NURS 6635 MIDTERM PMHNP NEWLY
UPDATED EXAM ELABORATIONS
QUESTIONS WITH ANSWERS EXP
WALDEN UIVERISTY
QUESTION 1
1. Select the neurotransmitter involved in obsessive-compulsive disorder (OCD) in
children and adolescents based on the common comorbidity of tic disorders.
A Norepinephrine
B
GABA
.
C
Dopamine
.
D Acetylcholine
Answer:
Dopamine
Obsessive-compulsive disorder (OCD) is linked to defects in the cortico-striatal-thalamic-cortical
(CSTC) circuitry, which may be linked to neurotransmitter dysregulation throughout this network.
Serotonin, dopamine, glutamate, and -aminobutyric acid (GABA) are the main neurotransmitters
throughout the CSTC.
Compulsive behaviors linked to OCD are likely the product of a related dopaminergic reward
system dysfunction. Continuous ventral striatum activation may lead to an undirected expectation
of reward. Anxiety and a desire to fill the gap are caused by unfulfilled expectations.
Step-by-Step
explanation References
Richter, M. A., De Jesus, D. R., Hoppenbrouwers, S., Daigle, M., Deluce, J., Ravindran, L. N., ... &
Daskalakis, Z. J. (2019). Evidence for cortical inhibitory and excitatory dysfunction in obsessive
compulsive disorder. Neuropsychopharmacology, 37(5), 1144-1151.
Pittenger, C., Krystal, J. H., & Coric, V. (2016). Glutamate-modulating drugs as novel
pharmacotherapeutic agents in the treatment of obsessive-compulsive disorder. NeuroRx, 3(1), 69-
81.
1 points
QUESTION 2
1. Select the class of drugs most effective in treating pain disorder.
16
Page 1 of 72
A
Opioid analgesics
.
B TCA and SSRI
. antidepressants
Answer
: C Beta-adrenergic
. blockers
D
Mood stabilizers
.
,16
Page 1 of 72
A
Opioid analgesics
.
B TCA and SSRI
. antidepressants
Answer
: C Beta-adrenergic
. blockers
D
Mood stabilizers
.
Opioids analgesics
Page 2 of 72
Opioid analgesics are drugs that function on opioid receptors that are used to alleviate pain. Weak
opioid analgesics are often used to describe compound analgesics that combine acetaminophen
with low levels of codeine or tramadol. Opioid analgesics, which include oxycodone, hydrocodone,
and codeine, can be used to relieve mild to extreme acute pain.
Opioids are medications that are chemically similar to, but more potent than, the body's own pain
relievers (endorphins). They operate by binding to receptors on cells, primarily in the brain, spinal cord, and
gastrointestinal tract.
Step-by-Step
, Page 2 of 72
Opioid analgesics are drugs that function on opioid receptors that are used to alleviate pain. Weak
opioid analgesics are often used to describe compound analgesics that combine acetaminophen
with low levels of codeine or tramadol. Opioid analgesics, which include oxycodone, hydrocodone,
and codeine, can be used to relieve mild to extreme acute pain.
Opioids are medications that are chemically similar to, but more potent than, the body's own pain
relievers (endorphins). They operate by binding to receptors on cells, primarily in the brain, spinal cord, and
gastrointestinal tract.
Step-by-Step
explanation References
Andrieu, G., Amrouni, H., Robin, E., Carnaille, B., Wattier, J. M., Pattou, F., ... & Lebuffe, G. (2017).
Analgesic efficacy of bilateral superficial cervical plexus block administered before thyroid surgery
under general anaesthesia. British journal of anaesthesia, 99(4), 561-566.
Mangione, M. P., & Crowley-Matoka, M. (2018). Improving pain management communication:
how patients understand the terms "opioid" and "narcotic". Journal of general internal
medicine, 23(9), 1336.
1 points
QUESTION 3
1. Select the most commonly occurring eating disorder.
A Anorexia
. nervosa
B Bulimia
. nervosa
C
Purging
.
D
Binge
Answer .
:
Page 3 of 72
A. Anorexia Nervosa
Step-by-Step explanation
Anorexia nervosa is one eating disorder that most people have heard of. People with anorexia often
starve themselves in order to achieve an unattainable ideal of thinness. This condition, like many
eating disorders, tends to affect more women than men.
1 points
QUESTION 4
, Page 3 of 72
A. Anorexia Nervosa
Step-by-Step explanation
Anorexia nervosa is one eating disorder that most people have heard of. People with anorexia often
starve themselves in order to achieve an unattainable ideal of thinness. This condition, like many
eating disorders, tends to affect more women than men.
1 points
QUESTION 4
1. Select the disorder in which inflicting injury to self or others is common.
A
Pain
.
Page 4 of 72
B
Conversion
.
C Somatic
. symptom
D
Factitious
.
Factitious disorder is a serious mental disorder in which someone deceives others by appearing sick, by purposely
getting sick or by self-injury.
