NURS6311 Final- Previous Qs
A 55-year-old female recently accepted a severance package for early retirement from her job
as a fashion buyer for a major retail store. Over the past 6 months she has increasingly become
isolated, neglecting her self-care, and collecting various things of no real value. Her appearance
is unkempt, and her affect is flat. Before being called back to the consultation room the PMHNP
notices that the patient seems to be talking to herself audibly. During the consultation the
patient makes poor eye contact and wants frequent reassurance that no one is listening in.
Which of the following would be the best action for the PMHNP to take?
A. Send the patient to the psychiatric emergency department
B. Speak in a calm reassuring voice and evaluate for comorbid conditions
C. Prescribe an antipsychotic medication for atypical psychosis
D. Order an MRI of the brain to rule out a mass - correct answer B. Speak in a calm reassuring
voice and evaluate for comorbid conditions (ch. 9. p. 147, Q. 5)
A 55 y/o woman has been referred for a psychiatric evaluation for a change in personality, lack
of impulse control, and increasingly reckless decision-making. Which area of the brain would be
responsible for these symptoms?
A. Parietal lobe
B. Broca's area
C. Wernicke's area
D. Frontal lobe - correct answer D. Frontal lobe (ch. 4. p. 73, Q. 2)
A 72 y/o man with a comorbid history of uncontrolled hypertension is referred to the PMHNP
for dementia secondary to depression. The mental status exam reveals difficulty speaking
fluently, inappropriate and confabulated responses, incongruent affect, and poor judgement. A
cerebrovascular accident in which region of the brain would better explain these symptoms?
A. Parietal lobe
B. Wernicke's area
C. Broca's area
D. Occipital lobe - correct answer C. Broca's area (ch. 4. p. 73, Q. 5)
,NURS6311 Final- Previous Qs
Which region of the brain is associated with sensory integration, spatial awareness, and
conscious awareness of the opposite side of the body?
A. Occipital lobe
B. Wernicke's area
C. Broca's area
D. Parietal lobe - correct answer D. Parietal lobe (ch. 4. p. 73, Q. 6)
A patient appears internally preoccupied and responding to auditory hallucination. This patient
may have a pathology affecting which lobe of the brain?
A. Temporal lobe
B. Occipital lobe
C. Parietal lobe
D. Cerebellum - correct answer A. Temporal lobe (ch. 4. p. 73, Q. 7)
A patient presents with atypical symptoms of psychosis that include inconsistent auditory
hallucinations without disorganization. What is the best definition of an EEG and its utility?
A. Radiologic test utilizing magnets and radio waves to provide detailed image of the structures
of the brain
B. Electrophysiologic test that depicts electrical activity on the surface of the brain
C. A serum test to indicate nutritional deficiencies that inhibit the formation of
neurotransmitters
D. A neuropsychological test to distinguish psychosis from a psychosomatic illness - correct
answer B. Electrophysiologic test that depicts electrical activity on the surface of the brain (ch.
4. p. 73, Q. 8)
A patient is diagnosed with major depressive disorder with the most prominent features f
apathy, anhedonia, and isolation. Which neurotransmitter is associated with the symptoms?
A. Serotonin
B. Gamma-aminobenzoic acid (GABA)
,NURS6311 Final- Previous Qs
C. Dopamine
D. Cannabinoids - correct answer C. Dopamine (ch. 4. p. 74, Q. 15)
The PMHNP in the ED is evaluating a 68 y/o woman who recently diagnosed with mild cognitive
impairment patient and cannot remember the name of the medication that she has recently
started 1 week ago. The patient is complaining of increased heart rate, sweating, and muscle
spasms progressively worsening for the last 3 days. Which neurotransmitter is associated with
this adverse effect?
A. Serotonin
B. Acetylcholine
C. Gamma-aminobenzoic acid (GABA)
D. Dopamine - correct answer B. Acetylcholine (ch. 4. p. 75, Q. 17)
Which of the following neurotransmitters exert inhibition over neuronal function?
A. Acetylcholine
B. Cannabinoids
C. Gamma-aminobenzoic acid (GABA)
D. Dopamine - correct answer C. Gamma-aminobenzoic acid (GABA) (ch. 4. p. 75, Q. 18)
A 45 y/o man presents for a follow-up visit after starting on an SSRI 2 weeks ago for major
depressive disorder. Which assessment tool would be the best indicator of progress?
