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NURS-6630N-7,Approaches to Treatment.

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NURS-6630N-7,Approaches to Treatment. 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: D. “Why do you believe that your medication is poison?” 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: C. Attentional Impairment Which statement about neurotransmitters and medications is true? Selected Answer: B. Several psychiatric medications have been developed after discoveries of endogenous neurotransmitters and defining their function in the brain. 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.” 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. 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. 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. Why is the cytochrome P450 enzyme system of significance to the PMHNP? Selected Answer: B. The bioavailability of the medication after it passes through the stomach and liver can be altered. It is important for the PMHNP to recognize differences in pharmacokinetics to safely prescribe and monitor medications. Which of the following statements does the competent PMHNP identify as true? Selected Answer: A. About 1 out of 5 Asians requires lower-than-normal doses of some antidepressants and antipsychotics. As it relates to G-protein linked receptors, what does the PMHNP understand about medications that are used in practice? Selected Answer: A.

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Course NURS-6630N-7,Approaches to Treatment.2018 Winter Qtr
11/26-02/17-PT27
Test Week 6 Midterm Exam
Started 1/4/19 9:14 PM
Submitted 1/4/19 9:59 PM
Due Date 1/7/19 1:59 AM
Status Completed
Attempt Score 64 out of 75 points
Time Elapsed 44 minutes out of 2 hours
Results Submitted Answers
Displayed
• Question 1
0 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 D.
Answer: “Why do you believe that your medication is
poison?”
• Question 2
0 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 C.
Answer: Attentional Impairment
• Question 3
1 out of 1 points
Which statement about neurotransmitters and medications is true?

, Selected B.
Answer: Several psychiatric medications have been developed after discoveries of endogenous
neurotransmitters and defining their function in the brain.
• Question 4
1 out of 1 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 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 the
cell’s nucleus.
• Question 6
1 out of 1 points
While genes have potential to modify behavior, behavior can also modify genes. How do
genes impact this process?

Selected B.
Answer: Changes made to proteins lead to changes in
behavior.
• 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 the stomach
and liver can be altered.
• Question 9
1 out of 1 points
It is important for the PMHNP to recognize differences in pharmacokinetics to safely

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