NRNP 6675 Final Exam – Walden PMHNP Comprehensive Q&A

NRNP 6675 FINAL EXAM n n n n




PMHNP Care Across the Lifespan II - Walden University
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Actual Qs and Ans Expert-
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Verified Explanation 2026\2027
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This Exam contains:
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 Guarantee passing score n n




 100 Questions and Answers
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 format set of multiple-choice
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 Expert-Verified Explanation n

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1.nnConcernsnwhenntreatingngeriatricnpatientsnwithnpsychotherapeuticndrugs?n(Sele
ctnallntruenstatements)nn
nnnA.nElderlynpeoplencannbenmorensusceptiblentonadverseneffectsnofndrugsnn


nnnB.nElderlynpersonsnmaynmetabolizendrugsnmorenslowlynn


nnnC.nElderlynpersonsnmaynmetabolizendrugsnmorenrapidlynn


nnnD.nElderlynpeoplenmaynexcretenpsychotherapeuticndrugsnmorenslowlynn




Answer:nA,nB,nDnn
nnn




Rationale:nGeriatricnpopulationsnoftennhavendecreasednhepaticnmetabolismnandn
nnn


reducednrenalnclearance,nprolongingndrugnhalf-
livesnandnincreasingntoxicitynrisk.nTheynarenmorensusceptiblentonsideneffectsn(A),nm
etabolizendrugsnmorenslowlyn(B),nandnexcretenthemnmorenslowlyn(D).nTheyntypically
ndonnot nmetabolizendrugsnmorenrapidlyn(C).




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2.nThreenmajornneurotransmittersnassociatednwithnanxiety,nbasednonnanimalnstudi
esnandndrugnresponses,ninclude:nn
nnnA.nDopamine,nacetylcholine,nandnsubstancenPnn


nnnB.nGABA,nnorepinephrine,nandnserotoninnn


nnnC.nGlycine,ndopamine,nandnhistaminenn


nnnD.nEndorphins,nglutamate,nandnepinephrinenn




Answer:nB)nGABA,nnorepinephrine,nandnserotoninnn
nnn




Rationale:nAnxietynhasnbeennmostnconsistentlynlinkedntondecreasedninhibitorynef
nnn


fectsnofnGABA,ndysregulationnofnthenstress/fight-or-
flightnneurotransmitternnorepinephrine,nandnalterationsninnserotonin.nMedications
ntargetingnthesensystemsn(e.g.,nbenzodiazepinesnenhancingnGABA,nSSRIs/SNRIsnre


gulatingnserotonin/norepinephrine)narenmainstaysnofnanxietyntreatment.

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3.nWhichnneurotransmitternisnmostncommonlynassociatednwithnincreasednlibido?nn
nnnA.nAcetylcholinenn

,nnnB.nGABAnn
nnnC.nSerotoninnn


nnnD.nDopaminenn




Answer:nD)nDopaminenn
nnn




Rationale:nDopamineninnthenmesolimbicnrewardnpathwaynisncloselynlinkedntonmot
nnn


ivation,npleasure,nandnsexualndesire.nHeightenedndopaminergicnactivityncannincrea
senlibido.nInncontrast,nelevatednserotoninntendsntoninhibitnsexualndesire.

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4.nConcernsnwhenntreatingngeriatricnpatientsnwithnpsychotherapeuticndrugsninclud
enallnofnthenfollowingnEXCEPT:nn
nnnA.nIncreasednsensitivityntonadverseneffectsnn


nnnB.nLowernrenalnexcretionnn


nnnC.nElderlynpersonsnmaynmetabolizenpsychotherapeuticndrugsnmorenrapidlynn


nnnD.nComorbidnhealthnconditionsnaffectingndrugnchoicenn




Answer:nC)nElderlynpersonsnmaynmetabolizenpsychotherapeuticndrugsnmorenrapi
nnn


dlynn

Rationale:nInnmostnoldernadults,nhepaticnmetabolismnandnrenalnexcretionnslownd
nnn


own,nfosteringngreaternvulnerabilityntonadverseneffects.nOptionnCnisnthenexception,n
asntheyntypicallyndonnotnmetabolizendrugsnmorenrapidly;nrather,nmetabolismnisnusu
allynreduced.

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5.nPersonsnwhonsubordinatentheirnownnneedsntonothers,nletnothersnassumenrespons
ibilitynfornmajornlifenareas,nlacknself-
confidence,nandnexperiencenintensendiscomfortnalonenarendemonstratingncharacte
risticsnofnwhichnpersonalityndisordern(PD)?nn
nnnA.nAvoidant nPDnn


nnnB.nBorderlinenPDnn


nnnC.nDependent nPDnn


nnnD.nNarcissisticnPDnn




Answer:nC)nDependentnPDnn
nnn

, Rationale:nDependent nPersonalitynDisordernisnmarkednbynpervasivendependencen
nnn


onnothersnforndecisionsnandnsupport,nfearnofnbeingnalone,nandnsubmissivenbehavio
rs.nThesenindividualsnarenhighlynreliantnonnreassurancenfromnothers.

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6.nAccordingntonHarrynStacknSullivan,nwhichnstatementnisnmostnconsistentnwithnanm
entor–menteenrelationship?nn
nnnA.nMentorsnarenstrictlynassignednn


nnnB.nMentornrelationshipsnarenalwaysnshort-termnn


nnnC.nGoalsnfornthenmentoringnrelationshipnarenset nmutuallynn


nnnD.nAnandnBnonlynn




Answer:nC)nGoalsnfornthenmentoringnrelationshipnarensetnmutuallynn
nnn




Rationale:nSullivan’sninterpersonalntheorynsuggestsngrowthnthroughnsignificantn
nnn


relationships.nEffectivenmentorshipninvolvesncollaborationninngoal-
settingntonmeetnthenmentee’sneducationalnornprofessionalnneeds.

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7.nThenneednfornNursenPractitionersn(NPs)ntonpracticentonthenfullnextentnofntheirnedu
cationnandntrainingnisnnecessary.nSelectnthenbestnAnswer:nn
nnnA.nTrue,nbecausenit noptimizesnpatient ncarenn


nnnB.nFalse,nbecausenNPsnshouldnalwaysn worknundernmaximumnrestrictionnn


nnnC.nTrue,nbut nonlynifnpracticingninnanhospitalnn


nnnD.nAllnofnthenabovenn




Answer:nD)nAllnofnthenaboven(pernthenoriginalnitem’snframing)nn
nnn




Rationale:nNumerousnprofessionalnorganizationsnemphasizenremovingnunneces
nnn


sarynrestrictionsnsonNPsncannprovidenhigh-
qualityncare.nPracticingntonthenfullnextentnofntheirnlicensurenandnscopenmaximizesn
patientnoutcomesnandnclosesnhealthcarengaps.

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8.nWhennannARNPnisnassessingnlifestylenasnansocialndeterminantnofnhealth,nwhichnqu
estionnisnmostnpertinent?nn
nnnA.nDiet nn