NURS 6630 Midterm Exam
QUESTION 1
1. A noncompliant patient states, “Why do you want me to put this poison in my body?”
Identify the best response
... [Show More] made by the psychiatric-mental health nurse practitioner
(PMHNP).
Description
Instructions
Timed Test This test has a time limit of 2 hours.You will be notified when
time expires, and you may continue or submit.
Warnings appear when half the time, 5 minutes, 1
minute, and 30 seconds remain.
Multiple
Attempts
Force
Completion
Not allowed. This test can only be taken once.
Once started, this test must be completed in one sitting. Do
not leave the test before clicking Save and Submit.
Remaining Time:
13 minutes, 04 seconds.
Question Completion Status:
A “You have to take your medication to become stable.”
.
B “ Medications work by increasing the types of neurotransmitters produced by the human brain.”
.
C “Most medications that work in the brain will result in restoring an imbalance of one or more
. neurotransmittersthat your body already produces helping to alleviate yoursymptoms .”
D “Why do you believe that your medication is poison?”
.
1 points
QUESTION 2
1.
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?
Test Information
Take Test: Week 6 Midterm Exam
NURS 6630 Midterm Exam
A Anhedonia
.
B Agitation
.
C Attentional Impairment
.
D Affective Blunting
.
1 points
QUESTION 3
1. Which statement about neurotransmitters and medications is true?
A Endorphins were discovered before morphine which lead to the use of the opioids for pain
. control.
B Several psychiatric medications have been developed after discoveries of endogenous
. neurotransmitters and defining their function in the brain.
C Medications work by sending messages to neurotransmitters enabling them to work more
. effectively.
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 asthe first
medication used to restore the balance of serotonin.
1 points
QUESTION 4
1. When an unstable patient asks why it is necessary to add medications to his current
regimen, the PMHNP’s best response would be:
A "More often than you would think, multiple medications should always be tried together to see
. what happens.”
B “Due to this being your first hospitalization after starting medication treatment for the first time
. in your life, the only way to effectively manage your symptoms is by adding additional
medications in hopes that it will work for you."
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.”
D “I understand your concerns. Often times, it is necessary to switch medications after short
. periods of time to better manage yoursymptoms. We will discontinue your current regimen and
start another single drug agent.”
1 points
QUESTION 5
1. During gene expression, what must occur prior to a gene being expressed?
A Transcription factor must bind to the regulatory region within
. the cell’s nucleus.
NURS 6630 Midterm Exam
B RNA must be converted to mRNA.
.
C The coding region must separate from the regulatory region.
.
D RNA polymerase must inhibit the process of changing RNA to
. mRNA.
1 points
QUESTION 6
1. While genes have potential to modify behavior, behavior can also modify genes. How
do genes impact this process?
A Genes impact neuron functioning directly.
.
B Changes made to proteins lead to changes in
. behavior.
C Neurons are able to impact protein synthesis.
.
D Genes impact the DNA of a cell, leading to
. changes in behavior.
1 points
QUESTION 7
1. 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:
A Neurotransmission occurring along the axon is normally at a level to prevent symptoms of
. mental illness and rarely require augmentation from medication therapy.
B Neurotransmission is minimally affected by medication therapy when compared to the baseline
. neurotransmitter release of a resting neuron.
C Neurotransmitters can spread by diffusion.
.
D The post synaptic neuron can produce and release its’ own neurotransmitter allowing it to
. function properly [Show Less]