NURS_6630_Midterm_Exam_Final 2027-12
NURS 6630 Week 6 Midterm Exam
NURS-6630C-8/NURS-6630N-8-Approaches to Treatment 2020
1. A patient is prescribed fluoxetine but is concerned about the side effects.
Which statement demonstrates accurate patient teaching when discussing the side
effects associated with fluoxetine?2. 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?3. Which
statement about neurotransmitters and medications is true?4. A patient is seeking
pharmacological treatment for smoking cessation. Which drug class does the PMHNP
prescribe to the patient?5. A 25-year-old female patient is being prescribed
milnacipran to treat fibromyalgia, and expresses concern regarding �how she will
feel and look� from taking the medicine. Which statement correctly describes the
side effects as a result of taking this medication?6. Which statement made by the
patient suggests the patient will need to be treated with antipsychotics that
target paranoid psychosis?7. The PMHNP is caring for a patient with the s genotype
of SERT. What does the PMHNP understand regarding this patient�s response to
selective serotonin reuptake inhibitor (SSRI)/SNRI treatment?8. A patient who is
prescribed MAO inhibitors asks about whether he can continue taking pseudoephedrine
to relieve his congestion. Which response by the PMHNP indicates proper
understanding of drug-drug interactions?��9. Mrs. Schwartzman is a 52-year-old
patient with schizophrenia and no established history of depression. When meeting
with the PMHNP, she presents with apathy and withdrawn social behavior, and she
reports a loss of joy from enjoyable activities. What does the PMHNP infer from
this encounter with the patient?10. The PMHNP understands that the potential of
alcohol abuse in the anxious client is higher for the following reasons:11. A 51-
year-old female patient presents with symptoms of depression, including lack of
motivation and difficulty sleeping. What risk factors would increase her
vulnerability for a diagnosis of depression?12. A patient who was diagnosed with
bipolar disorder without mania, asks the PMHNP why he is being prescribed a mood
stabilizer. What is the appropriate response?13. After ordering flumazenil
(Rumazicon) the PMHNP cautions the staff to monitor for which possible effect?14.
When an unstable patient asks why it is necessary to add medications to his current
regimen, the PMHNP�s best response would be:15. The PMNHP is assessing a 29-year-
old client who takes antipsychotics that block D2 receptors. This client has begun
to develop a common side effect of this medication. What is this side effect?16.
The nurse education knows that teaching was effective when one of the students
compares fluvoxamine to sertraline and notes which of the following similarities?
17. A patient was diagnosed with GAD 4 weeks ago and was placed on Clonazepam
(klonopin) twice a day and citalopram (citalopram (celexa)) once daily. When he
asks the PMHNP why it is necessary to wean him off of the Clonazepam (klonopin) the
best response is:18. Mr. Gordon is a middle-aged client who was started on
antidepressant monotherapy for depression.��After beginning this medication, the
PMHNP noticed that this client seemed to swing into a hypomanic episode. What can
the PMHNP infer from this behavior change?19. It is important for the PMHNP to
This study source was downloaded by 100000848900824 from CourseHero.com on 09-04-2022 07:20:17 GMT -05:00
https://www.coursehero.com/file/143254513/NURS-6630-Midterm-Exam-2020txt/
, NURS_6630_Midterm_Exam_Final 2027-12
recognize differences in pharmacokinetics to safely prescribe and monitor
medications. Which of the following statements does the competent PMHNP identify as
true?20. The PMHNP is meeting with a new mother who would like to begin taking
medication again to treat her bipolar depression; she is breastfeeding her 2-month
old daughter.� The PMHNP recognizes that which of the following medications is
contraindicated for this client?21. The PMHNP is caring for a new patient who has
been transferred from another office. When meeting with the new patient, the
patient reports, �I feel like I am improving with the The PMHNP
stabilizers.�
immediately recognizes that the patient is describing which kind of drug?22. A
patient is diagnosed with bipolar disorder and is currently taking carbamazepine
(Tegretol), aripiprazole (Abilify), and melatonin. The PMHNP has just written an
order to discontinue the carbamazepine (Tegretol) for drug-induced
thrombocytopenia. The PMHNP is aware that his next best action is to:23. A patient
This study source was downloaded by 100000848900824 from CourseHero.com on 09-04-2022 07:20:17 GMT -05:00
