NURS 6630C- NURS 6630N Midterm 2020
• 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 a dopamine agonist to
help manage and treat his condition. The PHMNP selects this agent
because of which action it hason patients like Mr. McCullin?
Selected D.
Answer: D2 receptors are the primary binding site fordopamine
agonists.
• Question 2
1 out of 1 points
Ms. Hill is currently being treated for schizophrenia but has stopped
takingher 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 B.
Answer: Agitation
• Question 3
1 out of 1 points
, The PMHNP evaluates the patient for “fear conditioning” when he asks:
Selected A.
Answer: Have you ever experienced any typeof
trauma?
• Question 4
1 out of 1 points
While genes have potential to modify behavior, behavior canalso modify
genes. How do genes impact this process?
Selected B.
Answer: Changes made to proteins lead to changesin
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?
Selecte B.
d Hyperactivity in the mesolimbic dopamine pathway
Answer mediates the positive symptoms ofschizophrenia.
:
• Question 6
1 out of 1 points
A patient is diagnosed with schizophrenia. What increases thepatient’s
potential to mediate the cognitive symptoms of the disease?
Selecte A.
d Achieving underactivity of the mesocorticol projections
Answer 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 beingon four different
antidepressants over the course of a year. Which of the following
symptoms can be residual symptomsfor patients who do not achieve
remission with major depressive disorder?
Selected D.
Answer: 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 C.
Answer: Neurotransmitters can spread bydiffusion.
• Question 9
1 out of 1 points
A patient diagnosed with PTSD is prescribed propranolol (Inderal) and
the PMHNP understands that he was prescribedthis medication for what
purpose:
Selected B.
Answer: 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 forthis patient?
Selected B.
Answer: “The patient could benefit from an
anticonvulsant.”
• 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 a dopamine agonist to
help manage and treat his condition. The PHMNP selects this agent
because of which action it hason patients like Mr. McCullin?
Selected D.
Answer: D2 receptors are the primary binding site fordopamine
agonists.
• Question 2
1 out of 1 points
Ms. Hill is currently being treated for schizophrenia but has stopped
takingher 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 B.
Answer: Agitation
• Question 3
1 out of 1 points
, The PMHNP evaluates the patient for “fear conditioning” when he asks:
Selected A.
Answer: Have you ever experienced any typeof
trauma?
• Question 4
1 out of 1 points
While genes have potential to modify behavior, behavior canalso modify
genes. How do genes impact this process?
Selected B.
Answer: Changes made to proteins lead to changesin
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?
Selecte B.
d Hyperactivity in the mesolimbic dopamine pathway
Answer mediates the positive symptoms ofschizophrenia.
:
• Question 6
1 out of 1 points
A patient is diagnosed with schizophrenia. What increases thepatient’s
potential to mediate the cognitive symptoms of the disease?
Selecte A.
d Achieving underactivity of the mesocorticol projections
Answer 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 beingon four different
antidepressants over the course of a year. Which of the following
symptoms can be residual symptomsfor patients who do not achieve
remission with major depressive disorder?
Selected D.
Answer: 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 C.
Answer: Neurotransmitters can spread bydiffusion.
• Question 9
1 out of 1 points
A patient diagnosed with PTSD is prescribed propranolol (Inderal) and
the PMHNP understands that he was prescribedthis medication for what
purpose:
Selected B.
Answer: 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 forthis patient?
Selected B.
Answer: “The patient could benefit from an
anticonvulsant.”
