NR 547 Psychopharmacology – PMHNP Midterm & Final Exam
Study Guide – Nurse Practitioner Program 2025–2026 – Verified
Questions and Answers (Graded A+)
Thiss1up-to-
dates1NRs1547s1tests1banks1providess1thes1mosts1recents1ands1accurates1preparations1materials1fo
rs1boths1thes1Midterms1ands1Finals1Examss1ins1thes12025–
2026s1PMHNPs1psychopharmacologys1curriculum.s1Its1includess1real,s1gradeds1A+s1questionss
1ands1verifieds1answerss1coverings1alls1keys1areas:s1neurotransmitters1systems,s1pharmacokineti
cs,s1drug-
receptors1interactions,s1psychiatrics1medications1management,s1ands1clinicals1cases1applicatio
ns.s1Ideals1fors1studentss1aimings1fors1tops1scoress1ins1theirs1NPs1program.
1. Ameeta,s1as142-year-
olds1female,s1presentss1tos1thes1primarys1cares1clinics1withs1as1three-
months1historys1ofs1"feelings1lows1ands1sad"s1withs1poors1energy,s1inabilitys1tos1c
oncentrate,s1ands1irritability.s1Shes1indicatess1thats1thes1symptomss1weres1initial
lys1presents1onces1pers1weeks1buts1haves1increaseds1tos14-
5s1timess1pers1week.s1Shes1reportss1makings1ans1errors1lasts1weeks1ats1thes1grocer
ys1stores1wheres1shes1workss1ass1as1cashiers1ands1snappings1ats1thes1customers1
whens1thes1errors1wass1broughts1tos1hers1attention.s1Shes1iss1concerneds1abouts1
hers1losss1ofs1interests1ins1hers1usuals1socials1activitiess1ands1as120-
pounds1weights1gain.s1Shes1alsos1reportss1frequents1headaches,s1difficultys1gett
ings1outs1ofs1beds1ins1thes1morning,s1feelings1worthless,s1ands1lows1libido.s1Shes1
acknowledgess1thats1shes1feelss1guiltys1dailys1ass1shes1hass1nots1visiteds1hers1so
1s1/s1
150
,ns1ins16s1monthss1ands1believess1thats1shes1hass1"lets1hims1down".s1Thinkings1abou
ts1its1keepss1hers1"ups1ats1night".s1Shes1hass1difficultys1fallings1ands1stayings1asle
eps1everys1night.s1Shes1deniess1suicidals1idea:s1citaloprams120s1mgs1pos1daily
2s1/s1
150
,Rationale:s1Althoughs1alls1threes1drugss1ares1appropriates1tos1uses1whens1treatings1unip
olars1depression,s1Citaloprams1iss1ans1SSRIs1ands1iss1considereds1as1first-lines1choice.
2. Seths1iss1as122-year-olds1withs1as1court-
ordereds1referrals1fors1assessment.s1Hes1wass1arresteds1ons1chargess1ofs1stealin
gs1froms1ans1aunts1whiles1hes1wass1house-
sitting.s1Thiss1iss1thes1thirds1times1hes1hass1beens1caughts1stealings1froms1thes1fa
milys1ins1thes1pasts1twos1years,s1buts1thes1firsts1times1thats1thes1victims1presseds1c
harges.s1Seths1statess1thats1hes1isn'ts1toos1worrieds1abouts1hiss1stealings1behavi
ors,s1becauses1hiss1familys1"hass1as1lots1ofs1money,s1ands1theys1ares1nots1goings1t
os1misss1as1littles1heres1ands1there."s1Seths1hass1helds1severals1entry-
levels1jobss1overs1thes1pasts1threes1years,s1buts1hes1hass1lefts1eachs1positions1afte
rs1onlys1as1fews1monthss1becauses1hes1felts1hes1wass1"aboves1thats1kinds1ofs1work
".s1Hes1endorsess1havings1multiples1unprotecteds1sexuals1experiences,s1buts1he
s1deniess1evers1beings1ins1as1relationship.
Seths1meetss1severals1criterias1fors1antisocials1personalitys1disorder.s1Whichs1
ofs1thes1followings1statementss1wills1helps1supports1thiss1diagnosis?s1Selects1al
ls1thats1apply.s1Seths1statess1thats1hes1hass1beens1stealings1from:s1-
Dependents1personals1disorder
Rationale:s1Noras1meetss1diagnostics1criterias1fors1dependents1personalitys1disorder.s1
Shes1hass1difficultys1makings1decisionss1withouts1inputs1froms1others,s1hass1difficultys1e
xpressings1disagreement,s1ands1hass1feelingss1ofs1discomforts1abouts1beings1alones1a
nds1carings1fors1herself.
