NURS 6630
NURS 6630 FINAL EXAM STUDY GUIDE WITH ACCURATE
QUESTIONS AND ANSWERS (VERIFIED ANSWERS) | LATEST
(2026/2027) UPDATED VERSION
THIS DOCUMENT CONTAINS:
❖NURS 6630
❖NURS 6630 FINAL EXAM STUDY GUIDE
❖ACCURATE QUESTIONS AND ANSWERS (VERIFIED ANSWERS)
❖LATEST (2026/2027) UPDATED VERSION
❖100% GUARANTEED PASS
,Query1
When an unstable sick person asks why it is necessary to add medications to his
current regimen, the PMHNP’s best response would be:
Selected C.
Answer: “Many psychiatric illnesses involve several dys-functioning neurotransmitter systems in the
brain. Often, a single medication may only effect one or two of the dys-functioning
systems. The addition of another medication can work with the current medication in
stabilizing multiple neurotransmitter systems and help to alleviate your symptoms.”
Query 2
The PMHNP is
meeting with a new mother who would like to begin taking medication again to treat
her bipolar depression; she is breastfeeding her 2-month old daughter. The PMHNP
recognizes that which of the following medications is contraindicated for this sick
person?
Selected C.
Answer: Lithium
(Lithobid)
Query 3
Mr. Gordon is a middle-aged client who was started on antidepressant monotherapy
for depression. After beginning this medication, the PMHNP noticed that this client
seemed to swing into a hypomanic episode. What can the PMHNP infer from this
behavior change?
Selected A.
Answer: This client may have Bipolar III disorder
Query 4
,A sick person presents with frequent episodes of mania. Which statement describes
an appropriate treatment approach for this sick person?
Selected B.
Answer: “The sick person could benefit from an
anticonvulsant.”
Query 5
The student inquires about antipsychotic medications. Which response by the
PMHNP describes the factors that contribute to reduced risk of extrapyramidal
symptoms (EPS) for sick persons who take antipsychotics?
Selected B.
Answer: Those that are potent D2 antagonists with 5HT2A antagonism properties
Query 6
After ordering flumazenil (Rumazicon) the PMHNP cautions the staff to monitor for which
possible effect?
Selected D.
Answer: All of the above
Query 7
The PMHNP is
caring for a sick person who is taking antipsychotics heard the psychiatrist tell the sick
person that the sick person would be placed on a different antipsychotic agent called an
atypical antipsychotic. What neurotransmitters will this new medication work on?
Selected A.
Answer: dopamine and serotonin
Query 8
While genes
have potential to modify behavior, behavior can also modify genes. How do genes impact
this process?
Selected B.
Answer: Changes made to proteins lead to changes in behavior.
Query 9
, Mrs. Schwartzman is a 52-year-old client with schizophrenia and no established
history of depression. When meeting with the PMHNP, she presents with apathy
and withdrawn social behavior, and she reports a loss of joy from enjoyable
activities since starting her new medication. What does the PMHNP infer from this
encounter with the client?
Selected C.
Answer: The new medication is blocking D2 receptors in the mesolimbic system
Query 10
A nursing student is seeking clarification on the use of anticonvulsants to treat
depression and is unclear about most effective outcomes. Which of the following
agents does the PMHNP convey as having uncertain outcomes?
Selected B.
Answer: Gabapentin
(Neurontin)
Query 11
As it relates to G-
protein linked receptors, what does the PMHNP understand about medications that are
used in practice?
Selected A.
Answer: Most medications that act on G-protein linked receptors have
antagonistic traits.
Query 12
A sick person is seeking pharmacological treatment for smoking cessation. Which
drug class does the PMHNP prescribe to the sick person?
Selected D.
Answer: Varenicline
(Chantix)
Query 13
The PMHNP is caring for a sick person with schizophrenia and is considering a
variety of treatment approaches. The PHMNP selects a viable treatment that is
consistent with the “dopamine hypothesis of schizophrenia.” What action does the
PMHNP anticipate this treatment having on the sick person?
