NURS 6630 PSYCHOPHARMACOLOGY
MIDTERM 2026 COMPLETE PMHNP MIDTERM
PREPARATION AND STUDY MATERIALS
◉ which of the following medications are known as selective
serotonin re-uptake inibitors (SSRIs)?
Answer: Nortriptyline
Citalopram
Duloxetine
fluoxetine
venlafaxine
◉ Which disease state o a non-adherent patient is at greater risk for
substance use violence, and victimization as well as worse overall
quality of life?
Answer: Schizophrenia
◉ Patient is a 72 year old male with a past medical history
significant for the atrial fibrillation and COPD with a new diagnosis
of major depression disorder. Based on his comorbid conditions,
what antidepressant would you recommend as first-line?
Answer: not TCA due to fib and age, not ADHD med
,◉ which of the following is an appropriate strategy for managing
treatment resistant depression
Answer: SSRI and SNRI
◉ which of the following medications is best to AVOID in
maintenance treatment of bipolar disorder and why
Answer: antidepressants might contribute to an increase in mood
episode freq1uency
◉ An 8-year-old patient presents with severe hyperactivity,
described as "ants in his pants." Based on self-report from the
patient, his parents, and his teacher; attention deficit hyperactivity
disorder (ADHD) is suspected. What medication is the PMNHP most
likely to prescribe?
Answer: ANS: b.
Methylphenidate (Ritalin, Concerta)
◉ Kevin is an adolescent who has been diagnosed with kleptomania.
His parents are interested in seeking pharmacological treatment.
What does the PMHNP tell the parents regarding his treatment
options?
Answer: ANS: d.
"Naltrexone may be an appropriate option to discuss."
,◉ Which of the following substances has the highest probability of
becoming dependent after a single use?
Answer: ANS: c.
Nicotine
◉ The nursing staff asks the PMHNP for additional education
regarding the treatment of agitation in dementia patients. Which of
the following is correct?
Answer: ANS: c.
The nurse should attempt to determine how the patient's
environment may be impacting the patient's mood.
◉ A patient on chronic opioids is currently on oxycodone ER
(OxyContin). The PMHNP is consulted to treat underlying
depression. Under which circumstance should the PMHNP order
naloxone (NARCAN)?
Answer: ANS: c.
The patient is somnolent and has 7 respirations per minute.
◉ A patient with chronic insomnia asks the PMHNP if they can first
try an over the-counter (OTC) medication before one that needs to
be prescribed to help the patient sleep. Which is the best response
by the PMHNP?
Answer: ANS: a.
, "You can get melatonin over the counter, which will help with sleep
onset."
◉ The PMHNP is caring for a patient who experiences too much
overstimulation and anxiety during daytime hours. The patient
agrees to a pharmacological treatment but states, "I don't want to
feel sedated or drowsy from the medicine." Which decision made by
the PMHNP demonstrates proper knowledge of this patient's
symptoms and appropriate treatment options?
Answer: ANS: b.
Avoiding prescribing the patient a drug that blocks H1 receptors
◉ Which of these statements is correct?
Answer: ANS: d.
Sedation is unusual with aripiprazole (ABILIFY)
◉ The PMHNP is caring for a patient who openly admitted to
drinking a quart of vodka daily. Prior to prescribing this patient
disulfiram (Antabuse), it is important for the PMHNP to:
Answer: ANS: d.
Evaluate the patient's willingness to abstain from alcohol
◉ Mr. Peterson is meeting with the PMHNP to discuss healthier
dietary habits. With a BMI of 33, Mr. Peterson is obese and needs to
MIDTERM 2026 COMPLETE PMHNP MIDTERM
PREPARATION AND STUDY MATERIALS
◉ which of the following medications are known as selective
serotonin re-uptake inibitors (SSRIs)?
Answer: Nortriptyline
Citalopram
Duloxetine
fluoxetine
venlafaxine
◉ Which disease state o a non-adherent patient is at greater risk for
substance use violence, and victimization as well as worse overall
quality of life?
Answer: Schizophrenia
◉ Patient is a 72 year old male with a past medical history
significant for the atrial fibrillation and COPD with a new diagnosis
of major depression disorder. Based on his comorbid conditions,
what antidepressant would you recommend as first-line?
Answer: not TCA due to fib and age, not ADHD med
,◉ which of the following is an appropriate strategy for managing
treatment resistant depression
Answer: SSRI and SNRI
◉ which of the following medications is best to AVOID in
maintenance treatment of bipolar disorder and why
Answer: antidepressants might contribute to an increase in mood
episode freq1uency
◉ An 8-year-old patient presents with severe hyperactivity,
described as "ants in his pants." Based on self-report from the
patient, his parents, and his teacher; attention deficit hyperactivity
disorder (ADHD) is suspected. What medication is the PMNHP most
likely to prescribe?
Answer: ANS: b.
Methylphenidate (Ritalin, Concerta)
◉ Kevin is an adolescent who has been diagnosed with kleptomania.
His parents are interested in seeking pharmacological treatment.
What does the PMHNP tell the parents regarding his treatment
options?
Answer: ANS: d.
"Naltrexone may be an appropriate option to discuss."
,◉ Which of the following substances has the highest probability of
becoming dependent after a single use?
Answer: ANS: c.
Nicotine
◉ The nursing staff asks the PMHNP for additional education
regarding the treatment of agitation in dementia patients. Which of
the following is correct?
Answer: ANS: c.
The nurse should attempt to determine how the patient's
environment may be impacting the patient's mood.
◉ A patient on chronic opioids is currently on oxycodone ER
(OxyContin). The PMHNP is consulted to treat underlying
depression. Under which circumstance should the PMHNP order
naloxone (NARCAN)?
Answer: ANS: c.
The patient is somnolent and has 7 respirations per minute.
◉ A patient with chronic insomnia asks the PMHNP if they can first
try an over the-counter (OTC) medication before one that needs to
be prescribed to help the patient sleep. Which is the best response
by the PMHNP?
Answer: ANS: a.
, "You can get melatonin over the counter, which will help with sleep
onset."
◉ The PMHNP is caring for a patient who experiences too much
overstimulation and anxiety during daytime hours. The patient
agrees to a pharmacological treatment but states, "I don't want to
feel sedated or drowsy from the medicine." Which decision made by
the PMHNP demonstrates proper knowledge of this patient's
symptoms and appropriate treatment options?
Answer: ANS: b.
Avoiding prescribing the patient a drug that blocks H1 receptors
◉ Which of these statements is correct?
Answer: ANS: d.
Sedation is unusual with aripiprazole (ABILIFY)
◉ The PMHNP is caring for a patient who openly admitted to
drinking a quart of vodka daily. Prior to prescribing this patient
disulfiram (Antabuse), it is important for the PMHNP to:
Answer: ANS: d.
Evaluate the patient's willingness to abstain from alcohol
◉ Mr. Peterson is meeting with the PMHNP to discuss healthier
dietary habits. With a BMI of 33, Mr. Peterson is obese and needs to
