A noncompliant patient states, “Why do you want me to put this poison in my body?” Identify the best response made by the psychiatric-mental health
... [Show More] nurse practitioner (PMHNP).
Selected Answer:
D.
“Why do you believe that your medication is poison?”
Which statement about neurotransmitters and medications is true?
Selected Answer:
D.
The neurotransmitter serotonin is directly linked to depression. Following this discovery, the antidepressant Prozac was developed.
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:
B.
“Due to the ineffectiveness of your current medication, we need to try something else that can possibly potentiate its effects.
During gene expression, what must occur prior to a gene being expressed?
Selected Answers:
A.
Transcription factor must bind to the regulatory region within the cell’s nucleus.
B.
RNA must be converted to mRNA.
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.
Though medications have the ability to target neurotransmitters in the synapse, it is not
always necessary. The PMHNP understands that this is because:
Selected Answer:
C.
Neurotransmitters can spread by diffusion.
Why is the cytochrome P450 enzyme system of significance to the PMHNP?
Selected Answer:
C.
The medication’s chemical composition changes when it comes in contact with the acid in the stomach.
It is important for the PMHNP to recognize differences in pharmacokinetics to safely prescribe and monitor medications. Which of the following statements does the competent PMHNP identify as true?
Selected Answer:
A.
About 1 out of 5 Asians requires lower-than-normal doses of some antidepressants and antipsychotics.
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.
The PMHNP is considering prescribing a 49-year-old male clozapine (Clozaril) to treat his schizophrenia and suicidal ideations. The PMHNP is aware that which factor may impact the dose needed to effectively treat his condition:
Selected Answer:
D.
The patient drinks a cup of coffee a day.
A patient is diagnosed with bipolar disorder and is currently taking carbamazepine (Tegretol), aripiprazole (Abilify), and melatonin. The PMHNP has just written an order to discontinue the carbamazepine (Tegretol) for drug-induced thrombocytopenia. The PMHNP is aware that his next best action is to:
Selected Answer:
B.
Write an order for a different mood stabilizer
A patient recently transferred following a suicide attempt has a history of schizophrenia, depression, and fibromyalgia. He is currently taking Amitriptyline (Elavil), Lisinopril, aspirin, and fluoxetine (Prozac). Which is the best action for the PMHNP to take for this patient?
Selected Answer:
B.
Order a liver function test
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:
C.
To indirectly increase the amount of dopamine in the body
The PMHNP is caring for four patients. Which patient statement indicates that benzodiazepines would be beneficial?
Selected Answer:
A.
“I have trouble staying asleep in the middle of the night.”
Ms. Harlow is a 42-year-old patient who is prescribed a drug that acts on ionotropic receptors. She is curious about the effects of the drug and how it will act on her symptoms. Which statement made by the PMHNP demonstrates proper understanding of Ms. Harlow’s prescription?
Selected Answer:
A.
“The drug will have an almost immediate effect.” [Show Less]