NR 546 FINAL EXAM QUESTIONS Advanced Pharmacology:
Psychopharmacology for Psychiatric Mental Health Nurse Practitioner
questions and answers
1. A 14-year-old patient has nonspecific complaints about pain in his or her
legs. The physical examination is unremarkable. Laboratory results are within
normal limits except for a markedly elevated alkaline phosphatase level. The
psychiatric-mental health nurse practitioner
ANS interprets the findings as normally occurring during a rapid adolescent
growth spurt
2. Laboratory findings for a patient with an alcohol use disorder indicate
increased liver function values and
ANS increased MCV and elevated triglyceride levels.
3. A new patient arrives at the office for treatment for depression. The
patient reports taking simvastatin (Zocor) and lisinopril (Zestril). When
selecting an antidepressant, the psychiatric-mental health nurse
practitioner
1 eliminates fluoxetine (Prozac), based on the knowledge that the
, combination can lead to increased plasma levels of the statin, resulting in an
increased risk of muscle damage and rhabdomyolysis. The nurse
practitioner's reason is that
ANS one medication is a CYP450 3A4 substrate and one is a CYP450 3A4
inhibitor.
4. A 28-year-old patient who is psychotic arrives at the clinic with family
members but refuses to meet if the family members are present. The
psychi- atric-mental health nurse practitioner
ANS asks the family members to leave for the appointment.
5. The psychiatric-mental health nurse practitioner is responsible for
initiat- ing quality improvement at a community mental health clinic. The
effective strategy for evaluating the clinic's services is to
ANS use a survey to elicit patient satisfaction responses.
6. The psychiatric-mental health nurse practitioner evaluates a new adult
patient via telemedicine. The patient has questions about a new
2
, medication that he or she recently started. The nurse practitioner decides
to provide psychoeducation and to
ANS e-mail drug information and resources
7. Any court of law that evaluates the standards of care provided by a psy-
chiatric-mental health nurse practitioner
ANS considers what a reasonably prudent health care provider would do.
8. The psychiatric-mental health nurse practitioner and a team of local
mental health professionals are asked to provide crisis counseling service,
after a gunman recently took a class hostage at a local elementary school,
wounded several students, and then shot himself. In preparing for this
assignment, the nurse practitioner recognizes that
ANS a child's developmental stage will influence his or her response to
catastrophic stress
9. Which community-based program is a tertiary level intervention?
3
Psychopharmacology for Psychiatric Mental Health Nurse Practitioner
questions and answers
1. A 14-year-old patient has nonspecific complaints about pain in his or her
legs. The physical examination is unremarkable. Laboratory results are within
normal limits except for a markedly elevated alkaline phosphatase level. The
psychiatric-mental health nurse practitioner
ANS interprets the findings as normally occurring during a rapid adolescent
growth spurt
2. Laboratory findings for a patient with an alcohol use disorder indicate
increased liver function values and
ANS increased MCV and elevated triglyceride levels.
3. A new patient arrives at the office for treatment for depression. The
patient reports taking simvastatin (Zocor) and lisinopril (Zestril). When
selecting an antidepressant, the psychiatric-mental health nurse
practitioner
1 eliminates fluoxetine (Prozac), based on the knowledge that the
, combination can lead to increased plasma levels of the statin, resulting in an
increased risk of muscle damage and rhabdomyolysis. The nurse
practitioner's reason is that
ANS one medication is a CYP450 3A4 substrate and one is a CYP450 3A4
inhibitor.
4. A 28-year-old patient who is psychotic arrives at the clinic with family
members but refuses to meet if the family members are present. The
psychi- atric-mental health nurse practitioner
ANS asks the family members to leave for the appointment.
5. The psychiatric-mental health nurse practitioner is responsible for
initiat- ing quality improvement at a community mental health clinic. The
effective strategy for evaluating the clinic's services is to
ANS use a survey to elicit patient satisfaction responses.
6. The psychiatric-mental health nurse practitioner evaluates a new adult
patient via telemedicine. The patient has questions about a new
2
, medication that he or she recently started. The nurse practitioner decides
to provide psychoeducation and to
ANS e-mail drug information and resources
7. Any court of law that evaluates the standards of care provided by a psy-
chiatric-mental health nurse practitioner
ANS considers what a reasonably prudent health care provider would do.
8. The psychiatric-mental health nurse practitioner and a team of local
mental health professionals are asked to provide crisis counseling service,
after a gunman recently took a class hostage at a local elementary school,
wounded several students, and then shot himself. In preparing for this
assignment, the nurse practitioner recognizes that
ANS a child's developmental stage will influence his or her response to
catastrophic stress
9. Which community-based program is a tertiary level intervention?
3