NURS 6630 FINAL EXAM STUDY GUIDE WITH ACCURATE
QUESTIONS AND ANSWERS (VERIFIED ANSWERS) | LATEST
(2026/2027) UPDATED VERSION
THIS DOCUMENT CONTAINS:
❖NURS 6630
❖NURS 6630 FINAL EXAM STUDY GUIDE
❖ACCURATE QUESTIONS AND ANSWERS (VERIFIED ANSWERS)
❖LATEST (2026/2027) UPDATED VERSION
❖100% GUARANTEED PASS
,Query1
When an unstable sick person asks why it is necessary to add medications to his
current regimen, the PMHNP’s best response would be:
Selected C.
Answer: “Many psychiatric illnesses involve several dys-functioning neurotransmitter systems in the
brain. Often, a single medication may only effect one or two of the dys-functioning
systems. The addition of another medication can work with the current medication in
stabilizing multiple neurotransmitter systems and help to alleviate your symptoms.”
Query 2
The PMHNP is
meeting with a new mother who would like to begin taking medication again to treat
her bipolar depression; she is breastfeeding her 2-month old daughter. The PMHNP
recognizes that which of the following medications is contraindicated for this sick
person?
Selected C.
Answer: Lithium
(Lithobid)
Query 3
Mr. Gordon is a middle-aged client who was started on antidepressant monotherapy
for depression. After beginning this medication, the PMHNP noticed that this client
seemed to swing into a hypomanic episode. What can the PMHNP infer from this
behavior change?
Selected A.
Answer: This client may have Bipolar III disorder
Query 4
,A sick person presents with frequent episodes of mania. Which statement describes
an appropriate treatment approach for this sick person?
Selected B.
Answer: “The sick person could benefit from an
anticonvulsant.”
Query 5
The student inquires about antipsychotic medications. Which response by the
PMHNP describes the factors that contribute to reduced risk of extrapyramidal
symptoms (EPS) for sick persons who take antipsychotics?
Selected B.
Answer: Those that are potent D2 antagonists with 5HT2A antagonism properties
Query 6
After ordering flumazenil (Rumazicon) the PMHNP cautions the staff to monitor for which
possible effect?
Selected D.
Answer: All of the above
Query 7
The PMHNP is
caring for a sick person who is taking antipsychotics heard the psychiatrist tell the sick
person that the sick person would be placed on a different antipsychotic agent called an
atypical antipsychotic. What neurotransmitters will this new medication work on?
Selected A.
Answer: dopamine and serotonin
Query 8
While genes
have potential to modify behavior, behavior can also modify genes. How do genes impact
this process?
Selected B.
Answer: Changes made to proteins lead to changes in behavior.
Query 9
, Mrs. Schwartzman is a 52-year-old client with schizophrenia and no established
history of depression. When meeting with the PMHNP, she presents with apathy
and withdrawn social behavior, and she reports a loss of joy from enjoyable
activities since starting her new medication. What does the PMHNP infer from this
encounter with the client?
Selected C.
Answer: The new medication is blocking D2 receptors in the mesolimbic system
Query 10
A nursing student is seeking clarification on the use of anticonvulsants to treat
depression and is unclear about most effective outcomes. Which of the following
agents does the PMHNP convey as having uncertain outcomes?
Selected B.
Answer: Gabapentin
(Neurontin)
Query 11
As it relates to G-
protein linked receptors, what does the PMHNP understand about medications that are
used in practice?
Selected A.
Answer: Most medications that act on G-protein linked receptors have
antagonistic traits.
Query 12
A sick person is seeking pharmacological treatment for smoking cessation. Which
drug class does the PMHNP prescribe to the sick person?
Selected D.
Answer: Varenicline
(Chantix)
Query 13
The PMHNP is caring for a sick person with schizophrenia and is considering a
variety of treatment approaches. The PHMNP selects a viable treatment that is
consistent with the “dopamine hypothesis of schizophrenia.” What action does the
PMHNP anticipate this treatment having on the sick person?
