NURS 6630 Midterm Exam Test Bank Questions and Answers 100%Correct/verified Latest Update 2022/2023

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Question 1 1 out of 1 points 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 practitio... ner (PMHNP). Answer: C. “Most medications that work in the brain will result in restoring an imbalance of one or more neurotransmitters that your body already produces helping to alleviate your symptoms .” Question 2 1 out of 1 points Ms. Hill is currently being treated for schizophrenia but has stopped taking her medications due to some side effects she claims she was experiencing. She presents to the clinic today with worsening symptoms. She is experiencing anhedonia, agitation, attentional impairment, and affective blunting. Which one of the symptoms mentioned is considered a positive symptom of schizophrenia? Answer: B. Agitation Question 3 0 out of 1 points Which statement about neurotransmitters and medications is true? Answer: D. An imbalance of serotonin has been directly linked to depression. Following the discovery of this neurotransmitter, pharmacologists were able to develop a wellknown drug- Prozac as the first medication used to restore the balance of serotonin. lOMoARcPSD|17616083 Question 4 1 out of 1 points When an unstable patient asks why it is necessary to add medications to his current regimen, the PMHNP’s best response would be: Answer: C. “Many psychiatric illnesses involve several dys-functioning neurotransmitter systems in the brain. Often, a single medication may only effect one or two of the dys-functioning systems. The addition of another medication can work with the current medication in stabilizing multiple neurotransmitter systems and help to alleviate your symptoms.” Question 5 1 out of 1 points During gene expression, what must occur prior to a gene being expressed? Answers: A. Transcription factor must bind to the regulatory region within the cell’s nucleus. Question 6 1 out of 1 points While genes have potential to modify behavior, behavior can also modify genes. How do genes impact this process? Answer: Question 7 1 out of 1 points Though medications have the ability to target neurotransmitter release into the synapse by the presynaptic neuron it is not always necessary. The PMHNP understands that this is because: Answer: C. Neurotransmitters can spread by diffusion. B. Changes made to proteins lead to changes in behavior. lOMoARcPSD|17616083 Question 8 1 out of 1 points Why is the cytochrome P450 enzyme system of significance to the PMHNP? Answer: B. The bioavailability of the medication after it passes through the stomach and liver can be altered. Question 9 1 out of 1 points It is important for the PMHNP to recognize differences in pharmacokinetics to safely prescribe and monitor medications. Which of the following statements does the competent PMHNP identify as true? Answer: A. About 1 out of 5 Asians requires lower-than-normal doses of some antidepressants and antipsychotics. Question 10 1 out of 1 points As it relates to G-protein linked receptors, what does the PMHNP understand about medications that are used in practice? Answer: A. Most medications that act on G-protein linked receptors have antagonistic traits. Question 11 1 out of 1 points The PMHNP is considering prescribing a 49-year-old male clozapine (Clozaril) to treat his schizophrenia and suicidal ideations. The PMHNP is aware that which factor may impact the dose needed to effectively treat his condition: Answer: A. The patient smokes cigarettes. Question 12 0 out of 1 points lOMoARcPSD|17616083 A patient is diagnosed with bipolar disorder and is currently taking carbamazepine (Tegretol), aripiprazole (Abilify), and melatonin. The PMHNP has just written an order to discontinue the carbamazepine (Tegretol) for drug-induced thrombocytopenia. The PMHNP is aware that his next best action is to: Answer: B. Write an order for a different mood stabilizer Question 13 1 out of 1 points A patient recently transferred following a suicide attempt has a history of schizophrenia, depression, and fibromyalgia. He is currently taking Amitriptyline (Elavil), Lisinopril, aspirin, and fluoxetine (Prozac). When assessing the psychiatric medications and the reason for admission, what would be the best course of action for the PMHNP with this client? Answer A. Review Amitriptyline (Elavil) level : Question 14 0 out of 1 points A patient with schizophrenia is given an inverse agonist that acts on the receptor 5HT and neurotransmitter serotonin. What is the rationale for prescribing a medication such as this? Answer D. To help decrease the amount of serotonin and dopamine : Question 15 1 out of 1 points The PMHNP is caring for four patients. Which patient statement indicates that benzodiazepines would be beneficial? Answer: D. “I feel nervous to go outside and be in large crowds.” Question 16 1 out of 1 points lOMoARcPSD|17616083 Ms. Harlow is a 42-year-old patient who is prescribed a drug that acts on ionotropic receptors. She is curious about the effects of the drug and how it will act on her symptoms. Which statement made by the PMHNP demonstrates proper understanding of Ms. Harlow’s prescription? Answer: A. “The drug will have an almost immediate effect.” Question 17 1 out of 1 points A patient is seeking pharmacological treatment for smoking cessation. Which drug class does the PMHNP prescribe to the patient? Answer: D. Varenicline (Chantix) Question 18 1 out of 1 points 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 with the stabilizers.” The PMHNP immediately recognizes that the patient is describing which kind of drug? Answer: C. Partial agonists Question 19 1 out of 1 points A patient presents with frequent episodes of mania. Which statement describes an appropriate treatment approach for this patient? Answer: B. “The patient could benefit from an anticonvulsant.” Question 20 1 out of 1 points What characteristics do the nicotinic, cholinergic, serotonin 3, and glycine receptors all have in common? lOMoARcPSD|17616083 Answer: A. Ligand-gated ion channels with a pentameric structure Question 44 1 out of 1 points A patient is prescribed sertraline to treat panic disorder. Knowing that sertraline can initially cause anxiety or insomnia, what should the PMHNP do? Answer: B. Prescribe short-acting benzodiazepine for 2 weeks, then discontinue. Question 45 1 out of 1 points A patient who was diagnosed with bipolar disorder without mania, asks the PMHNP why he is being prescribed a mood stabilizer. What is the appropriate response? Answer: C. Mood stabilizers can target mania and mania relapse and also reduce symptoms of bipolar depression and relapse of bipolar depression symptoms but no drug has been proven to target all four therapeutic actions [Show More]

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