NRNP 6675 FINAL
EXAM
PMHNP Care Across the Lifespan II - Walden
University
Actual Qs and Ans Expert-Verified
Explanation
This Exam contains:
Guarantee passing score
100 Questions and Answers
format set of multiple-choice
, Expert-Verified Explanation
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1. Concerns when treating geriatric patients with psychotherapeutic drugs?
(Select all true statements)
A. Elderly people can be more susceptible to adverse effects of drugs
B. Elderly persons may metabolize drugs more slowly
C. Elderly persons may metabolize drugs more rapidly
D. Elderly people may excrete psychotherapeutic drugs more slowly
Answer: A, B, D
Rationale: Geriatric populations often have decreased hepatic metabolism
and reduced renal clearance, prolonging drug half-lives and increasing
toxicity risk. They are more susceptible to side effects (A), metabolize drugs
more slowly (B), and excrete them more slowly (D). They typically do not
metabolize drugs more rapidly (C).
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2. Three major neurotransmitters associated with anxiety, based on animal
studies and drug responses, include:
A. Dopamine, acetylcholine, and substance P
B. GABA, norepinephrine, and serotonin
C. Glycine, dopamine, and histamine
D. Endorphins, glutamate, and epinephrine
Answer: B) GABA, norepinephrine, and serotonin
Rationale: Anxiety has been most consistently linked to decreased
inhibitory effects of GABA, dysregulation of the stress/fight-or-flight
neurotransmitter norepinephrine, and alterations in serotonin. Medications
targeting these systems (e.g., benzodiazepines enhancing GABA,
SSRIs/SNRIs regulating serotonin/norepinephrine) are mainstays of anxiety
treatment.
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3. Which neurotransmitter is most commonly associated with increased
libido?
A. Acetylcholine
B. GABA
C. Serotonin
D. Dopamine
Answer: D) Dopamine
Rationale: Dopamine in the mesolimbic reward pathway is closely linked
to motivation, pleasure, and sexual desire. Heightened dopaminergic activity
can increase libido. In contrast, elevated serotonin tends to inhibit sexual
desire.
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─────────────────
4. Concerns when treating geriatric patients with psychotherapeutic drugs
include all of the following EXCEPT:
A. Increased sensitivity to adverse effects
B. Lower renal excretion
C. Elderly persons may metabolize psychotherapeutic drugs more rapidly
D. Comorbid health conditions affecting drug choice
Answer: C) Elderly persons may metabolize psychotherapeutic drugs
more rapidly
Rationale: In most older adults, hepatic metabolism and renal excretion
slow down, fostering greater vulnerability to adverse effects. Option C is the
exception, as they typically do not metabolize drugs more rapidly; rather,
metabolism is usually reduced.
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─────────────────
5. Persons who subordinate their own needs to others, let others assume
responsibility for major life areas, lack self-confidence, and experience
intense discomfort alone are demonstrating characteristics of which
personality disorder (PD)?
, A. Avoidant PD
B. Borderline PD
C. Dependent PD
D. Narcissistic PD
Answer: C) Dependent PD
Rationale: Dependent Personality Disorder is marked by pervasive
dependence on others for decisions and support, fear of being alone, and
submissive behaviors. These individuals are highly reliant on reassurance
from others.
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─────────────────
6. According to Harry Stack Sullivan, which statement is most consistent with
a mentor–mentee relationship?
A. Mentors are strictly assigned
B. Mentor relationships are always short-term
C. Goals for the mentoring relationship are set mutually
D. A and B only
Answer: C) Goals for the mentoring relationship are set mutually
Rationale: Sullivan’s interpersonal theory suggests growth through
significant relationships. Effective mentorship involves collaboration in goal-
setting to meet the mentee’s educational or professional needs.
