Question 1
1 out of 1 points
Mr. McCullin is 64 years old with Parkinson’s disease. The
PMHNP caring for Mr. McCullin wants to start him on
... [Show More] a
dopamine agonist to help manage and treat his condition.
The PHMNP selects this agent because of which action it has
on patients like Mr. McCullin?
Selected
Answer:
D.
D2 receptors are the primary binding site for
dopamine agonists.
Question 2
1 out of 1 points
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?
Selected
Answer:
B.
Agitation
Question 3
1 out of 1 points
NURS 663ON-9 WEEK 6 MIDTERM
EXAM, WALDEN
The PMHNP evaluates the patient for “fear conditioning”
when he asks:
Selected
Answer:
A.
Have you ever experienced any type
of trauma?
Question 4
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 5
1 out of 1 points
The PMHNP is caring for a patient with schizophrenia and is
considering a variety of treatment approaches. The PHMNP
selects a viable treatment that is consistent with the
“dopamine hypothesis of schizophrenia.” What action does
the PMHNP anticipate this treatment having on the patient?
Selected
Answer:
B.
Hyperactivity in the mesolimbic dopamine
pathway mediates the positive symptoms of
schizophrenia.
Question 6
1 out of 1 points
A patient is diagnosed with schizophrenia. What increases the
patient’s potential to mediate the cognitive symptoms of the
disease?
Selected
Answer:
A.
Achieving underactivity of the mesocorticol
projections to the prefrontal cortex
Question 7
1 out of 1 points
The PMHNP is assessing a patient in the psychiatric
emergency room. The patient tells the PMHNP that he does
not understand why his depression has not lifted after being
on four different antidepressants over the course of a year.
Which of the following symptoms can be residual symptoms
for patients who do not achieve remission with major
depressive disorder?
Selected
Answer:
D.
A and
C
Question 8
1 out of 1 points
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:
Selected
Answer:
C.
Neurotransmitters can spread by
diffusion.
Question 9
1 out of 1 points
A patient diagnosed with PTSD is prescribed propranolol
(Inderal) and the PMHNP understands that he was prescribed
this medication for what purpose:
Selected
Answer:
B.
Beta blockers are linked to
reconsolidation.
Question 10
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 11
0 out of 1 points
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?
Selected
Answer:
B.
D2
antagonism
Question 12
1 out of 1 points
The PMHNP is assessing a client in the emergency room. The client shares that he
has been on lithium for many years. What blood test does the PMHNP order?
Selected
Answer:
A.
Thyroid Stimulating Hormone
Question 13
1 out of 1 points
Mrs. Schwartzman is a 52-year-old patient 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. What does the PMHNP infer from this encounter
with the patient?
Selected
Answer:
B.
The recent change of a 2nd generation
antipsychotic to a conventional one
Question 14
0 out of 1 points
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:
A.
To promote the availability of
serotonin
Question 15
1 out of 1 points
Which statement made by the patient suggests the patient
will need to be treated with antipsychotics that target
paranoid psychosis?
Selected
Answer:
B.
“I have to talk to the President because I’m the
only one who can help him.”
Question 16
1 out of 1 points
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 nurse practitioner (PMHNP).
Selected
Answer:
C.
“Most medications that work in the brain will result in restoring an imbalance of
one or more neurotransmitters that your body already produces helping to alleviate
your symptoms .”
Question 17
1 out of 1 points
Fluoxetine (Prozac) has been prescribed for a patient. Which
of the following statements is true regarding the action of this
medication?
Selected
Answer:
D.
The action at the somatodendritic end of the
serotonin neuron may best explain the therapeutic
action of SSRIs.
Question 18
1 out of 1 points
The PMHNP understands that which mechanism contributes
to a worse tolerability profile for patients taking tricyclic
antidepressants (TCAs)?
Selected
Answer:
B.
Muscarinic M1 receptor blockade causes
blurred vision.
Question 19
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?
Selected
Answer:
B.