https://www.coursehero.com/file/143254513/NURS-6630-Midterm-Exam-2020txt/
NURS 6630 Week 6 Midterm Exam
NURS-6630C-8/NURS-6630N-8-Approaches to Treatment 2020
1. A patient is prescribed fluoxetine but is concerned about the side effects.
Which statement demonstrates accurate patient teaching when discussing the side
effects associated with fluoxetine?2. 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?3. Which
statement about neurotransmitters and medications is true?4. A patient is seeking
pharmacological treatment for smoking cessation. Which drug class does the PMHNP
prescribe to the patient?5. A 25-year-old female patient is being prescribed
milnacipran to treat fibromyalgia, and expresses concern regarding �how she will
feel and look� from taking the medicine. Which statement correctly describes the
side effects as a result of taking this medication?6. Which statement made by the
patient suggests the patient will need to be treated with antipsychotics that
target paranoid psychosis?7. The PMHNP is caring for a patient with the s genotype
of SERT. What does the PMHNP understand regarding this patient�s response to
selective serotonin reuptake inhibitor (SSRI)/SNRI treatment?8. A patient who is
prescribed MAO inhibitors asks about whether he can continue taking pseudoephedrine
to relieve his congestion. Which response by the PMHNP indicates proper
understanding of drug-drug interactions?��9. Mrs. Schwartzman is a 52-year-old
patient with schizophrenia and no established history of depression. When meeting
with the PMHNP, she presents with apathy and withdrawn social behavior, and she
reports a loss of joy from enjoyable activities. What does the PMHNP infer from
this encounter with the patient?10. The PMHNP understands that the potential of
alcohol abuse in the anxious client is higher for the following reasons:11. A 51-
year-old female patient presents with symptoms of depression, including lack of
motivation and difficulty sleeping. What risk factors would increase her
vulnerability for a diagnosis of depression?12. A patient who was diagnosed with
bipolar disorder without mania, asks the PMHNP why he is being prescribed a mood
stabilizer. What is the appropriate response?13. After ordering flumazenil
(Rumazicon) the PMHNP cautions the staff to monitor for which possible effect?14.
When an unstable patient asks why it is necessary to add medications to his current
regimen, the PMHNP�s best response would be:15. The PMNHP is assessing a 29-year-
old client who takes antipsychotics that block D2 receptors. This client has begun
to develop a common side effect of this medication. What is this side effect?16.
The nurse education knows that teaching was effective when one of the students
compares fluvoxamine to sertraline and notes which of the following similarities?
17. A patient was diagnosed with GAD 4 weeks ago and was placed on Clonazepam
(klonopin) twice a day and citalopram (citalopram (celexa)) once daily. When he
asks the PMHNP why it is necessary to wean him off of the Clonazepam (klonopin) the
best response is:18. Mr. Gordon is a middle-aged client who was started on
antidepressant monotherapy for depression.��After beginning this medication, the
PMHNP noticed that this client seemed to swing into a hypomanic episode. What can
the PMHNP infer from this behavior change?19. It is important for the PMHNP to
This study source was downloaded by 100000848900824 from CourseHero.com on 09-04-2022 07:20:17 GMT -05:00
https://www.coursehero.com/file/143254513/NURS-6630-Midterm-Exam-2020txt/
, NURS_6630_Midterm_Exam_Final 2027-12
recognize differences in pharmacokinetics to safely prescribe and monitor
medications. Which of the following statements does the competent PMHNP identify as
true?20. The PMHNP is meeting with a new mother who would like to begin taking
medication again to treat her bipolar depression; she is breastfeeding her 2-month
old daughter.� The PMHNP recognizes that which of the following medications is
contraindicated for this client?21. The PMHNP is caring for a new patient who has
been transferred from another office. When meeting with the new patient, the
patient reports, �I feel like I am improving with the The PMHNP
stabilizers.�
immediately recognizes that the patient is describing which kind of drug?22. A
patient is diagnosed with bipolar disorder and is currently taking carbamazepine
(Tegretol), aripiprazole (Abilify), and melatonin. The PMHNP has just written an
order to discontinue the carbamazepine (Tegretol) for drug-induced
thrombocytopenia. The PMHNP is aware that his next best action is to:23. A patient
This study source was downloaded by 100000848900824 from CourseHero.com on 09-04-2022 07:20:17 GMT -05:00
https://www.coursehero.com/file/143254513/NURS-6630-Midterm-Exam-2020txt/
