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

Name: 2021 NURS6630 Psychopharmacology Midterm Exam With Answers (75 Solved Questions)
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Ace your test with 2021 NURS6630 Psychopharmacology Midterm Exam With Answers, featuring past exams that simulate the real test environment.

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NURS 6630
PSYCHOPHARMACOLOGY
MIDTERM EXAM
2021

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
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 .”
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?
Selected
Answer:
B.
Agitation
Which statement about neurotransmitters and medications is true?
Selected
Answer:
D.
An imbalance of serotonin has been directly linked to depression. Following the
discovery of this neurotransmitter, pharmacologists were able to develop a well-
known drug- Prozac as the first medication used to restore the balance of
serotonin.
When an unstable patient asks why it is necessary to add medications to his current
regimen, the PMHNP’s best response would be:
Selecte
d
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
• Question 4
1 out of 1 points
• Question 3
0 out of 1 points
• Question 2
1 out of 1 points
•

• Question 5
1 out of 1 points
alleviate your symptoms.”
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.
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 neurotransmitter release into the synapse by
the presynaptic neuron it is not always necessary. The PMHNP understands that this is
because:
Selected
Answer:
C.
Neurotransmitters can spread by
diffusion.
Why is the cytochrome P450 enzyme system of significance to the PMHNP?
Selected
Answer:
B.
The bioavailability of the medication after it passes through the
stomach and liver can be altered.
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?
Selected
Answer:
A.
About 1 out of 5 Asians requires lower-than-normal doses of some
antidepressants and antipsychotics.
• Question 9
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• Question 8
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• Question 7
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• Question 6
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As it relates to G-protein linked receptors, what does the PMHNP understand about
medications that are used in practice?
Selected
Answer:
A.
Most medications that act on G-protein linked receptors have
antagonistic traits.
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:
Selected
Answer:
A.
The patient smokes
cigarettes.
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:
Selected
Answer:
B.
Write an order for a different mood
stabilizer
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?
Selected
Answer:
A.
Review Amitriptyline (Elavil)
level
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?
• Question 14
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• Question 13
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• Question 12
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• Question 11
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• Question 10
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Selected
Answer:
D.
To help decrease the amount of serotonin and
dopamine
The PMHNP is caring for four patients. Which patient statement indicates that
benzodiazepines would be beneficial?
Selected
Answer:
D.
“I feel nervous to go outside and be in large
crowds.”
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?
Selected
Answer:
A.
“The drug will have an almost
immediate effect.”
A patient is seeking pharmacological treatment for smoking cessation. Which drug class
does the PMHNP prescribe to the patient?
Selected
Answer:
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 with
the stabilizers.” The PMHNP immediately recognizes that the patient is describing which
kind of drug?
Selected
Answer:
C.
Partial
agonists
A patient presents with frequent episodes of mania. Which statement describes an
• Question 19
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• Question 18
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• Question 17
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• Question 16
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• Question 15
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2021 NURS6630 Psychopharmacology Midterm Exam With Answers (75 Solved Questions)

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