2024-2025 NR546 Midterm Review Practice Exam with Answers (108 Solved Questions)

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NR 546 MIDTERM REVIEW
PRACTICE QUESTIONS
2024/2025 ANSWERS
VERIFIED CORRECT
The PMHNP has prescribed chlorpromazine hydrochloride (Thorazine) for a
patient with psychosis, and the patient is to continue on the oral medication after
discharge from the psychiatric unit. As part of educating the patient about the
medication, the PMHNP should advise him or her to avoid:
Sun exposure
What problems with peers could you come across from having a child with
ADHD?
Annoying, socially insensitive, loud, inappropriate, and socially aggressive behaviors.
Display little of the "give and take" attitude that you find in other children
Tardive dyskinesia after long-term antipsychotic administration is thought to be
due to:
Up-regulation of striatal dopamine receptors
Which neuroleptic agents are less likely to produce tardive dyskinesia?
quetiapine, clozapine, respiradone
The following statements regarding neurotransmission are true
Retrograde neurotransmission occurs when the post synaptic neuron "talks back" with
the presynaptic neuron

Neurotransmssion is the foundation of psychopharmacology
Starts with the stimulation of the cell by a molecule (ligand) or other stimuli that
activates the receptors
Neuroimaging data show that neuronal activity in the amygdala of depressed
patients is:
Overreactive to induced sadness
A patient with obsessive-compulsive disorder (OCD) will begin medication to
control symptoms. An FDA-approved drug for OCD that the PMHNP may
prescribe is:
fluoxetine (Prozac).
The complete effect of the chemical neurotransmission happens within an hour
and there are no long lasting effects
false
Which of the following statements regarding mood disorders is false?
Manic forms of mood disorders predominate in men.
Drugs can produce a therapeutic response when they are:
unbound to plasma proteins
A 36-year-old man with depression has had 3 therapeutic trials of serotonin
reuptake inhibitors (SRIs) without notable improvement. His clinician is now
considering switching the patient's SRI to a monoamine oxidase inhibitor (MAOI).
Which of the following is an appropriate switching strategy in this situation?
Discontinue SRI, then wait 5 half-lives before initiating MAOI

Depression and mania share which of the following symptoms?
irritability
A female patient reports an intense, overwhelming fear of driving a car. The fear
has disrupted all elements of the patient's life. The patient does not go to the
grocery store unless someone transports her, has relinquished her job, and has
few social contacts. The patient's treatment plan includes:
systemic desensitization
generalized anxiety disorder
excessive rumination / worrying
Major depressive disorder
sadness, anhedonia
Panic attack
SOB, tachycardia
agoraphobia
fear of being trapped
The following are possible reasons for non-adherence to medications
side effects that are poorly tolerated
unconscious need to "defeat" the doctor
secondary gain from being in the sick role
The following are possible reasons for non-adherence to medications, EXCEPT:

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support from friends and family
Prefrontal cortex
blunted affect/negative symptoms in schizophrenia
Mesolimbic circuit
delusions and hallucinations/positive symptoms in schizophrenia
amygdala
elevated mood in bipolar disorder/impulsivity in schizophrenia
striatum
motor agitation in bipolar disorder/more severe psychotic symptoms in schizophrenia
The amygdala has the capacity to register, perceive, and analyze sensory data in
a crude manner, based on pattern recognition. Although this adaptive system can
help with survival, wrong interpretations (a piece of rope being mistaken for a
snake) can cause "false alarms" and trigger anxiety
True
What underlying issues may be implicated in the etiology of depression:
life stressors, nutritional deficiencies (malnutrition, anemia), CNS depressant drug
use/abuse (benzo's), and autoimmune diseases (arthritis, SLE)
Psychomotor retardation is characterized by all of the following
reduced speech amplitude and flow
paucity of spontaneous movements
poor concentration

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indeciveness
A patient who has borderline personality disorder experiences intense anxiety
when the psychiatric-mental health nurse practitioner goes on vacation. The most
appropriate explanation for this reaction is that the patient:
has not developed object constancy
The person least likely to develop major depressive disorder in his or her lifetime
is:
a 19-year-old woman who was raped 3 weeks ago
Which of the following antidepressants has the shortest half-life?
Paroxetine and Trazadone
________ are short, branched structures that receive and conduct information
Dendrites
A 22-year-old man exhibits a fear response in reaction to unexpectedly
encountering a bear while hiking. The various expressions of fear are
hypothetically regulated by circuitry centered around the:
amygdala
A supervisor observes inconsistency in the psychiatric-mental health nurse's
behavior toward a patient; the nurse is unreasonably concerned, overly kind, or
irrationally hostile. The most appropriate explanation is that the nurse is
displaying:
countertransference.
Neurotransmission does not end when a neurotransmitter binds to a receptor.

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true
Both generalized anxiety disorder and panic attacks can only happen in the
presence of a precipitating stressor.
false
Which of the following can effect drug absorption into the body:
dosage form and body weight
Which of the following is NOT a pharmacokinetic process?
The drug causes dilation of coronary vessels
Generalized anxiety disorder:
has about a 50 percent chance of a recurrence after recovery
Structurally, all neurons are composed of
dendrites, axon terminal, cell bodies, and terminal buttons
Established clinical guidelines suggest that suicidality is decreased by treating
patients who have borderline personality disorder with:
dialectical behavioral therapy.
All of the following statements regarding cyclothymic disorder are true
It occurs at the same rate in men and women.
It consists of hypomania alternating with depressed mood.
Its lifetime prevalence rate is about 0.4 to 1 percent.
Symptoms must be present for at least 2 years.

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2024-2025 NR546 Midterm Review Practice Exam with Answers (108 Solved Questions)

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