k k k k k k k k k k k k k
action is to:
k k k
Answer: B. Write an order for a different mood stabilizer
k k k k k k k k
Question 13 k
1 out of 1 points
k k k k
A patient recently transferred following a suicide attempt has a history of schizophrenia,
k k k k k k k k k k k k
depression, and fibromyalgia. He is currently taking Amitriptyline (Elavil), Lisinopril, aspirin,
k k k k k k k k k k k
and fluoxetine (Prozac). When assessing the psychiatric medications and the reason for
k k k k k k k k k k k k
admission, what would be the best course of action for the PMHNP with this client?
k k k k k k k k k k k k k k k
Answer A. ReviewAmitriptyline (Elavil) level
k k k k
:
Question 14 k
0 out of 1 points
k k k k
A patient with schizophrenia is given an inverse agonist that acts on the receptor 5HT and neurotransmitter
k k k k k k k k k k k k k k k k
serotonin. What is the rationale for prescribing a medication such as this?
k k k k k k k k k k k k
Answer D. To help decrease the amount of serotonin and dopamine
k k k k k k k k k
:
Question 15 k
1 out of 1 points
k k k k
The PMHNP is caring for four patients. Which patient statement indicates that benzodiazepines
k k k k k k k k k k k k
would be beneficial?
k k k
Answer: D. “I feel nervous to go outside and be in large crowds.”
k k k k k k k k k k k
Question 16 k
1 out of 1 points
k k k k
