lOMoARcPSD|17616083
NURS 6630 Midterm ExamTest Bank f f f f f
Question 1 f
1 out of 1 points
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Anoncompliant patient states, “Why do you want me to put this poison in my body?” Identify the
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best response made by the psychiatric-mental health nurse practitioner (PMHNP).
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Answer: C. “Most medications that work in the brain will result in restoring an imbalance of one
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or more neurotransmitters that your body already produces helping to alleviate your
f f f f f f f f f f f f
symptoms .” f f
Question 2 f
1 out of 1 points
f f f f
Ms. Hill is currently being treated for schizophrenia but has stopped taking her medications due
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to some side effects she claims she was experiencing. She presents to the clinic today with
f f f f f f f f f f f f f f f f
worsening symptoms. She is experiencing anhedonia, agitation, attentional impairment, and
f f f f f f f f f f
affective blunting. Which one of the symptoms mentioned is considered a positive symptom of
f f f f f f f f f f f f f f
schizophrenia?
f
Answer: B. Agitation f
Question 3 f
0 out of 1 points
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Which statement about neurotransmitters and medications is true?
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Answer: D. An imbalance of serotonin has been directly linked to depression. Following the
f f f f f f f f f f f f f
discovery of this neurotransmitter, pharmacologists were able to develop a well- known
f f f f f f f f f f f f
drug- Prozac as the first medication used to restore the balance of serotonin.
f f f f f f f f f f f f f
, lOMoARcPSD|17616083
Question 4 f
1 out of 1 points
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When an unstable patient asks why it is necessary to add medications to his current regimen, the
f f f f f f f f f f f f f f f f
PMHNP’s best response would be:
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Answer: C. “Many psychiatric illnesses involve several dys-functioning neurotransmitter
f f f f f f f
systems in the brain. Often, a single medication may only effect one or two of the dys-
f f f f f f f f f f f f f f f f f
functioning systems. The addition of another medication can work with the current f f f f f f f f f f ff
medication in stabilizing multiple neurotransmitter systems and help to alleviate
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your symptoms.” f f
Question 5 f
1 out of 1 points
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During gene expression, what must occur prior to a gene being expressed?
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Answers:A.Transcription factor must bind to the regulatory region within the cell’s nucleus.
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Question 6 f
1 out of 1 points
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While genes have potential to modify behavior, behavior can also modify genes. How do genes
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impact this process?
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Answer: B. Changes made to proteins lead to changes
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fin behavior. f
Question 7 f
1 out of 1 points
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Though medications have the ability to target neurotransmitter release into the synapse by the
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presynaptic neuron it is not always necessary. The PMHNP understands that this is because:
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Answer: C. Neurotransmitters can spread by diffusion.
f f f f f
, lOMoARcPSD|17616083
Question 8 f
1 out of 1 points
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Why is the cytochrome P450 enzyme system of significance to the PMHNP?
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Answer: B. The bioavailability of the medication after it passes through the stomach and liver can
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be altered. f f
Question 9 f
1 out of 1 points
f f f f
It is important for the PMHNP to recognize differences in pharmacokinetics to safely prescribe
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and monitor medications. Which of the following statements does the competent PMHNP
f f f f f f f f f f f f
identify as true?
f f f
Answer: A.About 1 out of 5Asians requires lower-than-normal doses of some antidepressants and
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antipsychotics. f
Question 10 f
1 out of 1 points
f f f f
As it relates to G-protein linked receptors, what does the PMHNP understand about medications
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that are used in practice?
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Answer: A. Most medications that act on G-protein linked receptors have antagonistic traits.
f f f f f f f f f f f
Question 11 f
1 out of 1 points
f f f f
The PMHNP is considering prescribing a 49-year-old male clozapine (Clozaril) to treat his
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schizophrenia and suicidal ideations. The PMHNP is aware that which factor may impact the
f f f f f f f f f f f f f f
dose needed to effectively treat his condition:
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Answer: A. The patient smokes cigarettes.
