NURS 6630 MIDTERM EXAM 1 - Questions and Answers
Psychiatric-Mental Health Nursing, Exams of Nursing Walden
University
NURS 6630 MIDTERM EXAM 1 - Questions and
Answers Psychiatric-Mental Health Nursing, Exams of
Nursing Walden University
QUESTION 1
1. 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). A.
"You have to take your medication to become stable." B.
"Most medications will increase the number of neurotransmitters that you already
have in the brain." C.
"Most medications used in treatment are either increasing or decreasing neurotransmitters
that your body already has."
D.
"Why do you believe that your medication is poison?" I
received 0/1 for this answer??
1 points
QUESTION 2
1. Which statement about neurotransmitters and medications is true? My correct answer was
several psychiatric meds were developed after discovery of endogenous neurotransmitters.
(The answer wording is different. A.
Natural neurotransmitters such as endorphins have been discovered after the
development of medications. B.
Some medications were developed after the discovery and known action of the
neurotransmitters in the brain. C.
Neurotransmitters receive messages from most medications. D.
pg. 1
, NURS 6630 MIDTERM EXAM 1 - Questions and Answers
Psychiatric-Mental Health Nursing, Exams of Nursing Walden
University
The neurotransmitter serotonin is directly linked to depression.
Following this discovery, the antidepressant Prozac was
developed.
1 points
QUESTION 3
1. When an unstable patient asks why it is necessary to add medications to his current
regimen, the PMHNP's best response would be:
A.
"In an extreme case such as yours, more than one medication is often needed." B.
"Due to the ineffectiveness of your current medication, we need to try something else
that can possibly potentiate its effects. C.
"Medications are often specific to the neurotransmitter(s) they
are affecting and, due to more than one neurotransmitter
involvement, it is often necessary to use more than one
medication to improve symptoms."
D.
"I understand your concern. We can discontinue your current medication and switch to a
different one that may better manage your symptoms." 1 points
QUESTION 4 ?
1. During gene expression, what must occur prior to a gene being expressed? A.
Transcription factor must bind to the regulatory region within the cell's nucleus. B.
RNA must be converted to mRNA. C.
The coding region must separate from the regulatory
region. This is
pg. 2
, NURS 6630 MIDTERM EXAM 1 - Questions and Answers
Psychiatric-Mental Health Nursing, Exams of Nursing Walden
University
wrong D.
RNA polymerase must inhibit the process of changing RNA to mRNA.
1 points
QUESTION 5
1. While genes have potential to modify behavior, behavior can also modify genes. How do
genes impact this process? A.
Genes impact neuron
functioning directly. B.
Changes made to proteins lead to
changes in behavior. C. Neurons are
able to impact
protein synthesis. D.
Genes impact the DNA of a cell, leading to changes in behavior. 1 points
QUESTION 6
1. Though medications have the ability to target neurotransmitters in the synapse, it is not
always necessary.
The PMHNP understands that this is because: A.
Neurotransmission that occurs via the axon allows for transport of a neurotransmitter. B.
Active transport is a different type of energy that allows the transport of certain
neurotransmitters. C.
Neurotransmitters can spread
by diffusion. D.
The postsynaptic neuron can release the neurotransmitter.
1 points
QUESTION 7
1. Why is the cytochrome P450 enzyme system of
pg. 3
, NURS 6630 MIDTERM EXAM 1 - Questions and Answers
Psychiatric-Mental Health Nursing, Exams of Nursing Walden
University
significance to the PMHNP? A.
The kidneys play a role with excretion of the medication, and if
a patient has kidney damage, the dose must be increased to be effective. B.
The bioavailability of the medication after it passes through
the stomach and liver can be altered. Correct answer
C.
The medication's chemical composition changes when it comes in contact with the acid in the
stomach. D.
The CYP enzyme system is a steady and predictable process that prescribers must understand
to treat conditions effectively. 1 points
QUESTION 8
1. 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? A.
About 1 out of 5 Asians requires lower-than-normal doses of
some antidepressants and antipsychotics. B.
The term polymorphic refers to the body's ability to break a medication down several ways, and
this patient may require higher doses of certain antidepressants and antipsychotics. C.
About 1 out of 30 Caucasians requires lower doses of some antidepressants and
antipsychotics. D.
