NRNP 6675 Midterm Exam (Latest-2023/2024, 100 Q & A) / NRNP 6675N Midterm Exam / NRNP6675 Midterm Exam /
NRNP-6675N Midterm Exam chamberlain University |... [Show More] 100% Verified Q & A
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? - D2 receptors that are blocked in the nigrostriatal pathway.
Mr. Gordon is a middle-aged patient who is taking antipsychotics. When meeting with the PMHNP, he reports positive responses to the medication, stating, "I really feel as though the effects of my depression are going away." Which receptor action in antipsychotic medications is believed to be the most beneficial in producing the effects described by Mr. Gordon? - 5HT2 antagonist
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: - Neurotransmitters can spread by diffusion
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? - The client may have Bipolar III disorder.
Ms. Ryerson is a 28 year old patient with a mood disorder. She recently requested to transfer to a new PMHNP, after not getting along well with her previous provider. the new PMHNP is reviewing her chart prior to the first appointment. Upon review the PMHNP sees that the former provider last documented "patient had rapid poop out." What does the PMHNP infer about the patient's last prescription based on that documentation? - The patient has an unsustained response to antidepressants.
the PMHNP is caring for a patient with the s genotype of SERT. What does the PMHNP understand regarding the patient's response to SSRI/SNRI treatment? - The patient may be less responsive or tolerant to the treatment.
Ms. Boeckh is a 42 year old patient with major depression, the PMHNP understands that which action of norepinephrine will affect her serotonin levels? - Norepinephrine inhibits 5HT release through a2 receptors.
Ms. Harlow is a 42 year old patient who is prescribed a drug that acts on ionotropic receptors. She is curious about the effects and how it will act on her symptoms. Which statement made by the PMHNP demonstrates proper understanding of Ms. Harlow's prescription? - "The drug will have an almost immediate affect."
The PMHNP is caring for a new patient who has been transferred from another office. When meeting the new patient, he reports "I feel like I am really improving with the stabilizers." The PMHNP immediately recognizes that the patient is describing which kind of drug? - Partial agonists
The PMHNP is assessing a patient in the psychiatric emergency room. The patient tells her that he does not understand why his depression has not lifted after being on 4 different antidepressants over the course of a year. Which of the following symptoms can be residual for patients who do not achieve remission with MDD? - Insomnia and problems concentrating (TWO of the options)
Fluoxetine (Prozac) has been prescribed for a patient. Which of the following statements is true regarding the action of this medication? - The action at the somadendritic end of the serotonin neuron may best explain the therapeutic action of SSRIs
Fluoxetine (Prozac) has been prescribed for a patient. Which of the following statements is true regarding the action of this medication? (2) - Fluoxetine inhibits the serotonin transporter (SERT)
The nurse education knows that teaching was effective when one of the students compares fluvoxamine to sertraline and notes which of the following similarities? - Both have actions at the sigma receptors which contribute to both anxiolytic and antipsychotic effects.
A 45 year old client with allergic rhinitis and normal blood pressure has no reduction in depressive symptoms after trying bupropion, paroxetine, and venlafaxine. What precautions are needed when considering phenelzine in treating her depression? - The client will need to minimize her dietary intake of food that are high in tyramine.
A 51 year old female patient presents with symptoms of depression, including lack of motivation and difficulty sleeping. What risk factors would increase her vulnerability for a diagnosis of depression? - A) First onset in puberty or early adulthood AND C) PMS
A nurse overhears that a patient has failed single therapy with an SSRI and SNRI. She also learns that the patient has been on dual SSRI/SNRI therapy with adequate symptoms control. She approaches the PMHNP and asks what the next treatment could be in this seemingly treatment-resistant patient. The PMHNP tells the nurse she will treat the patient with: - SSRI/SNRI plus NDRI
A nurse overhears that a patient has failed monotherapy with an SSRI and SNRI. She also learns that the patient has failed dual SSRI/SNRI therapy. She approaches the PMHNP and asks what the next treatment could be in this seemingly treatment-resistant patient. The PMHNP tells the nurse she will treat the patient with: - SSRI+NDRI
A patient is prescribed fluoxetine but is concerned about the side effects. Which statement demonstrates accurate patient teaching when discussing the side effects associated with fluoxetine? - Induction of mania is rare.
A patient is prescribed fluoxetine but is concerned about the side effects. Which statement demonstrates accurate client teaching when discussing the side effects associated with fluoxetine? - Weight gain is common.
A 25 year old female patient is being prescribed milnacipran to treat fibromyalgia, and expresses concern regarding "how she will feel and look" from taking the medicine. Which statement correctly describes the side effects as a result of this medication? - Weight gain is unusual.
Mr. Ruby is a 33 year old single father who is requesting pharmacological intervention to treat his fibromyalgia. The PMHNP sees in the medical chart that he has a recent diagnosis of arrhythmia and a BMI of 29. During his assessment, the PMHNP learns that Mr. Ruby works 40-50 hours a week as a contractor and "manages his stress" by smoking 3-4 cigarettes a day and having 8-10 drinks of alcohol each week. Why would duloxetine be contraindicated for Mr. Ruby? - He uses alcohol.
A patient is prescribed sertraline to treat panic disorder. Knowing that sertraline can initially cause anxiety or insomnia, what should the PMHNP do? - Prescribe short-acting benzos for 2 weeks, then discontinue.
A patient is prescribed 50mg of desvenlafaxine to take every other day for major depressive disorder. What does the PMHNP understand about this patient? - The patient has severe renal impairment.
A patient recently treated following a SA and has a history of schizophrenia, depression, and fibromyalgia. He is currently taking amitriptyline, lisinopril, aspirin, and fluoxetine. Assessing these medications and reason for admission, what is the best cause of action? - Review Amitriptyline level
A patient with schizophrenia is given an inverse agonist that acts on the receptor 5HT and the neurotransmitter serotonin. What is the rational? - To decrease Serotonin
A PMHNP is caring for a patient with schizophrenia and is considering a variety of treatment approaches. Selects a viable treatment with the "dopamine hypothesis of schizophrenia". What action does the PMHNP anticipate this treatment is having on the patient? - Hyperactivity in the mesolimbic dopamine pathways mediate the positive symptoms of schizophrenia.
A patient is diagnosed with schizophrenia. What increases the potential to mediate the cognitive symptoms of schizophrenia? - Achieving underactivity of the mesocorticol projections to the ventromedial prefrontal cortex.
What is accurate about the clinical description of psychosis? - It is a syndrome that can be associated with a number of psychiatric disorders.
A PMHNP is assessing a 29 year old patient who takes antipsychotics that block D2 receptors. The patient develops a common side effect of the medication. What is the side effect? - Tardive dyskinesia
The PMHNP evaluates the patient for "fear conditioning" when he asks: - "Have you ever experienced any type of trauma?"
A patient diagnosed with PTSD is prescribed propranolol and the PMHNP understands that he was described this medication for what purpose? - Beta-blockers are [Show Less]