NURS 6630 MIDTERM EXAM:PSYCHOPHARMACOLOGIC APPROACHES TO TREATMENT OF PSYCHOPATHOLOGY WITH COMPLETE SOLUTIONS

NURS 6630 MIDTERM EXAM:PSYCHOPHARMACOLOGIC APPROACHES TO TREATMENT OF
PSYCHOPATHOLOGY WITH COMPLETE SOLUTIONS

• Question 1
1 out of 1 points
During assessment a patient states“Why are you asking me about my heart, I
am here for my head”, the PMHNP’sbest response is:
Selected
Answer:
D.
“Anxiety can cause cortisol levels to increase and when this
happens frequently it puts you at risk for comorbidities such as type
2 diabetes.”
• Question 2
Duringgeneexpression, what mustoccurprior toagenebeing
expressed?
1 out of 1 points
Selected
Answers:
A.
Transcriptionfactor mustbindtothe regulatory region within
thecell’snucleus.
• Question 3
1 out of 1 points
The PMNHP is assessinga29-year-old client who takes antipsychotics thatblock D2
receptors. This client has begun to develop a common side effect of this medication. What
is this side effect?
Selected
Answer:
D.
Tardivedyskinesia
• Question 4
1 out of 1 points
After ordering flumazenil (Rumazicon) the PMHNP cautions thestaff to monitor forwhich
possible effect?
NURS 6630 MIDTERM EXAM:PSYCHOPHARMACOLOGIC APPROACHES TO TREATMENT OF
PSYCHOPATHOLOGY WITH COMPLETE SOLUTIONS
Selected
Answer:
D.
Allof
the
above
• Question 5
1 out of 1 points
NURS 6630 MIDTERM EXAM:PSYCHOPHARMACOLOGIC APPROACHES TO TREATMENT OF
PSYCHOPATHOLOGY WITH COMPLETE SOLUTIONS
A patient is prescribed 50 mg of desvenlafaxine to take every other day for major
depressive disorder. What does the PMHNP understand about this patient?
Selected
Answer:
C.
The patient has severe
renalimpairment.
• Question 6
1 out of 1 points
A patient is prescribed sertraline to treat panic disorder. Knowing that
sertraline caninitially cause anxiety or insomnia, what should the PMHNP
do?
Selected
Answer:
B.
Prescribe short-acting benzodiazepine for 2 weeks, then
discontinue.
• Question 7
1 out of 1 points
Though medications have the ability to target neurotransmitter release into the synapse by
thepresynaptic neuron it is not always necessary. The PMHNP understands that this is
because:
Selected
Answer:
C.
Neurotransmitters can spread by
diffusion.
• Question 8
1 out of 1 points
A patient is diagnosed with schizophrenia. What increases the patient’s potential
tomediate the cognitive symptoms of the disease?
Selected
Answer:
A.
Achieving underactivity of the mesocorticol projections
to theprefrontal cortex
• Question 9
NURS 6630 MIDTERM EXAM:PSYCHOPHARMACOLOGIC APPROACHES TO TREATMENT OF
PSYCHOPATHOLOGY WITH COMPLETE SOLUTIONS
1 out of 1 points
The PMHNP spends a session with a client and notices behaviors correlating with a
potential manic episode. All of the following are possible manic symptoms the PMHNPcould
observe except:
Selected
Answer:
D.
A low self esteem
• Question 10
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 properunderstandingofdrug-druginteractions?
Selected
Answer:
D.
“Decongestantsshouldbeavoideddueto
riskofhypertensivecrisis.”
• Question 11
NURS 6630 MIDTERM EXAM:PSYCHOPHARMACOLOGIC APPROACHES TO TREATMENT OF
PSYCHOPATHOLOGY WITH COMPLETE SOLUTIONS
1 out of 1 points
Fluoxetine (Prozac) has been prescribed for a client with depression. Which of the following
statements is trueregarding the action of this medication?
Selected
Answer:
B.
Fluoxetineinhibits theserotonintransporter (SERT).