Most enzyme pathways do not have interactions between the newer medications.
pg. 4
Psychiatric-Mental Health Nursing, Exams of Nursing Walden
University
NURS 6630 MIDTERM EXAM 1 - Questions and
Answers Psychiatric-Mental Health Nursing, Exams of
Nursing Walden University
QUESTION 1
1. 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). A.
"You have to take your medication to become stable." B.
"Most medications will increase the number of neurotransmitters that you already
have in the brain." C.
"Most medications used in treatment are either increasing or decreasing neurotransmitters
that your body already has."
D.
"Why do you believe that your medication is poison?" I
received 0/1 for this answer??
1 points
QUESTION 2
1. Which statement about neurotransmitters and medications is true? My correct answer was
several psychiatric meds were developed after discovery of endogenous neurotransmitters.
(The answer wording is different. A.
Natural neurotransmitters such as endorphins have been discovered after the
development of medications. B.
Some medications were developed after the discovery and known action of the
neurotransmitters in the brain. C.
Neurotransmitters receive messages from most medications. D.
pg. 1
, NURS 6630 MIDTERM EXAM 1 - Questions and Answers
Psychiatric-Mental Health Nursing, Exams of Nursing Walden
University
The neurotransmitter serotonin is directly linked to depression.
Following this discovery, the antidepressant Prozac was
developed.
1 points
QUESTION 3
1. When an unstable patient asks why it is necessary to add medications to his current
regimen, the PMHNP's best response would be:
A.
"In an extreme case such as yours, more than one medication is often needed." B.
"Due to the ineffectiveness of your current medication, we need to try something else
that can possibly potentiate its effects. C.
"Medications are often specific to the neurotransmitter(s) they
are affecting and, due to more than one neurotransmitter
involvement, it is often necessary to use more than one
medication to improve symptoms."
D.
"I understand your concern. We can discontinue your current medication and switch to a
different one that may better manage your symptoms." 1 points
QUESTION 4 ?
1. During gene expression, what must occur prior to a gene being expressed? A.
Transcription factor must bind to the regulatory region within the cell's nucleus. B.
RNA must be converted to mRNA. C.
The coding region must separate from the regulatory
region. This is
pg. 2
, NURS 6630 MIDTERM EXAM 1 - Questions and Answers
Psychiatric-Mental Health Nursing, Exams of Nursing Walden
University
wrong D.
RNA polymerase must inhibit the process of changing RNA to mRNA.
1 points
QUESTION 5
1. While genes have potential to modify behavior, behavior can also modify genes. How do
genes impact this process? A.
Genes impact neuron
functioning directly. B.
Changes made to proteins lead to
changes in behavior. C. Neurons are
able to impact
protein synthesis. D.
Genes impact the DNA of a cell, leading to changes in behavior. 1 points
QUESTION 6
1. Though medications have the ability to target neurotransmitters in the synapse, it is not
always necessary.
The PMHNP understands that this is because: A.
Neurotransmission that occurs via the axon allows for transport of a neurotransmitter. B.
Active transport is a different type of energy that allows the transport of certain
neurotransmitters. C.
Neurotransmitters can spread
by diffusion. D.
The postsynaptic neuron can release the neurotransmitter.
1 points
QUESTION 7
1. Why is the cytochrome P450 enzyme system of
pg. 3
, NURS 6630 MIDTERM EXAM 1 - Questions and Answers
Psychiatric-Mental Health Nursing, Exams of Nursing Walden
University
significance to the PMHNP? A.
The kidneys play a role with excretion of the medication, and if
a patient has kidney damage, the dose must be increased to be effective. B.
The bioavailability of the medication after it passes through
the stomach and liver can be altered. Correct answer
C.
The medication's chemical composition changes when it comes in contact with the acid in the
stomach. D.
The CYP enzyme system is a steady and predictable process that prescribers must understand
to treat conditions effectively. 1 points
QUESTION 8
1. 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? A.
About 1 out of 5 Asians requires lower-than-normal doses of
some antidepressants and antipsychotics. B.
The term polymorphic refers to the body's ability to break a medication down several ways, and
this patient may require higher doses of certain antidepressants and antipsychotics. C.
About 1 out of 30 Caucasians requires lower doses of some antidepressants and
antipsychotics. D.
Most enzyme pathways do not have interactions between the newer medications.
pg. 4
