2021 NURS6630 Walden University Psychopathology Mid term Exam With Answers (76 Solved Questions)

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NURS 6630 Midterm ExamQuestion11out of 1 pointsWhen an unstable patient asks why it is necessary to addmedications to his current regimen, the PMHNP’s best responsewould be:SelectedAnswer:C.“Many psychiatric illnesses involve several dys-functioning neurotransmitter systems inthe brain. Often, a single medication may only effect one or two of the dys-functioningsystems. The addition of another medication can work with the current medication instabilizing multiple neurotransmitter systems and help to alleviate your symptoms.”Question 20 out of 1 pointsThe PMHNP is meeting with a new mother who would like to begintaking medication again to treat her bipolar depression; she isbreastfeeding her 2-month old daughter.The PMHNP recognizesthat which of the following medications is contraindicated for thispatient?SelectedAnswer:C.Lithium(Lithobid)Question 31 out of 1 pointsMr. Gordon is a middle-aged client who was started on antidepressantmonotherapy for depression. After beginning this medication, the PMHNPnoticed that this client seemed to swing into a hypomanic episode. What canthe PMHNP infer from this behavior change?SelectedAnswer:A.This client may have Bipolar III disorderQuestion 41 out of 1 pointsA patient presents with frequent episodes of mania. Whichstatement describes an appropriate treatment approach for thispatient?SelectedAnswer:B.“The patient could benefit from an

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anticonvulsant.”Question 51 out of 1 pointsThe student inquires about antipsychotic medications. Whichresponse by the PMHNP describes the factors that contribute toreduced risk of extrapyramidal symptoms (EPS) for patients whotake antipsychotics?SelectedAnswer:B.Those that are potent D2 antagonists with 5HT2Aantagonism propertiesQuestion 61 out of 1 pointsAfter ordering flumazenil (Rumazicon) the PMHNP cautions the staff to monitor forwhich possible effect?SelectedAnswer:D.All of theaboveQuestion 71 out of 1 pointsThe PMHNP is caring for a patient who is taking antipsychoticsheard the psychiatrist tell the patient that the patient would beplaced on a different antipsychotic agentcalled an atypicalantipsychotic.What neurotransmitters will this new medication work on?SelectedAnswer:A.dopamine and serotoninQuestion 81 out of 1 pointsWhile genes have potential to modify behavior, behavior can alsomodify genes. How do genes impact this process?SelectedAnswer:B.Changes made to proteins lead to changes inbehavior.Question 91 out of 1 pointsMrs. Schwartzman is a 52-year-old client with schizophrenia and noestablished history of depression. When meeting with the PMHNP, shepresents with apathy and withdrawn social behavior, and she reports a lossof joy from enjoyable activities since starting her new medication. What does

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the PMHNP infer from this encounter with the client?SelectedAnswer:C.The new medication is blocking D2 receptors in the mesolimbicsystemQuestion 101 out of 1 pointsA nursing student is seeking clarification on the use ofanticonvulsants to treat depression and is unclear about mosteffective outcomes. Which of the following agents does the PMHNPconvey as having uncertain outcomes?SelectedAnswer:B.Gabapentin(Neurontin)Question 111 out of 1 pointsAs it relates to G-protein linked receptors, what does the PMHNPunderstand about medications that are used in practice?SelectedAnswer:A.Most medications that act on G-protein linkedreceptors have antagonistic traits.Question 121 out of 1 pointsA patient is seeking pharmacological treatment for smokingcessation. Which drug class does the PMHNP prescribe to thepatient?SelectedAnswer:D.Varenicline(Chantix)Question 131 out of 1 pointsThe PMHNP is caring for a patient with schizophrenia and isconsidering a variety of treatment approaches. The PHMNP selectsa viable treatment that is consistent with the “dopaminehypothesis of schizophrenia.” What action does the PMHNPanticipate this treatment having on the patient?SelectedAnswer:B.

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Hyperactivity in the mesolimbic dopamine pathwaymediates the positive symptoms of schizophrenia.Question 141 out of 1 pointsThough medications have the ability to targetneurotransmitter release intothe synapse by the presynaptic neuronit is not always necessary. The PMHNPunderstands that this is because:SelectedAnswer:C.Neurotransmitters can spread bydiffusion.Question 151 out of 1 pointsA patient is being prescribed a sedating antidepressant, but isconcerned about weight gain. Which medication is most likely to beprescribed to addresses the patient’s concerns?SelectedAnswer:D.trazadone(Oleptro)Question 161 out of 1 pointsThe PMHNP is caring for several patients who present with varioussymptoms and health issues. For which patient does the PMHNPprescribe pregabalin (Lyrica)?SelectedAnswer:B.Patient with partialseizuresQuestion 171 out of 1 pointsWhich statement about neurotransmitters and medications is true?SelectedAnswer:B.Several psychiatric medications have been developed after discoveries of endogenousneurotransmitters and defining their function in the brain.Question 181 out of 1 pointsA patient is prescribed 50 mg of desvenlafaxine to take every otherday for major depressive disorder. What does the PMHNP

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understand about this patient?SelectedAnswer:C.The patient has severe renalimpairment.Question 190 out of 1 pointsA patient with schizophrenia is given an inverse agonist that actson the receptor 5HT and neurotransmitter serotonin. What is therationale for prescribing a medication such as this?SelectedAnswer:A.To promote the availability ofserotoninQuestion 201 out of 1 pointsA patient who was prescribed an MAO inhibitor is learning aboutdietary modifications. Which statement made by the PMHNPdemonstrates proper teaching of the food-drug interactions forMAO inhibitors?SelectedAnswer:A.“You must avoid soy products, suchas tofu.”Question 211 out of 1 pointsThe PMHNP evaluates the patient for “fear conditioning” when heasks:SelectedAnswer:A.Have you ever experienced any type oftrauma?Question 220 out of 1 pointsThe PMHNP recognizes that which patient would be contraindicatedfor antidepressant monotherapy?SelectedAnswer:A.Patient with a bipolar Idesignation

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