Midterm Exam: NR546 / NR-546
(Latest ) Advanced
Pharmacology Psychopharmacology
for the Psychiatric-Mental Health
Nurse Practitioner | Questions with
Verified Answers | 100% Correct |
Grade A - Chamberlain
Question:
A drug that block receptors, inhibiting a biological response, is known as
a(n):
a. Partial agonist
b. Inverse agonist
c. Antagonist
d. Agonist
Answer:
c. Antagonist
,Question:
A patient who has been stable on his long-acting injectable medication tells
the PMHNP that he would like to quit smoking. What is the best response?
a. Good for you, can prescribe you a nicotine patch to help.
b. Let us make an appointment as your medication dose may need to be
lowered.
c. I will refer you to a smoking cessation support group.
d. I am glad you have decided to quit smoking.
Answer:
b. Let us make an appointment as your medication dose may need to be
lowered.
Question:
A patient has been taking valproic acid for mood stabilization from a manic
episode but is still not sleeping through the night. His drug level was
50mcg/mL. The PMHNP notices the patient seems disoriented to time and in
flapping his wrist. What should the PMHNP do next?
a. Give the patient lactulose 20g PO
b. Draw an ammonia level
c. Increase the dose of valproic acid
a. Augment with an atypical antipsychotic
Answer:
b. Draw an ammonia level
,Question:
A patient who has been taking paroxetine for 3 years wants to come off due to
sexual side effects. He has gradually tried to wean the dose on his own, but
notices feelings of dizziness, fatigue, headaches, anxiety, and electric-like
shocks in his head. These findings are most consistent with SSRI
discontinuation. What would be the responsible actions by the PMHNP to
make?
a. Reassure the patient that the symptoms will go away eventually
b. Prescribe the patient fluoxetine for 1 week
c. Have the patient resume the paroxetine
d. Start the patient on an antipsychotic for his somatic delusions
Answer:
b. Prescribe the patient fluoxetine for 1 week
Question:
The PMHNP is monitoring a serum drug level for a medication with a 24-hour
half-life. How many hours will it take to reach steady state?
a. 48 hours
b. 72 hours
c. 96 hours
d. 120 hours
Answer:
d. 120 hours
, Question:
grey matter
Answer:
cerebellum, cerebrum, brain stem, and butterfly shaped portion of the central
spinal cord
Question:
What is grey matter associated with?
Answer:
Learning
Question:
Frontal Lobe
Answer:
movement, intelligence, abstract thinking, the ability organize, personality,
behavior, and emotional control
Question:
hippocampus
Answer:
Regulates memory (specifically long term), and anxiety
(Latest ) Advanced
Pharmacology Psychopharmacology
for the Psychiatric-Mental Health
Nurse Practitioner | Questions with
Verified Answers | 100% Correct |
Grade A - Chamberlain
Question:
A drug that block receptors, inhibiting a biological response, is known as
a(n):
a. Partial agonist
b. Inverse agonist
c. Antagonist
d. Agonist
Answer:
c. Antagonist
,Question:
A patient who has been stable on his long-acting injectable medication tells
the PMHNP that he would like to quit smoking. What is the best response?
a. Good for you, can prescribe you a nicotine patch to help.
b. Let us make an appointment as your medication dose may need to be
lowered.
c. I will refer you to a smoking cessation support group.
d. I am glad you have decided to quit smoking.
Answer:
b. Let us make an appointment as your medication dose may need to be
lowered.
Question:
A patient has been taking valproic acid for mood stabilization from a manic
episode but is still not sleeping through the night. His drug level was
50mcg/mL. The PMHNP notices the patient seems disoriented to time and in
flapping his wrist. What should the PMHNP do next?
a. Give the patient lactulose 20g PO
b. Draw an ammonia level
c. Increase the dose of valproic acid
a. Augment with an atypical antipsychotic
Answer:
b. Draw an ammonia level
,Question:
A patient who has been taking paroxetine for 3 years wants to come off due to
sexual side effects. He has gradually tried to wean the dose on his own, but
notices feelings of dizziness, fatigue, headaches, anxiety, and electric-like
shocks in his head. These findings are most consistent with SSRI
discontinuation. What would be the responsible actions by the PMHNP to
make?
a. Reassure the patient that the symptoms will go away eventually
b. Prescribe the patient fluoxetine for 1 week
c. Have the patient resume the paroxetine
d. Start the patient on an antipsychotic for his somatic delusions
Answer:
b. Prescribe the patient fluoxetine for 1 week
Question:
The PMHNP is monitoring a serum drug level for a medication with a 24-hour
half-life. How many hours will it take to reach steady state?
a. 48 hours
b. 72 hours
c. 96 hours
d. 120 hours
Answer:
d. 120 hours
, Question:
grey matter
Answer:
cerebellum, cerebrum, brain stem, and butterfly shaped portion of the central
spinal cord
Question:
What is grey matter associated with?
Answer:
Learning
Question:
Frontal Lobe
Answer:
movement, intelligence, abstract thinking, the ability organize, personality,
behavior, and emotional control
Question:
hippocampus
Answer:
Regulates memory (specifically long term), and anxiety