UPDATED EXAM ELABORATIONS
QUESTIONS WITH ANSWERS EXP
WALDEN UIVERISTY
QUESTION 1
1. Select the neurotransmitter involved in obsessive-compulsive disorder (OCD) in
children and adolescents based on the common comorbidity of tic disorders.
A Norepinephrine
B
GABA
.
C
Dopamine
.
D Acetylcholine
Answer:
Dopamine
Obsessive-compulsive disorder (OCD) is linked to defects in the cortico-striatal-thalamic-cortical
(CSTC) circuitry, which may be linked to neurotransmitter dysregulation throughout this network.
Serotonin, dopamine, glutamate, and -aminobutyric acid (GABA) are the main neurotransmitters
throughout the CSTC.
Compulsive behaviors linked to OCD are likely the product of a related dopaminergic reward
system dysfunction. Continuous ventral striatum activation may lead to an undirected expectation
of reward. Anxiety and a desire to fill the gap are caused by unfulfilled expectations.
Step-by-Step
explanation References
Richter, M. A., De Jesus, D. R., Hoppenbrouwers, S., Daigle, M., Deluce, J., Ravindran, L. N., ... &
Daskalakis, Z. J. (2019). Evidence for cortical inhibitory and excitatory dysfunction in obsessive
compulsive disorder. Neuropsychopharmacology, 37(5), 1144-1151.
Pittenger, C., Krystal, J. H., & Coric, V. (2016). Glutamate-modulating drugs as novel
pharmacotherapeutic agents in the treatment of obsessive-compulsive disorder. NeuroRx, 3(1), 69-
81.
1 points
QUESTION 2
1. Select the class of drugs most effective in treating pain disorder.
16
Page 1 of 72
A
Opioid analgesics
.
B TCA and SSRI
. antidepressants
Answer
: C Beta-adrenergic
. blockers
D
Mood stabilizers
.
,16
Page 1 of 72
A
Opioid analgesics
.
B TCA and SSRI
. antidepressants
Answer
: C Beta-adrenergic
. blockers
D
Mood stabilizers
.
Opioids analgesics
Page 2 of 72
Opioid analgesics are drugs that function on opioid receptors that are used to alleviate pain. Weak
opioid analgesics are often used to describe compound analgesics that combine acetaminophen
with low levels of codeine or tramadol. Opioid analgesics, which include oxycodone, hydrocodone,
and codeine, can be used to relieve mild to extreme acute pain.
Opioids are medications that are chemically similar to, but more potent than, the body's own pain
relievers (endorphins). They operate by binding to receptors on cells, primarily in the brain, spinal cord, and
gastrointestinal tract.
Step-by-Step
, Page 2 of 72
Opioid analgesics are drugs that function on opioid receptors that are used to alleviate pain. Weak
opioid analgesics are often used to describe compound analgesics that combine acetaminophen
with low levels of codeine or tramadol. Opioid analgesics, which include oxycodone, hydrocodone,
and codeine, can be used to relieve mild to extreme acute pain.
Opioids are medications that are chemically similar to, but more potent than, the body's own pain
relievers (endorphins). They operate by binding to receptors on cells, primarily in the brain, spinal cord, and
gastrointestinal tract.
Step-by-Step
explanation References
Andrieu, G., Amrouni, H., Robin, E., Carnaille, B., Wattier, J. M., Pattou, F., ... & Lebuffe, G. (2017).
Analgesic efficacy of bilateral superficial cervical plexus block administered before thyroid surgery
under general anaesthesia. British journal of anaesthesia, 99(4), 561-566.
Mangione, M. P., & Crowley-Matoka, M. (2018). Improving pain management communication:
how patients understand the terms "opioid" and "narcotic". Journal of general internal
medicine, 23(9), 1336.
1 points
QUESTION 3
1. Select the most commonly occurring eating disorder.
A Anorexia
. nervosa
B Bulimia
. nervosa
C
Purging
.
D
Binge
Answer .
:
Page 3 of 72
A. Anorexia Nervosa
Step-by-Step explanation
Anorexia nervosa is one eating disorder that most people have heard of. People with anorexia often
starve themselves in order to achieve an unattainable ideal of thinness. This condition, like many
eating disorders, tends to affect more women than men.
1 points
QUESTION 4
, Page 3 of 72
A. Anorexia Nervosa
Step-by-Step explanation
Anorexia nervosa is one eating disorder that most people have heard of. People with anorexia often
starve themselves in order to achieve an unattainable ideal of thinness. This condition, like many
eating disorders, tends to affect more women than men.
1 points
QUESTION 4
1. Select the disorder in which inflicting injury to self or others is common.
A
Pain
.
Page 4 of 72
B
Conversion
.
C Somatic
. symptom
D
Factitious
.
Factitious disorder is a serious mental disorder in which someone deceives others by appearing sick, by purposely
getting sick or by self-injury.