A. Geriatric Depression Scale
B. The Young Mania Rating Scale
C. Yale-Brown Obsessive Compulsive Scale
D. Quick Inventory of Depressive Symptomatology - correct answer D. Quick Inventory of
Depressive Symptomatology (ch. 4. p. 75, Q. 20)
A 79-year-old female with no past psychiatric history is admitted with new onset auditory
hallucinations. The patient states her most bothersome symptom is the voices, which have kept
her from sleeping through the night for the last 3 weeks, and as a result, she is tired and
irritable. Which medication should the PMHNP order for bedtime for sleep?
, NURS6311 Final- Previous Qs
A. Olanzapine 2.5mg PO
B. Lorazepam 1mg PO
C. Chlorpromazine 50mg PO
D. Sertraline 50mg PO - correct answer A. Olanzapine 2.5mg PO (ch. 5. p. 89, Q. 7)
A patient with schizophrenia was discharged from the hospital on olanzapine 5 mg twice a day.
He immediately resumed smoking cigarettes and escalated to one pack per day. Upon
presenting for his 1- week follow-up appointment, the patient reports he is having trouble
sleeping and the voices have started to return. Which of the following actions should the
PMHNP take?
A. Send the patient to the ED for stabilization
B. Change to another antipsychotic medication, and refer to a psychiatrist.
C. Increase his olanzapine, and schedule a follow-up visit in 2 days
D. Tell him to stop smoking and give him a nicotine patch - correct answer C. Increase his
olanzapine, and schedule a follow-up visit in 2 days (ch. 5. p. 89, Q. 5)
A 16-year-old male with a history of smoking cigarettes and marijuana is being evaluated at the
request of the school and parents. The child states that the reason he smokes is it "helps calm
me down" as he is anxious all the time. Which of the following medications would be the best
choice?
A. Fluoxetine 20mg PO daily
B. Clonazepam 0.5mg PO daily
C. Vortioxetine 20mg daily
D. Citalopram 5mg PO daily - correct answer A. Fluoxetine 20mg PO daily (ch. 5. p. 89, Q. 8)
A woman in her 20th week of pregnancy has been resumed on lithium for bipolar disorder. The
PMHNP knows that the patient may become subtherapeutic despite taking the medication as
prescribed due to:
A. Increased blood volume
A 55-year-old female recently accepted a severance package for early retirement from her job
as a fashion buyer for a major retail store. Over the past 6 months she has increasingly become
isolated, neglecting her self-care, and collecting various things of no real value. Her appearance
is unkempt, and her affect is flat. Before being called back to the consultation room the PMHNP
notices that the patient seems to be talking to herself audibly. During the consultation the
patient makes poor eye contact and wants frequent reassurance that no one is listening in.
Which of the following would be the best action for the PMHNP to take?
A. Send the patient to the psychiatric emergency department
B. Speak in a calm reassuring voice and evaluate for comorbid conditions
C. Prescribe an antipsychotic medication for atypical psychosis
D. Order an MRI of the brain to rule out a mass - correct answer B. Speak in a calm reassuring
voice and evaluate for comorbid conditions (ch. 9. p. 147, Q. 5)
A 55 y/o woman has been referred for a psychiatric evaluation for a change in personality, lack
of impulse control, and increasingly reckless decision-making. Which area of the brain would be
responsible for these symptoms?
A. Parietal lobe
B. Broca's area
C. Wernicke's area
D. Frontal lobe - correct answer D. Frontal lobe (ch. 4. p. 73, Q. 2)
A 72 y/o man with a comorbid history of uncontrolled hypertension is referred to the PMHNP
for dementia secondary to depression. The mental status exam reveals difficulty speaking
fluently, inappropriate and confabulated responses, incongruent affect, and poor judgement. A
cerebrovascular accident in which region of the brain would better explain these symptoms?
A. Parietal lobe
B. Wernicke's area
C. Broca's area
D. Occipital lobe - correct answer C. Broca's area (ch. 4. p. 73, Q. 5)
,NURS6311 Final- Previous Qs
Which region of the brain is associated with sensory integration, spatial awareness, and
conscious awareness of the opposite side of the body?
A. Occipital lobe
B. Wernicke's area
C. Broca's area
D. Parietal lobe - correct answer D. Parietal lobe (ch. 4. p. 73, Q. 6)
A patient appears internally preoccupied and responding to auditory hallucination. This patient
may have a pathology affecting which lobe of the brain?
