Psychopharmacology Section
1 Assess Mental Health Status
QUESTIONS AND VERIFIED
CORRECT ANSWERS
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A patient comes in for their follow-up after 30 days on Effexor Extended Release (XR) 150 mg by
mouth every morning for major depressive disorder. The patient tells their psychiatric mental
health nurse practitioner (PMHNP) that they feel great and have accomplished so many things
in the past week that they feel like they can do anything now. The patient shows the PMHNP a
plan they have made to start their own business. The patient has been staying up late writing
down their ideas for their business plan, and they show you a very disorganized list of seemingly
unrelated items. The PMHNP tries to ask the patient questions, but the patient is talking so fast
that the PMHNP can hardly say anything. What is the next step for the PMHNP during this
medication management appointment? - CORRECT ANSWER-1. Assess the patient for a
diagnosis of bipolar. It is appropriate at any stage of treating the patient to consider alternative
diagnoses if a different set of symptoms is presented.
True or FalseA psychiatric mental health nurse practitioner (PMHNP) is prescribing Lexapro to a
patient for the treatment of major depressive disorder. Alternatively, the PMHNP suggests
Wellbutrin or Celexa. The potential side effects and black box warnings for each drug are
explained to the patient. The patient has been given enough information to make a decision
with informed consent. - CORRECT ANSWER-True. The patient has been provided with the risks
and benefits of the medication as well as alternative medication choices. The patient can
, choose what option best meets their needs and priorities, thus involving the patient in the
process of selection.
True or False A 19 -year-old college student was recently diagnosed with bipolar disorder
following a series of impulsive decisions, including unprotected sex with multiple partners. The
PMHNP prescribed birth control pills and put the patient on Trileptal for mood stabilization. The
Trileptal was chosen over other mood stabilizers and antipsychotics because the patient is
obese and does not want to gain additional weight. The patient agreed that birth control was a
good idea because she wanted to finish college and get married before having a family. The
PMHNP considered all of the important factors in selecting a medication. - CORRECT ANSWER-
False. Examining drug interactions should have led the PMHNP to realize the patient could
accidentally get pregnant on this medication combination. the PMHNP would need to educate
the patient on the need for a backup method of birth control because the Trileptal could reduce
the effectiveness of the birth control, and BCPs do not protect against sexually transmitted
diseases (STDs).
True or False A 16-year-old female patient presents with complaints of feeling depressed for
nearly a month. She self-rates her depression as severe. She has had suicidal thoughts on
occasion but says she would never act on them. She has been tired and unmotivated and
cannot get up in the morning to attend school. She is not sleeping well and is tired of her
parents complaining about her low grades. She has missed many school days and thinks
everyone will be looking at her and talking about her if she returns to school. The patient feels
overwhelmed but is not motivated to make any changes to her situation. The patient's
psychiatric mental health nurse practitioner (PMHNP) has diagnosed the patient with major
depressive disorder. It would be appropriate to begin medication. - CORRECT ANSWER-True.
The patient has been at least moderately depressed for more than two weeks, and it has caused
a significant deterioration of functioning.
A 16-year-old male patient presents with complaints of feeling depressed for nearly a month.
He self-rates his depression as severe. He has had suicidal thoughts on occasion but says he
would never act on them. He has been tired and unmotivated and cannot get up in the morning
to attend school. The patient is not sleeping well and is tired of his parents complaining about
his low grades. He has missed many school days and thinks everyone will be looking at him and
talking about him if he returns to school. The patient feels overwhelmed but is not motivated to
make any changes to his situation. The patient's psychiatric mental health nurse practitioner