NRNP 6630 MIDTERM EXAM (2 VERSIONS,LATEST-2022/2023, 100 Q & A ) / NRNP6630 MIDTERM EXAM / NRNP 6630 WEEK 6 MIDTERM EXAM / NRNP6630 WEEK 6 MIDTERM EXAM: WALDEN UNIVERSITY | 100% VERIFIED

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NRNP 6630 MIDTERM EXAM (2 VERSIONS, 200 Q & A)




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, NRNP 6630 Midterm Exam



Question 1
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When an unstable patient asks why it is necessary to add medications to his
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current regimen, the PMHNP’s best response would be:
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Selected C. I


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Answer: “Many psychiatric illnesses involve several dys-functioning neurotransmitter systems in
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the Ibrain. IOften, Ia Isingle Imedication Imay Ionly Ieffect Ione Ior Itwo Iof Ithe Idys-functioning
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systems. IThe Iaddition Iof Ianother Imedication Ican Iwork Iwith Ithe Icurrent Imedication Iin
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symptoms.”
stabilizing Imultiple Ineurotransmitter Isystems Iand Ihelp Ito Ialleviate Iyour I
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• Question 2 I




The PMHNP is meeting with a new mother who would like to begin taking
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medication again to treat her bipolar depression; she is breastfeeding her 2-
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month old daughter. The PMHNP recognizes that which of the following
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medications is contraindicated for this patient? I I I I I I




Selected Answer: C.
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Lithium (Lithobid) I




• Question 3 I


1 out of 1 points
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Mr. Gordon is a middle-aged client who was started on antidepressant
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monotherapy for depression. After beginning this medication, the PMHNP
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, A




I noticed that this client seemed to swing into a hypomanic episode. What can
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I the PMHNP infer from this behavior change?
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Selected Answer: A. I I


This client may have Bipolar III disorder
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• Question 4 I


1 out of 1 points
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A patient presents with frequent episodes of mania. Which statement describes
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an appropriate treatment approach for this patient?
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Selected Answer: B. I I


“The patient could benefit from an anticonvulsant.”
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• Question 5 I


1 out of 1 points
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The student inquires about antipsychotic medications. Which response by the
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PMHNP describes the factors that contribute to reduced risk of extrapyramidal
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symptoms (EPS) for patients who take antipsychotics?
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Selected B. I


Answer:
I Those that are potent D2 antagonists with 5HT2A antagonism
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properties
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• Question 6 I


1 out of 1 points I I I I


After ordering flumazenil (Rumazicon) the PMHNP cautions the staff to monitor for
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Iwhich possible effect? I I


Selected Answer: D. I I


All of the aboveI I I

, • Question 7 I


1 out of 1 points
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The PMHNP is caring for a patient who is taking antipsychotics heard the
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psychiatrist tell the patient that the patient would be placed on a different
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antipsychotic agent called an atypical antipsychotic. What neurotransmitters
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will this new medication work on?
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Selected Answer: A. I I


dopamine and serotonin I I




• Question 8 I


1 out of 1 points
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While genes have potential to modify behavior, behavior can also modify genes.
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How do genes impact this process?
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Selected Answer: B. I I


Changes made to proteins lead to changes in behavior.
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• Question 9 I


1 out of 1 points
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Mrs. Schwartzman is a 52-year-old client with schizophrenia and no
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established history of depression. When meeting with the PMHNP, she
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presents with apathy and withdrawn social behavior, and she reports a loss
of
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I joy from enjoyable activities since starting her new medication. What does the
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I PMHNP infer from this encounter with the client?
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Selected C. I


IAnswer: The new medication is blocking D2 receptors in the mesolimbic
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Isystem




• Question 10 I


1 out of 1 points
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Inursing student is seeking clarification on the use of anticonvulsants to treat
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