3. SDRIs:s 1 -inhibits 1 DAs 1 reuptakes 1 (‘alertness,s 1 motivation)s 1 -
inhibits 1 NEs 1 reuptakes1(‘energy)s1-Adverses1effects:
• agitation
• headache
• drys1mouth
• constipations1•s1weights1loss
4. TCAs:s1-
Action:s1inhibitss1thes1reuptakes1ofs1serotonins1ands1norepinephrine;s1blockss1
3s1/s1
150
, norepinephrine,s1histamine,s1ands1acetylcholines1receptorss1-
Examples:s1amitriptyline,s1clomipramine,s1desipramine,s1doxepins1-
Commons1Sides1Effects:
• drys1mouth
4s1/s1
150
Study Guide – Nurse Practitioner Program 2025–2026 – Verified
Questions and Answers (Graded A+)
Thiss1up-to-
dates1NRs1547s1tests1banks1providess1thes1mosts1recents1ands1accurates1preparations1materials1fo
rs1boths1thes1Midterms1ands1Finals1Examss1ins1thes12025–
2026s1PMHNPs1psychopharmacologys1curriculum.s1Its1includess1real,s1gradeds1A+s1questionss
1ands1verifieds1answerss1coverings1alls1keys1areas:s1neurotransmitters1systems,s1pharmacokineti
cs,s1drug-
receptors1interactions,s1psychiatrics1medications1management,s1ands1clinicals1cases1applicatio
ns.s1Ideals1fors1studentss1aimings1fors1tops1scoress1ins1theirs1NPs1program.
1. Ameeta,s1as142-year-
olds1female,s1presentss1tos1thes1primarys1cares1clinics1withs1as1three-
months1historys1ofs1"feelings1lows1ands1sad"s1withs1poors1energy,s1inabilitys1tos1c
oncentrate,s1ands1irritability.s1Shes1indicatess1thats1thes1symptomss1weres1initial
lys1presents1onces1pers1weeks1buts1haves1increaseds1tos14-
5s1timess1pers1week.s1Shes1reportss1makings1ans1errors1lasts1weeks1ats1thes1grocer
ys1stores1wheres1shes1workss1ass1as1cashiers1ands1snappings1ats1thes1customers1
whens1thes1errors1wass1broughts1tos1hers1attention.s1Shes1iss1concerneds1abouts1
hers1losss1ofs1interests1ins1hers1usuals1socials1activitiess1ands1as120-
pounds1weights1gain.s1Shes1alsos1reportss1frequents1headaches,s1difficultys1gett
ings1outs1ofs1beds1ins1thes1morning,s1feelings1worthless,s1ands1lows1libido.s1Shes1
acknowledgess1thats1shes1feelss1guiltys1dailys1ass1shes1hass1nots1visiteds1hers1so
1s1/s1
150
,ns1ins16s1monthss1ands1believess1thats1shes1hass1"lets1hims1down".s1Thinkings1abou
ts1its1keepss1hers1"ups1ats1night".s1Shes1hass1difficultys1fallings1ands1stayings1asle
eps1everys1night.s1Shes1deniess1suicidals1idea:s1citaloprams120s1mgs1pos1daily
2s1/s1
150
,Rationale:s1Althoughs1alls1threes1drugss1ares1appropriates1tos1uses1whens1treatings1unip
olars1depression,s1Citaloprams1iss1ans1SSRIs1ands1iss1considereds1as1first-lines1choice.
2. Seths1iss1as122-year-olds1withs1as1court-
ordereds1referrals1fors1assessment.s1Hes1wass1arresteds1ons1chargess1ofs1stealin
gs1froms1ans1aunts1whiles1hes1wass1house-
sitting.s1Thiss1iss1thes1thirds1times1hes1hass1beens1caughts1stealings1froms1thes1fa
milys1ins1thes1pasts1twos1years,s1buts1thes1firsts1times1thats1thes1victims1presseds1c
harges.s1Seths1statess1thats1hes1isn'ts1toos1worrieds1abouts1hiss1stealings1behavi
ors,s1becauses1hiss1familys1"hass1as1lots1ofs1money,s1ands1theys1ares1nots1goings1t
os1misss1as1littles1heres1ands1there."s1Seths1hass1helds1severals1entry-
levels1jobss1overs1thes1pasts1threes1years,s1buts1hes1hass1lefts1eachs1positions1afte
rs1onlys1as1fews1monthss1becauses1hes1felts1hes1wass1"aboves1thats1kinds1ofs1work
".s1Hes1endorsess1havings1multiples1unprotecteds1sexuals1experiences,s1buts1he
s1deniess1evers1beings1ins1as1relationship.
Seths1meetss1severals1criterias1fors1antisocials1personalitys1disorder.s1Whichs1
ofs1thes1followings1statementss1wills1helps1supports1thiss1diagnosis?s1Selects1al
ls1thats1apply.s1Seths1statess1thats1hes1hass1beens1stealings1from:s1-
Dependents1personals1disorder
Rationale:s1Noras1meetss1diagnostics1criterias1fors1dependents1personalitys1disorder.s1
Shes1hass1difficultys1makings1decisionss1withouts1inputs1froms1others,s1hass1difficultys1e
xpressings1disagreement,s1ands1hass1feelingss1ofs1discomforts1abouts1beings1alones1a
nds1carings1fors1herself.
3. SDRIs:s 1 -inhibits 1 DAs 1 reuptakes 1 (‘alertness,s 1 motivation)s 1 -
inhibits 1 NEs 1 reuptakes1(‘energy)s1-Adverses1effects:
• agitation
• headache
• drys1mouth
• constipations1•s1weights1loss
4. TCAs:s1-
Action:s1inhibitss1thes1reuptakes1ofs1serotonins1ands1norepinephrine;s1blockss1
3s1/s1
150
, norepinephrine,s1histamine,s1ands1acetylcholines1receptorss1-
Examples:s1amitriptyline,s1clomipramine,s1desipramine,s1doxepins1-
Commons1Sides1Effects:
• drys1mouth
4s1/s1
150