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─────────────────
7. The need for Nurse Practitioners (NPs) to practice to the full extent of their
education and training is necessary. Select the best Answer:
A. True, because it optimizes patient care
B. False, because NPs should always work under maximum restriction
C. True, but only if practicing in a hospital
D. All of the above
Answer: D) All of the above (per the original item’s framing)
Rationale: Numerous professional organizations emphasize removing
unnecessary restrictions so NPs can provide high-quality care. Practicing to
EXAM
PMHNP Care Across the Lifespan II - Walden
University
Actual Qs and Ans Expert-Verified
Explanation
This Exam contains:
Guarantee passing score
100 Questions and Answers
format set of multiple-choice
, Expert-Verified Explanation
───────────────────────────────────────────────────────
─────────────────
1. Concerns when treating geriatric patients with psychotherapeutic drugs?
(Select all true statements)
A. Elderly people can be more susceptible to adverse effects of drugs
B. Elderly persons may metabolize drugs more slowly
C. Elderly persons may metabolize drugs more rapidly
D. Elderly people may excrete psychotherapeutic drugs more slowly
Answer: A, B, D
Rationale: Geriatric populations often have decreased hepatic metabolism
and reduced renal clearance, prolonging drug half-lives and increasing
toxicity risk. They are more susceptible to side effects (A), metabolize drugs
more slowly (B), and excrete them more slowly (D). They typically do not
metabolize drugs more rapidly (C).
───────────────────────────────────────────────────────
─────────────────
2. Three major neurotransmitters associated with anxiety, based on animal
studies and drug responses, include:
A. Dopamine, acetylcholine, and substance P
B. GABA, norepinephrine, and serotonin
C. Glycine, dopamine, and histamine
D. Endorphins, glutamate, and epinephrine
Answer: B) GABA, norepinephrine, and serotonin
Rationale: Anxiety has been most consistently linked to decreased
inhibitory effects of GABA, dysregulation of the stress/fight-or-flight
neurotransmitter norepinephrine, and alterations in serotonin. Medications
targeting these systems (e.g., benzodiazepines enhancing GABA,
SSRIs/SNRIs regulating serotonin/norepinephrine) are mainstays of anxiety
treatment.
,───────────────────────────────────────────────────────
─────────────────
3. Which neurotransmitter is most commonly associated with increased
libido?
A. Acetylcholine
B. GABA
C. Serotonin
D. Dopamine
Answer: D) Dopamine
Rationale: Dopamine in the mesolimbic reward pathway is closely linked
to motivation, pleasure, and sexual desire. Heightened dopaminergic activity
can increase libido. In contrast, elevated serotonin tends to inhibit sexual
desire.
───────────────────────────────────────────────────────
─────────────────
4. Concerns when treating geriatric patients with psychotherapeutic drugs
include all of the following EXCEPT:
A. Increased sensitivity to adverse effects
B. Lower renal excretion
C. Elderly persons may metabolize psychotherapeutic drugs more rapidly
D. Comorbid health conditions affecting drug choice
Answer: C) Elderly persons may metabolize psychotherapeutic drugs
more rapidly
Rationale: In most older adults, hepatic metabolism and renal excretion
slow down, fostering greater vulnerability to adverse effects. Option C is the
exception, as they typically do not metabolize drugs more rapidly; rather,
metabolism is usually reduced.
───────────────────────────────────────────────────────
─────────────────
5. Persons who subordinate their own needs to others, let others assume
responsibility for major life areas, lack self-confidence, and experience
intense discomfort alone are demonstrating characteristics of which
personality disorder (PD)?
, A. Avoidant PD
B. Borderline PD
C. Dependent PD
D. Narcissistic PD
Answer: C) Dependent PD
Rationale: Dependent Personality Disorder is marked by pervasive
dependence on others for decisions and support, fear of being alone, and
submissive behaviors. These individuals are highly reliant on reassurance
from others.
───────────────────────────────────────────────────────
─────────────────
6. According to Harry Stack Sullivan, which statement is most consistent with
a mentor–mentee relationship?
A. Mentors are strictly assigned
B. Mentor relationships are always short-term
C. Goals for the mentoring relationship are set mutually
D. A and B only
Answer: C) Goals for the mentoring relationship are set mutually
Rationale: Sullivan’s interpersonal theory suggests growth through
significant relationships. Effective mentorship involves collaboration in goal-
setting to meet the mentee’s educational or professional needs.
───────────────────────────────────────────────────────
─────────────────
7. The need for Nurse Practitioners (NPs) to practice to the full extent of their
education and training is necessary. Select the best Answer:
A. True, because it optimizes patient care
B. False, because NPs should always work under maximum restriction
C. True, but only if practicing in a hospital
D. All of the above
Answer: D) All of the above (per the original item’s framing)
Rationale: Numerous professional organizations emphasize removing
unnecessary restrictions so NPs can provide high-quality care. Practicing to
