NURS 6630 Midterm Exam Test Bank Questions and Answers
Advanced Practice care of Adults Walden University
100%Correct/verified Latest Update 2023/2024 RATED A+
NURS 6630 Midterm Exam Test Bank Questions and Answers
Advanced Practice care of Adults Walden University
100%Correct/verified Latest Update 2023/2024 RATED A+
Question 1
1 out of 1 points
A noncompliant patient states, “Why do you want me to put this poison in my body?” Identify the
best response made by the psychiatric-mental health nurse practitioner (PMHNP).
Answer: C. “Most medications that work in the brain will result in restoring an imbalance of one
or more neurotransmitters that your body already produces helping to alleviate your
symptoms .”
Question 2
1 out of 1 points
Ms. Hill is currently being treated for schizophrenia but has stopped taking her medications due
to some side effects she claims she was experiencing. She presents to the clinic today with
worsening symptoms. She is experiencing anhedonia, agitation, attentional impairment, and
affective blunting. Which one of the symptoms mentioned is considered a positive symptom of
schizophrenia?
Answer: B. Agitation
Question 3
0 out of 1 points
Which statement about neurotransmitters and medications is true?
Answer: D. An imbalance of serotonin has been directly linked to depression. Following
pg. 1
, NURS 6630 Midterm Exam Test Bank Questions and Answers
Advanced Practice care of Adults Walden University
100%Correct/verified Latest Update 2023/2024 RATED A+
lOMoAR cPSD| 22896205
the discovery of this neurotransmitter, pharmacologists were able to develop a well-
known drug- Prozac as the first medication used to restore the balance of serotonin.
Question 4
1 out of 1 points
When an unstable patient asks why it is necessary to add medications to his current regimen, the
PMHNP’s best response would be:
Answer: C. “Many psychiatric illnesses involve several dys-functioning neurotransmitter
systems in the brain. Often, a single medication may only effect one or two of the dys-
functioning systems. The addition of another medication can work with the current
medication in stabilizing multiple neurotransmitter systems and help to alleviate your
symptoms.”
Question 5
1 out of 1 points
During gene expression, what must occur prior to a gene being expressed?
Answers: A. Transcription factor must bind to the regulatory region within the cell’s nucleus.
Question 6
1 out of 1 points
While genes have potential to modify behavior, behavior can also modify genes. How do genes
impact this process?
Answer: B. Changes made to proteins lead to changes in behavior.
Question 7
1 out of 1 points
pg. 2
, NURS 6630 Midterm Exam Test Bank Questions and Answers
Advanced Practice care of Adults Walden University
100%Correct/verified Latest Update 2023/2024 RATED A+
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:
Answer: C. Neurotransmitters can spread by diffusion.
Question 8
1 out of 1 points
Why is the cytochrome P450 enzyme system of significance to the PMHNP?
Answer: B. The bioavailability of the medication after it passes through the stomach and liver
can be altered.
Question 9
1 out of 1 points
It is important for the PMHNP to recognize differences in pharmacokinetics to safely prescribe
and monitor medications. Which of the following statements does the competent PMHNP
identify as true?
Answer: A. About 1 out of 5 Asians requires lower-than-normal doses of some antidepressants
and antipsychotics.
Question 10
1 out of 1 points
As it relates to G-protein linked receptors, what does the PMHNP understand about medications
that are used in practice?
Answer: A. Most medications that act on G-protein linked receptors have antagonistic traits.
Question 11
1 out of 1 points
pg. 3
, NURS 6630 Midterm Exam Test Bank Questions and Answers
Advanced Practice care of Adults Walden University
100%Correct/verified Latest Update 2023/2024 RATED A+
lOMoAR cPSD| 22896205
The PMHNP is considering prescribing a 49-year-old male clozapine (Clozaril) to treat his
schizophrenia and suicidal ideations. The PMHNP is aware that which factor may impact the dose
needed to effectively treat his condition:
Answer: A. The patient smokes cigarettes.
Question 12
0 out of 1 points
A patient is diagnosed with bipolar disorder and is currently taking carbamazepine (Tegretol),
aripiprazole (Abilify), and melatonin. The PMHNP has just written an order to discontinue the
carbamazepine (Tegretol) for drug-induced thrombocytopenia. The PMHNP is aware that his next
best action is to:
Answer B. Write an order for a different mood stabilizer
:
Question 13
1 out of 1 points
A patient recently transferred following a suicide attempt has a history of schizophrenia,
depression, and fibromyalgia. He is currently taking Amitriptyline (Elavil), Lisinopril, aspirin,
and fluoxetine (Prozac). When assessing the psychiatric medications and the reason for
admission, what would be the best course of action for the PMHNP with this client?
