• NURS 6630 MIDTERM EXAM WITH ANSWER MARKED CORRECTLY

 NURS 6630 MIDTERM
 Question 1
1 out of 1 points
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 Answer: D.
“Why do you believe that your medication is poison?”
 Question 2
0 out of 1 points
Which statement about neurotransmitters and medications is true?

Selected D.
Answer: The neurotransmitter serotonin is directly linked to depression. Following
this discovery, the antidepressant Prozac was developed.
 Question 3
0 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 B.
Answer: “Due to the ineffectiveness of your current medication, we need to try
something else that can possibly potentiate its effects.
 Question 4
0 out of 1 points
During gene expression, what must occur prior to a gene being expressed?

Selected A.
Answers: Transcription factor must bind to the regulatory region within the cell’s
nucleus.
B.
RNA must be converted to mRNA.
 Question 5
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 6

, 1 out of 1 points
Though medications have the ability to target neurotransmitters in the synapse, it is not
always necessary. The PMHNP understands that this is because:

Selected Answer: C.
Neurotransmitters can spread by diffusion.
 Question 7
0 out of 1 points
Why is the cytochrome P450 enzyme system of significance to the PMHNP?

Selected C.
Answer: The medication’s chemical composition changes when it comes in contact
with the acid in the stomach.
 Question 8
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 9
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?

Selected A.
Answer: Most medications that act on G-protein linked receptors have antagonistic
traits.
 Question 10
0 out of 1 points
The PMHNP is considering prescribing a 49-year-old male clozapine (Clozaril) to treat his
schizophrenia and suicidal ideations. The PMHNP is aware that which factor may impact the
dose needed to effectively treat his condition:

Selected Answer: D.
The patient drinks a cup of coffee a day.
 Question 11
1 out of 1 points
A patient is diagnosed with bipolar disorder and is currently taking carbamazepine (Tegretol),
aripiprazole (Abilify), and melatonin. The PMHNP has just written an order to discontinue