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2024-2025 NR546 Midterm Review Practice Exam with Answers (108 Solved Questions)

  • Nursing
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  • Shared February 2025
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    NR 546 MIDTERM REVIEW PRACTICE QUESTIONS 2024/2025 ANSWERS VERIFIED CORRECT The PMHNP has prescribed chlorpromazine hydrochloride (Thorazine) for a patient with psychosis, and the patient is to continue on the oral medication after discharge from the psychiatric unit. As part of educating the patient about the medication, the PMHN P should advise him or her to avoid: Sun exposure What problems with peers could you come across from having a child with ADHD? Annoying, socially insensitive, loud, inappropriate, and socially aggressive behaviors. Display little of the "give and take" at titude that you find in other children Tardive dyskinesia after long - term antipsychotic administration is thought to be due to: Up - regulation of striatal dopamine receptors Which neuroleptic agents are less likely to produce tardive dyskinesia? quetiapine, clozapine, respiradone The following statements regarding neurotransmission are true Retrograde neurotransmission occurs when the post synaptic neuron "talks back" with the presynaptic neuron

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    Neurotransmssion is the foundation of psychopharmacology Star ts with the stimulation of the cell by a molecule (ligand) or other stimuli that activates the receptors Neuroimaging data show that neuronal activity in the amygdala of depressed patients is: Overreactive to induced sadness A patient with obsessive - compul sive disorder (OCD) will begin medication to control symptoms. An FDA - approved drug for OCD that the PMHNP may prescribe is: fluoxetine (Prozac). The complete effect of the chemical neurotransmission happens within an hour and there are no long lasting eff ects false Which of the following statements regarding mood disorders is false? Manic forms of mood disorders predominate in men. Drugs can produce a therapeutic response when they are: unbound to plasma proteins A 36 - year - old man with depression has had 3 therapeutic trials of serotonin reuptake inhibitors (SRIs) without notable improvement. His clinician is now considering switching the patient's SRI to a monoamine oxidase inhibitor (MAOI). Which of the following is an appropriate switching strategy in this situation? Discontinue SRI, then wait 5 half - lives before initiating MAOI

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    Depression and mania share which of the following symptoms? irritability A female patient reports an intense, overwhelming fear of drivi ng a car. The fear has disrupted all elements of the patient's life. The patient does not go to the grocery store unless someone transports her, has relinquished her job, and has few social contacts. The patient's treatment plan includes: systemic desensit ization generalized anxiety disorder excessive rumination / worrying Major depressive disorder sadness, anhedonia Panic attack SOB, tachycardia agoraphobia fear of being trapped The following are possible reasons for non - adherence to medications side effec ts that are poorly tolerated unconscious need to "defeat" the doctor secondary gain from being in the sick role The following are possible reasons for non - adherence to medications, EXCEPT:

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    support from friends and family Prefrontal cortex blunted affect/ negative symptoms in schizophrenia Mesolimbic circuit delusions and hallucinations/positive symptoms in schizophrenia amygdala elevated mood in bipolar disorder/impulsivity in schizophrenia striatum motor agitation in bipolar disorder/more severe psychotic symptoms in schizophrenia The amygdala has the capacity to register, perceive, and analyze sensory data in a crude manner, based on pattern recognition. Although this adaptive system can help with survival, wrong interpretations (a piece of rope being mistaken for a snake) can caus e "false alarms" and trigger anxiety True What underlying issues may be implicated in the etiology of depression: life stressors, nutritional deficiencies (malnutrition, anemia), CNS depressant drug use/abuse (benzo's), and autoimmune diseases (arthritis, SLE) Psychomotor retardation is characterized by all of the following reduced speech amplitude and flow paucity of spontaneous movements poor concentration

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    indeciveness A patient who has borderline personality disorder experiences intense anxiety when t he psychiatric - mental health nurse practitioner goes on vacation. The most appropriate explanation for this reaction is that the patient: has not developed object constancy The person least likely to develop major depressive disorder in his or her lifetime is: a 19 - year - old woman who was raped 3 weeks ago Which of the following antidepressants has the shortest half - life? Paroxetine and Trazadone ________ are short, branched structures that receive and conduct information Dendrites A 22 - year - old man exhibits a fear response in reaction to unexpectedly encountering a bear while hiking. The various expressions of fear are hypothetically regulated by circuitry centered around the: amygdala A supervisor observes inconsistency in the psychiatric - mental health nurs e's behavior toward a patient; the nurse is unreasonably concerned, overly kind, or irrationally hostile. The most appropriate explanation is that the nurse is displaying: countertransference. Neurotransmission does not end when a neurotransmitter binds to a receptor.

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    true Both generalized anxiety disorder and panic attacks can only happen in the presence of a precipitating stressor. false Which of the following can effect drug absorption into the body: dosage form and body weight Which of the following is NOT a pharmacokinetic process? The drug causes dilation of coronary vessels Generalized anxiety disorder: has about a 50 percent chance of a recurrence after recovery Structurally, all neurons are composed of dendrites, axon terminal, cell bodies, and terminal buttons Established clinical guidelines suggest that suicidality is decreased by treating patients who have borderline personality disorder with: dialectical behavioral therapy. All of the following state ments regarding cyclothymic disorder are true It occurs at the same rate in men and women. It consists of hypomania alternating with depressed mood. Its lifetime prevalence rate is about 0.4 to 1 percent. Symptoms must be present for at least 2 years.

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