• Question 50
1 out of 1 points
The PMNHP is assessing a 29-year-old client who takes antipsychotics that block D2 receptors. This client has
begun to develop a common side effect of this medication. What is this side effect?
Selected Answer: D.
Tardive dyskinesia
• Question 51
1 out of 1 points
Mr. McCullin is 64 years old with Parkinson’s disease. The PMHNP caring for Mr. McCullin wants to start him on a
dopamine agonist to help manage and treat his condition. The PHMNP selects this agent because of which action it
has on patients like Mr. McCullin?
Selected Answer: D.
D2 receptors are the primary binding site for dopamine agonists.
• Question 52
0 out of 1 points
A patient is diagnosed with schizophrenia. What increases the patient’s potential to mediate the cognitive
symptoms of the disease?
Selected Answer: B.
Achieving overactivity of the mesocorticol projections to the ventromedial prefrontal cortex
• Question 53
1 out of 1 points
A patient is prescribed fluoxetine but is concerned about the side effects. Which statement demonstrates accurate
patient teaching when discussing the side effects associated with fluoxetine?
Selected Answer: C.
Induction of mania is rare.
• Question 54
1 out of 1 points
A patient who is prescribed MAO inhibitors asks about whether he can continue taking pseudoephedrine to relieve
his congestion.
,Which response by the PMHNP indicates proper understanding of
,drug-drug interactions?
Selected Answer: D.
“Decongestants should be avoided due to risk of hypertensive crisis.”
• Question 55
1 out of 1 points
The PMHNP is assessing a patient in the psychiatric emergency room. The patient tells the PMHNP that he does
not understand why his depression has not lifted after being on four different antidepressants over the course of a
year. Which of the following symptoms can be residual symptoms for patients who do not achieve remission with
major depressive disorder?
Selected Answer: D.
A and C
• Question 56
1 out of 1 points
The PMHNP is caring for a patient with the s genotype of SERT. What does the PMHNP understand regarding this
patient’s response to selective serotonin reuptake inhibitor (SSRI)/SNRI treatment?
Selected Answer: D.
The patient may be less responsive or tolerant to the treatment.
• Question 57
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 58
, 1 out of 1 points The PMHNP understands that the potential of alcohol abuse in the anxious client is higher for the
following reasons:
Selected Answer: a.
Alcohol exerts an effect on GABAA receptors.
• Question 59
1 out of 1 points
A nurse overhears that a patient has failed single therapy with an SSRI and SNRI. She also learns that the patient
has been on dual SSRI/SNRI therapy without adequate symptom control. She approaches the PMHNP and asks
what the next treatment option could be in this seemingly treatment-resistant patient. The PMHNP tells the nurse
she will treat the patient with the following regimen:
Selected Answer: B.
SSRI/SNRI plus NDRI
• Question 60
1 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.
• Question 61
1 out of 1 points
Fluoxetine (Prozac) has been prescribed for a client with depression. Which of the following statements is true
regarding the action of this medication?
Selected Answer: B.
Fluoxetine inhibits the serotonin transporter (SERT).
• Question 62
1 out of 1 points
A 45 year old female client with allergic rhinitis and normal blood pressure has had no reduction in depressive
symptoms after trying bupropion, paroxetine, and venlafaxine. What precautions are needed when considering
phenelzine in treating her depression?
Selected Answer: B.
The client will need to minimize dietary intake of foods that are high in tyramine.
1 out of 1 points
The PMNHP is assessing a 29-year-old client who takes antipsychotics that block D2 receptors. This client has
begun to develop a common side effect of this medication. What is this side effect?
Selected Answer: D.
Tardive dyskinesia
• Question 51
1 out of 1 points
Mr. McCullin is 64 years old with Parkinson’s disease. The PMHNP caring for Mr. McCullin wants to start him on a
dopamine agonist to help manage and treat his condition. The PHMNP selects this agent because of which action it
has on patients like Mr. McCullin?
Selected Answer: D.
D2 receptors are the primary binding site for dopamine agonists.
• Question 52
0 out of 1 points
A patient is diagnosed with schizophrenia. What increases the patient’s potential to mediate the cognitive
symptoms of the disease?
Selected Answer: B.
Achieving overactivity of the mesocorticol projections to the ventromedial prefrontal cortex
• Question 53
1 out of 1 points
A patient is prescribed fluoxetine but is concerned about the side effects. Which statement demonstrates accurate
patient teaching when discussing the side effects associated with fluoxetine?
Selected Answer: C.
Induction of mania is rare.
• Question 54
1 out of 1 points
A patient who is prescribed MAO inhibitors asks about whether he can continue taking pseudoephedrine to relieve
his congestion.
,Which response by the PMHNP indicates proper understanding of
,drug-drug interactions?
Selected Answer: D.
“Decongestants should be avoided due to risk of hypertensive crisis.”
• Question 55
1 out of 1 points
The PMHNP is assessing a patient in the psychiatric emergency room. The patient tells the PMHNP that he does
not understand why his depression has not lifted after being on four different antidepressants over the course of a
year. Which of the following symptoms can be residual symptoms for patients who do not achieve remission with
major depressive disorder?
Selected Answer: D.
A and C
• Question 56
1 out of 1 points
The PMHNP is caring for a patient with the s genotype of SERT. What does the PMHNP understand regarding this
patient’s response to selective serotonin reuptake inhibitor (SSRI)/SNRI treatment?
Selected Answer: D.
The patient may be less responsive or tolerant to the treatment.
• Question 57
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 58
, 1 out of 1 points The PMHNP understands that the potential of alcohol abuse in the anxious client is higher for the
following reasons:
Selected Answer: a.
Alcohol exerts an effect on GABAA receptors.
• Question 59
1 out of 1 points
A nurse overhears that a patient has failed single therapy with an SSRI and SNRI. She also learns that the patient
has been on dual SSRI/SNRI therapy without adequate symptom control. She approaches the PMHNP and asks
what the next treatment option could be in this seemingly treatment-resistant patient. The PMHNP tells the nurse
she will treat the patient with the following regimen:
Selected Answer: B.
SSRI/SNRI plus NDRI
• Question 60
1 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.
• Question 61
1 out of 1 points
Fluoxetine (Prozac) has been prescribed for a client with depression. Which of the following statements is true
regarding the action of this medication?
Selected Answer: B.
Fluoxetine inhibits the serotonin transporter (SERT).
• Question 62
1 out of 1 points
A 45 year old female client with allergic rhinitis and normal blood pressure has had no reduction in depressive
symptoms after trying bupropion, paroxetine, and venlafaxine. What precautions are needed when considering
phenelzine in treating her depression?
Selected Answer: B.
The client will need to minimize dietary intake of foods that are high in tyramine.
