2021 NURS6630 Psychopharmacology Midterm Exam With Answers (75 Solved Questions)

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NURS 6630PSYCHOPHARMACOLOGYMIDTERM EXAM2021

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A noncompliant patient states,“Whydo you want me to put this poison in mybody?”Identify the best response made by the psychiatric-mental health nurse practitioner(PMHNP).SelectedAnswer:C.“Most medications that work in the brain will result in restoring an imbalance of oneor more neurotransmitters that your body already produces helping to alleviate yoursymptoms.”Ms. Hill is currently being treated for schizophrenia but has stoppedtaking her medications due to some side effects she claims she wasexperiencing. She presents to the clinic today with worsening symptoms.She is experiencing anhedonia, agitation, attentional impairment, andaffective blunting. Which one of the symptoms mentioned is considered apositive symptom of schizophrenia?SelectedAnswer:B.AgitationWhich statement about neurotransmitters and medications is true?SelectedAnswer:D.An imbalance of serotonin has been directly linked to depression. Following thediscovery of this neurotransmitter, pharmacologists were able to develop a well-known drug- Prozac as the first medication used to restore the balance ofserotonin.When an unstable patient asks why it is necessary to add medications to his currentregimen, thePMHNP’sbest response would be:SelectedAnswer:C.“Many psychiatric illnesses involve several dys-functioning neurotransmittersystems in the brain. Often, a single medication may only effect one or two of thedys-functioning systems. The addition of another medication can work with thecurrent medication in stabilizing multiple neurotransmitter systems and help to•Question41outof1points•Question30outof1points•Question21outof1points•

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•Question51outof1pointsalleviate yoursymptoms.”During gene expression, what must occur prior to a gene being expressed?SelectedAnswers:A.Transcription factor must bind to the regulatory region within thecell’snucleus.While genes have potential to modify behavior, behavior can also modify genes. How dogenes impact this process?SelectedAnswer:B.Changes made to proteins lead to changes inbehavior.Though medications have the ability to targetneurotransmitter release into the synapse bythe presynaptic neuronit is not always necessary. The PMHNP understands that this isbecause:SelectedAnswer:C.Neurotransmitters can spread bydiffusion.Why is the cytochrome P450 enzyme system of significance to the PMHNP?SelectedAnswer:B.The bioavailability of the medication after it passes through thestomach and liver can be altered.It is important for the PMHNP to recognize differences in pharmacokinetics to safelyprescribe and monitor medications. Which of the following statements does thecompetent PMHNP identify as true?SelectedAnswer:A.About 1 out of 5 Asians requires lower-than-normal doses of someantidepressants and antipsychotics.•Question91outof1points•Question81outof1points•Question71outof1points•Question61outof1points

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As it relates to G-protein linked receptors, what does the PMHNP understand aboutmedications that are used in practice?SelectedAnswer:A.Most medications that act on G-protein linked receptors haveantagonistic traits.The PMHNP is considering prescribing a 49-year-old male clozapine (Clozaril) to treat hisschizophrenia and suicidal ideations. The PMHNP is aware that which factor may impactthe dose needed to effectively treat his condition:SelectedAnswer:A.The patient smokescigarettes.A patient is diagnosed with bipolar disorder and is currently taking carbamazepine(Tegretol), aripiprazole (Abilify), and melatonin. The PMHNP has just written an order todiscontinue the carbamazepine (Tegretol) for drug-induced thrombocytopenia. ThePMHNP is aware that his next best action is to:SelectedAnswer:B.Write an order for a different moodstabilizerA patient recently transferred following a suicide attempt has a history of schizophrenia,depression, and fibromyalgia. He iscurrentlytaking Amitriptyline(Elavil), Lisinopril,aspirin, and fluoxetine (Prozac).When assessing the psychiatric medications and the reason foradmission, what would be the best course of action for the PMHNP with this client?SelectedAnswer:A.Review Amitriptyline (Elavil)levelA patient with schizophrenia is given an inverse agonist that acts on the receptor 5HTand neurotransmitter serotonin. What is the rationale for prescribing a medication suchas this?•Question140outof1points•Question131outof1points•Question120outof1points•Question111outof1points•Question101outof1points

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SelectedAnswer:D.To help decrease the amount of serotonin anddopamineThe PMHNP is caring for four patients. Which patient statement indicates thatbenzodiazepines would be beneficial?SelectedAnswer:D.“Ifeel nervous to go outside and be in largecrowds.”Ms. Harlow is a 42-year-old patient who is prescribed a drug that acts on ionotropicreceptors. She is curious about the effects of the drug and how it will act on hersymptoms. Which statement made by the PMHNP demonstrates proper understandingof Ms.Harlow’sprescription?SelectedAnswer:A.“Thedrug will have an almostimmediateeffect.”A patient is seeking pharmacological treatment for smoking cessation. Which drug classdoes the PMHNP prescribe to the patient?SelectedAnswer:D.Varenicline(Chantix)The PMHNP is caring for a new patient who has been transferred from another office.When meeting with the new patient, the patient reports, “I feel like I am improving withthestabilizers.”The PMHNP immediately recognizes that the patient is describing whichkind of drug?SelectedAnswer:C.PartialagonistsA patient presents with frequent episodes of mania. Which statement describes an•Question191outof1points•Question181outof1points•Question171outof1points•Question161outof1points•Question151outof1points

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