NURS 6630 MIDTERM EXAM:PSYCHOPHARMACOLOGIC APPROACHES TO TREATMENT OF PSYCHOPATHOLOGY WITH COMPLETE SOLUTIONS

NURS 6630 MIDTERM EXAM:PSYCHOPHARMACOLOGIC APPROACHES TO TREATMENT OF PSYCHOPATHOLOGY WITH COMPLETE SOLUTIONS • Question 1 1 out of 1 points During assessment a patient states “Why are you asking me about my heart, I am here for my head”, the PMHNP’s best response is: Selected Answer: D. “Anxiety can cause cortisol levels to increase and when this happens frequently it puts you at risk for comorbidities such as type 2 diabetes.” • Question 2 Duringgeneexpression, what mustoccurprior toagenebeing expressed? 1 out of 1 points Selected Answers: A. Transcription factor must bind to the regulatory region within the cell’s nucleus. • Question 3 1 out of 1 points The PMNHP is assessinga29-year-old client who takes antipsychotics that block D2 receptors. This client has begun to develop a common side effect of this medication. What is this side effect? Selected Answer: D. Tardivedyskinesia • Question 4 1 out of 1 points After ordering flumazenil (Rumazicon) the PMHNP cautions thestaff to monitor for which possible effect? Answer: D. All of the above • Question 5 1 out of 1 points NURS 6630 MIDTERM EXAM:PSYCHOPHARMACOLOGIC APPROACHES TO TREATMENT OF PSYCHOPATHOLOGY WITH COMPLETE SOLUTIONS A patient is prescribed 50 mg of desvenlafaxine to take every other day for major depressive disorder. What does the PMHNP understand about this patient? Selected Answer: C. The patient has severe renalimpairment. • Question 6 1 out of 1 points A patient is prescribed sertraline to treat panic disorder. Knowing that sertraline can initially cause anxiety or insomnia, what should the PMHNP do? Selected Answer: B. Prescribe short-acting benzodiazepine for 2 weeks, then discontinue. • Question 7 1 out of 1 points Though medications have the ability to target neurotransmitter release into the synapse by the presynaptic neuron it is not always necessary. The PMHNP understands that this is because: Selected Answer: C. Neurotransmitters can spread by diffusion. • Question 8 1 out of 1 points A patient is diagnosed with schizophrenia. What increases the patient’s potential to mediate the cognitive symptoms of the disease? Selected Answer: A. Achieving under activity of the mesocorticol projections to the prefrontal cortex • Question 9 1 out of 1 points The PMHNP spends a session with a client and notices behaviors correlating with a potential manic episode. All of the following are possible manic symptoms the PMHNP could observe except: Selected Answer: D. A low self esteem • Question 10 1 out of 1 points A patient who is prescribed MAO inhibitors asks about whether he can continue taking pseudoephedrine to relieve his congestion. Which response by the PMHNP indicates proper understanding of drug-drug interactions? Selected Answer: D. “Decongestants should be avoided due to risk of hypertensive crisis.” • Question 11 1 out of 1 points Fluoxetine (Prozac) has been prescribed for a client with depression. Which of the following statements is true regarding the action of this medication? Selected Answer: B. Fluoxetine inhibits the serotonin transporter (SERT). • Question 12 1 out of 1 points A patient was diagnosed with GAD 4 weeks ago and was placed on Clonazepam (klonopin) twice a day and citalopram (citalopram (celexa)) once daily. When he asks the PMHNP why it is necessary to wean him off of the Clonazepam (klonopin) the best response is: Selected Answer: C. Clonazepam (klonopin) was used as an aid to treat your condition while you were adjusting to citalopram (celexa) • Question 13 1 out of 1 points Ms. Skidmore presents for a follow-up appointment after being prescribed phenelzine (Nardil),and reports “I take my45 mg pill, three times a day, just like I’m supposed to. ”What does the PMHNP understand about this patient? Selected Answer: C. Ms. Skidmore is taking too much of the phenelzine (Nardil); she should betaking the45 mg in three doses. • Question 14 1 out of 1 points A patient diagnosed with PTSD is prescribed propranolol (Inderal) and the PMHNP understands that he was prescribed this medication for what purpose: Selected Answer: B. Beta blockers are linked to reconsolidation. • Question 15 1 out of 1 points What characteristics do the nicotinic, cholinergic, serotonin 3,and glycine receptors all have in common? Selected Answer: A. Ligand-gated ion channels with a pentameric