2021 NURS6630 Walden University Psychopharmacologic Midterm Exam With Answers (76 Solved Questions)

Name: 2021 NURS6630 Walden University Psychopharmacologic Midterm Exam With Answers (76 Solved Questions)
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2021 NURS6630 Walden University Psychopharmacologic Midterm Exam With Answers enhances your preparation by providing detailed past exams with explanations.

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NURS 6630 Midterm Exam
Question1 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:
Selected
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 2
0 out of 1 points
The PMHNP is meeting with a new mother who would like to begin
taking medication again to treat her bipolar depression; she is
breastfeeding her 2-month old daughter. The PMHNP recognizes
that which of the following medications is contraindicated for this
patient?
Selected
Answer:
C.
Lithium
(Lithobid)
 Question 3
1 out of 1 points
Mr. Gordon is a middle-aged client who was started on antidepressant
monotherapy for depression. After beginning this medication, the PMHNP
noticed that this client seemed to swing into a hypomanic episode. What can
the PMHNP infer from this behavior change?
Selected
Answer:
A.
This client may have Bipolar III disorder
 Question 4
1 out of 1 points
A patient presents with frequent episodes of mania. Which
statement describes an appropriate treatment approach for this
patient?
Selected
Answer:
B.
“The patient could benefit from an

anticonvulsant.”
 Question 5
1 out of 1 points
The student inquires about antipsychotic medications. Which
response by the PMHNP describes the factors that contribute to
reduced risk of extrapyramidal symptoms (EPS) for patients who
take antipsychotics?
Selected
Answer:
B.
Those that are potent D2 antagonists with 5HT2A
antagonism properties
 Question 6
1 out of 1 points
After ordering flumazenil (Rumazicon) the PMHNP cautions the staff to monitor for
which possible effect?
Selected
Answer:
D.
All of the
above
 Question 7
1 out of 1 points
The PMHNP is caring for a patient who is taking antipsychotics
heard the psychiatrist tell the patient that the patient would be
placed on a different antipsychotic agent called an atypical
antipsychotic. What neurotransmitters will this new medication work on?
Selected
Answer:
A.
dopamine and serotonin
 Question 8
1 out of 1 points
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.
 Question 9
1 out of 1 points
Mrs. Schwartzman is a 52-year-old client with schizophrenia and no
established history of depression. When meeting with the PMHNP, she
presents with apathy and withdrawn social behavior, and she reports a loss
of joy from enjoyable activities since starting her new medication. What does

the PMHNP infer from this encounter with the client?
Selected
Answer:
C.
The new medication is blocking D2 receptors in the mesolimbic
system
 Question 10
1 out of 1 points
A nursing student is seeking clarification on the use of
anticonvulsants to treat depression and is unclear about most
effective outcomes. Which of the following agents does the PMHNP
convey as having uncertain outcomes?
Selected
Answer:
B.
Gabapentin
(Neurontin)
 Question 11
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?
Selected
Answer:
A.
Most medications that act on G-protein linked
receptors have antagonistic traits.
 Question 12
1 out of 1 points
A patient is seeking pharmacological treatment for smoking
cessation. Which drug class does the PMHNP prescribe to the
patient?
Selected
Answer:
D.
Varenicline
(Chantix)
 Question 13
1 out of 1 points
The PMHNP is caring for a patient with schizophrenia and is
considering a variety of treatment approaches. The PHMNP selects
a viable treatment that is consistent with the “dopamine
hypothesis of schizophrenia.” What action does the PMHNP
anticipate this treatment having on the patient?
Selected
Answer:
B.

Hyperactivity in the mesolimbic dopamine pathway
mediates the positive symptoms of schizophrenia.
 Question 14
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:
Selected
Answer:
C.
Neurotransmitters can spread by
diffusion.
 Question 15
1 out of 1 points
A patient is being prescribed a sedating antidepressant, but is
concerned about weight gain. Which medication is most likely to be
prescribed to addresses the patient’s concerns?
Selected
Answer:
D.
trazadone
(Oleptro)
 Question 16
1 out of 1 points
The PMHNP is caring for several patients who present with various
symptoms and health issues. For which patient does the PMHNP
prescribe pregabalin (Lyrica)?
Selected
Answer:
B.
Patient with partial
seizures
 Question 17
1 out of 1 points
Which statement about neurotransmitters and medications is true?
Selected
Answer:
B.
Several psychiatric medications have been developed after discoveries of endogenous
neurotransmitters and defining their function in the brain.
 Question 18
1 out of 1 points
A patient is prescribed 50 mg of desvenlafaxine to take every other
day for major depressive disorder. What does the PMHNP

understand about this patient?
Selected
Answer:
C.
The patient has severe renal
impairment.
 Question 19
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?
Selected
Answer:
A.
To promote the availability of
serotonin
 Question 20
1 out of 1 points
A patient who was prescribed an MAO inhibitor is learning about
dietary modifications. Which statement made by the PMHNP
demonstrates proper teaching of the food-drug interactions for
MAO inhibitors?
Selected
Answer:
A.
“You must avoid soy products, such
as tofu.”
 Question 21
1 out of 1 points
The PMHNP evaluates the patient for “fear conditioning” when he
asks:
Selected
Answer:
A.
Have you ever experienced any type of
trauma?
 Question 22
0 out of 1 points
The PMHNP recognizes that which patient would be contraindicated
for antidepressant monotherapy?
Selected
Answer:
A.
Patient with a bipolar I
designation

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Walden University

Subject

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2021 NURS6630 Walden University Psychopharmacologic Midterm Exam With Answers (76 Solved Questions)

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