NURS 6630 MIDTERM EXAM 1 – QUESTION AND ANSWERS



NURS 6630 MIDTERM EXAM 1 – QUESTION AND ANSWERS
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).


Selected C.
Answer: “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?


Selected Answer: B.
Agitation

 Question 3
0 out of 1 points
Which statement about neurotransmitters and medications is true?


Selected D.
Answer: An imbalance of serotonin has been directly linked to depression. Following 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:


Selected C.
Answer: “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?


Selected 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?


Selected Answer: B.
Changes made to proteins lead to changes in behavior.

 Question 7
1 out of 1 points
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:

Selected 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?


Selected B.
Answer: 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?


Selected A.
Answer: 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?