NR 546 Midterm Questions with Detailed Verified
Answers
Which of the following data is most accurate in determining a treatment plan for a
patient who presents with depression? Ans: The patient states that they are
experiencing feelings of sadness, insomnia, and lack of appetite
Informed Consent Ans: 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? Ans: 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? Ans: Decrease the dosage of
olanzipine\n\nAmiodarone 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? Ans:
Dopamine\ndopamine 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? Ans: Antagonist
Medications for schizophrenia target which main neurotransmitter? Ans:
Dopamine\ndopamine 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 _________. Ans: positive, hyperprolactinemia
, Which medication is a good option for a patient with schizophrenia who also suffers
from insomnia? Ans: Olanzapine\n\nOlanzapine is the best tolerated antipsychotic
What brain region is responsible for speech comprehension? Ans: Wernicke's Area
Which neurotransmitter may be responsible for a client's symptoms of depression?
SATA\na. increased level of ACH\nb. decreased levels of NE\nc. increased levels of
5HT\nd. decreased levels of histamine\ne. increased levels of glutamate Ans: a.
increased levels of ACH\nb. decreased levels of NE\nd. decreased levels of histamine
Which pathway is associated with hyperprolactemia? Ans: Tuberoinfundibular
True or False: Sulfonamides are an example of CYP450 inducer. Ans: False, they are
inhibitors
GABA Ans: chief inhibitory neurotransmitter and targeted by BZOs
norepinephrine Ans: 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. Ans: NTM that affects balance and coordination. Low
levels may be found in patient with Parkinson's disease.
Acetylcholine Ans: NTM that affects arousal, motivation, attention, learning, and REM
sleep
"happy hormone" Ans: 5HT (serotonin)
Main excitatory NTM Ans: Glutamine
True or False: The mesolimbic pathway is responsible for positive symptoms of
schizophrenia Ans: True
True or False: The mesocortical pathway is associated with hyperprolactinemia Ans:
False
© Get it right 2025 Getaway - Stuvia US All rights reserved
Answers
Which of the following data is most accurate in determining a treatment plan for a
patient who presents with depression? Ans: The patient states that they are
experiencing feelings of sadness, insomnia, and lack of appetite
Informed Consent Ans: 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? Ans: 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? Ans: Decrease the dosage of
olanzipine\n\nAmiodarone 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? Ans:
Dopamine\ndopamine 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? Ans: Antagonist
Medications for schizophrenia target which main neurotransmitter? Ans:
Dopamine\ndopamine 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 _________. Ans: positive, hyperprolactinemia
, Which medication is a good option for a patient with schizophrenia who also suffers
from insomnia? Ans: Olanzapine\n\nOlanzapine is the best tolerated antipsychotic
What brain region is responsible for speech comprehension? Ans: Wernicke's Area
Which neurotransmitter may be responsible for a client's symptoms of depression?
SATA\na. increased level of ACH\nb. decreased levels of NE\nc. increased levels of
5HT\nd. decreased levels of histamine\ne. increased levels of glutamate Ans: a.
increased levels of ACH\nb. decreased levels of NE\nd. decreased levels of histamine
Which pathway is associated with hyperprolactemia? Ans: Tuberoinfundibular
True or False: Sulfonamides are an example of CYP450 inducer. Ans: False, they are
inhibitors
GABA Ans: chief inhibitory neurotransmitter and targeted by BZOs
norepinephrine Ans: 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. Ans: NTM that affects balance and coordination. Low
levels may be found in patient with Parkinson's disease.
Acetylcholine Ans: NTM that affects arousal, motivation, attention, learning, and REM
sleep
"happy hormone" Ans: 5HT (serotonin)
Main excitatory NTM Ans: Glutamine
True or False: The mesolimbic pathway is responsible for positive symptoms of
schizophrenia Ans: True
True or False: The mesocortical pathway is associated with hyperprolactinemia Ans:
False
© Get it right 2025 Getaway - Stuvia US All rights reserved
