NR 546 Advanced Pharmacology Psychopharmacology
for the Psychiatric-Mental Health Nurse Practitioner
Midterm Exam
1. A 22-year-old patient recently diagnosed with bipolar disorder and states "I'm
not crazy" and is refusing to take his prescribed medication. Which type of factor
is contributing to this patient's nonadherence?
A. Client factors
B. Clinician factors
C. Structural factors
D. Environmental factors
:Ans>> C. Structural factors
2. Using Dell'Osso et al.'s sequential framework of priorities to promote med-
ication adherence, determine which step is being defined
,:Ans>> The PMHNP ex- plains the mechanism of action, anticipated time to
experience effects, side effects, and lifestyle instructions to a patient after
prescribing Wellbutrin.
A. Diagnosis
B. Medication education
C. Monitoring plan
D. Adherence reinforcement
:Ans>> B. Medication education
3. A patient recovering from a stroke has trouble with speech comprehension and
works with a speech therapist twice a week. Which part of the patient's brain has
been affected by the stroke?
A. The Broca's area
B. The Basal ganglia
C. The Limbic system
D. The Wernicke's area
:Ans>> D. The Wernicke's area
,4. Which of the following poses a potential ethical concern when prescribing
psychiatric medications?
A. The patient is homeless and uninsured
B. The patient poses a risk to themself as they state they are experiencing very
scary auditory and visual hallucinations
C. The patient's family voices a stigma against psychiatric medications
D. The patient states they worry about the potential side effects of the med-
ication
:Ans>> B. The patient poses a risk to themself as they state they are experiencing very
scary auditory and visual hallucinations
5. What is the name of the lobe that controls visual processing?
A. Gyrus
B. Frontal Lobe
,C. Occipital Lobe
D. Parietal Lobe
:Ans>> C. Occipital Lobe
6. The cerebellum, cerebrum, brain stem, and butterfly-shaped portion of the
central spinal cord are comprised of which contains neural
cell bodies, axon terminals, dendrites, and all nerve synapses.
A. Frontal lobe
B. White mater
C. Grey mater
D. Corpus callosum
:Ans>> C. Grey mater
7. What is the function of the central sulcus?
A. Separates the temporal from the occipital lobe
B. Separates the frontal from the parietal lobe
C. Involved in complex motor activities
D. Keeps us alert to our environment
,:Ans>> B. Separates the frontal from the parietal lobe
8. Which of the following is associated with motor coordination?
A. Broca's Area
B. Olfactory Nerves
C. Frontal Cortex
D. Thalamus
:Ans>> D. Thalamus
9. Which lobe of the brain is in charge of handling memory and anxiety?
A. Frontal lobe
B. Anxiety center
C. Temporal lobe
D. Central sulcus
:Ans>> C. Temporal lobe
10. Damage to the anterior portion of which lobe can cause asterogenesis?
A. Frontal
,B. Temporal
C. Parietal
D. Occipital
:Ans>> C. Parietal
11. What part of a neuron receives the signal?
A. Axon
B. Axon Terminal
,C. Dendrites
D. Soma
:Ans>> C. Dendrites
12. Which of the following separates the frontal lobe from the parietal lobe?
A. The grey matter
B. The central sulcus
C. The Hippocampus
D. The Broca's area
:Ans>> B. The central sulcus
13. What lobe of the brain is responsible for higher-level executive functions
such as expressive language and voluntary movement?
A. Occipital lobe
B. Parietal lobe
C. Frontal lobe
D. Temporal lobe
:Ans>> C. Frontal lobe
14. Which area of the brain is regulates long term memory?
, A. Hippocampus
B. Parietal lobe
C. Temporal lobe
D. Occipital lobe
:Ans>> A. Hippocampus
15. Which area of the brain is associated anxiety and perception of odors?
A. Amygdala
B. Basal ganglia
C. Prefrontal cortex
D. Wernicke's area
:Ans>> A. Amygdala
16. The limbic system is associated with which of the following?
A. Executive function
B. Emotion and learning
C. Intelligence and movement
D. Expressive speech
:Ans>> B. Emotion and learning
17. Which channel membrane protein is specifically important in the process of
for the Psychiatric-Mental Health Nurse Practitioner
Midterm Exam
1. A 22-year-old patient recently diagnosed with bipolar disorder and states "I'm
not crazy" and is refusing to take his prescribed medication. Which type of factor
is contributing to this patient's nonadherence?
