NURS 6630 Midterm Exam Test Bank

NURS 6630 Midterm Exam Test Bank

, NURS 6630 Midterm Exam Test Bank

Question 1
1 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).

Answer: C. “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 a positive
symptom of schizophrenia?

Answer: B. Agitation



Question 3
0 out of 1 points
Which statement about neurotransmitters and medications is true?

Answer: D. 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 current regimen,
the PMHNP’s best response would be:

Answer: C. “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?

Answers: A. 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?

Answer: B. 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:

Answer: C. Neurotransmitters can spread by diffusion.




Question 8
1 out of 1 points

, Why is the cytochrome P450 enzyme system of significance to the PMHNP?

Answer: B. 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
prescribe and monitor medications. Which of the following statements does the competent
PMHNP identify as true?

Answer: A. 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 about
medications that are used in practice?

Answer: A. Most medications that act on G-protein linked receptors have antagonistic
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:

Answer: A. The patient smokes cigarettes.



Question 12
0 out of 1 points
A patient is diagnosed with bipolar disorder and is currently taking carbamazepine