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2024-2025 NR546 Midterm Review Practice Exam with Answers (108 Solved Questions) - Document preview page 1

2024-2025 NR546 Midterm Review Practice Exam with Answers (108 Solved Questions) - Page 1

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

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2024-2025 NR546 Midterm Review Practice Exam with Answers (108 Solved Questions) - Page 1 preview imageNR 546MIDTERMREVIEWPRACTICEQUESTIONS2024/2025 ANSWERSVERIFIED CORRECTThe PMHNP has prescribed chlorpromazine hydrochloride (Thorazine) for apatient with psychosis, and the patient is to continue on the oral medication afterdischarge from the psychiatric unit. As part of educating the patient about themedication, the PMHNP should advise him or her to avoid:Sun exposureWhat problems with peers could you come across from having a child withADHD?Annoying, socially insensitive, loud, inappropriate, and socially aggressive behaviors.Display little of the "give and take" attitude that you find in other childrenTardive dyskinesia after long-term antipsychotic administration is thought to bedue to:Up-regulation of striatal dopamine receptorsWhich neuroleptic agents are less likely to produce tardive dyskinesia?quetiapine,clozapine, respiradoneThe following statements regarding neurotransmission are trueRetrograde neurotransmission occurs when the post synaptic neuron "talks back" withthe presynaptic neuron
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2024-2025 NR546 Midterm Review Practice Exam with Answers (108 Solved Questions) - Page 2 preview image
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2024-2025 NR546 Midterm Review Practice Exam with Answers (108 Solved Questions) - Page 3 preview imageNeurotransmssion is the foundation of psychopharmacologyStarts with the stimulation of the cell by a molecule (ligand) or other stimuli thatactivates the receptorsNeuroimaging data show that neuronal activity in the amygdala of depressedpatients is:Overreactive to induced sadnessA patient with obsessive-compulsive disorder (OCD) will begin medication tocontrol symptoms. An FDA-approved drug for OCD that the PMHNP mayprescribe is:fluoxetine (Prozac).The complete effect of the chemical neurotransmission happens within an hourand there are no long lasting effectsfalseWhich 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 proteinsA 36-year-old man with depression has had 3 therapeutic trials of serotoninreuptake inhibitors (SRIs) without notable improvement. His clinician is nowconsidering switching the patient's SRI to a monoamine oxidase inhibitor (MAOI).Which of the followingis an appropriate switching strategy in this situation?Discontinue SRI, then wait 5 half-lives before initiating MAOI
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2024-2025 NR546 Midterm Review Practice Exam with Answers (108 Solved Questions) - Page 4 preview imageDepression and mania share which of the following symptoms?irritabilityA female patient reports an intense, overwhelming fear of driving a car. The fearhas disrupted all elements of the patient's life. The patient does not go to thegrocery store unless someone transports her, has relinquished her job, and hasfew social contacts. The patient's treatment plan includes:systemic desensitizationgeneralized anxiety disorderexcessive rumination / worryingMajor depressive disordersadness, anhedoniaPanic attackSOB, tachycardiaagoraphobiafear of being trappedThe following are possible reasons for non-adherence to medicationsside effects that are poorly toleratedunconscious need to "defeat" the doctorsecondary gain from being in the sick roleThe following are possible reasons for non-adherence to medications, EXCEPT:
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2024-2025 NR546 Midterm Review Practice Exam with Answers (108 Solved Questions) - Page 5 preview imagesupport from friends and familyPrefrontal cortexblunted affect/negative symptoms in schizophreniaMesolimbic circuitdelusions and hallucinations/positive symptoms in schizophreniaamygdalaelevated mood in bipolar disorder/impulsivity in schizophreniastriatummotor agitation in bipolar disorder/more severe psychoticsymptoms in schizophreniaThe amygdala has the capacity to register, perceive, and analyze sensory data ina crude manner, based on pattern recognition. Although this adaptive system canhelp with survival, wrong interpretations (a piece of rope being mistaken for asnake) can cause "false alarms" and trigger anxietyTrueWhat underlying issues may be implicated in the etiology of depression:life stressors, nutritional deficiencies (malnutrition, anemia), CNS depressant druguse/abuse (benzo's), and autoimmune diseases (arthritis,SLE)Psychomotor retardation is characterized by all of the followingreduced speech amplitude and flowpaucity of spontaneous movementspoor concentration
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2024-2025 NR546 Midterm Review Practice Exam with Answers (108 Solved Questions) - Page 6 preview imageindecivenessA patient who has borderline personality disorder experiences intense anxietywhen the psychiatric-mental health nurse practitioner goes on vacation. The mostappropriate explanation for this reaction is that the patient:has not developed object constancyThe person least likely to develop major depressive disorder in his or her lifetimeis:a 19-year-old woman who was raped 3 weeks agoWhich of the following antidepressants has the shortest half-life?Paroxetine and Trazadone________ are short, branched structures that receive and conduct informationDendritesA 22-year-old man exhibitsa fear response in reaction to unexpectedlyencountering a bear while hiking. The various expressions of fear arehypothetically regulated by circuitry centered around the:amygdalaA supervisor observes inconsistency in the psychiatric-mental health nurse'sbehavior toward a patient; the nurse is unreasonably concerned, overly kind, orirrationally hostile. The most appropriate explanation is that the nurse isdisplaying:countertransference.Neurotransmission does not end when a neurotransmitter binds toa receptor.
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2024-2025 NR546 Midterm Review Practice Exam with Answers (108 Solved Questions) - Page 7 preview imagetrueBoth generalized anxiety disorder and panic attacks can only happen in thepresence of a precipitating stressor.falseWhich of the following can effect drug absorption into the body:dosage form and body weightWhich of the following isNOT a pharmacokinetic process?The drug causes dilation of coronary vesselsGeneralized anxiety disorder:has about a 50 percent chance of a recurrence after recoveryStructurally, all neurons are composed ofdendrites, axon terminal, cell bodies, and terminal buttonsEstablished clinical guidelines suggest that suicidality is decreased by treatingpatients who have borderline personality disorder with:dialectical behavioral therapy.All of the following statements regarding cyclothymic disorder are trueIt 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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