NURS 6630 MIDTERM EXAM (2021-2022)
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NURS 6630 Midterm Exam
Question1 1
out of 1
... [Show More] 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 C.
Answer: “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?
Selecte d Answer
:
C.
Lithium (Lithobid
)
• Question 3
Mr. Gordon is a middle-aged client who was started on
1 out of 1 points
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?
Selecte d 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?
Selecte d 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?
Selecte d Answer
:
D.
All of the abov e
• 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?
Selecte d 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?
Selecte d Answer
:
C.
The new medication is blocking D2 receptors in the mesolimbic system
• Question 10
A nursing student is seeking clarification on the use of
1 out of 1 points
anticonvulsants to treat depre [Show Less]