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Chamberlain NR546 Final Exam (Latest 2024/2025): Psychopharmacology for Psychiatric Nurse Practitioners | Verified Questions & Answers (Qualified!) $17.99
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Chamberlain NR546 Final Exam (Latest 2024/2025): Psychopharmacology for Psychiatric Nurse Practitioners | Verified Questions & Answers (Qualified!)

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Chamberlain NR546 Final Exam (Latest 2024/2025): Psychopharmacology for Psychiatric Nurse Practitioners | Verified Questions & Answers (Qualified!)

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  • December 24, 2024
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  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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1. A nurse is assessing a client diagnosed with major depressive
disorder (MDD). The client states, "I can't do anything right. I'm a
failure." The nurse should interpret this statement as:
a) A sign of guilt
b) Evidence of delusional thinking
c) A reflection of negative self-esteem
d) An indication of psychosis
Answer: c) A reflection of negative self-esteem
Rationale: Clients with MDD often have negative thoughts about
themselves, reflecting low self-esteem and feelings of worthlessness.
The statement, "I'm a failure," is a typical symptom of depression and
reflects the client's distorted self-perception.


2. A nurse is planning care for a client with schizophrenia who is
exhibiting delusions of persecution. Which of the following
interventions should the nurse prioritize?
a) Encourage the client to discuss their delusions in detail
b) Establish a trusting relationship with the client
c) Provide direct confrontation about the delusions
d) Administer antipsychotic medication as prescribed
Answer: b) Establish a trusting relationship with the client
Rationale: Building trust with clients experiencing delusions is essential
to reduce anxiety and establish therapeutic rapport. Confronting the
delusions directly or encouraging detailed discussions may increase the
client's distress and reinforce the delusions.

,3. A nurse is assessing a client with bipolar disorder. The client reports
feeling euphoric and has been sleeping only 2-3 hours per night for
the past week. The nurse should recognize these behaviors as
characteristic of which phase of bipolar disorder?
a) Depressive phase
b) Hypomanic phase
c) Manic phase
d) Mixed phase
Answer: c) Manic phase
Rationale: The manic phase of bipolar disorder is characterized by
symptoms such as elevated mood, decreased need for sleep, racing
thoughts, and excessive energy. The client's euphoria and sleep
deprivation are typical of this phase.


4. A client with a history of alcohol use disorder is attending an
outpatient group therapy session. Which statement by the client
indicates a need for further education about relapse prevention?
a) "I will avoid situations where I might be tempted to drink."
b) "I can have a drink occasionally as long as I don't drink too much."
c) "I will learn and practice coping strategies to manage stress."
d) "I will stay away from people who encourage me to drink."
Answer: b) "I can have a drink occasionally as long as I don't drink too
much."
Rationale: This statement indicates a lack of understanding of the
principles of recovery from alcohol use disorder. Even moderate
drinking can trigger a relapse, and abstinence is recommended for
maintaining sobriety.

, 5. A nurse is providing discharge teaching to a client prescribed a
selective serotonin reuptake inhibitor (SSRI) for depression. Which
statement by the client indicates an understanding of the teaching?
a) "I will stop taking the medication if I feel better."
b) "It may take 2 to 4 weeks before I feel the full effects of the
medication."
c) "I should avoid eating foods that are high in tyramine."
d) "This medication may make me sleepy, so I should take it at night."
Answer: b) "It may take 2 to 4 weeks before I feel the full effects of the
medication."
Rationale: SSRIs typically take 2 to 4 weeks to show their full
therapeutic effect. Stopping the medication early may lead to relapse.
There is no need to avoid tyramine-rich foods with SSRIs, as this is
relevant to monoamine oxidase inhibitors (MAOIs), not SSRIs.


6. A nurse is caring for a client who has been diagnosed with post-
traumatic stress disorder (PTSD). The client has nightmares and
intrusive thoughts about the traumatic event. Which intervention
should the nurse prioritize?
a) Encouraging the client to express their feelings about the trauma
b) Providing a calm, supportive environment
c) Encouraging the client to avoid thinking about the trauma
d) Administering a sedative medication to promote sleep
Answer: b) Providing a calm, supportive environment
Rationale: Creating a calm, supportive environment can help reduce the
client's anxiety and promote safety. Encouraging the expression of

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