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Question 12 f
0 out of 1 points
f f f f
, lOMoARcPSD|17616083
A patient is diagnosed with bipolar disorder and is currently taking carbamazepine (Tegretol),
f f f f f f f f f f f f
aripiprazole (Abilify), and melatonin. The PMHNP has just written an order to discontinue the
f f f f f f f f f f f f f f
carbamazepine (Tegretol) for drug-induced thrombocytopenia. The PMHNPis aware that his next
f f f f f f f f f f f f
best action is to:
f f f f
Answer: B. Write an order for a different mood stabilizer
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Question 13 f
1 out of 1 points
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A patient recently transferred following a suicide attempt has a history of schizophrenia,
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depression, and fibromyalgia. He is currently taking Amitriptyline (Elavil), Lisinopril, aspirin,
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and fluoxetine (Prozac). When assessing the psychiatric medications and the reason for
f f f f f f f f f f f f
admission, what would be the best course of action for the PMHNP with this client?
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Answer A. ReviewAmitriptyline (Elavil) level
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:
Question 14 f
0 out of 1 points
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A patient with schizophrenia is given an inverse agonist that acts on the receptor 5HT and
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neurotransmitter serotonin. What is the rationale for prescribing a medication such as this?
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Answer D. To help decrease the amount of serotonin and dopamine
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:
Question 15 f
1 out of 1 points
f f f f
The PMHNPis caring for four patients. Which patient statement indicates that benzodiazepines
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would be beneficial?
f f f
Answer: D. “I feel nervous to go outside and be in large crowds.”
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Question 16 f
1 out of 1 points
f f f f
NURS 6630 Midterm ExamTest Bank f f f f f
Question 1 f
1 out of 1 points
f f f f
Anoncompliant patient states, “Why do you want me to put this poison in my body?” Identify the
f f f f f f f f f f f f f f f f f
best response made by the psychiatric-mental health nurse practitioner (PMHNP).
f f f f f f f f f f
Answer: C. “Most medications that work in the brain will result in restoring an imbalance of one
f f f f f f f f f f f f f f f f
or more neurotransmitters that your body already produces helping to alleviate your
f f f f f f f f f f f f
symptoms .” f f
Question 2 f
1 out of 1 points
f f f f
Ms. Hill is currently being treated for schizophrenia but has stopped taking her medications due
f f f f f f f f f f f f f f
to some side effects she claims she was experiencing. She presents to the clinic today with
f f f f f f f f f f f f f f f f
worsening symptoms. She is experiencing anhedonia, agitation, attentional impairment, and
f f f f f f f f f f
affective blunting. Which one of the symptoms mentioned is considered a positive symptom of
f f f f f f f f f f f f f f
schizophrenia?
f
Answer: B. Agitation f
Question 3 f
0 out of 1 points
f f f f
Which statement about neurotransmitters and medications is true?
f f f f f f f
Answer: D. An imbalance of serotonin has been directly linked to depression. Following the
f f f f f f f f f f f f f
discovery of this neurotransmitter, pharmacologists were able to develop a well- known
f f f f f f f f f f f f
drug- Prozac as the first medication used to restore the balance of serotonin.
f f f f f f f f f f f f f
, lOMoARcPSD|17616083
Question 4 f
1 out of 1 points
f f f f
When an unstable patient asks why it is necessary to add medications to his current regimen, the
f f f f f f f f f f f f f f f f
PMHNP’s best response would be:
f f f f f
Answer: C. “Many psychiatric illnesses involve several dys-functioning neurotransmitter
f f f f f f f
systems in the brain. Often, a single medication may only effect one or two of the dys-
f f f f f f f f f f f f f f f f f
functioning systems. The addition of another medication can work with the current f f f f f f f f f f ff
medication in stabilizing multiple neurotransmitter systems and help to alleviate
f f f f f f f f f f f
your symptoms.” f f
Question 5 f
1 out of 1 points
f f f f
During gene expression, what must occur prior to a gene being expressed?
f f f f f f f f f f f
Answers:A.Transcription factor must bind to the regulatory region within the cell’s nucleus.
