NURS 6630 PSYCHOPHARMACOLOGY MIDTERM EXAM TEST BANK

lOMoARcPSD|17616083




NURS 6630 Midterm ExamTest Bank v v v v v




Question 1 v




1 out of 1 points
v v v v




Anoncompliant patient states, “Why do you want me to put this poison in my body?” Identify the
v v v v v v v v v v v v v v v v v




best response made by the psychiatric-mental health nurse practitioner (PMHNP).
v v v v v v v v v v




Answer: C. “Most medications that work in the brain will result in restoring an imbalance of one
v v v v v v v v v v v v v v v v




or more neurotransmitters that your body already produces helping to alleviate your
v v v v v v v v v v v v




symptoms .” v v




Question 2 v




1 out of 1 points
v v v v




Ms. Hill is currently being treated for schizophrenia but has stopped taking her medications due
v v v v v v v v v v v v v v




to some side effects she claims she was experiencing. She presents to the clinic today with
v v v v v v v v v v v v v v v v




worsening symptoms. She is experiencing anhedonia, agitation, attentional impairment, and
v v v v v v v v v v




affective blunting. Which one of the symptoms mentioned is considered a positive symptom of
v v v v v v v v v v v v v v




schizophrenia?
v




Answer: B. Agitation v




Question 3 v




0 out of 1 points
v v v v




Which statement about neurotransmitters and medications is true?
v v v v v v v




Answer: D. An imbalance of serotonin has been directly linked to depression. Following the
v v v v v v v v v v v v v




discovery of this neurotransmitter, pharmacologists were able to develop a well- known
v v v v v v v v v v v v




drug- Prozac as the first medication used to restore the balance of serotonin.
v v v v v v v v v v v v v

, lOMoARcPSD|17616083




Question 4 v




1 out of 1 points
v v v v




When an unstable patient asks why it is necessary to add medications to his current regimen, the
v v v v v v v v v v v v v v v v




PMHNP’s best response would be:
v v v v v




Answer: C. “Many psychiatric illnesses involve several dys-functioning neurotransmitter
v v v v v v v




systems in the brain. Often, a single medication may only effect one or two of the dys-
v v v v v v v v v v v v v v v v v




functioning systems. The addition of another medication can work with the current v v v v v v v v v v vv




medication in stabilizing multiple neurotransmitter systems and help to alleviate
v v v v v v v v v v v




your symptoms.” v v




Question 5 v




1 out of 1 points
v v v v




During gene expression, what must occur prior to a gene being expressed?
v v v v v v v v v v v




Answers:A.Transcription factor must bind to the regulatory region within the cell’s nucleus.
v v v v v v v v v v v v v




Question 6 v




1 out of 1 points
v v v v




While genes have potential to modify behavior, behavior can also modify genes. How do genes
v v v v v v v v v v v v v v




impact this process?
v v v




Answer: B. Changes made to proteins lead to changes
v v v v v v v




vin behavior. v




Question 7 v




1 out of 1 points
v v v v




Though medications have the ability to target neurotransmitter release into the synapse by the
v v v v v v v v v v v v v




presynaptic neuron it is not always necessary. The PMHNP understands that this is because:
v v v v v v v v v v v v v v




Answer: C. Neurotransmitters can spread by diffusion.
v v v v v

, lOMoARcPSD|17616083




Question 8 v




1 out of 1 points
v v v v




Why is the cytochrome P450 enzyme system of significance to the PMHNP?
v v v v v v v v v v v




Answer: B. The bioavailability of the medication after it passes through the stomach and liver can
v v v v v v v v v v v v v v




be altered. v v




Question 9 v




1 out of 1 points
v v v v




It is important for the PMHNP to recognize differences in pharmacokinetics to safely prescribe
v v v v v v v v v v v v v




and monitor medications. Which of the following statements does the competent PMHNP
v v v v v v v v v v v v




identify as true?
v v v




Answer: A.About 1 out of 5Asians requires lower-than-normal doses of some antidepressants and
v v v v v v v v v v v v v




antipsychotics. v




Question 10 v




1 out of 1 points
v v v v




As it relates to G-protein linked receptors, what does the PMHNP understand about medications
v v v v v v v v v v v v v




that are used in practice?
v v v v v




Answer: A. Most medications that act on G-protein linked receptors have antagonistic traits.v v v v v v v v v v v




Question 11 v




1 out of 1 points
v v v v




The PMHNP is considering prescribing a 49-year-old male clozapine (Clozaril) to treat his
v v v v v v v v v v v v




schizophrenia and suicidal ideations. The PMHNP is aware that which factor may impact the dose
v v v v v v v v v v v v v v v




needed to effectively treat his condition:
v v v v v v




Answer: A. The patient smokes cigarettes.
v v v v




Question 12 v




0 out of 1 points
v v v v

, lOMoARcPSD|17616083




A patient is diagnosed with bipolar disorder and is currently taking carbamazepine (Tegretol),
v v v v v v v v v v v v




aripiprazole (Abilify), and melatonin. The PMHNP has just written an order to discontinue the
v v v v v v v v v v v v v v




carbamazepine (Tegretol) for drug-induced thrombocytopenia. The PMHNP is aware that his next best
v v v v v v v v v v v v v




action is to:
v v v




Answer: B. Write an order for a different mood stabilizer
v v v v v v v v




Question 13 v




1 out of 1 points
v v v v




A patient recently transferred following a suicide attempt has a history of schizophrenia,
v v v v v v v v v v v v




depression, and fibromyalgia. He is currently taking Amitriptyline (Elavil), Lisinopril, aspirin,
v v v v v v v v v v v




and fluoxetine (Prozac). When assessing the psychiatric medications and the reason for
v v v v v v v v v v v v




admission, what would be the best course of action for the PMHNP with this client?
v v v v v v v v v v v v v v v




Answer A. ReviewAmitriptyline (Elavil) level
v v v v




:



Question 14 v




0 out of 1 points
v v v v




A patient with schizophrenia is given an inverse agonist that acts on the receptor 5HT and neurotransmitter
v v v v v v v v v v v v v v v v




serotonin. What is the rationale for prescribing a medication such as this?
v v v v v v v v v v v v




Answer D. To help decrease the amount of serotonin and dopamine
v v v v v v v v v




:



Question 15 v




1 out of 1 points
v v v v




The PMHNP is caring for four patients. Which patient statement indicates that benzodiazepines
v v v v v v v v v v v v




would be beneficial?
v v v




Answer: D. “I feel nervous to go outside and be in large crowds.”
v v v v v v v v v v v




Question 16 v




1 out of 1 points
v v v v