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A 76-year-old patient who is determined to be a poor 2D6 metabolizer is
being prescribed vortioxetine for his depression. What does the
PMHNP need to
remember when prescribing this drug?
A. The dosage of the drug will need to be increased
B. The dosage needs to begin at half then increase over a 2-week period
C. The dosage should not exceed ½ of the usual recommended dose
D. An adjunct medication will need to be prescribed until the dosage can
be reduced
C. The dosage should not exceed ½ of the usual recommended dose
,1/15/26, 8:08 PM NR 546 Midterm PRACTICE EXAM Psychopharmacology
Which of the following mechanisms would you associate with an
antagonist drug action?
A. A drug that binds postsynaptic receptors and mimics the
effect of the neurotransmitter.
B. A drug that binds and blocks normal auto receptor function.
C. A drug that increases the enzymatic synthesis of neurotransmitters.
D. A drug that binds postsynaptic receptors and blocks the normal
action of the neurotransmitter.
D. A drug that binds postsynaptic receptors and blocks the normal
action of the neurotransmitter.
A court order inpatient hospitalization was ordered for a patient who is
considered a danger to themselves and other. Which ethical issue is
being addressed?
A. Informed consent
B. Off labeling prescription
C. Compliance
D. Restrictive methods
C. Compliance
/ 2/26
, 1/15/26, 8:08 PM NR 546 Midterm PRACTICE EXAM Psychopharmacology
A 22-year-old patient recently diagnosed with bipolar disorder and
states "I'm
not crazy" and is refusing to take his prescribed medication. Which
type of factor is contributing to this patient's nonadherence?
A. Client factors
B. Clinician factors
C. Structural factors
D. Environmental factors
C. Structural factors
Using Dell'Osso et al.'s sequential framework of priorities to promote
medication adherence, determine which step is being defined: The
PMHNP explains the mechanism of action, anticipated time to
experience effects, side effects, and lifestyle instructions to a patient
after prescribing Wellbutrin.
A. Diagnosis
B. Medication education
C. Monitoring plan
D. Adherence reinforcement
B. Medication education
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