f f f f f f f f f f f f f
Question 6 f
1 out of 1 points
f f f f
While genes have potential to modify behavior, behavior can also modify genes. How do genes
f f f f f f f f f f f f f f
impact this process?
f f f
Answer: B. Changes made to proteins lead to changes
f f f f f f f
fin behavior. f
Question 7 f
1 out of 1 points
f f f f
Though medications have the ability to target neurotransmitter release into the synapse by the
f f f f f f f f f f f f f
presynaptic neuron it is not always necessary. The PMHNP understands that this is because:
f f f f f f f f f f f f f f
Answer: C. Neurotransmitters can spread by diffusion.
f f f f f
, lOMoARcPSD|17616083
Question 8 f
1 out of 1 points
f f f f
Why is the cytochrome P450 enzyme system of significance to the PMHNP?
f f f f f f f f f f f
Answer: B. The bioavailability of the medication after it passes through the stomach and liver can
f f f f f f f f f f f f f f
be altered. f f
Question 9 f
1 out of 1 points
f f f f
It is important for the PMHNP to recognize differences in pharmacokinetics to safely prescribe
f f f f f f f f f f f f f
and monitor medications. Which of the following statements does the competent PMHNP
f f f f f f f f f f f f
identify as true?
f f f
Answer: A.About 1 out of 5Asians requires lower-than-normal doses of some antidepressants and
f f f f f f f f f f f f f
antipsychotics. f
Question 10 f
1 out of 1 points
f f f f
As it relates to G-protein linked receptors, what does the PMHNP understand about medications
f f f f f f f f f f f f f
that are used in practice?
f f f f f
Answer: A. Most medications that act on G-protein linked receptors have antagonistic traits.
f f f f f f f f f f f
Question 11 f
1 out of 1 points
f f f f
The PMHNP is considering prescribing a 49-year-old male clozapine (Clozaril) to treat his
f f f f f f f f f f f f
schizophrenia and suicidal ideations. The PMHNP is aware that which factor may impact the
f f f f f f f f f f f f f f
dose needed to effectively treat his condition:
f f f f f f f
Answer: A. The patient smokes cigarettes.
f f f f
Question 12 f
0 out of 1 points
f f f f
, lOMoARcPSD|17616083
A patient is diagnosed with bipolar disorder and is currently taking carbamazepine (Tegretol),
f f f f f f f f f f f f
aripiprazole (Abilify), and melatonin. The PMHNP has just written an order to discontinue the
f f f f f f f f f f f f f f
carbamazepine (Tegretol) for drug-induced thrombocytopenia. The PMHNPis aware that his next
f f f f f f f f f f f f
best action is to:
f f f f
Answer: B. Write an order for a different mood stabilizer
f f f f f f f f
Question 13 f
1 out of 1 points
f f f f
A patient recently transferred following a suicide attempt has a history of schizophrenia,
f f f f f f f f f f f f
depression, and fibromyalgia. He is currently taking Amitriptyline (Elavil), Lisinopril, aspirin,
f f f f f f f f f f f
and fluoxetine (Prozac). When assessing the psychiatric medications and the reason for
f f f f f f f f f f f f
admission, what would be the best course of action for the PMHNP with this client?
f f f f f f f f f f f f f f f
Answer A. ReviewAmitriptyline (Elavil) level
f f f f
:
Question 14 f
0 out of 1 points
f f f f
A patient with schizophrenia is given an inverse agonist that acts on the receptor 5HT and
f f f f f f f f f f f f f f f
neurotransmitter serotonin. What is the rationale for prescribing a medication such as this?
f f f f f f f f f f f f f
Answer D. To help decrease the amount of serotonin and dopamine
f f f f f f f f f
:
Question 15 f
1 out of 1 points
f f f f
The PMHNPis caring for four patients. Which patient statement indicates that benzodiazepines
f f f f f f f f f f f f
would be beneficial?
f f f
Answer: D. “I feel nervous to go outside and be in large crowds.”
f f f f f f f f f f f
Question 16 f
1 out of 1 points
f f f f