A. Client factors
B. Clinician factors
C. Structural factors
D. Environmental factors
:Ans>> C. Structural factors
2. Using Dell'Osso et al.'s sequential framework of priorities to promote med-
ication adherence, determine which step is being defined
,:Ans>> The PMHNP ex- plains the mechanism of action, anticipated time to
experience effects, side effects, and lifestyle instructions to a patient after
prescribing Wellbutrin.
A. Diagnosis
B. Medication education
C. Monitoring plan
D. Adherence reinforcement
:Ans>> B. Medication education
3. A patient recovering from a stroke has trouble with speech comprehension and
works with a speech therapist twice a week. Which part of the patient's brain has
been affected by the stroke?
A. The Broca's area
B. The Basal ganglia
C. The Limbic system
D. The Wernicke's area
:Ans>> D. The Wernicke's area
,4. Which of the following poses a potential ethical concern when prescribing
psychiatric medications?
A. The patient is homeless and uninsured
B. The patient poses a risk to themself as they state they are experiencing very
scary auditory and visual hallucinations
C. The patient's family voices a stigma against psychiatric medications
D. The patient states they worry about the potential side effects of the med-
ication
:Ans>> B. The patient poses a risk to themself as they state they are experiencing very
scary auditory and visual hallucinations
5. What is the name of the lobe that controls visual processing?
A. Gyrus
B. Frontal Lobe
,C. Occipital Lobe
D. Parietal Lobe
:Ans>> C. Occipital Lobe
6. The cerebellum, cerebrum, brain stem, and butterfly-shaped portion of the
central spinal cord are comprised of which contains neural
cell bodies, axon terminals, dendrites, and all nerve synapses.
A. Frontal lobe
B. White mater
C. Grey mater
D. Corpus callosum
:Ans>> C. Grey mater
7. What is the function of the central sulcus?
A. Separates the temporal from the occipital lobe
B. Separates the frontal from the parietal lobe
C. Involved in complex motor activities
D. Keeps us alert to our environment
,:Ans>> B. Separates the frontal from the parietal lobe
8. Which of the following is associated with motor coordination?
A. Broca's Area
B. Olfactory Nerves
C. Frontal Cortex
D. Thalamus
:Ans>> D. Thalamus
9. Which lobe of the brain is in charge of handling memory and anxiety?
A. Frontal lobe
B. Anxiety center
C. Temporal lobe
D. Central sulcus
:Ans>> C. Temporal lobe
10. Damage to the anterior portion of which lobe can cause asterogenesis?
A. Frontal
,B. Temporal
C. Parietal
D. Occipital
:Ans>> C. Parietal
11. What part of a neuron receives the signal?
A. Axon
B. Axon Terminal
,C. Dendrites
D. Soma
:Ans>> C. Dendrites
12. Which of the following separates the frontal lobe from the parietal lobe?
A. The grey matter
B. The central sulcus
C. The Hippocampus
D. The Broca's area
:Ans>> B. The central sulcus
13. What lobe of the brain is responsible for higher-level executive functions
such as expressive language and voluntary movement?
A. Occipital lobe
B. Parietal lobe
C. Frontal lobe
D. Temporal lobe
:Ans>> C. Frontal lobe
14. Which area of the brain is regulates long term memory?
, A. Hippocampus
B. Parietal lobe
C. Temporal lobe
D. Occipital lobe
:Ans>> A. Hippocampus
15. Which area of the brain is associated anxiety and perception of odors?
A. Amygdala
B. Basal ganglia
C. Prefrontal cortex
D. Wernicke's area
:Ans>> A. Amygdala
16. The limbic system is associated with which of the following?
A. Executive function
B. Emotion and learning
C. Intelligence and movement
D. Expressive speech
:Ans>> B. Emotion and learning
17. Which channel membrane protein is specifically important in the process of