A. Temporal lobe
B. Occipital lobe
C. Parietal lobe
D. Cerebellum - correct answer A. Temporal lobe (ch. 4. p. 73, Q. 7)
A patient presents with atypical symptoms of psychosis that include inconsistent auditory
hallucinations without disorganization. What is the best definition of an EEG and its utility?
A. Radiologic test utilizing magnets and radio waves to provide detailed image of the structures
of the brain
B. Electrophysiologic test that depicts electrical activity on the surface of the brain
C. A serum test to indicate nutritional deficiencies that inhibit the formation of
neurotransmitters
D. A neuropsychological test to distinguish psychosis from a psychosomatic illness - correct
answer B. Electrophysiologic test that depicts electrical activity on the surface of the brain (ch.
4. p. 73, Q. 8)
A patient is diagnosed with major depressive disorder with the most prominent features f
apathy, anhedonia, and isolation. Which neurotransmitter is associated with the symptoms?
A. Serotonin
B. Gamma-aminobenzoic acid (GABA)
,NURS6311 Final- Previous Qs
C. Dopamine
D. Cannabinoids - correct answer C. Dopamine (ch. 4. p. 74, Q. 15)
The PMHNP in the ED is evaluating a 68 y/o woman who recently diagnosed with mild cognitive
impairment patient and cannot remember the name of the medication that she has recently
started 1 week ago. The patient is complaining of increased heart rate, sweating, and muscle
spasms progressively worsening for the last 3 days. Which neurotransmitter is associated with
this adverse effect?
A. Serotonin
B. Acetylcholine
C. Gamma-aminobenzoic acid (GABA)
D. Dopamine - correct answer B. Acetylcholine (ch. 4. p. 75, Q. 17)
Which of the following neurotransmitters exert inhibition over neuronal function?
A. Acetylcholine
B. Cannabinoids
C. Gamma-aminobenzoic acid (GABA)
D. Dopamine - correct answer C. Gamma-aminobenzoic acid (GABA) (ch. 4. p. 75, Q. 18)
A 45 y/o man presents for a follow-up visit after starting on an SSRI 2 weeks ago for major
depressive disorder. Which assessment tool would be the best indicator of progress?
A. Geriatric Depression Scale
B. The Young Mania Rating Scale
C. Yale-Brown Obsessive Compulsive Scale
D. Quick Inventory of Depressive Symptomatology - correct answer D. Quick Inventory of
Depressive Symptomatology (ch. 4. p. 75, Q. 20)
A 79-year-old female with no past psychiatric history is admitted with new onset auditory
hallucinations. The patient states her most bothersome symptom is the voices, which have kept
her from sleeping through the night for the last 3 weeks, and as a result, she is tired and
irritable. Which medication should the PMHNP order for bedtime for sleep?
, NURS6311 Final- Previous Qs
A. Olanzapine 2.5mg PO
B. Lorazepam 1mg PO
C. Chlorpromazine 50mg PO
D. Sertraline 50mg PO - correct answer A. Olanzapine 2.5mg PO (ch. 5. p. 89, Q. 7)
A patient with schizophrenia was discharged from the hospital on olanzapine 5 mg twice a day.
He immediately resumed smoking cigarettes and escalated to one pack per day. Upon
presenting for his 1- week follow-up appointment, the patient reports he is having trouble
sleeping and the voices have started to return. Which of the following actions should the
PMHNP take?
A. Send the patient to the ED for stabilization
B. Change to another antipsychotic medication, and refer to a psychiatrist.
C. Increase his olanzapine, and schedule a follow-up visit in 2 days
D. Tell him to stop smoking and give him a nicotine patch - correct answer C. Increase his
olanzapine, and schedule a follow-up visit in 2 days (ch. 5. p. 89, Q. 5)
A 16-year-old male with a history of smoking cigarettes and marijuana is being evaluated at the
request of the school and parents. The child states that the reason he smokes is it "helps calm
me down" as he is anxious all the time. Which of the following medications would be the best
choice?
A. Fluoxetine 20mg PO daily
B. Clonazepam 0.5mg PO daily
C. Vortioxetine 20mg daily
D. Citalopram 5mg PO daily - correct answer A. Fluoxetine 20mg PO daily (ch. 5. p. 89, Q. 8)
A woman in her 20th week of pregnancy has been resumed on lithium for bipolar disorder. The
PMHNP knows that the patient may become subtherapeutic despite taking the medication as
prescribed due to:
A. Increased blood volume