• Question 12
1 out of 1 points
A patient was diagnosed with GAD 4 weeks ago and was placed on Clonazepam
(klonopin)twice a day and citalopram (citalopram (celexa)) once daily. When he
asks the PMHNP why it is necessary to wean him off of the Clonazepam
(klonopin) thebestresponseis:
Selected
Answer:
C.
Clonazepam (klonopin) was used as an aid to treat your condition
whileyou wereadjustingtocitalopram (celexa)
• Question 13
1 out of 1 points
Ms. Skidmore presents for a follow-up appointment after being prescribed
phenelzine (Nardil),and reports “I take my45 mg pill, three timesaday, just like
I’m supposedto.”What does the PMHNP understand about this patient?
Selected
Answer:
C.
Ms. Skidmore is taking too much of the phenelzine (Nardil); she should
betaking the45 mg in three doses.
• Question 14
1 out of 1 points
A patient diagnosed with PTSD is prescribed propranolol (Inderal) and the PMHNP
understands that he was prescribed this medication for what purpose:
Selected
Answer:
B.
Beta blockers are linked
toreconsolidation.
NURS 6630 MIDTERM EXAM:PSYCHOPHARMACOLOGIC APPROACHES TO TREATMENT OF
PSYCHOPATHOLOGY WITH COMPLETE SOLUTIONS
• Question 15
1 out of 1 points
Whatcharacteristicsdothenicotinic,cholinergic,serotonin 3,andglycinereceptorsall
haveincommon?
Selected
Answer:
A.
Ligand-gated ion channels with a pentameric
structure
• Question 16
1 out of 1 points
A patient who was prescribed an MAO inhibitor is learning about dietary
modifications.Which statement made by the PMHNP demonstrates proper
teaching of the food-drug interactions for MAO inhibitors?
Selected
Answer:
A.
“You must avoid soy products,
suchas tofu.”
NURS 6630 MIDTERM EXAM:PSYCHOPHARMACOLOGIC APPROACHES TO TREATMENT OF
PSYCHOPATHOLOGY WITH COMPLETE SOLUTIONS
• Question 17
1 out of 1 points
When an unstable patient asks why it is necessary to add medications to his
currentregimen, the PMHNP’s best response would be:
Selected C.
Answer: “Manypsychiatricillnessesinvolveseveral dys-functioningneurotransmitter
systemsinthebrain. Often,asingle medication mayonlyeffectoneor twoof
thedys-functioning systems. The addition of another medication can work with
the current medication in stabilizing multipleneurotransmitter systemsand
helptoalleviateyoursymptoms.”
• Question 18
1 out of 1 points
A patient is being prescribed a sedating antidepressant, but is concerned about
weightgain. Which medication is most likely to be prescribed to addresses the
patient’s concerns?
Selected
Answer:
D.
trazadone
(Oleptro)
• Question 19
1 out of 1 points
A nurse overhears that a patient has failed single therapy with an SSRI and SNRI.
She alsolearnsthat thepatient hasbeenondual SSRI/SNRI therapy without
adequatesymptom 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 withthe following regimen:
Selected
Answer:
B.
SSRI/SNRI plus
NDRI
• Question 20
NURS 6630 MIDTERM EXAM:PSYCHOPHARMACOLOGIC APPROACHES TO TREATMENT OF
PSYCHOPATHOLOGY WITH COMPLETE SOLUTIONS
0 out of 1 points
Mr. Gordon is a middle-aged patient who is taking antipsychotics. When meeting
with the PMHNP, he reports positive responses to the medication, stating, “I really
feel as though the effects of my depression are going away.” Which receptor
action in antipsychotic medications is believed to be the most beneficial in
producing the effects described by Mr.Gordon?
Selected
Answer:
A.
5HT2
antagonism
• Question 21
1 out of 1 points
A patient is seeking pharmacological treatment for smoking cessation. Which
drug classdoes the PMHNP prescribe to the patient?
Selected
Answer:
D.
Varenicline