Those that are potent D2 antagonists with
5HT2A antagonism properties
Question 20
1 out of 1 points
A patient is being prescribed a sedating antidepressant, but
is concerned about weight gain. Which medication is most
likely to be prescribed to addresses the patient’s concerns?
Selected
Answer:
D.
trazadone
(Oleptro)
Question 21
1 out of 1 points
A 45 year old female client with allergic rhinitis and normal blood pressure has had
no reduction in depressive symptoms after trying bupropion, paroxetine, and
venlafaxine. What precautions are needed when considering phenelzine in treating
her depression?
Selected
Answer:
B.
The client will need to minimize dietary intake of foods that are high
in tyramine.
Question 22
1 out of 1 points
During assessment a patient states “Why are you asking me
about my heart, I am here for my head”, the PMHNP’s best
response is:
Selected
Answer:
D.
“Anxiety can cause cortisol levels to increase and
when this happens frequently it puts you at risk for
comorbidities such as type 2 diabetes.”
Question 23
1 out of 1 points
A patient is seeking pharmacological treatment for smoking
cessation. Which drug class does the PMHNP prescribe to the
patient?
Selected
Answer:
D.
Varenicline
(Chantix)
Question 24
1 out of 1 points
Which statement made by the PMHNP exemplifies correct
teaching of physiological effects in the body?
Selected
Answer:
D.
D2 partial agonists are associated with increased
efficacy in treating positive symptoms of
schizophrenia.
Question 25
1 out of 1 points
A patient was diagnosed with GAD 4 weeks ago and was
placed on Clonazepam (klonopin) twice a day and citalopram
(citalopram (celexa)) once daily. When he asks the PMHNP
why it is necessary to wean him off of the Clonazepam
(klonopin) the best response is:
Selected
Answer:
C.
Clonazepam (klonopin) was used as an aid to treat
your condition while you were adjusting to
citalopram (celexa)
Question 26
1 out of 1 points
Ms. Boeckh is a 42-year-old client who is taking an antidepressant
therapy. The PMHNP understands that this medication can have
substantial food interactions that can cause Ms. Boeckh to develop a
hypertensive crisis. Which antidepressant class is Ms. Boeckh’s
medication in?
Selected
Answer:
B.
MAO inhibitors
Question 27
1 out of 1 points
The nurse education knows that teaching was effective when one of
the students compares fluvoxamine to sertraline and notes which of
the following similarities?
Selected
Answer:
D.
Both have actions at sigma receptors which contribute to
both anxiolytic and antipsychotic effects.
Question 28
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 client?
Selected
Answer:
D.
Lamotrigine (Lamictal)
Question 29
1 out of 1 points
The PMHNP is caring for several patients who present with
various symptoms and health issues. For which patient does
the PMHNP prescribe pregabalin (Lyrica)?
Selected
Answer:
B.
Patient with partial
seizures
Question 30
1 out of 1 points
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). When assessing the psychiatric medications and the reason
for admission, what would be the best course of action for the PMHNP with this client?
Selected
Answer:
A.
Review Amitriptyline (Elavil)
level
Question 31
1 out of 1 points
What characteristics do the nicotinic, cholinergic, serotonin 3, and glycine receptors all have in
common?
Selected
Answer:
A.
Ligand-gated ion channels with a
pentameric structure
Question 32
1 out of 1 points
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.
Question 33
1 out of 1 points
The PMNHP is assessing a 29-year-old client who takes antipsychotics that block D2
receptors. This client has begun to develop a common side effect of this medication.
What is this side effect?
Selected
Answer:
D.
Tardive dyskinesia
Question 34
1 out of 1 points
Fluoxetine (Prozac) has been prescribed for a client with depression. Which of the
following statements is true regarding the action of this medication?
Selected
Answer:
B.
Fluoxetine inhibits the serotonin transporter (SERT).
Question 35
1 out of 1 points
A client is prescribed fluoxetine but is concerned about side effects. Which statement
demonstrates accurate client teaching when discussing the side effects associated [Show Less]