NURS6630 Week 6 Midterm Exam-2019

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1. A noncompliant patient states, “Why do you want me to put this poison in my body?” Identify the best response made by the psychiatric-mental health nurse practitioner (PMHNP). Selected An... swer: D. “Why do you believe that your medication is poison?” 2. Which statement about neurotransmitters and medications is true? Selected Answer: D. The neurotransmitter serotonin is directly linked to depression. Following this discovery, the antidepressant Prozac was developed. 3. When an unstable patient asks why it is necessary to add medications to his current regimen, the PMHNP’s best response would be: Selected Answer: B. “Due to the ineffectiveness of your current medication, we need to try something else that can possibly potentiate its effects. 4. During gene expression, what must occur prior to a gene being expressed? Selected Answers: A. Transcription factor must bind to the regulatory region within the cell’s nucleus. B. RNA must be converted to mRNA. 5. While genes have potential to modify behavior, behavior can also modify genes. How do genes impact this process? Selected Answer: B. Changes made to proteins lead to changes in behavior. Though medications have the ability to target neurotransmitters in the synapse, it is not always necessary. The PMHNP understands that this is because: Selected Answer: C. Neurotransmitters can spread by diffusion. 6. Why is the cytochrome P450 enzyme system of significance to the PMHNP? Selected Answer: C. The medication’s chemical composition changes when it comes in contact with the acid in the stomach. CONTINUED.................................. [Show More]

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