Answer A. Review Amitriptyline (Elavil) level
:
Question 14
0 out of 1 points
pg. 4
Advanced Practice care of Adults Walden University
100%Correct/verified Latest Update 2023/2024 RATED A+
NURS 6630 Midterm Exam Test Bank Questions and Answers
Advanced Practice care of Adults Walden University
100%Correct/verified Latest Update 2023/2024 RATED A+
Question 1
1 out of 1 points
A noncompliant patient states, “Why do you want me to put this poison in my body?” Identify the
best response made by the psychiatric-mental health nurse practitioner (PMHNP).
Answer: C. “Most medications that work in the brain will result in restoring an imbalance of one
or more neurotransmitters that your body already produces helping to alleviate your
symptoms .”
Question 2
1 out of 1 points
Ms. Hill is currently being treated for schizophrenia but has stopped taking her medications due
to some side effects she claims she was experiencing. She presents to the clinic today with
worsening symptoms. She is experiencing anhedonia, agitation, attentional impairment, and
affective blunting. Which one of the symptoms mentioned is considered a positive symptom of
schizophrenia?
Answer: B. Agitation
Question 3
0 out of 1 points
Which statement about neurotransmitters and medications is true?
Answer: D. An imbalance of serotonin has been directly linked to depression. Following
pg. 1
, NURS 6630 Midterm Exam Test Bank Questions and Answers
Advanced Practice care of Adults Walden University
100%Correct/verified Latest Update 2023/2024 RATED A+
lOMoAR cPSD| 22896205
the discovery of this neurotransmitter, pharmacologists were able to develop a well-
known drug- Prozac as the first medication used to restore the balance of serotonin.
Question 4
1 out of 1 points
When an unstable patient asks why it is necessary to add medications to his current regimen, the
PMHNP’s best response would be:
Answer: C. “Many psychiatric illnesses involve several dys-functioning neurotransmitter
systems in the brain. Often, a single medication may only effect one or two of the dys-
functioning systems. The addition of another medication can work with the current
medication in stabilizing multiple neurotransmitter systems and help to alleviate your
symptoms.”
Question 5
1 out of 1 points
During gene expression, what must occur prior to a gene being expressed?
Answers: A. Transcription factor must bind to the regulatory region within the cell’s nucleus.
Question 6
1 out of 1 points
While genes have potential to modify behavior, behavior can also modify genes. How do genes
impact this process?
Answer: B. Changes made to proteins lead to changes in behavior.
Question 7
1 out of 1 points
pg. 2
, NURS 6630 Midterm Exam Test Bank Questions and Answers
Advanced Practice care of Adults Walden University
100%Correct/verified Latest Update 2023/2024 RATED A+
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:
Answer: C. Neurotransmitters can spread by diffusion.
Question 8
1 out of 1 points
Why is the cytochrome P450 enzyme system of significance to the PMHNP?
Answer: B. The bioavailability of the medication after it passes through the stomach and liver
can be altered.
Question 9
1 out of 1 points
It is important for the PMHNP to recognize differences in pharmacokinetics to safely prescribe
and monitor medications. Which of the following statements does the competent PMHNP
identify as true?
Answer: A. About 1 out of 5 Asians requires lower-than-normal doses of some antidepressants
and antipsychotics.
Question 10
1 out of 1 points
As it relates to G-protein linked receptors, what does the PMHNP understand about medications
that are used in practice?
Answer: A. Most medications that act on G-protein linked receptors have antagonistic traits.
Question 11
1 out of 1 points
pg. 3
, NURS 6630 Midterm Exam Test Bank Questions and Answers
Advanced Practice care of Adults Walden University
100%Correct/verified Latest Update 2023/2024 RATED A+
lOMoAR cPSD| 22896205
The PMHNP is considering prescribing a 49-year-old male clozapine (Clozaril) to treat his
schizophrenia and suicidal ideations. The PMHNP is aware that which factor may impact the dose
needed to effectively treat his condition:
Answer: A. The patient smokes cigarettes.
Question 12
0 out of 1 points
A patient is diagnosed with bipolar disorder and is currently taking carbamazepine (Tegretol),
aripiprazole (Abilify), and melatonin. The PMHNP has just written an order to discontinue the
carbamazepine (Tegretol) for drug-induced thrombocytopenia. The PMHNP is aware that his next
best action is to:
Answer B. Write an order for a different mood stabilizer
:
Question 13
1 out of 1 points
A patient recently transferred following a suicide attempt has a history of schizophrenia,
depression, and fibromyalgia. He is currently taking Amitriptyline (Elavil), Lisinopril, aspirin,
and fluoxetine (Prozac). When assessing the psychiatric medications and the reason for
admission, what would be the best course of action for the PMHNP with this client?
Answer A. Review Amitriptyline (Elavil) level
:
Question 14
0 out of 1 points
pg. 4
