Midterm Exam: NR546/ NR 546
Psychopharmacology for the
Psychiatric-Mental Health Nurse
Practitioner | Questions and Verified
Answers| New!! 2024/ 2025 Update–
Chamberlain
Which of the following data is most accurate in determining a treatment plan for a
patient who presents with depression?
The patient states that they are experiencing feelings of sadness, insomnia, and
lack of appetite
Informed Consent
clients have the right to receive enough information to make decisions about their
treatment. They must also be informed about the potential risks associated with
medication. Clients have the right to refuse treatment and cannot be forcibly
medicated in non-emergencies.
Which lobe is responsible for movement and intelligence and can result in
personality changes if damaged?
Frontal Lobe
The PMHNP wants to prescribe olanzipine for a client with depression. However,
the client currently takes amiodarone for chronic atrial fibrillation. What does the
PMHNP need to do to establish efficiency of this medication?
,Decrease the dosage of olanzipine
Amiodarone is a CYP450 inhibitor which means it will stop/slow down the
olanzapine from metabolizing in the body. Therefore, the olanzapine is at risk for
building up in the client's system rather than being metabolized and secreted.
What NTM is responsible for a patient's diagnosis of Parkinson's?
Dopamine
dopamine affects balance and coordination, low levels are found in Parkinson's.
A surgical patient is post-op after a hernia repair. The patient is given opioids in
the OR and now has a shallow respiratory rate, pinpoint pupils, and is
unresponsive to verbal stimulation. The PMHNP prescribed naloxone to reverse
the effects of the opioids. Where does Naloxone fall on the agonist spectrum?
Antagonist
Medications for schizophrenia target which main neurotransmitter?
Dopamine
dopamine causes negative and positive symptoms of schizophrenia, medication
block dopamine to reduce these symptoms
first generation antipsychotics improve _________ symptoms, and there is a
higher risk of developing _________.
positive, hyperprolactinemia
Which medication is a good option for a patient with schizophrenia who also
suffers from insomnia?
Olanzapine
Olanzapine is the best tolerated antipsychotic
What brain region is responsible for speech comprehension?
Wernicke's Area
, Which neurotransmitter may be responsible for a client's symptoms of
depression? SATA
a. increased level of ACH
b. decreased levels of NE
c. increased levels of 5HT
d. decreased levels of histamine
e. increased levels of glutamate
a. increased levels of ACH
b. decreased levels of NE
d. decreased levels of histamine
Which pathway is associated with hyperprolactemia?
Tuberoinfundibular
True or False: Sulfonamides are an example of CYP450 inducer.
False, they are inhibitors
GABA
chief inhibitory neurotransmitter and targeted by BZOs
norepinephrine
NTM responsible for fight, flight, or freight
Dopamine NTM that affects balance and coordination. Low levels may be found in
patient with Parkinson's disease.
NTM that affects balance and coordination. Low levels may be found in patient
with Parkinson's disease.
Acetylcholine
NTM that affects arousal, motivation, attention, learning, and REM sleep
"happy hormone"
5HT (serotonin)
Main excitatory NTM
Psychopharmacology for the
Psychiatric-Mental Health Nurse
Practitioner | Questions and Verified
Answers| New!! 2024/ 2025 Update–
Chamberlain
Which of the following data is most accurate in determining a treatment plan for a
patient who presents with depression?
The patient states that they are experiencing feelings of sadness, insomnia, and
lack of appetite
Informed Consent
clients have the right to receive enough information to make decisions about their
treatment. They must also be informed about the potential risks associated with
medication. Clients have the right to refuse treatment and cannot be forcibly
medicated in non-emergencies.
Which lobe is responsible for movement and intelligence and can result in
personality changes if damaged?
Frontal Lobe
The PMHNP wants to prescribe olanzipine for a client with depression. However,
the client currently takes amiodarone for chronic atrial fibrillation. What does the
PMHNP need to do to establish efficiency of this medication?
,Decrease the dosage of olanzipine
Amiodarone is a CYP450 inhibitor which means it will stop/slow down the
olanzapine from metabolizing in the body. Therefore, the olanzapine is at risk for
building up in the client's system rather than being metabolized and secreted.
What NTM is responsible for a patient's diagnosis of Parkinson's?
Dopamine
dopamine affects balance and coordination, low levels are found in Parkinson's.
A surgical patient is post-op after a hernia repair. The patient is given opioids in
the OR and now has a shallow respiratory rate, pinpoint pupils, and is
unresponsive to verbal stimulation. The PMHNP prescribed naloxone to reverse
the effects of the opioids. Where does Naloxone fall on the agonist spectrum?
Antagonist
Medications for schizophrenia target which main neurotransmitter?
Dopamine
dopamine causes negative and positive symptoms of schizophrenia, medication
block dopamine to reduce these symptoms
first generation antipsychotics improve _________ symptoms, and there is a
higher risk of developing _________.
positive, hyperprolactinemia
Which medication is a good option for a patient with schizophrenia who also
suffers from insomnia?
Olanzapine
Olanzapine is the best tolerated antipsychotic
What brain region is responsible for speech comprehension?
Wernicke's Area
, Which neurotransmitter may be responsible for a client's symptoms of
depression? SATA
a. increased level of ACH
b. decreased levels of NE
c. increased levels of 5HT
d. decreased levels of histamine
e. increased levels of glutamate
a. increased levels of ACH
b. decreased levels of NE
d. decreased levels of histamine
Which pathway is associated with hyperprolactemia?
Tuberoinfundibular
True or False: Sulfonamides are an example of CYP450 inducer.
False, they are inhibitors
GABA
chief inhibitory neurotransmitter and targeted by BZOs
norepinephrine
NTM responsible for fight, flight, or freight
Dopamine NTM that affects balance and coordination. Low levels may be found in
patient with Parkinson's disease.
NTM that affects balance and coordination. Low levels may be found in patient
with Parkinson's disease.
Acetylcholine
NTM that affects arousal, motivation, attention, learning, and REM sleep
"happy hormone"
5HT (serotonin)
Main excitatory NTM
