NURS 6630 PSYCHOPHARMACOLOGY
MIDTERM 2026 CASE-BASED PSYCH
MEDICATION DECISION MAKING REVIEW
MATERIALS
◉ The PMHNP is caring for a patient who openly admitted to
drinking a quart of vodka daily. Prior to prescribing this patient
disulfiram (Antabuse), it is important for the PMHNP to:
Answer: ANS: d.
Evaluate the patient's willingness to abstain from alcohol
◉ Mr. Peterson is meeting with the PMHNP to discuss healthier
dietary habits. With a BMI of 33, Mr. Peterson is obese and needs to
modify his food intake. "Sometimes I think I'm addicted to food the
way some people are addicted to drugs," he says. Which statement
best describes the neurobiological parallels between food and drug
addiction?
Answer: ANS: d.
There is decreased activation of the prefrontal cortex.
◉ An 18-year-old female with a history of frequent headaches and a
mood disorder is prescribed topiramate (Topamax), 25 mg by mouth
daily. The PMHNP understands that this medication is effective in
treating which condition(s) in this patient?`
,Answer: ANS: c.
Migraines
◉ A patient you have been evaluating was admitted to the hospital
with some abnormal lab work. Hematology/oncology was consulted
and diagnoses the patient with aplastic anemia and agranulocytosis.
Which medication was likely the culprit?
Answer: ANS: d.
Carbamazepine
◉ Antipsychotics are doses at a level that blocks % of D2 receptors.
Answer: ANS: a.
50-70
◉ The PMHNP is teaching a patient with a sleep disorder about
taking diphenhydramine (Benadryl). The patient is concerned about
the side effects of the drug. What can the PMHNP teach the patient
about this treatment approach?
Answer: ANS: b
"It can cause blurred vision
◉ A 9-year-old female patient presents with symptoms of both
attention deficit hyperactivity disorder (ADHD) and oppositional
defiant disorder. In evaluating her symptoms, the PMHNP
,determines that which of the following medications may be
beneficial in augmenting stimulant medication?
Answer: ANS: b.
Guanfacine ER (Intuniv)
◉ The PMHNP is assessing a patient who will be receiving
phentermine (Adipex P)/topiramate (Topamax) (Qsymia). Which of
the following conditions/diseases will require further evaluation
before this medication can be prescribed?
Answer: ANS: b.
Cardiovascular disease
◉ The PMHNP wishes to prescribe a medication that reduces
glutamate transmission in an Alzheimer's patient. Which medication
should the PMHNP prescribe?
Answer: ANS: b.
Memantine (NAMENDA)
◉ A patient with fibromyalgia and major depression needs to be
treated for symptoms of pain. Which is the PMHNP most likely to
prescribe for this patient?
Answer: ANS: d.
Duloxetine (Cymbalta)
, ◉ A patient is prescribed D-methylphenidate, 10-mg extended-
release capsules. What should the PMHNP include when discussing
the side effects with the patient?
Answer: ANS: c.
The medication can affect your blood pressure.
◉ Which medication is an irreversible inhibitor of aldehyde
dehydrogenase that creates a negative and aversive response
following ingestion of alcohol?
Answer: ANS: c.
Disulfiram (ANTABUSE)
◉ An 80-year-old female patient diagnosed with Stage II Alzheimer's
has a history of irritable bowel syndrome. Which cholinergic drug
may be the best choice for treatment given the patient's
gastrointestinal problems?
Answer: ANS: a.
Donepezil (Aricept)
◉ Mrs. Rosen is a 49-year-old patient who is experiencing fibro-fog.
What does the PMHNP prescribe for Mrs. Rosen to improve this
condition?
Answer: ANS: b.
All of these are correct
MIDTERM 2026 CASE-BASED PSYCH
MEDICATION DECISION MAKING REVIEW
MATERIALS
◉ The PMHNP is caring for a patient who openly admitted to
drinking a quart of vodka daily. Prior to prescribing this patient
disulfiram (Antabuse), it is important for the PMHNP to:
Answer: ANS: d.
Evaluate the patient's willingness to abstain from alcohol
◉ Mr. Peterson is meeting with the PMHNP to discuss healthier
dietary habits. With a BMI of 33, Mr. Peterson is obese and needs to
modify his food intake. "Sometimes I think I'm addicted to food the
way some people are addicted to drugs," he says. Which statement
best describes the neurobiological parallels between food and drug
addiction?
Answer: ANS: d.
There is decreased activation of the prefrontal cortex.
◉ An 18-year-old female with a history of frequent headaches and a
mood disorder is prescribed topiramate (Topamax), 25 mg by mouth
daily. The PMHNP understands that this medication is effective in
treating which condition(s) in this patient?`
,Answer: ANS: c.
Migraines
◉ A patient you have been evaluating was admitted to the hospital
with some abnormal lab work. Hematology/oncology was consulted
and diagnoses the patient with aplastic anemia and agranulocytosis.
Which medication was likely the culprit?
Answer: ANS: d.
Carbamazepine
◉ Antipsychotics are doses at a level that blocks % of D2 receptors.
Answer: ANS: a.
50-70
◉ The PMHNP is teaching a patient with a sleep disorder about
taking diphenhydramine (Benadryl). The patient is concerned about
the side effects of the drug. What can the PMHNP teach the patient
about this treatment approach?
Answer: ANS: b
"It can cause blurred vision
◉ A 9-year-old female patient presents with symptoms of both
attention deficit hyperactivity disorder (ADHD) and oppositional
defiant disorder. In evaluating her symptoms, the PMHNP
,determines that which of the following medications may be
beneficial in augmenting stimulant medication?
Answer: ANS: b.
Guanfacine ER (Intuniv)
◉ The PMHNP is assessing a patient who will be receiving
phentermine (Adipex P)/topiramate (Topamax) (Qsymia). Which of
the following conditions/diseases will require further evaluation
before this medication can be prescribed?
Answer: ANS: b.
Cardiovascular disease
◉ The PMHNP wishes to prescribe a medication that reduces
glutamate transmission in an Alzheimer's patient. Which medication
should the PMHNP prescribe?
Answer: ANS: b.
Memantine (NAMENDA)
◉ A patient with fibromyalgia and major depression needs to be
treated for symptoms of pain. Which is the PMHNP most likely to
prescribe for this patient?
Answer: ANS: d.
Duloxetine (Cymbalta)
, ◉ A patient is prescribed D-methylphenidate, 10-mg extended-
release capsules. What should the PMHNP include when discussing
the side effects with the patient?
Answer: ANS: c.
The medication can affect your blood pressure.
◉ Which medication is an irreversible inhibitor of aldehyde
dehydrogenase that creates a negative and aversive response
following ingestion of alcohol?
Answer: ANS: c.
Disulfiram (ANTABUSE)
◉ An 80-year-old female patient diagnosed with Stage II Alzheimer's
has a history of irritable bowel syndrome. Which cholinergic drug
may be the best choice for treatment given the patient's
gastrointestinal problems?
Answer: ANS: a.
Donepezil (Aricept)
◉ Mrs. Rosen is a 49-year-old patient who is experiencing fibro-fog.
What does the PMHNP prescribe for Mrs. Rosen to improve this
condition?
Answer: ANS: b.
All of these are correct
