•
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 C.
Answer: “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 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 apositive symptom of schizophrenia?
Selected B.
Answer: Agitation
• Question 3
0 out of 1 points
Which statement about neurotransmitters and medications is true?
Selected D.
Answer: An imbalance of serotonin has been directly linked to depression. Following the
discovery of this neurotransmitter, pharmacologists were able to develop a well-
known drug- Prozac as the first medication used to restore the balance of serotonin.
• Question 4
1 out of 1 points
When an unstable patient asks why it is necessary to add medications to his currentregimen, the
PMHNP’s best response would be:
Selecte d 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 5
1 out of 1 points
During gene expression, what must occur prior to a gene being expressed?
Selected A.
Answers: Transcription factor must bind to the regulatory region within thecell’s nucleus.
• Question 6
1 out of 1 points
While genes have potential to modify behavior, behavior can also modify genes. How dogenes
impact this process?
Selected B.
Answer: Changes made to proteins lead to changes inbehavior.
• Question 7
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 C.
Answer: Neurotransmitters can spread by
diffusion.
• Question 8
1 out of 1 points
Why is the cytochrome P450 enzyme system of significance to the PMHNP?
Selected B.
Answer: The bioavailability of the medication after it passes through thestomach and
liver can be altered.
• Question 9
1 out of 1 points
It is important for the PMHNP to recognize differences in pharmacokinetics to safelyprescribe and
monitor medications. Which of the following statements does the competent PMHNP identify as
true?
Selected A.
Answer: About 1 out of 5 Asians requires lower-than-normal doses of some
antidepressants and antipsychotics.
, • Question 10
1 out of 1 points
As it relates to G-protein linked receptors, what does the PMHNP understand aboutmedications that
are used in practice?
Selected A.
Answer: Most medications that act on G-protein linked receptors haveantagonistic
traits.
• Question 11
1 out of 1 points
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 A.
Answer: The patient smokes
cigarettes.
• Question 12
0 out of 1 points
A patient is diagnosed with bipolar disorder and is currently taking carbamazepine (Tegretol),
aripiprazole (Abilify), and melatonin. The PMHNP has just written an order todiscontinue the
carbamazepine (Tegretol) for drug-induced thrombocytopenia. The PMHNP is aware that his next
best action is to:
Selected B.
Answer: Write an order for a different mood
stabilizer
• Question 13
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 A.
Answer: Review Amitriptyline (Elavil)
level
• 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 suchas this?
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 C.
Answer: “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 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 apositive symptom of schizophrenia?
Selected B.
Answer: Agitation
• Question 3
0 out of 1 points
Which statement about neurotransmitters and medications is true?
Selected D.
Answer: An imbalance of serotonin has been directly linked to depression. Following the
discovery of this neurotransmitter, pharmacologists were able to develop a well-
known drug- Prozac as the first medication used to restore the balance of serotonin.
• Question 4
1 out of 1 points
When an unstable patient asks why it is necessary to add medications to his currentregimen, the
PMHNP’s best response would be:
Selecte d 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 5
1 out of 1 points
During gene expression, what must occur prior to a gene being expressed?
Selected A.
Answers: Transcription factor must bind to the regulatory region within thecell’s nucleus.
• Question 6
1 out of 1 points
While genes have potential to modify behavior, behavior can also modify genes. How dogenes
impact this process?
Selected B.
Answer: Changes made to proteins lead to changes inbehavior.
• Question 7
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 C.
Answer: Neurotransmitters can spread by
diffusion.
• Question 8
1 out of 1 points
Why is the cytochrome P450 enzyme system of significance to the PMHNP?
Selected B.
Answer: The bioavailability of the medication after it passes through thestomach and
liver can be altered.
• Question 9
1 out of 1 points
It is important for the PMHNP to recognize differences in pharmacokinetics to safelyprescribe and
monitor medications. Which of the following statements does the competent PMHNP identify as
true?
Selected A.
Answer: About 1 out of 5 Asians requires lower-than-normal doses of some
antidepressants and antipsychotics.
, • Question 10
1 out of 1 points
As it relates to G-protein linked receptors, what does the PMHNP understand aboutmedications that
are used in practice?
Selected A.
Answer: Most medications that act on G-protein linked receptors haveantagonistic
traits.
• Question 11
1 out of 1 points
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 A.
Answer: The patient smokes
cigarettes.
• Question 12
0 out of 1 points
A patient is diagnosed with bipolar disorder and is currently taking carbamazepine (Tegretol),
aripiprazole (Abilify), and melatonin. The PMHNP has just written an order todiscontinue the
carbamazepine (Tegretol) for drug-induced thrombocytopenia. The PMHNP is aware that his next
best action is to:
Selected B.
Answer: Write an order for a different mood
stabilizer
• Question 13
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 A.
Answer: Review Amitriptyline (Elavil)
level
• 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 suchas this?
